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https://genteramed.com/pages/contact

html genteramed.com collected 2026-10-07 22:17:38 UTC 908,496 bytes, 8,038 lines download raw bytes

1<!doctype html>
2<html class="no-js" lang="en">
3
4<head>
5    <!-- Recura Chat Code -->
6  
6<script src="https://app.medspareceptionist.com/chat-widget-v2.js"></script>
vendor: 1 bytes, line 6
6
7<script>
8  window.initMedspaWidget("48fc8430")
9</script>
9
10  <!-- Meta Pixel Code -->
11<script>
vendor: 399 bytes, lines 11-20
11
12!function(f,b,e,v,n,t,s)
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17t.src=v;s=b.getElementsByTagName(e)[0];
18s.parentNode.insertBefore(t,s)}(window,document,'script',
19'https://connect.facebook.net/en_US/fbevents.js');
20 fbq('init', '
203010006929255607
vendor: 31 bytes, lines 20-21
20'); 
21fbq('track', 'PageView');
22</script>
22
23<noscript>
24 <img height="1" width="1" 
25src="https://www.facebook.com/tr?id=3010006929255607&ev=PageView
26&noscript=1"/>
27</noscript>
28<!-- End Meta Pixel Code -->
29  <!-- Basic page needs ================================================== -->
30  <meta charset="utf-8"><meta http-equiv="X-UA-Compatible" content="IE=edge"><link rel="preconnect" href="https://fonts.shopifycdn.com" crossorigin><link href="//genteramed.com/cdn/shop/t/3/assets/swiper-bundle.min.css?v=108600854557962455461749608473" rel="stylesheet" type="text/css" media="all" />
31  <link href="//genteramed.com/cdn/shop/t/3/assets/photoswipe.min.css?v=165459975419098386681741878166" rel="stylesheet" type="text/css" media="all" />
32  <link href="//genteramed.com/cdn/shop/t/3/assets/theme.min.css?v=31162201601548456251751408913" rel="stylesheet" type="text/css" media="all" />
33  <link href="//genteramed.com/cdn/shop/t/3/assets/custom.css?v=102493421877365237651741878166" rel="stylesheet" type="text/css" media="all" />
34  <link href="//genteramed.com/cdn/shop/t/3/assets/custom-styles.css?v=77740135012215581341745533987" rel="stylesheet" type="text/css" media="all" />
35
36  
37    <link rel="shortcut icon" href="//genteramed.com/cdn/shop/files/favicon-96x96.png?crop=center&height=180&v=1748550023&width=180" type="image/png">
38    <link rel="apple-touch-icon" sizes="180x180" href="//genteramed.com/cdn/shop/files/favicon-96x96.png?crop=center&height=180&v=1748550023&width=180">
39    <link rel="apple-touch-icon-precomposed" sizes="180x180" href="//genteramed.com/cdn/shop/files/favicon-96x96.png?crop=center&height=180&v=1748550023&width=180">
40    <link rel="icon" type="image/png" sizes="32x32" href="//genteramed.com/cdn/shop/files/favicon-96x96.png?crop=center&height=32&v=1748550023&width=32">
41    <link rel="icon" type="image/png" sizes="194x194" href="//genteramed.com/cdn/shop/files/favicon-96x96.png?crop=center&height=194&v=1748550023&width=194">
42    <link rel="icon" type="image/png" sizes="192x192" href="//genteramed.com/cdn/shop/files/favicon-96x96.png?crop=center&height=192&v=1748550023&width=192">
43    <link rel="icon" type="image/png" sizes="16x16" href="//genteramed.com/cdn/shop/files/favicon-96x96.png?crop=center&height=16&v=1748550023&width=16">
44  
45
46    <link rel="preload" as="font" href="//genteramed.com/cdn/fonts/poppins/poppins_n4.0ba78fa5af9b0e1a374041b3ceaadf0a43b41362.woff2" type="font/woff2" crossorigin>
47    
48
49    <link rel="preload" as="font" href="//genteramed.com/cdn/fonts/poppins/poppins_n4.0ba78fa5af9b0e1a374041b3ceaadf0a43b41362.woff2" type="font/woff2" crossorigin>
50    
51<!-- Title and description ================================================== -->
52  <title>
53    Contact us - Gentera Med
54  </title>
55
56
57  <meta name="description" content="Contact Gentera Med in Coral Gables for personalized health services. Schedule your appointment or ask about our precision medicine programs today.">
58
59
60  <!-- Helpers ================================================== -->
61  <!-- /snippets/social-meta-tags.liquid -->
62
63
64<meta property="og:site_name" content="Gentera Med">
65<meta property="og:url" content="https://genteramed.com/pages/contact">
66<meta property="og:title" content="Contact us - Gentera Med">
67<meta property="og:type" content="website">
68<meta property="og:description" content="Contact Gentera Med in Coral Gables for personalized health services. Schedule your appointment or ask about our precision medicine programs today.">
69
70<meta property="og:image" content="http:Liquid error (snippets/social-meta-tags line 8): invalid url input">
71<meta property="og:image:alt" content="Gentera Med">
72<meta property="og:image:secure_url" content="https:Liquid error (snippets/social-meta-tags line 9): invalid url input">
73
74
75<meta name="x:card" content="summary_large_image">
76<meta name="x:title" content="Contact us - Gentera Med">
77<meta name="x:description" content="Contact Gentera Med in Coral Gables for personalized health services. Schedule your appointment or ask about our precision medicine programs today.">
78
79  <link rel="canonical" href="https://genteramed.com/pages/contact"/>
80  <meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">
81  <meta name="theme-color" content="#242424">
82
83  <!-- CSS ================================================== -->
84  <style>
85/*============================================================================
86  #Typography
87==============================================================================*/
88
89
90
91
92
93
94@font-face {
95  font-family: Poppins;
96  font-weight: 400;
97  font-style: normal;
98  font-display: swap;
99  src: url("//genteramed.com/cdn/fonts/poppins/poppins_n4.0ba78fa5af9b0e1a374041b3ceaadf0a43b41362.woff2") format("woff2"),
100       url("//genteramed.com/cdn/fonts/poppins/poppins_n4.214741a72ff2596839fc9760ee7a770386cf16ca.woff") format("woff");
101}
102
103@font-face {
104  font-family: Poppins;
105  font-weight: 400;
106  font-style: normal;
107  font-display: swap;
108  src: url("//genteramed.com/cdn/fonts/poppins/poppins_n4.0ba78fa5af9b0e1a374041b3ceaadf0a43b41362.woff2") format("woff2"),
109       url("//genteramed.com/cdn/fonts/poppins/poppins_n4.214741a72ff2596839fc9760ee7a770386cf16ca.woff") format("woff");
110}
111
112
113  @font-face {
114  font-family: Poppins;
115  font-weight: 700;
116  font-style: normal;
117  font-display: swap;
118  src: url("//genteramed.com/cdn/fonts/poppins/poppins_n7.56758dcf284489feb014a026f3727f2f20a54626.woff2") format("woff2"),
119       url("//genteramed.com/cdn/fonts/poppins/poppins_n7.f34f55d9b3d3205d2
119cd6f64955ff4b36f0cfd8da.woff") format("woff");
120}
121
122
123
124
125  @font-face {
126  font-family: Poppins;
127  font-weight: 700;
128  font-style: normal;
129  font-display: swap;
130  src: url("//genteramed.com/cdn/fonts/poppins/poppins_n7.56758dcf284489feb014a026f3727f2f20a54626.woff2") format("woff2"),
131       url("//genteramed.com/cdn/fonts/poppins/poppins_n7.f34f55d9b3d3205d2cd6f64955ff4b36f0cfd8da.woff") format("woff");
132}
133
134
135
136
137  @font-face {
138  font-family: Poppins;
139  font-weight: 400;
140  font-style: italic;
141  font-display: swap;
142  src: url("//genteramed.com/cdn/fonts/poppins/poppins_i4.846ad1e22474f856bd6b81ba4585a60799a9f5d2.woff2") format("woff2"),
143       url("//genteramed.com/cdn/fonts/poppins/poppins_i4.56b43284e8b52fc64c1fd271f289a39e8477e9ec.woff") format("woff");
144}
145
146
147
148
149  @font-face {
150  font-family: Poppins;
151  font-weight: 700;
152  font-style: italic;
153  font-display: swap;
154  src: url("//genteramed.com/cdn/fonts/poppins/poppins_i7.42fd71da11e9d101e1e6c7932199f925f9eea42d.woff2") format("woff2"),
155       url("//genteramed.com/cdn/fonts/poppins/poppins_i7.ec8499dbd7616004e21155106d13837fff4cf556.woff") format("woff");
156}
157
158
159
160
161
162
163
164
165
166/*============================================================================
167  #General Variables
168==============================================================================*/
169
170:root {
171
172  --font-weight-normal: 400;
173  --font-weight-bold: 700;
174  --font-weight-header-bold: 700;
175
176  --header-font-stack: Poppins, sans-serif;
177  --header-font-weight: 400;
178  --header-font-style: normal;
179  --header-text-size: 28;
180  --header-text-size-px: 28px;
181  --header-mobile-text-size-px: 22px;
182
183  --header-font-case: normal;
184  --header-font-size: 14;
185  --header-font-size-px: 14px;
186
187  --heading-spacing: -0.01em;
188  --heading-line-height: 1.2;
189  --heading-font-case: normal;
190  --heading-font-stack: FontDrop;
191
192  --body-font-stack: Poppins, sans-serif;
193  --body-font-weight: 400;
194  --body-font-style: normal;
195
196  --button-font-stack: Poppins, sans-serif;
197  --button-font-weight: 400;
198  --button-font-style: normal;
199
200  --label-font-stack: Poppins, sans-serif;
201  --label-font-weight: 400;
202  --label-font-style: normal;
203  --label-font-case: uppercase;
204  --label-spacing: 0px;
205
206  --navigation-font-stack: Poppins, sans-serif;
207  --navigation-font-weight: 400;
208  --navigation-font-style: normal;
209  --navigation-font-letter-spacing: normal;
210
211  --base-font-size-int: 16;
212  --base-font-size: 16px;
213
214  --body-font-size-12-to-em: 0.75em;
215  --body-font-size-16-to-em: 1.0em;
216  --body-font-size-22-to-em: 1.38em;
217  --body-font-size-28-to-em: 1.75em;
218  --body-font-size-36-to-em: 2.25em;
219
220  /* Heading Sizes */
221
222  
223  --h1-size: 35px;
224  --h2-size: 28px;
225  --h3-size: 25px;
226  --h4-size: 21px;
227  --h5-size: 18px;
228  --h6-size: 16px;
229
230  --sale-badge-color: #dc3545;
231  --sold-out-badge-color: #494949;
232  --custom-badge-color: #494949;
233  --preorder-badge-color: #494949;
234  --badge-font-color: #ffffff;
235
236  --primary-btn-text-color: #ffffff;
237  --primary-btn-text-color-opacity50: rgba(255, 255, 255, 0.5);
238  --primary-btn-bg-color: #234167;
239  --primary-btn-bg-color-opacity50: rgba(35, 65, 103, 0.5);
240
241  --button-text-case: uppercase;
242  --button-font-size: 14;
243  --button-font-size-px: 14px;
244  --button-text-spacing-px: 1px;
245
246  
247    --text-line-clamp: none;
248  
249
250  
251
252  --text-color: #000000;
253  --text-color-lighten5: #0d0d0d;
254  --text-color-lighten70: #b3b3b3;
255  --text-color-transparent05: rgba(0, 0, 0, 0.05);
256  --text-color-transparent10: rgba(0, 0, 0, 0.1);
257  --text-color-transparent15: rgba(0, 0, 0, 0.15);
258  --text-color-transparent25: rgba(0, 0, 0, 0.25);
259  --text-color-transparent30: rgba(0, 0, 0, 0.3);
260  --text-color-transparent40: rgba(0, 0, 0, 0.4);
261  --text-color-transparent50: rgba(0, 0, 0, 0.5);
262  --text-color-transparent5: rgba(0, 0, 0, 0.5);
263  --text-color-transparent6: rgba(0, 0, 0, 0.6);
264  --text-color-transparent7: rgba(0, 0, 0, 0.7);
265  --text-color-transparent8: rgba(0, 0, 0, 0.8);
266
267  
268    --heading-xl-font-size: 28px;
269    --heading-l-font-size: 22px;
270    --subheading-font-size: 20px;
271  
272
273  
274    --small-body-font-size: 14px;
275  
276
277  --link-color: #242424;
278  --on-sale-color: #dc3545;
279
280  --body-color: #ffffff;
281  --body-color-darken10: #e6e6e6;
282  --body-color-transparent00: rgba(255, 255, 255, 0);
283  --body-color-transparent40: rgba(255, 255, 255, 0.4);
284  --body-color-transparent50: rgba(255, 255, 255, 0.5);
285  --body-color-transparent90: rgba(255, 255, 255, 0.9);
286
287  --body-secondary-color: #ffffff;
288  --body-secondary-color-transparent00: rgba(255, 255, 255, 0);
289  --body-secondary-color-darken05: #f2f2f2;
290
291  --color-primary-background: #ffffff;
292  --color-primary-background-rgb: 255, 255, 255;
293  --color-secondary-background: #ffffff;
294
295  --border-color: rgba(0, 0, 0, 0.25);
296  --link-border-color: rgba(36, 36, 36, 0.5);
297  --border-color-darken10: #000000;
298  --view-in-space-button-background: #f2f2f2;
299
300  --header-color: #ffffff;
301  --header-color-darken5: #f2f2f2;
302
303  --header-border-color: #e6e5e7;
304
305  --announcement-text-size: 13px;
306  --announcement-text-spacing: 0px;
307
308  --logo-font-size: 18px;
309
310  --overlay-header-text-color: #FFFFFF;
311  --nav-text-color: #242424;
312  --nav-text-color-transparent10: rgba(36, 36, 36, 0.1);
313  --nav-text-color-transparent30: rgba(36, 36, 36, 0.3);
314  --nav-text-hover: #234167;
315
316  --color-scheme-light-background: #f5f5f5;
317  --color-scheme-light-background-transparent40: rgba(245, 245, 245, 0.4);
318  --color-scheme-light-background-transparent50: rgba(245, 245, 245, 0.5);
319  --color-scheme-light-background-lighten5: #ffffff;
320  --color-scheme-light-background-rgb: 245, 245, 245;
321  --color-scheme-light-text: #242424;
322  --color-scheme-light-text-transparent10: rgba(36, 36, 36, 0.1);
323  --color-scheme-light-text-transparent25: rgba(36, 36, 36, 0.25);
324  --color-scheme-light-text-transparent40: rgba(36, 36, 36, 0.4);
325  --color-scheme-light-text-transparent50: rgba(36, 36, 36, 0.5);
326  --color-scheme-light-text-transparent60: rgba(36, 36, 36, 0.6);
327
328  --color-scheme-feature-background: #839aa2;
329  --color-scheme-feature-background-transparent40: rgba(131, 154, 162, 0.4);
330  --color-scheme-feature-background-transparent50: rgba(131, 154, 162, 0.5);
331  --color-scheme-feature-background-lighten5: #92a6ad;
332  --color-scheme-feature-background-rgb: 131, 154, 162;
333  --color-scheme-feature-text: #ffffff;
334  --color-scheme-feature-text-transparent10: rgba(255, 255, 255, 0.1);
335  --color-scheme-feature-text-transparent25: rgba(255, 255, 255, 0.25);
336  --color-scheme-feature-text-transparent40: rgba(255, 255, 255, 0.4);
337  --color-scheme-feature-text-transparent50: rgba(255, 255, 255, 0.5);
338  --color-scheme-feature-text-transparent60: rgba(255, 255, 255, 0.6);
339
340  --homepage-sections-accent-secondary-color-transparent60: rgba(255, 255, 255, 0.6);
341
342  --color-scheme-dark-background: #234167;
343  --color-scheme-dark-background-transparent40: rgba(35, 65, 103, 0.4);
344  --color-scheme-dark-background-transparent50: rgba(35, 65, 103, 0.5);
345  --color-scheme-dark-background-rgb: 35, 65, 103;
346  --color-scheme-dark-text: #ffffff;
347  --color-scheme-dark-text-transparent10: rgba(255, 255, 255, 0.1);
348  --color-scheme-dark-text-transparent25: rgba(255, 255, 255, 0.25);
349  --color-scheme-dark-text-transparent40: rgba(255, 255, 255, 0.4);
350  --color-scheme-dark-text-transparent50: rgba(255, 255, 255, 0.5);
351  --color-scheme-dark-text-transparent60: rgba(255, 255, 255, 0.6);
352
353  --filter-bg-color: rgba(0, 0, 0, 0.1);
354
355  --menu-drawer-color: #ffffff;
356  --menu-drawer-color-darken5: #f2f2f2;
357  --menu-drawer-text-color: #242424;
358  --menu-drawer-text-color-transparent10: rgba(36, 36, 36, 0.1);
359  --menu-drawer-text-color-transparent30: rgba(36, 36, 36, 0.3);
360  --menu-drawer-border-color: rgba(36, 36, 36, 0.25);
361  --menu-drawer-text-hover-color: #494949;
362
363  --cart-drawer-color: #ffffff;
364  --cart-drawer-color-transparent50: rgba(255, 255, 255, 0.5);
365  --cart-drawer-text-color: #242424;
366  --cart-drawer-text-color-transparent10: rgba(36, 36, 36, 0.1);
367  --cart-drawer-text-color-transparent25: rgba(36, 36, 36, 0.25);
368  --cart-drawer-text-color-transparent40: rgba(36, 36, 36, 0.4);
369  --cart-drawer-text-color-transparent50: rgba(36, 36, 36, 0.5);
370  --cart-drawer-text-color-transparent70: rgba(36, 36, 36, 0.7);
371  --cart-drawer-text-color-lighten10: #3e3e3e;
372  --cart-drawer-border-color: rgba(36, 36, 36, 0.25);
373
374  --success-color: #28a745;
375  --error-color: #DC3545;
376  --warning-color: #EB9247;
377
378  /* Shop Pay Installments variables */
379  --color-body: #ffffff;
380  --color-bg: #ffffff;
381
382  /* Checkbox */
383  --checkbox-size: 16px;
384  --inline-icon-size: 16px;
385  --line-height-base: 1.6;
386
387  /* Grid spacing */
388  --grid-spacing: 10px;
389  
390    --grid-spacing-tight: 10px;
391  
392}
393</style>
394
395
396  <style data-shopify>
397    *,
398    *::before,
399    *::after {
400      box-sizing: inherit;
401    }
402
403    html {
404      box-sizing: border-box;
405      background-color: var(--body-color);
406      height: 100%;
407      margin: 0;
408    }
409
410    body {
411      background-color: var(--body-color);
412      min-height: 100%;
413      margin: 0;
414      display: grid;
415      grid-template-rows: auto auto 1fr auto;
416      grid-template-columns: 100%;
417      overflow-x: hidden;
418    }
419
420    .sr-only {
421      position: absolute;
422      width: 1px;
423      height: 1px;
424      padding: 0;
425      margin: -1px;
426      overflow: hidden;
427      clip: rect(0, 0, 0, 0);
428      border: 0;
429    }
430
431    .sr-only-focusable:active, .sr-only-focusable:focus {
432      position: static;
433      width: auto;
434      height: auto;
435      margin: 0;
436      overflow: visible;
437      clip: auto;
438    }
439  </style>
440
441  <!-- Header hook for plugins ================================================== -->
442  
442<script>window.performance && window.performance.mark && window.performance.mark('shopify.content_for_header.start');</script>
442<meta id="shopify-digital-wallet" name="shopify-digital-wallet" content="/68921917611/digital_wallets/dialog">
443<meta id="in-context-paypal-metadata" data-shop-id="68921917611" data-venmo-supported="false" data-environment="production" data-locale="en_US" data-paypal-v4="true" data-currency="USD">
444<link rel="ucp" href="/.well-known/ucp" version="2026-08-25">
444<script async="async" src="/checkouts/internal/preloads.js?locale=en-US"></script>
444
445<link rel="preconnect" href="https://shop.app" crossorigin="anonymous">
446<script async="async" src="https://shop.app/checkouts/internal/preloads.js?locale=en-US&shop_id=68921917611" crossorigin="anonymous"></script>
vendor: 1 bytes, line 446
446
447<script id="apple-pay-shop-capabilities" type="application/json">{"shopId":68921917611,"countryCode":"US","currencyCode":"USD","merchantCapabilities":["supports3DS"],"merchantId":"gid:\/\/shopify\/Shop\/68921917611","merchantName":"Gentera Med","requiredBillingContactFields":["postalAddress","email"],"requiredShippingContactFields":["postalAddress","email"],"shippingType":"shipping","supportedNetworks":["visa","masterCard","discover","amex","elo","jcb"],"total":{"type":"pending","label":"Gentera Med","amount":"1.00"},"shopifyPaymentsEnabled":true,"supportsSubscriptions":true}</script>
vendor: 1 bytes, line 447
447
448<script id="shopify-features" type="application/json">{"accessToken":"8c92c2fbcf0b956eb7d83b318b08e55f","betas":["rich-media-storefront-analytics"],"domain":"genteramed.com","predictiveSearch":true,"shopId":68921917611,"locale":"en"}</script>
vendor: 1 bytes, line 448
448
449<script>var Shopify = Shopify || {};
450Shopify.shop = "gentera-med.myshopify.com";
451Shopify.locale = "en";
452Shopify.currency = {"active":"USD","rate":"1.0"};
453Shopify.country = "US";
454Shopify.theme = {"name":"Flow - Updated (22-May-2025)","id":142502953131,"schema_name":"Flow","schema_version":"39.8.0","theme_store_id":801,"role":"main"};
455Shopify.theme.handle = "null";
456Shopify.theme.style = {"id":null,"handle":null};
457Shopify.cdnHost = "genteramed.com/cdn";
458Shopify.routes = Shopify.routes || {};
459Shopify.routes.root = "/";
460Shopify.shopJsCdnBaseUrl = "https://cdn.shopify.com/shopifycloud/shop-js";
461Shopify.SignInWithShop = Shopify.SignInWithShop || {};
462Shopify.SignInWithShop.User = Shopify.SignInWithShop.User || {};
463Shopify.SignInWithShop.User.recognized = false;</script>
vendor: 1 bytes, line 463
463
464<script type="module">!function(o){(o.Shopify=o.Shopify||{}).modules=!0}(window);</script>
vendor: 1 bytes, line 464
464
465<script>!function(o){function n(){var o=[];function n(){o.push(Array.prototype.slice.apply(arguments))}return n.q=o,n}var t=o.Shopify=o.Shopify||{};t.loadFeatures=n(),t.autoloadFeatures=n()}(window);</script>
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465
466<script>
467  window.ShopifyPay = window.ShopifyPay || {};
468  window.ShopifyPay.apiHost = "shop.app\/pay";
469  window.ShopifyPay.redirectState = null;
470</script>
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470
471<script>
472  window.Shopify = window.Shopify || {};
473  window.Shopify.SignInWithShop = window.Shopify.SignInWithShop || {};
474  window.Shopify.SignInWithShop.assetMetrics = { sampleRate: 0.25 };
475  window.Shopify.SignInWithShop.eligible = true;
476</script>
vendor: 1 bytes, line 476
476
477<script id="shop-js-analytics" type="application/json">{"pageType":"page"}</script>
vendor: 1 bytes, line 477
477
478<script defer="defer" async type="module" src="https://cdn.shopify.com/shopifycloud/shop-js/modules/v2/loader.init-shop-cart-sync.en.esm.js"></script>
vendor: 1 bytes, line 478
478
479<script type="module">
480  await import("https://cdn.shopify.com/shopifycloud/shop-js/modules/v2/loader.init-shop-cart-sync.en.esm.js");
481
482  window.Shopify.SignInWithShop?.initShopCartSync?.({"fedCMEnabled":true,"windoidEnabled":true});
483
484</script>
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484
485<script>
486  window.Shopify = window.Shopify || {};
487  if (!window.Shopify.featureAssets) window.Shopify.featureAssets = {};
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489</script>
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489
490<script id="__st">var __st={"a":68921917611,"offset":-14400,"reqid":"9ead1a12-068f-47e2-8bc1-5f7811730efe-1791411456","pageurl":"genteramed.com\/pages\/contact","s":"pages-108279890091","u":"14edc1eb0880","p":"page","rtyp":"page","rid":108279890091};</script>
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490
491<script>window.ShopifyPaypalV4VisibilityTracking = true;</script>
vendor: 1 bytes, line 491
491
492<script id="captcha-bootstrap">!function(){'use strict';const t='contact',e='account',n='new_comment',o=[[t,t],['blogs',n],['comments',n],[t,'customer']],c=[[e,'customer_login'],[e,'guest_login'],[e,'recover_customer_password'],[e,'create_customer']],r=t=>t.map((([t,e])=>`form[action*='/${t}']:not([data-nocaptcha='true']) input[name='form_type'][value='${e}']`)).join(','),a=t=>()=>t?[...document.querySelectorAll(t)].map((t=>t.form)):[];function s(){const t=[...o],e=r(t);return a(e)}const i='password',u='form_key',d=['recaptcha-v3-token','g-recaptcha-response','h-captcha-response',i],f=()=>{try{return window.sessionStorage}catch{return}},m='__shopify_v',_=t=>t.elements[u];function p(t,e,n=!1){try{const o=window.sessionStorage,c=JSON.parse(o.getItem(e)),{data:r}=function(t){const{data:e,action:n}=t;return t[m]||n?{data:e,action:n}:{data:t,action:n}}(c);for(const[e,n]of Object.entries(r))t.elements[e]&&(t.elements[e].value=n);n&&o.removeItem(e)}catch(o){console.error('form repopulation failed',{error:o})}}const l='form_type',E='cptcha';function T(t){t.dataset[E]=!0}const w=window,h=w.document,L='Shopify',v='ce_forms',y='captcha';let A=!1;((t,e)=>{const n=(g='f06e6c50-85a8-45c8-87d0-21a2b65856fe',I='https://cdn.shopify.com/shopifycloud/storefront-forms-hcaptcha/ce_storefront_forms_captcha_hcaptcha.v1.5.3.iife.js',D={infoText:'Protected by hCaptcha',privacyText:'Privacy',termsText:'Terms'},(t,e,n)=>{const o=w[L][v],c=o.bindForm;if(c)return c(t,g,e,D).then(n);var r;o.q.push([[t,g,e,D],n]),r=I,A||(h.body.append(Object.assign(h.createElement('script'),{id:'captcha-provider',async:!0,src:r})),A=!0)});var g,I,D;w[L]=w[L]||{},w[L][v]=w[L][v]||{},w[L][v].q=[],w[L][y]=w[L][y]||{},w[L][y].protect=function(t,e){n(t,void 0,e),T(t)},Object.freeze(w[L][y]),function(t,e,n,w,h,L){const[v,y,A,g]=function(t,e,n){const i=e?o:[],u=t?c:[],d=[...i,...u],f=r(d),m=r(i),_=r(d.filter((([t,e])=>n.includes(e))));return[a(f),a(m),a(_),s()]}(w,h,L),I=t=>{const e=t.target;return e instanceof HTMLFormElement?e:e&&e.form},D=t=>v().includes(t);t.addEventListener('submit',(t=>{const e=I(t);if(!e)return;const n=D(e)&&!e.dataset.hcaptchaBound&&!e.dataset.recaptchaBound,o=_(e),c=g().includes(e)&&(!o||!o.value);(n||c)&&t.preventDefault(),c&&!n&&(function(t){try{if(!f())return;!function(t){const e=f();if(!e)return;const n=_(t);if(!n)return;const o=n.value;o&&e.removeItem(o)}(t);const e=Array.from(Array(32),(()=>Math.random().toString(36)[2])).join('');!function(t,e){_(t)||t.append(Object.assign(document.createElement('input'),{type:'hidden',name:u})),t.elements[u].value=e}(t,e),function(t,e){const n=f();if(!n)return;const o=[...t.querySelectorAll(`input[type='${i}']`)].map((({name:t})=>t)),c=[...d,...o],r={};for(const[a,s]of new FormData(t).entries())c.includes(a)||(r[a]=s);n.setItem(e,JSON.stringify({[m]:1,action:t.action,data:r}))}(t,e)}catch(e){console.error('failed to persist form',e)}}(e),e.submit())}));const S=(t,e)=>{t&&!t.dataset[E]&&(n(t,e.some((e=>e===t))),T(t))};for(const o of['focusin','change'])t.addEventListener(o,(t=>{const e=I(t);D(e)&&S(e,y())}));const B=e.get('form_key'),M=e.get(l),P=B&&M;t.addEventListener('DOMContentLoaded',(()=>{const t=y();if(P)for(const e of t)e.elements[l].value===M&&p(e,B);[...new Set([...A(),...v().filter((t=>'true'===t.dataset.shopifyCaptcha))])].forEach((e=>S(e,t)))}))}(h,new URLSearchParams(w.location.search),n,t,e,['guest_login'])})(!0,!0)}();</script>
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492
493<script integrity="sha256-JjoPp5ZfB1sSAs5SQaol1x1GgvveM+BgmRzyDexInEQ=" data-source-attribution="shopify.loadfeatures" defer="defer" src="//genteramed.com/cdn/shopifycloud/storefront/assets/storefront/load_feature-1bd60354.js" crossorigin="anonymous"></script>
vendor: 1 bytes, line 493
493
494<script>(function () {var userAgent = navigator.userAgent;var platform = navigator.platform;var maxTouchPoints = navigator.maxTouchPoints || 0;var isIOS = /iPad|iPhone|iPod/.test(platform) || (platform === 'MacIntel' && maxTouchPoints > 1);var isMacSafari = platform.indexOf('Mac') === 0 && /Safari/.test(userAgent) && !/Chrome|Chromium|CriOS|FxiOS|Edg|OPR|Android/.test(userAgent);var isAppleSafari = isIOS || isMacSafari;if (isAppleSafari) {fetch('/sf_private_access_tokens' + location.search).catch(function () {});}function browserMajorVersion(pattern) {var match = userAgent.match(pattern);return match ? parseInt(match[1], 10) : null;}function shouldLoadAutosizesPolyfill() {if (!window.PerformanceObserver?.supportedEntryTypes?.includes('paint')) {return false;}var chromeVersion = browserMajorVersion(/Chrome\/(\d+)/);if (chromeVersion !== null) {return chromeVersion < 126;}var firefoxVersion = browserMajorVersion(/Firefox\/(\d+)/);if (firefoxVersion !== null) {return firefoxVersion < 150;}var safariVersion = isAppleSafari ? browserMajorVersion(/Version\/(\d+).*Safari\//) : null;if (safariVersion !== null) {return safariVersion < 27;}return true;}if (shouldLoadAutosizesPolyfill()) {var autosizesScript = document.createElement('script');autosizesScript.async = true;autosizesScript.crossOrigin = 'anonymous';autosizesScript.src = "//genteramed.com/cdn/shopifycloud/storefront/assets/storefront/autosizes-84416378.js";(document.head || document.documentElement).appendChild(autosizesScript);}window.ShopifyAnalytics = window.ShopifyAnalytics || {};window.ShopifyAnalytics.performance = window.ShopifyAnalytics.performance || {};(function () {var LONG_FRAME_THRESHOLD = 50;var longAnimationFrames = [];var activeRafId = null;function collectLongFrames() {var previousTime = null;function rafMonitor(now) {if (activeRafId === null) {return;}var delta = now - previousTime;if (delta > LONG_FRAME_THRESHOLD) {longAnimationFrames.push({startTime: previousTime,endTime: now,});}previousTime = now;activeRafId = requestAnimationFrame(rafMonitor);}previousTime = performance.now();activeRafId = requestAnimationFrame(rafMonitor);}if (!window.PerformanceObserver?.supportedEntryTypes?.includes('long-animation-frame')) {collectLongFrames();var timeoutId = setTimeout(function () {cancelAnimationFrame(activeRafId);}, 10000);window.ShopifyAnalytics.performance.getLongAnimationFrames = function (stopCollection) {if (stopCollection === undefined) {stopCollection = false;}if (stopCollection) {clearTimeout(timeoutId);cancelAnimationFrame(activeRafId);}return longAnimationFrames;};}})();})();</script>
494<script crossorigin="anonymous" defer="defer" src="//genteramed.com/cdn/shopifycloud/storefront/assets/shopify_pay/storefront-f0e26bdf.js?v=20250812"></script>
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494
495<script id="shopify-origin-trials" async="async" integrity="sha256-qJbe/jEZBHtr5W/BlA2cKAz3vkXu6vJQyLjgvgCC86g=" src="//cdn.shopify.com/shopifycloud/storefront/assets/storefront/origin_trials-318ab40a.js" crossorigin="anonymous" onload="window.__shopifyOriginTrialsDone = true" onerror="window.__shopifyOriginTrialsDone = true"></script>
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495
496<script>
497  window.Shopify = window.Shopify || {};
498  window.Shopify.MCP = window.Shopify.MCP || {};
499  window.Shopify.MCP.enabled = true;
500  window.Shopify.MCP.shop = "gentera-med.myshopify.com";
501  window.Shopify.MCP.mcpEndpoint = "https:\/\/genteramed.com\/api\/mcp";
502  window.Shopify.MCP.tools = [{"name":"search_shop_policies_and_faqs","description":"Used to get facts about the stores policies, products, or services.\nSome examples of questions you can ask are:\n  - What is your return policy?\n  - What is your shipping policy?\n  - What is your phone number?\n  - What are your hours of operation?\"\nSet policy_types to also get the store's written policies (full text and URL).\n","inputSchema":{"$schema":"https:\/\/json-schema.org\/draft\/2020-12\/schema","type":"object","properties":{"query":{"type":"string","description":"A natural language query."},"context":{"type":"string","description":"Additional information about the request such as user demographics, mood, location, or other relevant details that could help in tailoring the response appropriately."},"policy_types":{"type":"array","items":{"type":"string","enum":["refund","shipping","privacy","terms_of_service","terms_of_sale","subscription","legal_notice","contact"]},"description":"Policy kinds to fetch, chosen from the user's question — e.g. [\"refund\"] for returns\/exchanges\/damaged items, [\"contact\"] for phone\/hours\/address. Include every kind the question touches. Omit it to get only FAQ answers."}},"required":["query"]}}];
503</script>
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503
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505
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507</script>
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507
508<script data-source-attribution="shopify.dynamic_checkout.buyer_consent">
509  function portableWalletsHideBuyerConsent(e){var t=document.getElementById("shopify-buyer-consent"),n=document.getElementById("shopify-subscription-policy-button");t&&n&&(t.classList.add("hidden"),t.setAttribute("aria-hidden","true"),n.removeEventListener("click",e))}function portableWalletsShowBuyerConsent(e){var t=document.getElementById("shopify-buyer-consent"),n=document.getElementById("shopify-subscription-policy-button");t&&n&&(t.classList.remove("hidden"),t.removeAttribute("aria-hidden"),n.addEventListener("click",e))}window.Shopify?.PaymentButton&&(window.Shopify.PaymentButton.hideBuyerConsent=portableWalletsHideBuyerConsent,window.Shopify.PaymentButton.showBuyerConsent=portableWalletsShowBuyerConsent);
510</script>
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510
511<script data-source-attribution="shopify.dynamic_checkout.cart.bootstrap">document.addEventListener("DOMContentLoaded",(function(){function t(){return document.querySelector("shopify-accelerated-checkout-cart, shopify-accelerated-checkout")}if(t())Shopify.PaymentButton.init();else{new MutationObserver((function(e,n){t()&&(Shopify.PaymentButton.init(),n.disconnect())})).observe(document.body,{childList:!0,subtree:!0})}}));
512</script>
512
513<link id="shopify-accelerated-checkout-styles" rel="stylesheet" media="screen" href="https://genteramed.com/cdn/shopifycloud/portable-wallets/latest/accelerated-checkout-backwards-compat.css" crossorigin="anonymous">
514<style id="shopify-accelerated-checkout-cart">
515        #shopify-buyer-consent {
516  margin-top: 1em;
517  display: inline-block;
518  width: 100%;
519}
520
521#shopify-buyer-consent.hidden {
522  display: none;
523}
524
525#shopify-subscription-policy-button {
526  background: none;
527  border: none;
528  padding: 0;
529  text-decoration: underline;
530  font-size: inherit;
531  cursor: pointer;
532}
533
534#shopify-subscription-policy-button::before {
535  box-shadow: none;
536}
537
538      </style>
539
540<script id="shopify-cfh-end">window.performance && window.performance.mark && window.performance.mark('shopify.content_for_header.end');</script>
540
541
542  
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542
543
544  
544<script type="text/javascript">
545		window.wetheme = {
546			name: 'Flow',
547			webcomponentRegistry: {
548        registry: {},
549				checkScriptLoaded: function(key) {
550					return window.wetheme.webcomponentRegistry.registry[key] ? true : false
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556        }
557      }
558    };
559	</script>
559
560
561  
562
563  
564
565  
565<script>document.documentElement.className = document.documentElement.className.replace('no-js', 'js');</script>
565
566
567
568<!-- Google tag (gtag.js) -->
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568
569  <script async src="https://www.googletagmanager.com/gtag/js?id= 
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569'"></script>
570  
570<script>
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vendor: 141 bytes, lines 571-575
571window.dataLayer = window.dataLayer || [];
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573    gtag('js', new Date());
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575    gtag('config', ' 
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575');
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576 
577
578
579
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582<script async src="https://www.googletagmanager.com/gtag/js?id=
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582"></script>
583<script>
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586  gtag('js', new Date());
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588  gtag('config', '
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588');
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589
590
591
592
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594<script>
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594
595  !function(f,b,e,v,n,t,s)
596  {if(f.fbq)return;n=f.fbq=function(){n.callMethod?
597  n.callMethod.apply(n,arguments):n.queue.push(arguments)};
598  if(!f._fbq)f._fbq=n;n.push=n;n.loaded=!0;n.version='2.0';
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604  fbq('track', 'PageView');
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606<noscript><img height="1" width="1" style="display:none"
607  src="https://www.facebook.com/tr?id=628736620867414&ev=PageView&noscript=1"
608/></noscript>
609<!-- End Facebook Pixel Code -->
610<style>
611  /* Ocultar en desktop por defecto */
612  #shopify-section-template--19370471620779__custom_html_Rkg4Mg,
613  #shopify-section-template--19506674598059__custom_html_Rkg4Mg,
614  #shopify-section-template--18900590526635__custom_html_FeeXjt {
615    display: none !important;
616  }
617
618  /* Mostrar solo en mobile */
619  @media (max-width: 768px) {
620    #shopify-section-template--19370471620779__custom_html_Rkg4Mg,
621    #shopify-section-template--19506674598059__custom_html_Rkg4Mg,
622    #shopify-section-template--18900590526635__custom_html_FeeXjt {
623      display: block !important; /* si era flex, cámbialo aquí a flex */
624    }
625  }
626</style>
627
628
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632.consent-cookie-directive { position: fixed;bottom: 20px;left: 0;right: 0;-webkit-tap-highlight-color: transparent;text-align: center;z-index: 9999;-ms-filter: "progid:DXImageTransform.Microsoft.Alpha(Opacity=95)";filter: alpha(opacity=95);-moz-opacity: 0.95;-khtml-opacity: 0.95;opacity: 0.9; }
633.consent-cookie-directive > div { position: relative;display: inline-block;text-align: left;padding: 20px;max-width: 300px;-webkit-box-shadow: 0 0 8px 1px rgba(0, 0, 0, 0.2);-moz-box-shadow: 0 0 8px 1px rgba(0, 0, 0, 0.2);box-shadow: 0 0 8px 1px rgba(0, 0, 0, 0.2);-webkit-border-radius: 8px;-moz-border-radius: 8px;-ms-border-radius: 8px;-o-border-radius: 8px;border-radius: 8px;background-clip: padding-box;background: #000000;color: #ffffff;border-radius: 4px;  }
634.consent-cookie-directive > div > div { float:left; min-width:300px; }
635.consent-cookie-directive > div > div > div:first-child { padding-bottom:10px; }
636.consent-cookie-directive > div > div > div:before,
637.consent-cookie-directive > div > div > div:after { content: " ";display: table; }
638.consent-cookie-directive > div > div > div:after { clear: both; }
639.consent-cookie-directive > div > div > div p { display:block; padding:5px; margin:0px; line-height:22px; letter-spacing: .3px; color: #ffffff; }
640.consent-cookie-directive > div > div > div a { cursor:pointer; color:#8e8e8e; }
641.consent-cookie-directive > div > div > div a.action { text-decoration: none; font-size:14px; display:block; text-align:left; margin-right:0px; margin-left:5px; margin-bottom:5px; margin-top:20px; float:left; background:#8bc53f; padding:10px 15px 10px 15px; border:1px solid transparent;  border-radius: 4px; }
642.consent-cookie-directive > div > div > div a.action:hover { text-decoration: none;}
643.consent-cookie-directive > div > div > div a.action.accept {display: none;color: #ffffff;background: #5BC300;font-weight: bold;}
644.consent-cookie-directive > div > div > div a.action.accept-all {color: #ffffff;background: #5BC300;font-weight: bold;}
645.consent-cookie-directive > div > div > div a.action.decline {font-weight: bold;color: #ffffff;background: #000000}
646.consent-cookie-directive > div > div > div a.action.close {display: none;position: absolute;top: 10px;right: 10px;width: 24px;height: 24px;z-index: 10000;margin: 0;background: none;padding: 0;}
647.consent-cookie-directive > div > div > div a.action.customize,
648.consent-cookie-directive > div > div > div a.action.learn-more {color: #ffffff;background: #000000;font-weight: normal;}
649.consent-cookie-directive label sup {display: inline-block;font-size: 12px;color: #7f7f7f;}
650.consent-cookie-directive .consent-logo {display: flex;align-items: center;justify-content: center;position: absolute;top: 0;left: 0;width: 200px;height: calc(100%);overflow: hidden;padding: 10px;}
651.consent-cookie-directive .consent-logo svg {display: block;margin: auto;}
652.consent-cookie-directive-customize {display: none;}
653.consent-cookie-directive-segments {background: #000000;margin: 10px -20px;padding: 10px 25px;}
654.consent-cookie-directive-segments > div {position: relative;padding: 5px 0;}
655.consent-cookie-directive-segments > div input[type="checkbox"] {display: none;}
656.consent-cookie-directive-segments > div input[type="checkbox"] + label,
657.consent-cookie-directive-segments > div input[type="checkbox"]:disabled + label {display: block;position: relative;padding-left: 35px;cursor: pointer;-webkit-user-select: none;-moz-user-select: none;-ms-user-select: none;  color: #ffffff;  }
658.consent-cookie-directive-segments > div input[type="checkbox"] + label:before {content: '';display: block;
658width: 20px;height: 20px;border: 1px solid#ffffff;position: absolute;left: 0;top: 0;opacity: 1;-webkit-transition: all 0.12s, border-color 0.08s;transition: all 0.12s, border-color 0.08s;border: 1px solid#ffffff;}
659.consent-cookie-directive-segments > div input[type="checkbox"]:checked + label:before {width: 10px;top: -5px;left: 5px;border-radius: 0;opacity: 1;border-top-color: transparent;border-left-color: transparent;-webkit-transform: rotate(45deg);transform: rotate(45deg);}
660.consent-cookie-directive-segments > div:first-child input[type="checkbox"] + label:before {opacity: 0.5;}
661.consent-cookie-directive small {display: block;padding: 20px 20px 20px 5px;font-size: 12px;}
662.consent-cookie-directive .consent-cookie-directive-segments {display: block;max-height: 400px;overflow-y: auto;margin-right: 20px;scrollbar-width: thin;scrollbar-color: rgba(255, 255, 255, 0.1) #000000;}
663.consent-cookie-directive .consent-cookie-directive-segments small {display: block;padding: 0 20px 20px 60px;opacity: 0.8;}
664.consent-cookie-entity {display: table;}
665.consent-cookie-entity > div {display: table-row;}
666.consent-cookie-entity > div > div {display: table-cell;padding-right: 10px;padding-bottom: 10px;}
667.consent-cookie-entity > div > div:first-child {width: 300px;font-weight: bold;}
668.consent-cookie-directive > div > div > div .consent-cookie-directive-note {display: none;margin: 0 -25px;}
669.consent-cookie-directive > div > div > div .consent-cookie-directive-note-toggle {opacity: 0.8;display: block;margin: 5px 0 5px 35px;color: #ffffff;font-size: 12px;cursor: pointer;}
670.consent-cookie-directive > div > div > div .consent-cookie-directive-note.consent-cookie-directive-note-consent {font-weight: bold;}
671
672.consent-cookie-directive-customize-toggle {position: relative;display: block;margin: 10px 0 10px 5px;font-size: 12px;cursor: pointer; }
673
674  @media (max-width: 480px) {
675    .consent-cookie-directive > div {
676      width: 90%;
677      max-width: 400px;
678    }
679    .consent-cookie-directive > div p {
680      font-size: 12px;
681    }
682    .consent-cookie-directive > div > div > div a.action {
683      font-size: 12px;
684      margin: 5px;
685    }
686    .consent-cookie-directive .consent-logo {
687      display: none;
688    }
689    .consent-cookie-directive > div > div > div {
690      padding-left: 0;
691    }
692    .consent-cookie-directive .consent-cookie-directive-segments {
693      margin: 0;
694      padding: 0;
695      max-height: 200px;
696    }
697    .consent-cookie-entity > div,
698    .consent-cookie-entity > div > div,
699    .consent-cookie-entity > div > div:first-child {
700      display: block;
701      float: none;
702    }
703  }
704  @media (max-width: 768px) {
705    .consent-cookie-directive > div {
706      width: 90%;
707      max-width: 600px;
708    }
709    .consent-cookie-directive > div > div > div a.action {
710      margin: 5px;
711    }
712  }
713  @media (min-width: 768px) {
714    .consent-cookie-directive > div {
715      width: 90%;
716      max-width: 600px;
717    }
718    .consent-cookie-directive > div > div {
719      min-width: 500px;
720    }
721    .consent-cookie-directive > div > div > div a.action {
722      margin: 5px;
723    }
724  }
725  @media (min-width: 1200px) {
726    .consent-cookie-directive > div {
727      max-width: 1000px;
728    }
729    .consent-cookie-directive > div > div {
730      min-width: 500px;
731    }
732    main .consent-cookie-directive {
733      max-width: 100%;
734    }
735  }
736  @media (max-width: 1200px) {
737    .consent-cookie-directive > div > div {
738      float: left;
739      min-width: 200px;
740    }
741  }
742</style><!-- END app snippet -->
743
744
745
746
747
748
749<template data-consent="true">
750    <div class="consent-cookie-directive" data-google="anowave gtm" data-check="0">
751    	<div>
752    		<div>
753    			<div>
754    				<p><strong>Cookie Settings</strong></p>
755					<p>
756						
757							We use cookies to personalise content and ads, to provide social media features and to analyse our traffic. We also share information about your use of our site with our social media, advertising and analytics partners who may combine it with other information that you’ve provided to them or that they’ve collected from your use of their services.
758						
759					</p>
760				</div>
761    			<div class="consent-cookie-directive-customize">
762        			<div class="consent-cookie-directive-segments">
763        				<div>
764        					<input type="checkbox" checked="checked" disabled />
765        					<label>Essential cookies</label>
766        					<a class="consent-cookie-directive-note-toggle" data-show="Learn more" data-hide="Close">Learn more</a>
767        					<div class="consent-cookie-directive-note">
768        						<small>These cookies are essential so that you can move around the website and use its features. Without these cookies services you have asked for cannot be provided.
768</small>
769        					</div>
770        				</div>
771						<div>
772							<input type="checkbox" name="cookie[]" data-consent="cookieConsentAnalyticsGranted" value="cookieConsentAnalyticsGranted" id="cookieConsentAnalyticsGranted" />
773							<label for="cookieConsentAnalyticsGranted">Analytics cookies</label>
774							<a class="consent-cookie-directive-note-toggle" data-show="Learn more" data-hide="Close">Learn more</a>
775							<div class="consent-cookie-directive-note">
776								<small>Statistic cookies help website owners to understand how visitors interact with websites by collecting and reporting information anonymously. </small>
777							</div>
778						</div>
779						<div>
780							<input type="checkbox" name="cookie[]" data-consent="cookieConsentMarketingGranted" value="cookieConsentMarketingGranted" id="cookieConsentMarketingGranted" />
781							<label for="cookieConsentMarketingGranted">Marketing cookies</label>
782							<a class="consent-cookie-directive-note-toggle" data-show="Learn more" data-hide="Close">Learn more</a>
783							<div class="consent-cookie-directive-note">
784								<small>Marketing cookies are used to track visitors across websites. The intention is to display ads that are relevant and engaging for the individual user and thereby more valuable for publishers and third party advertisers. </small>
785							</div>
786						</div>
787						<div>
788							<input type="checkbox" name="cookie[]" data-consent="cookieConsentPersonalization" value="cookieConsentPersonalization" id="cookieConsentPersonalization" />
789							<label for="cookieConsentPersonalization">Personalization cookies</label>
790							<a class="consent-cookie-directive-note-toggle" data-show="Learn more" data-hide="Close">Learn more</a>
791							<div class="consent-cookie-directive-note">
792								<small>Sets consent for personalized advertising.</small>
793							</div>
794						</div>
795						<div>
796							<input type="checkbox" name="cookie[]" data-consent="cookieConsentPreferencesGranted" value="cookieConsentPreferencesGranted" id="cookieConsentPreferencesGranted" />
797							<label for="cookieConsentPreferencesGranted"> Preferences cookies</label>
798							<a class="consent-cookie-directive-note-toggle" data-show="Learn more" data-hide="Close">Learn more</a>
799							<div class="consent-cookie-directive-note">
800								<small>Preference cookies enable a website to remember information that changes the way the website behaves or looks, like your preferred language or the region that you are in.</small>
801							</div>
802						</div>
803						<div>
804							<input type="checkbox" name="cookie[]" data-consent="cookieConsentUserdata" value="cookieConsentUserdata" id="cookieConsentUserdata" />
805							<label for="cookieConsentUserdata">User data cookies</label>
806							<a class="consent-cookie-directive-note-toggle" data-show="Learn more" data-hide="Close">Learn more</a>
807							<div class="consent-cookie-directive-note">
808								<small>Sets consent for sending user data related to advertising to Google.</small>
809							</div>
810						</div>
811        				<div data-consent-uuid-wrapper>
812            				<a class="consent-cookie-directive-note-toggle" data-show="Learn more" data-hide="Close">Learn more</a>
813        					<div class="consent-cookie-directive-note consent-cookie-directive-note-consent">
814        						<small>
815            						<div>Your consent ID:</div>
816            						<div data-consent-uuid></div>
817        						</small>
818        					</div>
819            			</div>
820        			</div>
821        		</div>
822    			<div>
823    				
824    				<a class="action accept" data-confirm="Thank you">Allow selected</a>
825    				<a class="action accept-all" data-confirm="Thank you">Allow all</a>
826    				<a class="action customize" data-show="Customize" data-hide="Hide preferences">Customize</a>
827					<a class="action decline">Decline</a>
828    				
829						<a class="action learn-more"
830							href="https://commission.europa.eu/law/law-topic/data-protection/legal-framework-eu-data-protection_en"
831							target="_blank">Learn more
832						</a>
833					
834					
835    				<a class="action close">
836    					<svg xmlns="http://www.w3.org/2000/svg" width="24" height="24">
837    						<path fill="#ffffff" d="M5.29289 5.29289C5.68342 4.90237 6.31658 4.90237 6.70711 5.29289L12 10.5858L17.2929 5.29289C17.6834 4.90237 18.3166 4.90237 18.7071 5.29289C19.0976 5.68342 19.0976 6.31658 18.7071 6.70711L13.4142 12L18.7071 17.2929C19.0976 17.6834 19.0976 18.3166 18.7071 18.7071C18.3166 19.0976 17.6834 19.0976 17.2929 18.7071L12 13.4142L6.70711 18.7071C6.31658 19.0976 5.68342 19.0976 5.29289 18.7071C4.90237 18.3166 4.90237 17.6834 5.29289 17.2929L10.5858 12L5.29289 6.70711C4.90237 6.31658 4.90237 5.68342 5.29289 5.29289Z"/>
838    					</svg>
839    				</a>
840    			</div>
841    		</div>
842    	</div>
843    </div>
844</template>
845<script> 
846
847    window.dataLayer = window.dataLayer || [];
848
849    window.defaultConsentState = 
850    { 
851        ad_storage: 'denied',
852        security_storage:'denied',
853        functionality_storage:'denied',
854        personalization_storage:'denied',
855        analytics_storage:'denied',
856        ad_user_data:'denied',
857        ad_personalization:'denied'
858    };
859
860	window.gtag = function() { dataLayer.push(arguments); }
861
862	gtag('consent','default', window.defaultConsentState);	
863
864	
865
866	
867
868
869    window.Consent = (() => 
870	{	
871		let scripts = [];
872
873		return {
874			Const: 
875			{
876				COOKIE_DIRECTIVE:                       true,
877				COOKIE_DIRECTIVE_SEGMENT_MODE:          true,
878				COOKIE_DIRECTIVE_SEGMENT_MODE_EVENTS:   ['cookieConsentEssentialGranted','cookieConsentAnalyticsGranted','cookieConsentMarketingGranted','cookieConsentPersonalization','cookieConsentPreferencesGranted','cookieConsentUserdata','cookieConsentDeclined'],	
879				COOKIE_DIRECTIVE_CONSENT_GRANTED_EVENT: 'cookieConsentEssentialGranted',
880				COOKIE_DIRECTIVE_CONSENT_DECLINE_EVENT: 'cookieConsentDeclined'
881				
882			},
883			Cookie: (function()
884			{
885				return {
886					set: function(name, value, days)
887					{
888						if (!days)
889						{
890							days = 30;
891						} 
892					
893						let date = new Date();
894			            
895			            date.setTime(date.getTime() + (days * 24 * 60 * 60 * 1000));
896			            
897				        document.cookie = name + "=" + value + "; expires=" + date.toGMTString() + "; path=/";
898				        
899				        return this;
900					},
901					get: function(name)
902					{
903						var start = document.cookie.indexOf(name + "="), len = start + name.length + 1;
904						
905						if ((!start) && (name != document.cookie.substring(0, name.length))) 
906						{
907						    return null;
908						}
909						
910						if (start == -1) 
911						{
912							return null;
913						}
914											
915						var end = document.cookie.indexOf(String.fromCharCode(59), len);
916											
917						if (end == -1) 
918						{
919							end = document.cookie.length;
920						}
921						
922						return decodeURIComponent(document.cookie.substring(len, end));
923					},
924					unset: function(name) 
925					{   
926		                document.cookie = name + "=" + "; path=/; expires=" + (new Date(0)).toUTCString();
927		                
928		                return this;
929		            },
930					parse: function(json)
931					{
932						var json = decodeURIComponent(json.replace(/\+/g, ' '));
933						
934		                return JSON.parse(json);
935					}
936				};
937			})(),
938			CookieConsent: (function()
939    		{
940    			return {
941    				chain: {},
942    				endpoints:{},
943    				cookies: {},
944    				nonce: {},
945					config: {},
946					consent: [],
947                    processedSegments:[],
948    				widget: 
949    				{
950    					display: 	 true,
951						position:   'left',
952    					color: 		'#000000',
953    					colorEnd: 	'#000000'
954    				},
955    				queue: function(callback, event)
956    				{	
957    					event = typeof event !== 'undefined' ? event : Consent.Const.COOKIE_DIRECTIVE_CONSENT_GRANTED_EVENT;
958    					
959    					if (!this.chain.hasOwnProperty(event))
960    					{
961    						this.chain[event] = [];
962    					}
963    					
964    					this.chain[event].push(callback);
965    					
966    					return this;
967    				},
968    				dispatch: function(consent)
969    				{
970    					/**
971    					 * Essential cookies
972    					 */
973    					Consent.Const.COOKIE_DIRECTIVE_CONSENT_GRANTED = true;
974    					
975    					/**
976    					 * Push consent to dataLayer
977    					 */
978    					dataLayer.push(consent);
979    					
980    					return this.process(consent.event);
981    				},
982    				process: function(event)
983    				{
984    					event = typeof event !== 'undefined' ? event : Consent.Const.COOKIE_DIRECTIVE_CONSENT_GRANTED_EVENT;
985    					
986    					if (this.getConsent(event))
987    					{
988    						this.dequeue(event);
989    					}
990    					else if (Consent.Const.COOKIE_DIRECTIVE_OVERRIDE_DECLINE)
991    					{
992    						this.dequeue(event);
993    					}
994    					
995    					return this;
996    				},
997    				dequeue: function(event)
998    				{
999    					if (this.chain.hasOwnProperty(event))
1000    					{
1001    						for (a = 0, b = this.chain[event].length; a < b; a++)
1002    						{
1003    							this.chain[event][a].apply(this,[]);
1004    						}
1005    						
1006    						this.chain[event] = [];
1007    					}
1008    					
1009    					return this;
1010    				},
1011    				getConsent: function(event)
1012    				{
1013						if (!Consent.Const.COOKIE_DIRECTIVE)
1014						{
1015							return true;
1016						}
1017						
1018						if (1 == Consent.Cookie.get(event))
1019						{
1020							return true;
1021						}
1022
1023						if (this.consent.includes(event))
1024						{
1025							return true;
1026						}
1027
1028    					return false;
1029    				},
1030    				acceptConsent: function(event)
1031    				{
1032    					return this.dispatch({ event:event });
1033    				},
1034    				declineConsent: function(event)
1035    				{
1036    					return this.dispatch({ event:event });
1037    				},
1038					updateConsentShopify: function()
1039					{
1040						window.addEventListener('consent_accept', event => 
1041						{	
1042							this.updateShopifyCartAttributes();
1043
1044							if (window.Shopify && window.Shopify.loadFeatures)
1045							{
1046								window.Shopify.loadFeatures([{ name: 'consent-tracking-api', version: '0.1' }], error => 
1047								{
1048									if (!error)
1049									{
1050										if (window.Shopify && window.Shopify.customerPrivacy) 
1051										{
1052											let shopifyConsent = 
1053											{
1054												analytics: 		event.detail.segments.includes('cookieConsentAnalyticsGranted'),
1055												marketing: 		event.detail.segments.includes('cookieConsentMarketingGranted'),
1056												preferences: 	event.detail.segments.includes('cookieConsentPreferencesGranted'),
1057												sale_of_data:	event.detail.segments.includes('cookieConsentUserdata')
1058											};
1059
1060											window.Shopify.customerPrivacy.setTrackingConsent(shopifyConsent);
1061										}
1062									}
1063								});
1064							}
1065						});
1066
1067						window.addEventListener('consent_decline', event => 
1068						{	
1069							this.updateCartAttributes(event);
1070
1071							if (window.Shopify && window.Shopify.loadFeatures)
1072							{
1073								window.Shopify.loadFeatures([{ name: 'consent-tracking-api', version: '0.1' }], error => 
1074								{
1075									if (!error)
1076									{
1077										if (window.Shopify && window.Shopify.customerPrivacy) 
1078										{
1079											let shopifyConsent = 
1080											{
1081												analytics: 		false,
1082												marketing: 		false,
1083												preferences: 	false,
1084												sale_of_data:	false
1085											};
1086											
1087											window.Shopify.customerPrivacy.setTrackingConsent(shopifyConsent);
1088										}
1089									}
1090								});
1091							}
1092						});
1093
1094						
1095						return this;
1096					},
1097					updateCartAttributes: function(event)
1098					{
1099						this.updateShopifyCartAttributes(event.detail.segments);
1100					},
1101					updateShopifyCartAttributes: function(consent)
1102					{
1103						let attributes = {};
1104
1105						(segments => 
1106						{
1107							for (var i = 0, l = segments.length; i < l;i++)
1108							{
1109								attributes[segments[i]] = 1 == Consent.Cookie.get(segments[i]) ? 1 : 0;
1110							}
1111
1112						})(Consent.Const.COOKIE_DIRECTIVE_SEGMENT_MODE_EVENTS);
1113						
1114						(keep =>
1115						{
1116							if (keep)
1117							{
1118								fetch(window.Shopify.routes.root + 'cart/update.js', 
1119								{
1120									method: 'POST',
1121									headers: { 'Content-Type': 'application/json' }, 
1122									body: JSON.stringify({ attributes: attributes })
1123								}).then(response => response.json()).then(data => {});
1124							}
1125						})(true);
1126					},
1127					updateConsent: function()
1128					{
1129						(segments => 
1130						{
1131							let grant = segments.filter(segment => Consent.Cookie.get(segment) == 1);
1132
1133							if (grant.length)
1134							{
1135								Consent.CookieConsent.acceptGoogleConsent(grant).getWidget();
1136
1137								grant.forEach(segment => 
1138								{
1139									Consent.CookieConsent.acceptConsent(segment);	
1140								});
1141							}
1142							
1143						})(Consent.Const.COOKIE_DIRECTIVE_SEGMENT_MODE_EVENTS);
1144
1145						return this;
1146					},
1147					acceptGoogleConsent: function(segments)
1148    				{
1149    					if ('function' === typeof gtag)
1150    					{
1151    						const consentMode = true === Consent.Const.COOKIE_DIRECTIVE_SEGMENT_MODE ? 
1152    						{
1153    							ad_storage: 				-1 !== segments.indexOf('cookieConsentMarketingGranted')	? 'granted' : 'denied',
1154    							security_storage:			-1 !== segments.indexOf('cookieConsentEssentialGranted')	? 'granted' : 'denied',
1155    							functionality_storage:		-1 !== segments.indexOf('cookieConsentEssentialGranted')	? 'granted' : 'denied',
1156    							personalization_storage:	-1 !== segments.indexOf('cookieConsentPreferencesGranted') 	? 'granted' : 'denied',
1157    							analytics_storage:			-1 !== segments.indexOf('cookieConsentAnalyticsGranted')	? 'granted' : 'denied',
1158    							ad_user_data:			    -1 !== segments.indexOf('cookieConsentUserdata')			? 'granted' : 'denied',
1159    							ad_personalization:		    -1 !== segments.indexOf('cookieConsentPersonalization')		? 'granted' : 'denied'
1160    						} : 
1161    						{
1162    							ad_storage: 				'granted',
1163    							security_storage:			'granted',
1164    							functionality_storage:		'granted',
1165    							personalization_storage:	'granted',
1166    							analytics_storage:			'granted',
1167    							ad_user_data:				'granted',
1168    							ad_personalization:			'granted'
1169    						};
1170
1171    						/**
1172    						 * Update consent
1173    						 */
1174    						gtag('consent','update',consentMode);
1175
1176							window.uetq = window.uetq || [];
1177							window.uetq.push('consent', 'default', { 'ad_storage': consentMode?.ad_storage });
1178    						
1179    						/**
1180    						 * Update localStorage
1181    						 */
1182    				        localStorage.setItem('consentMode', JSON.stringify(consentMode));
1183    				        
1184    				        /**
1185    				         * Dispatch custom event
1186    				         */
1187    				        window.dispatchEvent(new CustomEvent("consent_accept", { detail: { consentMode: consentMode, segments: segments } }));
1188    					}
1189    					
1190    					return this;
1191    				},
1192    				declineGoogleConsent: function()
1193    				{
1194    					if ('function' === typeof gtag)
1195    					{
1196    						const consentMode = window.defaultConsentState;
1197    						
1198    						gtag('consent','update',consentMode);
1199
1200							window.uetq = window.uetq || [];
1201							window.uetq.push('consent', 'default', { 'ad_storage': consentMode?.ad_storage });
1202
1203    				        localStorage.setItem('consentMode', JSON.stringify(consentMode));
1204
1205    				        window.dispatchEvent(new CustomEvent("consent_decline",{ detail: { consentMode: consentMode } }));
1206    					}
1207    					
1208    					return this;
1209    				},
1210					uuid: function()
1211					{
1212						let dt = new Date().getTime()
1213    
1214						const uuid = 'xxxxxxxx-xxxx-4xxx-yxxx-xxxxxxxxxxxx'.replace(/[xy]/g, function(c) 
1215						{
1216							const r = (dt + Math.random()*16)%16 | 0
1217							dt = Math.floor(dt/16)
1218							return (c=='x' ? r :(r&0x3|0x8)).toString(16)
1219						});
1220
1221						Consent.Cookie.set('cookieUuid', uuid);
1222						
1223						return this;
1224					},
1225    				setEndpoints: function(endpoints)
1226    				{
1227    					this.endpoints = endpoints;
1228    					
1229    					return this;
1230    				},
1231    				getConsentDialog: function()
1232    				{
1233    					if (1 != this.getConsent(Consent.Const.COOKIE_DIRECTIVE_CONSENT_GRANTED_EVENT))
1234    					{
1235    						this.renderConsentDialog(dataLayer);
1236    					}
1237
1238						return this;
1239    				},
1240    				closeConsentDialog: function(directive)
1241    				{
1242    					directive.remove();
1243    					
1244    					this.getWidget();
1245    					
1246    					return this;
1247    				},
1248    				renderConsentDialog: function(dataLayer)
1249    				{
1250    					const render = () => 
1251						{
1252							let template = document.querySelector('template[data-consent]');
1253
1254							this.deleteWidget();
1255							
1256							(endpoints => 
1257							{
1258								var directive = (body => 
1259								{
1260									body.insertAdjacentHTML('beforeend', template.innerHTML);
1261		
1262									return body.lastElementChild;
1263									
1264								})(document.body);
1265
1266								let uuid = Consent.Cookie.get('cookieUuid');
1267								
1268								if (uuid)
1269								{
1270									directive.querySelector('[data-consent-uuid').innerHTML = uuid;
1271								}
1272								
1273								let check_default = Number(directive.dataset.check);
1274								
1275	
1276								directive.querySelectorAll('input[type=checkbox][data-consent]').forEach(checkbox => 
1277								{	
1278									checkbox.checked = Consent.CookieConsent.getConsent(checkbox.dataset.consent) ? true : (!uuid && check_default ? true : false);
1279								});
1280								
1281								directive.querySelector('[data-consent-uuid-wrapper]').style.display = uuid ? 'block' : 'none';
1282								
1283								(directive => 
1284								{
1285									let listener = event => 
1286									{
1287										if (event.key === 'Escape') 
1288										{
1289											Consent.CookieConsent.closeConsentDialog(directive).acquireProxyCookies();
1290										}
1291									};
1292									
1293									document.addEventListener('keydown', event => 
1294									{
1295										listener(event);
1296										
1297										document.removeEventListener('keydown', listener);
1298									});
1299									
1300								})(directive);
1301								
1302								directive.querySelectorAll('a.customize').forEach(element => 
1303								{
1304									let customize = directive.querySelector('.consent-cookie-directive-customize');
1305									
1306									element.addEventListener('click', event => 
1307									{
1308										if ('block' === customize.style.display)
1309										{
1310											directive.querySelector('a.action.accept').style.display = 'none';
1311					
1312											customize.style.display = 'none';
1313										}
1314										else 
1315										{
1316											directive.querySelector('a.action.accept').style.display = 'block';
1317											
1318											customize.style.display = 'block';
1319										}	
1320										
1321										event.target.innerHTML = 'block' === customize.style.display ? event.target.dataset.hide : event.target.dataset.show;
1322									});
1323								});
1324								
1325								directive.querySelectorAll('a.consent-cookie-directive-note-toggle').forEach(element => 
1326								{
1327									element.addEventListener('click', event => 
1328									{
1329										if ('block' === event.target.nextElementSibling.style.display)
1330										{
1331											event.target.nextElementSibling.style.display = 'none';
1332										}
1333										else 
1334										{
1335											directive.querySelectorAll('.consent-cookie-directive-note').forEach(note => 
1336											{
1337												note.previousElementSibling.innerHTML = note.previousElementSibling.dataset.show;
1338												
1339												note.style.display = 'none';
1340											});
1341											
1342											event.target.nextElementSibling.style.display = 'block';
1343										}	
1344										
1345										event.target.innerHTML = 'block' === event.target.nextElementSibling.style.display ? event.target.dataset.hide : event.target.dataset.show;
1346										
1347									});
1348								});
1349								
1350								directive.querySelectorAll('a.accept').forEach(element => 
1351								{
1352									element.addEventListener('click', event => 
1353									{
1354										event.target.text = event.target.dataset.confirm;
1355			
1356										var grant = [...directive.querySelectorAll('[name="cookie[]"]:checked')].map(element => { return element.value });
1357			
1358										grant.unshift('cookieConsentEssentialGranted');
1359										
1360										Consent.CookieConsent.acceptGoogleConsent(grant).setGrant(grant).uuid().closeConsentDialog(directive).acquireProxyCookies();
1361									});
1362								});
1363								
1364								directive.querySelectorAll('a.accept-all').forEach(element => 
1365								{
1366									element.addEventListener('click', event => 
1367									{
1368										event.target.text = event.target.dataset.confirm;
1369			
1370										[...directive.querySelectorAll('[name="cookie[]"]')].forEach(element => 
1371										{
1372											element.checked = true;
1373										});
1374										
1375										var grant = [...directive.querySelectorAll('[name="cookie[]"]:checked')].map(element => { return element.value });
1376										
1377										grant.unshift('cookieConsentEssentialGranted');
1378
1379										Consent.CookieConsent.acceptGoogleConsent(grant).setGrant(grant).uuid().closeConsentDialog(directive).acquireProxyCookies();
1380									});
1381								});
1382								
1383								directive.querySelectorAll('a.decline').forEach(element => 
1384								{
1385									element.addEventListener('click', event => 
1386									{
1387										[...directive.querySelectorAll('[name="cookie[]"]')].forEach(element => 
1388										{
1389											element.checked = false;
1390										});
1391										
1392										Consent.CookieConsent.declineGoogleConsent().setGrant([Consent.Const.COOKIE_DIRECTIVE_CONSENT_GRANTED_EVENT, Consent.Const.COOKIE_DIRECTIVE_CONSENT_DECLINE_EVENT]).uuid().closeConsentDialog(directive).acquireProxyCookies();
1393
1394									});
1395								});
1396								
1397								directive.querySelectorAll('a.close').forEach(element => 
1398								{
1399									element.style.display = Consent.Const.COOKIE_DIRECTIVE_CONSENT_GRANTED ? 'block' : 'none';
1400			
1401									element.addEventListener('click', event => 
1402									{
1403										Consent.CookieConsent.closeConsentDialog(directive).acquireProxyCookies();
1404									});
1405								});
1406
1407								directive.querySelectorAll('input[data-consent]').forEach(checkbox => 
1408								{
1409									let signal = checkbox.dataset.consent;
1410
1411									if (1 === parseInt(Consent.Cookie.get(signal)))
1412									{
1413										checkbox.checked = true;
1414									}
1415									else 
1416									{
1417										checkbox.checked = 0 === Number(this.config.scheme) ? false : true;
1418									}
1419								});
1420
1421							})(this.endpoints);
1422						}
1423
1424						if (document.body)
1425						{
1426							render();
1427						}
1428						else 
1429						{
1430							document.addEventListener("DOMContentLoaded", (event) => 
1431							{
1432								render();
1433							 })
1434						}
1435    					
1436    					return this;
1437    				},
1438					setGrant: function(grant)
1439					{
1440						Consent.Const.COOKIE_DIRECTIVE_SEGMENT_MODE_EVENTS.forEach(segment => 
1441						{
1442							if (grant.includes(segment))
1443							{
1444								Consent.Cookie.set(segment,1);
1445
1446								Consent.CookieConsent.acceptConsent(segment);
1447							}
1448							else 
1449							{
1450								Consent.Cookie.set(segment,0);
1451							}
1452						});
1453
1454						return this;
1455					},
1456					setReflect: function(fn, strategy)
1457					{
1458						(function() 
1459						{
1460							const proto = Document.prototype;
1461
1462							const descriptor = Object.getOwnPropertyDescriptor(proto, "cookie");
1463
1464							if (!descriptor || !descriptor.set) 
1465							{
1466								return;
1467							}
1468
1469							Object.defineProperty(proto, "cookie", 
1470							{
1471								configurable: true,
1472								enumerable: descriptor.enumerable,
1473								get: function() 
1474								{
1475									return descriptor.get.call(this);
1476								},
1477								set: function(value) 
1478								{
1479									try 
1480									{
1481										const name = value.split("=")[0];
1482										
1483										window.dispatchEvent(new CustomEvent("captured_cookie", 
1484										{
1485											detail: { cookie: { name, value } }
1486										}));
1487									} 
1488									catch (e) {}
1489									return descriptor.set.call(this, value);
1490								}
1491							});
1492						})();
1493
1494						if (1 == strategy)
1495						{
1496							Object.defineProperties(HTMLScriptElement.prototype,
1497							{
1498								src: 
1499								{
1500									set: function(value) 
1501									{
1502                                        const source = value?.toString?.() ?? value;
1503
1504										if (!Consent.CookieConsent.getConsent(Consent.Const.COOKIE_DIRECTIVE_CONSENT_GRANTED_EVENT) && !this.dataset.hasOwnProperty('materialize'))
1505										{	
1506											if (!this?.dataset?.ommit)
1507											{
1508                                                let block = true;
1509
1510                                                if (this?.type?.includes('module'))  block = false; 
1511
1512                                                if (['trekkie.storefront','consent-tracking-api','storefront/assets/shop_events_listener'].some(substring => source.includes(substring))) 
1513                                                {
1514                                                    block = false;
1515                                                }
1516
1517                                                if (block)
1518                                                {
1519                                                    this.setAttribute('type', 		  'text/template');
1520                                                    this.setAttribute('data-consent', Consent.Const.COOKIE_DIRECTIVE_CONSENT_GRANTED_EVENT);
1521
1522                                                }
1523											}
1524										}
1525
1526										this.setAttribute('src', value);
1527									},
1528									get: function() 
1529									{
1530										return this.getAttribute('src');
1531									}
1532								}
1533							});
1534						}
1535
1536						window.addEventListener('captured_cookie', event => 
1537						{
1538							this.cookies[event.detail.cookie.name] = event.detail.cookie.value;
1539						});
1540
1541						fn.apply(this,[this]);
1542					},
1543					pickup: function(event)
1544					{
1545                        if (this.processedSegments?.join() === event.detail.segments.join()) {
1546                            return this;
1547                        }
1548
1549                        this.processedSegments = [...event.detail.segments];
1550
1551						document.querySelectorAll('script[data-consent]').forEach(script => 
1552						{
1553							let segment = script.dataset.consent;
1554
1555							if (-1 != event.detail.segments.indexOf(segment))
1556							{
1557								delete script.dataset.consent;
1558								
1559								this.materialize(script, this.nonce, event.detail.segments);
1560							}
1561						});
1562
1563						
1564						scripts = scripts.filter(script => 
1565						{
1566							if (-1 != event.detail.segments.indexOf(script.segment))
1567							{
1568								this.materialize(script.script, this.nonce, event.detail.segments);
1569
1570								return false;
1571							}
1572							return true;
1573						});
1574						
1575						return this;
1576					},
1577					materialize: function(script, nonce, segments)
1578                    {
1579                        if (script.dataset.executed === 'true') {
1580                            return this;
1581                        }
1582
1583                        let tag = document.createElement('script');
1584
1585                        tag.type = "text/javascript";
1586                        tag.innerHTML = script.innerHTML;
1587                        tag.dataset.materialize = true;
1588
1589                        if (script.getAttribute('src')) 
1590                        {
1591                            tag.src = script.src;
1592                        }
1593
1594                        tag.setAttribute('nonce', nonce ?? true);
1595
1596                        if (script.parentNode) 
1597                        {
1598                            script.parentNode.appendChild(tag);
1599                            script.parentNode.removeChild(script);
1600                        } 
1601                        else 
1602                        {
1603                            document.body.appendChild(tag);
1604                        }
1605
1606                        return this;
1607                    },
1608					finish: function()
1609					{	
1610						if (window.Shopify && window.Shopify.loadFeatures)
1611						{
1612							window.Shopify.loadFeatures([{ name: 'consent-tracking-api', version: '0.1' }], error => 
1613							{
1614								if (!error)
1615								{
1616									if (window.Shopify && window.Shopify.customerPrivacy) 
1617									{
1618										let shopifyConsent = 
1619										{
1620											analytics: 		this.getConsent('cookieConsentAnalyticsGranted'),
1621											marketing: 		this.getConsent('cookieConsentMarketingGranted'),
1622											preferences: 	this.getConsent('cookieConsentPreferencesGranted'),
1623											sale_of_data: 	this.getConsent('cookieConsentUserdata')
1624										};
1625
1626										window.Shopify.customerPrivacy.setTrackingConsent(shopifyConsent);
1627									}
1628								}
1629							});
1630						}
1631
1632						let segments = [];
1633
1634						Consent.Const.COOKIE_DIRECTIVE_SEGMENT_MODE_EVENTS.forEach(segment => 
1635						{
1636							if (this.getConsent(segment))
1637							{
1638								segments.push(segment);
1639							}
1640						});
1641
1642						this.pickup(
1643						{
1644							detail: 
1645							{
1646								segments: segments
1647							}
1648						});
1649
1650						this.updateShopifyCartAttributes(segments);
1651					},
1652    				acquireProxyCookies: function()
1653    				{
1654    					const acquire = localStorage.getItem("acquire");
1655    					
1656    					if (!acquire)
1657    					{
1658    						document.cookie.split(';').map(e => e.trim()).forEach(cookie => 
1659    						{
1660    							let name = cookie.substr(0, cookie.indexOf('='));
1661    							
1662    							if (!this.cookies.hasOwnProperty(name))
1663    							{
1664    								this.cookies[name] = true;
1665    							}
1666    						});
1667
1668    						localStorage.setItem("acquire", true);
1669    					}
1670    					
1671    					return this;
1672    				},
1673    				setNonce: function(nonce)
1674    				{
1675    					this.nonce = nonce;
1676    					
1677    					return this;
1678    				},
1679    				setWidget: function(config)
1680    				{
1681						this.config = config || {};
1682
1683						this.setNonce(this.config.nonce).setEndpoints(this.config.endpoints);
1684
1685    				    (context => 
1686    				    {
1687    					    window.addEventListener('consent_accept', event => 
1688    					    {	
1689								context.consent = event.detail.segments;
1690
1691    					    	context.pickup(event);
1692
1693								new MutationObserver((mutations) => 
1694    						    {
1695    						    	mutations.forEach((mutation) => 
1696    						        {
1697    						        	[...mutation.addedNodes].forEach(node => 
1698    						        	{
1699    						        		if (node.nodeType !== 1) 
1700    						        		{
1701    						        		    return;
1702    						    		    }
1703
1704    						        		if (node.matches('script') && -1 != node.type.indexOf('text/template')) 
1705					    	                {    					    	                
1706    						        			let segment = node.dataset.consent;
1707
1708    		    				    			if (-1 != event.detail.segments.indexOf(segment))
1709    		    								{
1710    		    				    				delete node.dataset.consent;
1711
1712    		    									context.materialize(node, this.nonce, event.detail.segments);
1713    		    								}
1714					    	                }
1715    						            });
1716    						        });
1717    						    }).observe(document.documentElement, { childList: true, subtree: true });
1718    					    });
1719    				    })(this);
1720    				    
1721    					this.widget = {...this.widget, ...this.config.options };
1722    					
1723    					return this;
1724    				},
1725    				getWidget: function()
1726    				{
1727    					if (this.widget.display)
1728    					{
1729							const render = (position) => 
1730							{
1731								let svg = (node => 
1732								{
1733									return (text => 
1734									{
1735										let styles = 
1736										{
1737											position: 	'fixed', 
1738											bottom: 	'10px', 
1739											'z-index': 	'9999', 
1740											cursor: 	'pointer' 
1741										};
1742
1743										
1744
1745										switch(position)
1746										{
1747											case 'left':
1748												styles['left'] = '10px';
1749												break;
1750											case 'right':
1751												styles['right'] = '10px';
1752												break;
1753											default: 
1754												styles['left'] = '10px';
1755												break;
1756										}
1757										
1758										let style = Object.entries(styles).map(([key, value]) => 
1759										{
1760											return [key,value].join(':');
1761										});
1762
1763										let svg = node('svg', { id: 'consentWidget', width:50, height: 50, style: style.join(';') });
1764		
1765										let gradient = node('linearGradient', { id: 'gradient', gradientTransform: 'rotate(90)'});
1766										
1767										let count = parseInt(text);
1768		
1769										[
1770											node('stop', { offset: '0%',   'stop-color': this.widget.color }),
1771											node('stop', { offset: '100%', 'stop-color': this.widget.colorEnd })
1772											
1773										].forEach(element => 
1774										{
1775											gradient.appendChild(element);
1776										});
1777
1778										svg.appendChild(gradient);
1779										
1780										let transform = 'scale(1.5 1.5) translate(1 10)';
1781		
1782										[
1783											node('path', { id: 'a', d: 'M22.6004 0H7.40039C3.50039 0 0.400391 3.1 0.400391 7C0.400391 10.9 3.50039 14 7.40039 14H22.6004C26.5004 14 29.6004 10.9 29.6004 7C29.6004 3.1 26.4004 0 22.6004 0ZM1.60039 7C1.60039 3.8 4.20039 1.2 7.40039 1.2H17.3004L14.2004 12.8H7.40039C4.20039 12.8 1.60039 10.2 1.60039 7Z', fill: 'url(#gradient)', transform: transform }),
1784											node('path', { id: 'b', d: 'M24.6012 4.0001C24.8012 4.2001 24.8012 4.6001 24.6012 4.8001L22.5012 7.0001L24.7012 9.2001C24.9012 9.4001 24.9012 9.8001 24.7012 10.0001C24.5012 10.2001 24.1012 10.2001 23.9012 10.0001L21.7012 7.8001L19.5012 10.0001C19.3012 10.2001 18.9012 10.2001 18.7012 10.0001C18.5012 9.8001 18.5012 9.4001 18.7012 9.2001L20.8012 7.0001L18.6012 4.8001C18.4012 4.6001 18.4012 4.2001 18.6012 4.0001C18.8012 3.8001 19.2012 3.8001 19.4012 4.0001L21.6012 6.2001L23.8012 4.0001C24.0012 3.8001 24.4012 3.8001 24.6012 4.0001Z',  fill: 'rgba(255,255,255,1)', transform: transform }),
1785											node('path', { id: 'c', d: 'M12.7 4.1002C12.9 4.3002 13 4.7002 12.8 4.9002L8.6 9.8002C8.5 9.9002 8.4 10.0002 8.3 10.0002C8.1 10.1002 7.8 10.1002 7.6 9.9002L5.4 7.7002C5.2 7.5002 5.2 7.
17851002 5.4 6.9002C5.6 6.7002 6 6.7002 6.2 6.9002L8 8.6002L11.8 4.1002C12 3.9002 12.4 3.9002 12.7 4.1002Z', fill: 'url(#gradient)', transform: transform })
1786											
1787										].forEach(element => 
1788										{
1789											svg.appendChild(element);
1790										});
1791										
1792										let loader = node('circle', { id: 'd', cx: 13, cy:25.5, r: 6, fill:'transparent', stroke:'url(#gradient)', 'stroke-width':2, 'stroke-dasharray':'60 40', 'stroke-dashoffset': 40, style: 'display:none'  });
1793		
1794										[
1795											node('animateTransform', 
1796											{ 
1797												attributeName: 	"transform",
1798												attributeType:	"XML",
1799												type:			"rotate",
1800												dur:			"1s",
1801												from:			"0 13 25.5",
1802												to:				"360 13 25.5",
1803												repeatCount:	"indefinite" 
1804											})
1805											
1806										].forEach(element => 
1807										{
1808											loader.appendChild(element);
1809										});
1810										
1811										svg.appendChild(loader);
1812										
1813										return svg;
1814									});
1815								
1816								})((n, v) => 
1817								{
1818									n = document.createElementNS("http://www.w3.org/2000/svg", n);
1819									
1820									for (var p in v) 
1821									{
1822										n.setAttributeNS(null, p, v[p]);
1823									}
1824									
1825									return n;
1826								});
1827								
1828								let widget = svg();
1829								
1830								/**
1831								 * Remove widget
1832								 */
1833								this.deleteWidget();
1834								
1835								/**
1836								 * Add widget
1837								 */
1838								document.body.appendChild(widget);
1839								
1840								/**
1841								 * Render widget
1842								 */
1843								document.body.querySelectorAll('[id=consentWidget]').forEach(element => 
1844								{
1845									element.addEventListener('click', event => 
1846									{
1847										Consent.CookieConsent.renderConsentDialog(dataLayer);
1848									});
1849								});
1850								
1851								return widget;
1852							};
1853							
1854							if (document.body)
1855							{
1856								return render(this.widget.position);
1857							}
1858							else 
1859							{
1860								document.addEventListener("DOMContentLoaded", (event) => 
1861								{
1862									render(this.widget.position);
1863								});
1864							}
1865    					}
1866    					
1867    					return null;
1868    				},
1869    				deleteWidget: function()
1870    				{
1871						if (document.body)
1872						{
1873							document.body.querySelectorAll('[id=consentWidget]').forEach(element => 
1874							{
1875								element.parentNode.removeChild(element);
1876							});
1877						}
1878    					
1879    					return this;
1880    				},
1881    				loader: (function()
1882    				{
1883    					return {
1884    						show: function()
1885    						{
1886    							document.querySelectorAll('[id=c]').forEach(e => { e.style.display = 'none' });
1887    							document.querySelectorAll('[id=d]').forEach(e => { e.style.display = 'block' });
1888    						},
1889    						hide: function()
1890    						{
1891    							document.querySelectorAll('[id=c]').forEach(e => { e.style.display = 'block' });
1892    							document.querySelectorAll('[id=d]').forEach(e => { e.style.display = 'none' });
1893    						}
1894    					}
1895    				})()
1896    			}
1897    		})(),
1898			getRegions: async () => 
1899			{
1900				try 
1901				{
1902					const detected_json = await fetch(window.Shopify.routes.root + 'browsing_context_suggestions.json');
1903
1904					const detected = await detected_json.json();
1905
1906					const response = await fetch('https://cdn.shopify.com/extensions/01a0f0ca-df1c-7eeb-9133-cf3a9ae4cf4b/google-tag-manager-ga4-301/assets/regions.json');
1907
1908					if (!response.ok) 
1909					{
1910						return [];
1911					}
1912
1913					const regions = await response.json();
1914
1915					return {
1916						detected: detected,
1917						regions: regions
1918					}
1919				} 
1920				catch (error) 
1921				{
1922					return []; 
1923				}
1924			}
1925		}
1926	})();
1927
1928
1929    (app => 
1930    {
1931        if (!app?.plan && app?.span > 7) return;
1932
1933        Consent.CookieConsent.setReflect(consent => 
1934        {
1935            consent.updateConsent().updateConsentShopify().setWidget(
1936            {
1937                plan: app?.plan,
1938                span: app?.span,
1939                options: {},
1940                strategy: 1,
1941                scheme: 0,
1942                endpoints: 
1943                {
1944                    type:               'json',
1945                    cookie:             'consent/cookie',
1946                    cookieContent:      'consent/content',
1947                    cookieConsent:      'consent/update'
1948                }
1949            }).getConsentDialog(dataLayer);
1950
1951            document.addEventListener("DOMContentLoaded", () => 
1952            {
1953                consent.finish();
1954            });
1955        },1);
1956
1957    })({ plan: false, span: 156 });
1958
1959    
1960</script>
1960
1961
1962<!-- END app block --><!-- BEGIN app block: shopify://apps/autoschema/blocks/google-structure-data/17b14c39-0b4b-4288-a8e8-ecd3eee4fb64 -->
1962<script>
1963  // Robust matcher that finds a given @type anywhere in the JSON-LD:
1964  // - Handles objects, arrays, and @graph
1965  // - Handles @type as string or array of strings
1966  function matchesType(node, type) {
1967    if (!node) return false;
1968    if (Array.isArray(node)) return node.some(n => matchesType(n, type));
1969    if (typeof node !== 'object') return false;
1970
1971    const t = node['@type'];
1972    if (typeof t === 'string' && t === type) return true;
1973    if (Array.isArray(t) && t.includes(type)) return true;
1974
1975    if (Array.isArray(node['@graph']) && node['@graph'].some(n => matchesType(n, type))) return true;
1976
1977    for (const k in node) {
1978      if (Object.prototype.hasOwnProperty.call(node, k) && typeof node[k] === 'object') {
1979        if (matchesType(node[k], type)) return true;
1980      }
1981    }
1982    return false;
1983  }
1984
1985  function removeExistingSchema(type) {
1986    const existingSchemas = document.querySelectorAll('script[type="application/ld+json"]');
1987    existingSchemas.forEach((script) => {
1988      if (script.getAttribute('data-added-by') === 'autoSchema') return; // keep ours
1989      const text = (script.textContent || '').trim();
1990      if (!text) return;
1991      try {
1992        const json = JSON.parse(text);
1993        if (matchesType(json, type)) script.remove();
1994      } catch (e) {
1995        /* ignore invalid JSON */
1996      }
1997    });
1998  }
1999</script>
1999<script>
2000  window.__autoSchemaExtensionVersion = "autoschema-extension-v2026-09-22-1";
2001  if (!window.__autoSchemaExtensionVersionLogged) {
2002    window.__autoSchemaExtensionVersionLogged = true;
2003    console.info("[autoSchema] theme extension version:", window.__autoSchemaExtensionVersion);
2004  }
2005</script>
2005
2006
2007<script>
2008  document.addEventListener('DOMContentLoaded', () => {
2009    removeExistingSchema("WebSite");
2010  });
2011</script>
2011
2012
2013<script type="application/ld+json" data-added-by="autoSchema">{
2014  "@context": "https://schema.org/",
2015  "@type": "WebPage",
2016  "name": "Contact Webpage",
2017  "speakable": {
2018    "@type": "SpeakableSpecification",
2019    "xPath": [
2020      "/html/head/title",
2021      "/html/head/meta[@name='description']/@content"
2022    ]
2023  },
2024  "url": "https://genteramed.com/pages/contact"
2025}</script>
2025<script>
2026  document.addEventListener('DOMContentLoaded', () => {
2027    // Quick pre-check: if no native <video> or known video iframes exist, skip entirely
2028    if (!document.querySelector('video, iframe[src*="youtube.com"], iframe[src*="youtu.be"], iframe[src*="vimeo.com"]')) {
2029      return;
2030    }
2031
2032    removeExistingSchema("VideoObject");
2033
2034    const pageUrl = "https:\/\/genteramed.com\/pages\/contact";
2035    const pageTitle = "Contact";
2036    const pageDesc = "Gentera Med delivers expert precision and concierge medicine, offering personalized care plans tailored to your unique health and wellness needs.";
2037    const fallbackThumb = "" || undefined;
2038    const publisher = "Gentera Med";
2039    const pageLastModified = new Date(document.lastModified || Date.now());
2040    const uploadDate = Number.isNaN(pageLastModified.getTime())
2041      ? new Date().toISOString()
2042      : pageLastModified.toISOString();
2043
2044    const maxVideos = 5;
2045
2046    function ytIdFromUrl(u) {
2047      try {
2048        const url = new URL(u);
2049        if (url.hostname.includes('youtu')) {
2050          if (url.pathname.startsWith('/embed/')) return url.pathname.split('/embed/')[1].split(/[?&]/)[0];
2051          if (url.searchParams.get('v')) return url.searchParams.get('v');
2052          const parts = url.pathname.split('/').filter(Boolean);
2053          return parts.pop() || null;
2054        }
2055      } catch (e) {}
2056      return null;
2057    }
2058
2059    function vimeoIdFromUrl(u) {
2060      try {
2061        const url = new URL(u);
2062        if (url.hostname.includes('vimeo')) {
2063          const parts = url.pathname.split('/').filter(Boolean);
2064          const id = parts.pop();
2065          return /^\d+$/.test(id) ? id : null;
2066        }
2067      } catch (e) {}
2068      return null;
2069    }
2070
2071    function thumbFor(src) {
2072      const y = ytIdFromUrl(src);
2073      if (y) return "https://i.ytimg.com/vi/" + y + "/hqdefault.jpg";
2074      return fallbackThumb;
2075    }
2076
2077    function isoDurationFromVideoEl(vid) {
2078      if (!vid || isNaN(vid.duration) || !isFinite(vid.duration) || vid.duration <= 0) return undefined;
2079      const total = Math.floor(vid.duration);
2080      const h = Math.floor(total / 3600);
2081      const m = Math.floor((total % 3600) / 60);
2082      const s = total % 60;
2083      return "PT" + (h ? h + "H" : "") + (m ? m + "M" : "") + (s ? s + "S" : "") || undefined;
2084    }
2085
2086    function buildFromIframe(ifr) {
2087      const src = ifr.getAttribute('src') || '';
2088      const name = ifr.getAttribute('title') || pageTitle;
2089      return {
2090        "@context": "https://schema.org",
2091        "@type": "VideoObject",
2092        "name": name,
2093        "description": pageDesc,
2094        "uploadDate": uploadDate,
2095        "thumbnailUrl": thumbFor(src),
2096        "embedUrl": src,
2097        "contentUrl": pageUrl,
2098        "publisher": { "@type": "Organization", "name": publisher },
2099        "isFamilyFriendly": true
2100      };
2101    }
2102
2103    function buildFromVideoEl(vid) {
2104      const src = vid.getAttribute('src') || (vid.querySelector('source') && vid.querySelector('source').getAttribute('src')) || '';
2105      const poster = vid.getAttribute('poster') || undefined;
2106      const duration = isoDurationFromVideoEl(vid);
2107      const name = vid.getAttribute('aria-label') || vid.getAttribute('title') || pageTitle;
2108      const node = {
2109        "@context": "https://schema.org",
2110        "@type": "VideoObject",
2111        "name": name,
2112        "description": pageDesc,
2113        "uploadDate": uploadDate,
2114        "thumbnailUrl": poster || fallbackThumb,
2115        "contentUrl": src || pageUrl,
2116        "embedUrl": pageUrl,
2117        "publisher": { "@type": "Organization", "name": publisher },
2118        "isFamilyFriendly": true
2119      };
2120      if (duration) node.duration = duration;
2121      return node;
2122    }
2123
2124    const seen = new Set();
2125    const videos = [];
2126
2127    document.querySelectorAll('iframe[src*="youtube.com"], iframe[src*="youtu.be"], iframe[src*="vimeo.com"]').forEach((ifr) => {
2128      if (videos.length >= maxVideos) return;
2129      const src = ifr.getAttribute('src') || '';
2130      if (!src || seen.has(src)) return;
2131      seen.add(src);
2132      videos.push(buildFromIframe(ifr));
2133    });
2134
2135    document.querySelectorAll('video').forEach((v) => {
2136      if (videos.length >= maxVideos) return;
2137      const src = v.getAttribute('src') || (v.querySelector('source') && v.querySelector('source').getAttribute('src')) || '';
2138      if (!src || seen.has(src)) return;
2139      seen.add(src);
2140      videos.push(buildFromVideoEl(v));
2141    });
2142
2143    if (videos.length) {
2144      const node = document.createElement('script');
2145      node.type = 'application/ld+json';
2146      node.setAttribute('data-added-by', 'autoSchema');
2147      node.textContent = JSON.stringify(
2148        videos.length === 1 ? videos[0] : { "@context": "https://schema.org", "@graph": videos }
2149      );
2150      document.head.appendChild(node);
2151    }
2152  });
2153</script>
2153
2154
2155
2156<script>
2157  document.addEventListener('DOMContentLoaded', () => {
2158    // FAQPage: only inject if no existing FAQ schema (JSON-LD or microdata)
2159    function hasExistingFaqSchema() {
2160      // JSON-LD
2161      const scripts = document.querySelectorAll('script[type="application/ld+json"]');
2162      for (const s of scripts) {
2163        if (s.getAttribute('data-added-by') === 'autoSchema') continue;
2164        const text = (s.textContent || '').trim();
2165        if (!text) continue;
2166        try {
2167          const json = JSON.parse(text);
2168          if (matchesType(json, 'FAQPage')) return true;
2169        } catch (e) { /* ignore parse errors */ }
2170      }
2171      // Microdata / RDFa
2172      if (document.querySelector('[itemscope][itemtype*="schema.org/FAQPage"], [itemscope][itemtype*="schema.org\\u002fFAQPage"], [typeof~="FAQPage"]')) {
2173        return true;
2174      }
2175      return false;
2176    }
2177
2178    if (hasExistingFaqSchema()) return;
2179
2180    const maxItems = 50;
2181    const pageUrl = "https:\/\/genteramed.com\/pages\/contact";
2182    const pageTitle = "Contact";
2183    const pathLc = "\/pages\/contact";
2184    const titleLc = "contact";
2185    const pageType = "page";
2186
2187    function stripHtml(s) {
2188      const d = document.createElement('div');
2189      d.innerHTML = s || '';
2190      return (d.textContent || d.innerText || '').trim();
2191    }
2192
2193    function norm(t) { return stripHtml(t).replace(/\s+/g, ' ').trim(); }
2194    function cleanAnswer(t) { return norm(t).replace(/^A\s*:\s*/i, '').trim(); }
2195
2196    function hasQuestionLike(q) { return !!q && q.includes('?'); }
2197
2198    function isAnswerLike(a) {
2199      if (!a) return false;
2200      const len = a.length;
2201      if (len >= 30) return true;
2202      if (/[\.!?]/.test(a)) return true;
2203      return false;
2204    }
2205
2206    const faqListSelectors = [
2207      'ul.faq-questions-list',
2208      'ol.faq-questions-list',
2209      'ul[class*="faq-questions" i]',
2210      'ol[class*="faq-questions" i]',
2211      'ul[class*="faq-question" i]',
2212      'ol[class*="faq-question" i]'
2213    ].join(',');
2214
2215    const faqQuestionSelectors = [
2216      '.faq-question',
2217      '[data-faq-question]',
2218      '.faq__question',
2219      '.question',
2220      '.question-title',
2221      '.accordion__title',
2222      '.accordion__heading',
2223      '[data-accordion-trigger]',
2224      'button',
2225      'summary',
2226      'h1',
2227      'h2',
2228      'h3',
2229      'h4',
2230      'h5',
2231      'h6'
2232    ].join(', ');
2233
2234    const faqAnswerSelectors = [
2235      '.faq-answer',
2236      '[data-faq-answer]',
2237      '.faq__answer',
2238      '.answer',
2239      '.answer-text',
2240      '.metafield-rich_text_field',
2241      '.rte',
2242      '.accordion__content',
2243      '.collapsible__content',
2244      '.collapsible-content',
2245      '[data-accordion-content]',
2246      'p'
2247    ].join(', ');
2248
2249    function firstDirectMatch(root, selector) {
2250      return Array.from(root.children || []).find(node => node.matches && node.matches(selector)) || null;
2251    }
2252
2253    function textSans(root, selector) {
2254      if (!root) return '';
2255      const clone = root.cloneNode(true);
2256      clone.querySelectorAll(selector).forEach(node => node.remove());
2257      return norm(clone.textContent);
2258    }
2259
2260    function collectFromDetails(root) {
2261      const res = [];
2262      root.querySelectorAll('details').forEach(d => {
2263        const q = norm(d.querySelector('summary')?.textContent);
2264        if (!hasQuestionLike(q)) return;
2265        const clone = d.cloneNode(true);
2266        const sum = clone.querySelector('summary');
2267        if (sum) sum.remove();
2268        const a = cleanAnswer(clone.textContent);
2269        if (isAnswerLike(a)) res.push({ q, a });
2270      });
2271      return res;
2272    }
2273
2274    function collectFromPageFlyAccordions(root) {
2275      const res = [];
2276      root.querySelectorAll('[data-pf-type="Accordion3"]').forEach(accordion => {
2277        const detailsNodes = Array.from(accordion.children || []).filter(node =>
2278          node.matches && node.matches('details[data-pf-type="Accordion3.Content.Wrapper"]')
2279        );
2280        if (detailsNodes.length < 2) return;
2281
2282        const pairs = [];
2283        detailsNodes.forEach(detail => {
2284          const q = norm(
2285            detail.querySelector('[data-pf-type="Accordion3.Header"], summary')?.textContent
2286          );
2287          if (!hasQuestionLike(q)) return;
2288
2289          const answerNode = detail.querySelector(
2290            '[data-pf-type="Accordion3.Content"], .pf-accordion-body, .pf-paragraph-content, p'
2291          );
2292          let a = cleanAnswer(answerNode?.textContent);
2293          if (!a) {
2294            const clone = detail.cloneNode(true);
2295            clone.querySelector('summary')?.remove();
2296            a = cleanAnswer(clone.textContent);
2297          }
2298
2299          if (isAnswerLike(a)) pairs.push({ q, a });
2300        });
2301
2302        if (pairs.length >= 2) res.push(...pairs);
2303      });
2304      return res;
2305    }
2306
2307    function collectFromProductAccordions(root) {
2308      const res = [];
2309      const productRoots = root.querySelectorAll(
2310        'section[id^="ProductInfo-"], .product__info-container'
2311      );
2312
2313      productRoots.forEach(productRoot => {
2314        const accordionNodes = Array.from(
2315          productRoot.querySelectorAll('.product__accordion.accordion')
2316        ).filter(node => node.querySelector('details > summary'));
2317
2318        if (accordionNodes.length < 2) return;
2319
2320        const pairs = [];
2321        accordionNodes.forEach(accordion => {
2322          const detail = accordion.querySelector('details');
2323          if (!detail) return;
2324
2325          const q = norm(
2326            detail.querySelector('summary .accordion__title, summary h2, summary h3, summary')?.textContent
2327          );
2328          if (!hasQuestionLike(q)) return;
2329
2330          const answerNode = detail.querySelector('.accordion__content, .rte, p');
2331          let a = cleanAnswer(answerNode?.textContent);
2332          if (!a) {
2333            const clone = detail.cloneNode(true);
2334            clone.querySelector('summary')?.remove();
2335            a = cleanAnswer(clone.textContent);
2336          }
2337
2338          if (isAnswerLike(a)) pairs.push({ q, a });
2339        });
2340
2341        if (pairs.length >= 2) res.push(...pairs);
2342      });
2343
2344      return res;
2345    }
2346
2347    function collectFromFaqLists(root) {
2348      const res = [];
2349      root.querySelectorAll(faqListSelectors).forEach(list => {
2350        const items = Array.from(list.children || []).filter(node => node.tagName === 'LI');
2351        if (items.length < 2) return;
2352
2353        items.forEach(item => {
2354          const qNode = firstDirectMatch(item, faqQuestionSelectors) || item.querySelector(faqQuestionSelectors);
2355          const q = norm(qNode?.textContent);
2356          if (!hasQuestionLike(q)) return;
2357
2358          const aNode = firstDirectMatch(item, faqAnswerSelectors) || item.querySelector(faqAnswerSelectors);
2359          let a = cleanAnswer(aNode?.textContent);
2360          if (!a) {
2361            a = cleanAnswer(textSans(item, faqQuestionSelectors + ', svg, use, path'));
2362          }
2363
2364          if (isAnswerLike(a)) res.push({ q, a });
2365        });
2366      });
2367      return res;
2368    }
2369
2370    function collectFromPairs(root) {
2371      const res = [];
2372      const itemSel = '.faq-item, [data-faq-item], .faq__item, .accordion--faq .accordion__item, .accordion-faq .accordion__item';
2373      root.querySelectorAll(itemSel).forEach(item => {
2374        const q = norm(item.querySelector('.faq-question, [data-faq-question], .faq__question, .question, .question-title, .accordion__title, .accordion__heading, [data-accordion-trigger], h3, h4, summary')?.textContent);
2375        if (!hasQuestionLike(q)) return;
2376        let a = cleanAnswer(item.querySelector('.faq-answer, [data-faq-answer], .faq__answer, .answer, .answer-text, .metafield-rich_text_field, .accordion__content, .collapsible__content, .collapsible-content, [data-accordion-content], p, div')?.textContent);
2377        if (!a) {
2378          const sib = item.querySelector('.rte') || item.nextElementSibling;
2379          if (sib) a = cleanAnswer(sib.textContent);
2380        }
2381        if (isAnswerLike(a)) res.push({ q, a });
2382      });
2383      return res;
2384    }
2385
2386    function collectFromDl(root) {
2387      const res = [];
2388      root.querySelectorAll('dl.faq, dl[class*="faq" i]').forEach(dl => {
2389        const dts = dl.querySelectorAll('dt');
2390        const dds = dl.querySelectorAll('dd');
2391        const n = Math.min(dts.length, dds.length);
2392        for (let i = 0; i < n; i++) {
2393          const q = norm(dts[i]?.textContent);
2394          const a = cleanAnswer(dds[i]?.textContent);
2395          if (q && a && a.length > 3) res.push({ q, a });
2396        }
2397      });
2398      return res;
2399    }
2400
2401    const containerSelectors = [
2402      '[data-faq]',
2403      '.faq',
2404      '.faqs',
2405      '.faq-list',
2406      '.faq__list',
2407      '.faq-section',
2408      '.section-faq',
2409      '.section--faq',
2410      '.faq-block',
2411      '[data-section-type*="faq" i]',
2412      '.accordion--faq',
2413      '.accordion-faq',
2414      '.accordion-parent',
2415      'collapsible-tabs',
2416      '.collapsible-tabs__wrapper',
2417      '.collapsible--faq',
2418      '.collapsible-content.faq'
2419    ];
2420    const containers = Array.from(document.querySelectorAll(containerSelectors.join(',')));
2421    const isLikelyFaqPage = containers.length > 0 || /faq|frequently\-?asked/.test(pathLc) || /faq|frequently\-?asked/.test(titleLc);
2422    const isProductLikePage = pageType === 'product' || /\/products\/[^/]+/.test(pathLc);
2423    const isArticleLikePage = pageType === 'article' || /\/blogs\/[^/]+\/[^/]+/.test(pathLc);
2424    let pairs = [];
2425
2426    if (isProductLikePage) {
2427      pairs = collectFromProductAccordions(document);
2428    } else if (isArticleLikePage) {
2429      pairs = collectFromPageFlyAccordions(document);
2430    }
2431
2432    if (pairs.length < 2 && containers.length) {
2433      for (const c of containers) {
2434        pairs = collectFromDetails(c);
2435        if (pairs.length < 2) pairs = collectFromFaqLists(c);
2436        if (pairs.length < 2) pairs = collectFromPairs(c);
2437        if (pairs.length < 2) pairs = collectFromDl(c);
2438        if (pairs.length >= 2) break;
2439      }
2440    }
2441
2442    if (pairs.length < 2 && isLikelyFaqPage) {
2443      const docPairs = collectFromDetails(document);
2444      if (docPairs.length >= 2) pairs = docPairs;
2445      if (pairs.length < 2) {
2446        const faqListPairs = collectFromFaqLists(document);
2447        if (faqListPairs.length >= 2) pairs = faqListPairs;
2448      }
2449      if (pairs.length < 2) {
2450        const altPairs = collectFromDl(document);
2451        if (altPairs.length >= 2) pairs = altPairs;
2452      }
2453    }
2454
2455    if (!pairs.length) return;
2456
2457    const seenQ = new Set();
2458    const items = [];
2459    for (const { q, a } of pairs) {
2460      if (!seenQ.has(q)) {
2461        seenQ.add(q);
2462        items.push({
2463          "@type": "Question",
2464          "name": q,
2465          "acceptedAnswer": { "@type": "Answer", "text": a }
2466        });
2467      }
2468      if (items.length >= maxItems) break;
2469    }
2470
2471    if (!items.length) return;
2472
2473    const node = document.createElement('script');
2474    node.type = 'application/ld+json';
2475    node.setAttribute('data-added-by', 'autoSchema');
2476    node.textContent = JSON.stringify({
2477      "@context": "https://schema.org",
2478      "@type": "FAQPage",
2479      "mainEntity": items,
2480      "name": pageTitle + ' - FAQ',
2481      "url": pageUrl
2482    });
2483    document.head.appendChild(node);
2484  });
2485</script>
2485<script>
2486    document.addEventListener('DOMContentLoaded', () => {
2487      removeExistingSchema("BreadcrumbList");
2488    });
2489  </script>
2489
2490
2491  
2491<script type="application/ld+json" data-added-by="autoSchema">{
2492    "@context": "https://schema.org",
2493    "@type": "BreadcrumbList",
2494    "itemListElement": [
2495      {
2496        "@type": "ListItem",
2497        "position": 1,
2498        "name": "Home",
2499        "item": "https://genteramed.com"
2500      },
2501        {
2502          "@type": "ListItem",
2503          "position": 2,
2504          "name": "Contact",
2505          "item": "https://genteramed.com/pages/contact"
2506        }]
2507  }</script>
2507<script type="application/ld+json" data-added-by="autoSchema">{
2508  "@context": "https://schema.org",
2509  "@type": ["WebPage","ContactPage"],
2510  "name": "Contact",
2511  "url": "https://genteramed.com/pages/contact"
2512}</script>
2512<script>
2513    document.addEventListener('DOMContentLoaded', () => {
2514      removeExistingSchema("LocalBusiness");
2515    });
2516  </script>
2516<script type="application/ld+json" data-added-by="autoSchema">{
2517    "@context": "https://schema.org",
2518    "@type": "LocalBusiness",
2519    "name": "Gentera Med",
2520    "address": {
2521      "@type": "PostalAddress",
2522      "streetAddress": "550 Biltmore Way",
2523      "addressLocality": "Coral Gables",
2524      "addressRegion": "Florida",
2525      "postalCode": "33134",
2526      "addressCountry": "US"},
2527    "telephone": "3055181301",
2528    "priceRange": "$"}</script>
2528<!-- END app block --><!-- BEGIN app block: shopify://apps/anowave-google-tag-manager-ga4/blocks/gtm-embed/01995b81-4e6b-7b12-9195-febd92a96a6a -->
2529
2530
2531
2532
2533
2534    
2535    <link rel="preconnect" href="https://www.googletagmanager.com" crossorigin>
2536
2537
2538
2539<script data-materialize>
2540  
2541  
2542
2543  
2544
2545  
2546  window.dataLayer = window.dataLayer || [];
2547
2548  window.anowaveConfig = {
2549        config: 
2550        { 
2551            locale: "en", 
2552            shop_id:"68921917611",
2553            container_id: "G-3QNCF4GKME", 
2554            measurement_id:"G-3QNCF4GKME",
2555            meta_pixel_enable: false, 
2556            meta_pixel_id: "", 
2557            built_in_conversion_tracking: 0, 
2558            send_to:"",
2559            aw_merchant_id:"",
2560            aw_feed_country:"",
2561            aw_feed_language:"",
2562            aw_feed_label:"",
2563            handle:"null",
2564            plan:false, 
2565            pixels:null,
2566            sgtm: 0, 
2567            sgtmTaggingServer:"",
2568            sgtmCustomLoader:"",
2569        }, 
2570        preferences: 
2571        { 
2572            dataLayer: null,
2573            performance: null,
2574            events: null,
2575            server: null
2576        }, 
2577        plan: 
2578        { 
2579            handle:"",
2580            plan:false,
2581            span:156
2582        }
2583  }
2584
2585  const AEC = ((template, options = anowaveConfig) =>
2586  {
2587        (config => 
2588        {
2589            const enableSnippet = !(false);
2590    
2591            let onGtm       = () => { window.dispatchEvent(new CustomEvent('ec.gtm.loaded'))};
2592            let onMeta      = () => { window.dispatchEvent(new CustomEvent('ec.meta.loaded'))};
2593            let onClarity   = () => { window.dispatchEvent(new CustomEvent('ec.clarity.loaded'))};
2594            let onTiktok    = () => { window.dispatchEvent(new CustomEvent('ec.tiktok.loaded'))}; 
2595
2596            (config?.container_id && enableSnippet && !window.google_tag_manager) && (() => {
2597                (function(w, d, s, l, i) {
2598                    w[l] = w[l] || [];
2599                    w[l].push({
2600                        'gtm.start': new Date().getTime(),
2601                        event: 'gtm.js'
2602                    });
2603                    var f = d.getElementsByTagName(s)[0],
2604                        j = d.createElement(s),
2605                        dl = l != 'dataLayer' ? '&l=' + l : '';
2606                    j.async = true;
2607                    j.onload = onGtm;
2608
2609
2610                    const t = 
2611                    {
2612                        server: (1 === Number(config.sgtm) && '' !== config?.sgtmTaggingServer) ? config?.sgtmTaggingServer : 'https://www.googletagmanager.com',
2613                        loader: (1 === Number(config.sgtm) && '' !== config?.sgtmCustomLoader)  ? config?.sgtmCustomLoader : '/gtm.js'
2614                    }
2615
2616                    j.src = `${t.server}${t.loader}?id=` + i + dl;
2617                    f.parentNode.insertBefore(j, f);
2618                })(window, document, 'script', 'dataLayer', config?.container_id?.trim());
2619            })();
2620
2621            (config?.meta_pixel_enable && config?.meta_pixel_id?.toString().trim())  && (() => {!function(f,b,e,v,n,t,s) {if(f.fbq)return;n=f.fbq=function(){n.callMethod?n.callMethod.apply(n,arguments):n.queue.push(arguments)};if(!f._fbq)f._fbq=n;n.push=n;n.loaded=!0;n.version='2.0';n.queue=[];t=b.createElement(e);t.async=!0; t.onload = onMeta; t.src=v;s=b.getElementsByTagName(e)[0];s.parentNode.insertBefore(t,s)}(window, document,'script','https://connect.facebook.net/en_US/fbevents.js'); fbq('init', null); fbq('track', 'PageView'); })();
2622
2623
2624            const pixels = {
2625                bing:       (() => {(function(w,d,t,r,u){var f,n,i;w[u]=w[u]||[],f=function(){var o={ti: config?.pixels?.bing?.pixel_id?.trim(), disableAutoPageView: true, enableAutoSpaTracking: false};o.q=w[u],w[u]=new UET(o),w[u].push("pageLoad")},n=d.createElement(t),n.src=r,n.async=1,n.onload=n.onreadystatechange=function(){var s=this.readyState;s&&s!=="loaded"&&s!=="complete"||(f(),n.onload=n.onreadystatechange=null)},i=d.getElementsByTagName(t)[0],i.parentNode.insertBefore(n,i)})(window,document,"script","//bat.bing.com/bat.js","uetq"); }),
2626                tiktok:     (() => {!function(w,d,t) { w.TiktokAnalyticsObject=t;var ttq=w[t]=w[t]||[];ttq.methods=["page","track","identify","instances","debug","on","off","once","ready","alias","group","enableCookie","disableCookie","holdConsent","revokeConsent","grantConsent"],ttq.setAndDefer=function(t,e){t[e]=function(){t.push([e].concat(Array.prototype.slice.call(arguments,0)))}};for(var i=0;i<ttq.methods.length;i++)ttq.setAndDefer(ttq,ttq.methods[i]);ttq.instance=function(t){for(var e=ttq._i[t]||[],n=0;n<ttq.methods.length;n++)ttq.setAndDefer(e,ttq.methods[n]);return e},ttq.load=function(e,n){var r="https://analytics.tiktok.com/i18n/pixel/events.js",o=n&&n.partner;ttq._i=ttq._i||{},ttq._i[e]=[],ttq._i[e]._u=r,ttq._t=ttq._t||{},ttq._t[e]=+new Date,ttq._o=ttq._o||{},ttq._o[e]=n||{};n=document.createElement("script");n.type="text/javascript",n.async=!0,n.src=r+"?sdkid="+e+"&lib="+t;e=document.getElementsByTagName("script")[0];e.parentNode.insertBefore(n,e)};ttq.load(config?.pixels?.tiktok?.pixel_id?.trim()); ttq.page();}(window, document, 'ttq'); }),
2627                clarity:    (() => {(function(c,l,a,r,i,t,y){c[a]=c[a]||function(){(c[a].q=c[a].q||[]).push(arguments)};
2627t=l.createElement(r); t.onload = onClarity; t.async=1;t.src="https://www.clarity.ms/tag/"+i;y=l.getElementsByTagName(r)[0];y.parentNode.insertBefore(t,y);})(window, document, "clarity", "script", config?.pixels?.clarity?.pixel_id); }),
2628                open:       (() => {(function(w, d, s, u) { if (w.oaiq) return; var q = function () { q.q.push(arguments); }; q.q = []; w.oaiq = q; var js = d.createElement(s); js.async = true;js.src = u; var f = d.getElementsByTagName(s)[0];  f.parentNode.insertBefore(js, f); })(window, document, "script", "https://bzrcdn.openai.com/sdk/oaiq.min.js");  oaiq("init", { pixelId: config.pixels.open.pixel_id }); }),
2629                reddit:     (() => {!function(w,d){if(!w.rdt){var p=w.rdt=function(){p.sendEvent?p.sendEvent.apply(p,arguments):p.callQueue.push(arguments)};p.callQueue=[];var t=d.createElement("script");t.src="https://www.redditstatic.com/ads/pixel.js?pixel_id=a2_jeawvv2v4my3",t.async=!0;var s=d.getElementsByTagName("script")[0];s.parentNode.insertBefore(t,s)}}(window,document);rdt('init',config.pixels.reddit.pixel_id);rdt('track', 'PageVisit'); }),
2630                x:          (() => {!function(e,t,n,s,u,a){e.twq||(s=e.twq=function(){s.exe?s.exe.apply(s,arguments):s.queue.push(arguments); },s.version='1.1',s.queue=[],u=t.createElement(n),u.async=!0,u.src='https://static.ads-twitter.com/uwt.js',a=t.getElementsByTagName(n)[0],a.parentNode.insertBefore(u,a))}(window,document,'script'); twq('config',config.pixels.x.pixel_id); }),
2631                pinterest:  (() => {
2632                    !function(e){if(!window.pintrk){window.pintrk = function () {
2633                    window.pintrk.queue.push(Array.prototype.slice.call(arguments))};var
2634                    n=window.pintrk;n.queue=[],n.version="3.0";var
2635                    t=document.createElement("script");t.async=!0,t.src=e;var
2636                    r=document.getElementsByTagName("script")[0];
2637                    r.parentNode.insertBefore(t,r)}}("https://s.pinimg.com/ct/core.js");
2638                    pintrk('load', config?.pixels?.pinterest?.pixel_id?.trim());
2639                    pintrk('page');
2640                })
2641            };
2642
2643            Object.entries(pixels).forEach(([key, pixel]) => {
2644                const settings = config?.pixels?.[key];
2645
2646                if (settings?.enabled && settings?.pixel_id?.trim()) {
2647                    pixel();
2648                }
2649            });
2650            Object.entries({ pixel: JSON.stringify(options), custom_pixel: '100.1.0' }).forEach(([key, value]) => { sessionStorage.setItem(key, value)});
2651            
2652        })(options.config);
2653
2654        const { fetch: originalFetch } = window;
2655
2656        const debug = (...args) => !options?.preferences?.performance?.disable_logs && console.debug(...args);
2657
2658        const dispatch = (event, data, args) => document.dispatchEvent(new CustomEvent(event, { bubbles: true, cancelable: true, detail: { data, shop: { currency: "USD", options }, args } }));
2659  
2660  		window.fetch = async (...args) => 
2661  		{
2662  		    let [resource, config ] = args;
2663  
2664  		    let targetUrl = (resource instanceof Request) ? resource.url : resource.toString();
2665  
2666  		    const response = await originalFetch(resource, config);
2667
2668            if (targetUrl.includes('/cart/change')) 
2669            {
2670                response.clone().text().then(text => 
2671                {
2672                    let data = JSON.parse(text) ?? JSON.stringify([]);
2673                    
2674                    dispatch('ec.cart.change', data, args);
2675                });
2676            }
2677
2678            if (targetUrl.includes('/recommendations/products')) 
2679            {
2680                response.clone().text().then(text => 
2681                {
2682                    const parser = new DOMParser();
2683
2684                    const doc = parser.parseFromString(text, "text/html");
2685
2686                    const items = [];
2687
2688                    let index = 1;
2689
2690                    doc.querySelectorAll('product-card-link').forEach(link => 
2691                    {
2692                        link.querySelectorAll('product-card').forEach(card => 
2693                        {
2694                            const category      = 'Recommended products';
2695                            const category_id   = 'recommended_products';
2696
2697                            items.push(
2698                            {
2699                                item_id:            card?.dataset?.productId,
2700                                item_name:          card.querySelector('[aria-label]')?.ariaLabel,
2701                                item_list_id:       category_id,
2702                                item_list_name:     category,
2703                                item_category:      category,
2704                                index:              index++,
2705                                price:              Number(card.querySelector(".price")?.textContent?.replace(/[^0-9.]/g, "")),
2706                                quantity:           1 
2707
2708                            })
2709                        });
2710                    });
2711
2712                    if (items.length)
2713                    {
2714                        AEC.proxy({
2715                            event: 'view_item_list',
2716                            ecommerce: 
2717                            {
2718                                currency: "USD",
2719                                items: items,
2720                            }
2721                        })
2722                    }
2723                });
2724            }
2725  
2726  		    const json = () => response.clone().json().then((data) => 
2727            {
2728                switch(true)
2729                {
2730                    case -1 !== targetUrl.indexOf('/cart/add'): dispatch('ec.cart.add',data, args);  break;
2731                    case -1 !== targetUrl.indexOf('/cart/update'): dispatch('ec.cart.update',data, args); break;
2732                    case -1 !== targetUrl.indexOf('storefront-api/category/product-add'): dispatch('ec.wishlist.add',data, args); break;
2733                    case -1 !== targetUrl.indexOf('storefront-api/category/product-delete'): dispatch('ec.wishlist.remove',data, args); break;
2734                }
2735  
2736                return data;
2737            });
2738  
2739  		  response.json = json;
2740  		  
2741  		  return response;
2742      };
2743
2744    document.addEventListener('DOMContentLoaded', () => 
2745    {
2746        const params = new URLSearchParams(window.location.search);
2747
2748        const queryParams = {};
2749
2750        for (const [key, value] of params.entries()) 
2751        {
2752            if (value && ['utm_source','utm_medium','utm_campaign','utm_term','utm_content'].includes(key)) 
2753            {
2754                queryParams[key] = value;
2755            }
2756        }
2757
2758        dispatch('ec.dom.loaded', 
2759        {
2760            utm: queryParams,
2761            preferences: options?.preferences
2762        });
2763    });
2764  
2765    window.addEventListener('captured_ga_cookies', event => 
2766    {
2767        if (!window.captured_ga_cookies)
2768        {
2769            window.captured_ga_cookies = true;
2770
2771            fetch(window.Shopify.routes.root + 'cart/update.js', 
2772            {
2773                method: 'POST',
2774                headers: 
2775                {
2776                    'Content-Type': 'application/json',
2777                },
2778                body: JSON.stringify(
2779                {
2780                    attributes: event.detail
2781                }),
2782            })
2783            .then(response => response.json()).then(cart => {}).catch(error => console.error('Error updating cart:', error));
2784        }
2785    });
2786  
2787      (function() 
2788       {
2789            const cookies = {};
2790  
2791            const proto = Document.prototype;
2792  
2793            const descriptor = Object.getOwnPropertyDescriptor(proto, "cookie");
2794  
2795            if (!descriptor || !descriptor.set) 
2796            {
2797                return;
2798            }
2799
2800            let debounceTimer;
2801  
2802            Object.defineProperty(proto, "cookie", 
2803            {
2804                configurable: true,
2805                enumerable: descriptor.enumerable,
2806                get: function() 
2807                {
2808                    return descriptor.get.call(this);
2809                },
2810                set: function(value) 
2811                {
2812                    try 
2813                    {
2814                        const name = value.split("=")[0];
2815
2816                        let parsed_value = value.split(';')?.shift()?.split('=')?.pop();
2817  
2818                        switch(true)
2819                        {
2820                            case '_ga' === name:  if (parsed_value?.startsWith('GA1.1.')) { cookies[name] = parsed_value; } break;
2821                            case '_gcl_aw' === name: if (parsed_value?.startsWith('GCL.')) { cookies[name] = parsed_value; } break;
2822                            case -1 !== name.indexOf('_ga_'): if (parsed_value?.startsWith('GS2.1.')) { cookies[name] = parsed_value; }
2823                                break;
2824                        }
2825  
2826                        clearTimeout(debounceTimer);
2827
2828                        debounceTimer = setTimeout(() => {
2829                            window.dispatchEvent(new CustomEvent("captured_ga_cookies", {
2830                                detail: cookies
2831                            }));
2832                        }, 300);
2833                    } 
2834                    catch (e) {}
2835  
2836                    return descriptor.set.call(this, value);
2837                }
2838            });
2839        })();
2840  
2841      const getContext = async () => 
2842      {
2843            const context = await fetch("https://genteramed.com/browsing_context_suggestions.json");
2844  
2845            const response = await context.json();
2846  
2847            return response;
2848      };
2849  
2850      const get_uuid = () => 'xxxxxxxx-xxxx-4xxx-yxxx-xxxxxxxxxxxx'.replace(/[xy]/g, c => { const r = Math.random() * 16 | 0; const v = c === 'x' ? r : (r & 0x3 | 0x8); return v.toString(16); });
2851
2852      return {
2853          options: options,
2854          context: {},
2855          google_tag_params: {},
2856          proxy: function(data)
2857          {
2858              dispatch('ec.proxy', data);
2859
2860              return this;
2861          },
2862          track: function()
2863          {
2864
2865            const handle = () => {
2866                
2867                document.addEventListener('ec.wishlist.add', event => 
2868                {
2869                    const { data, args } = event?.detail;
2870
2871                    const [resource, config] = Array.isArray(args) ? args : [];
2872    
2873                    if (config?.body)
2874                    {
2875                        let body = {};
2876    
2877                        try 
2878                        {
2879                            body = JSON.parse(config?.body);
2880                        } 
2881                        catch (e) 
2882                        {
2883                            body = {};
2884                        }
2885    
2886                        
2887                            const item = 
2888                            {
2889                                item_id: body?.product_id
2890                            };
2891                        
2892    
2893                        let payload = 
2894                        {
2895                            event: 'add_to_wishlist',
2896                            ecommerce: 
2897                            {
2898                                items: [item],
2899                                currency: event?.detail?.shop?.currency,
2900                                customer_id: body?.customer_id
2901                            }
2902                        };
2903    
2904                        this.proxy(payload);
2905                    }
2906                });
2907
2908                document.addEventListener('ec.wishlist.remove', event => 
2909                {
2910                    const { data, args } = event?.detail;
2911    
2912                    const [resource, config] = Array.isArray(args) ? args : [];
2913    
2914                    if (config?.body)
2915                    {
2916                        
2917                            const item = 
2918                            {
2919                                item_id: body?.product_id
2920                            };
2921                        
2922    
2923                        let payload = 
2924                        {
2925                            event: 'remove_from_wishlist',
2926                            ecommerce: 
2927                            {
2928                                items: [item],
2929                                currency: event?.detail?.shop?.currency
2930                            }
2931                        };
2932    
2933                        this.proxy(payload);
2934                    }
2935                });
2936            
2937                document.addEventListener("DOMContentLoaded", event => 
2938                {
2939                    document.querySelectorAll('product-card[data-product-id]').forEach(card => 
2940                    {
2941                        card.addEventListener('click', e => 
2942                        {   
2943                            document.dispatchEvent(new CustomEvent('ec.select.item', 
2944                            {
2945                                bubbles: true,
2946                                cancelable: true,
2947                                detail: 
2948                                {
2949                                    id: card.dataset.productId,
2950                                    collection: null,
2951                                    options: options
2952                                }
2953                            }));
2954                        });
2955                    });
2956    
2957                    document.querySelectorAll('cart-drawer-component dialog').forEach(dialog => 
2958                    {
2959                        const observer = new MutationObserver((mutationsList) => 
2960                        {
2961                            mutationsList.forEach((mutation) => 
2962                            {
2963                                if (mutation.type === 'attributes' && mutation.attributeName === 'open') 
2964                                {
2965                                    if (dialog.hasAttribute('open'))
2966                                    {
2967                                        this.trackCart();
2968                                    }
2969                                }
2970                            });  
2971                        });  
2972                        
2973                        observer.observe(dialog, { attributes: true });
2974                    });
2975    
2976                    document.querySelectorAll('input[data-variant-id]').forEach((input) => 
2977                    {
2978                        const observer = new MutationObserver((mutationsList) => 
2979                        {
2980                            mutationsList.forEach((mutation) => 
2981                            {
2982                                if (mutation.type === 'attributes' && mutation.attributeName === 'checked') 
2983                                {
2984                                    if (input.checked) 
2985                                    {
2986                                        ((variants, product) => 
2987                                        {
2988                                            const activeVariants = {};
2989    
2990                                            let item = {};
2991    
2992                                            document.querySelectorAll('input[data-variant-id]:checked').forEach(variant => 
2993                                            {
2994                                                variants.forEac
2994h(entity => 
2995                                                {
2996                                                    if (entity?.variant_id == variant?.dataset?.variantId)
2997                                                    {
2998                                                        item = entity;
2999    
3000                                                        item['item_id'] = this.getProductId(product, variant?.dataset?.variantId);
3001                                                        
3002                                                        activeVariants[variant?.dataset?.variantId] = item;
3003                                                    }
3004                                                });
3005                                            });
3006    
3007                                            const items = [];
3008    
3009                                            Object.entries(activeVariants).forEach(([key, value])=> 
3010                                            {
3011                                                items.push(value);
3012                                            });
3013    
3014                                            this.proxy({
3015                                                event: 'view_item',
3016                                                ecommerce: 
3017                                                {
3018                                                    items: items,
3019                                                    currency:   "USD"
3020                                                }
3021                                            });
3022    
3023                                        })([
3024                                            
3025                                        ], null);
3026                                    }
3027                                }
3028                            });
3029                        });
3030    
3031                        observer.observe(input, { attributes: true });
3032                    });
3033                });
3034
3035                this.trackAll();
3036
3037                switch(true)
3038                {
3039                    case -1 !== template.indexOf('page'):
3040                    case -1 !== template.indexOf('page.contact'): this.trackPage(); break;
3041                    case -1 !== template.indexOf('index'):        this.trackHomepage(); break;
3042                    case -1 !== template.indexOf('collection'):   this.trackCollection(); break;
3043                    case -1 !== template.indexOf('search'):       this.trackSearchCollection(); break;
3044                    case -1 !== template.indexOf('product'):      this.trackProduct(); break;
3045                    case -1 !== template.indexOf('cart'):         this.trackCart(); break;
3046                }
3047            }
3048
3049            (context => 
3050            {
3051                let listeners = document.createElement('script');
3052  
3053                listeners.onload = () => 
3054                {   
3055                    window.AnowaveListeners.attach.apply(context,[]);
3056
3057                    handle.apply(this,[template]);
3058                };
3059                listeners.dataset.materialize = true;
3060                listeners.async = false;
3061                listeners.src = "https://cdn.shopify.com/extensions/01a0f0ca-df1c-7eeb-9133-cf3a9ae4cf4b/google-tag-manager-ga4-301/assets/listeners.js";
3062  
3063                document.head.appendChild(listeners);
3064  
3065            })(this);
3066  
3067              return this;
3068          },
3069          trackAll: function()
3070          {
3071            getContext().then(context => 
3072            {
3073                let payload = 
3074                [
3075                    {
3076                        pageType:                       template,
3077                        pageName:                      "Contact us - Gentera Med",
3078                        visitorExistingCustomer:        "No",
3079                        visitorLifetimeValue:           0,
3080                        visitorLoginState:              "Logged out",
3081                        visitorType:                    "NOT LOGGED IN",
3082                        visitorCountryName:             context?.detected_values?.country_name,
3083                        visitorCountryIsoCode:          context?.detected_values?.country?.handle,
3084                        websiteCountry:                "",
3085                        websiteLanguage:               "en"
3086                    }
3087                ];
3088  
3089                
3090                    
3091                    payload.push(
3092                    {
3093                        event: 'visitor_info',
3094                        customer_id: null
3095                    });
3096  
3097                
3098  
3099                payload.forEach(data => this.proxy(data));
3100             }); 
3101
3102            document.addEventListener("DOMContentLoaded", event => 
3103            {
3104                document.querySelectorAll('slideshow-container').forEach(container => 
3105                {
3106                    const items = [];
3107
3108                    container.querySelectorAll('slideshow-slides slideshow-slide').forEach(slide => 
3109                    {
3110                        slide.querySelectorAll('product-card-link').forEach(link =>
3111                        {
3112                            items.push(
3113                            {
3114                                item_id: link?.dataset?.productId
3115                            })
3116                        });
3117                    
3118                    });
3119
3120                    if (items.length && true === options?.plan && options?.handle?.includes('pro'))
3121                    {
3122                        document.dispatchEvent(new CustomEvent('ec.slideshow.view', 
3123                        {
3124                            bubbles: true,
3125                            cancelable: true,
3126                            detail: {
3127                                items:      items,
3128                                domain:     "genteramed.com",
3129                                token:      {"token":"dEcEwFa6O+G7buvp3W0162iXMuj1W6QYctfbgg=="},
3130                                currency:   "USD"
3131                            }
3132                        }));
3133                    }
3134                });
3135            });
3136          },
3137          trackPage: function()
3138          {
3139              return this;
3140          },
3141          trackHomepage: function()
3142          {
3143                document.addEventListener("DOMContentLoaded", event => 
3144                { 
3145                    const items = 
3146                    [
3147                        
3148                    ];
3149
3150                    if (items.length)
3151                    {
3152                        this.proxy({
3153                            event: 'view_item_list',
3154                            ecommerce: 
3155                            {
3156                                currency:   "USD",
3157                                items: items,
3158                            }
3159                        })
3160                    }
3161                })
3162             
3163  
3164              return this.trackPage();
3165          },
3166          trackCart: function(cart_event)
3167          {
3168            const eventDefault = { event: 'view_cart', eventCustom: 'ec.cart.view' };
3169
3170            const event = cart_event ? {...eventDefault,...cart_event} : eventDefault;
3171
3172            fetch('/cart.js').then(res => res.json()).then(cart => 
3173            {
3174                let items = [], value = 0, index = 1;
3175
3176                const options = {};
3177
3178                cart.items.forEach(item => 
3179                {
3180                    items.push(
3181                    {
3182                        item_id:            this.getProductItemId(item),
3183                        item_name:          item.title,
3184                        price:              item.final_price/100,
3185                        item_variant:       item?.variant_title,
3186                        item_variant_id:    item?.variant_id,
3187                        item_brand:         item?.vendor,
3188                        quantity:           item?.quantity,
3189                        sku:                item?.sku,
3190                        index:              index++
3191                        
3192                    });
3193
3194                    value += item?.final_line_price/100
3195                });
3196
3197                document.dispatchEvent(new CustomEvent(event.eventCustom, 
3198                {
3199                    bubbles: true,
3200                    cancelable: true,
3201                    detail: {
3202                        event: event.event,
3203                        ecommerce: 
3204                        {
3205                            items:      items,
3206                            value:      value,
3207                            currency:   "USD",
3208                        },
3209                        options: options
3210                    }
3211                }));
3212            });
3213          },
3214          trackSearchCollection: function(collection)
3215          {
3216            
3217          },
3218          trackCollection: function(collection)
3219          {
3220            
3221          },
3222          trackRemarketing: function(google_tag_params) 
3223          {
3224                this.google_tag_params = Object.assign(this.google_tag_params, google_tag_params);
3225
3226                this.proxy(
3227                {
3228                    event: 'fireRemarketingTag',
3229                    google_tag_params: this.google_tag_params
3230                });
3231          },
3232          trackProduct: function()
3233          {
3234            
3235          },
3236          getItem: function (item)
3237          {  
3238                return {
3239                    item_id:            this.getProductItemId(item),
3240                    item_name:          item?.product_title,
3241                    item_variant:       item?.variant_title,
3242                    item_category:      item?.product_type,
3243                    item_brand:         item?.vendor,
3244                    item_variant_id:    item?.variant_id,
3245                    price:              item.presentment_price,
3246                    quantity:           item.quantity,
3247                    sku:                item?.sku
3248                }
3249          },
3250          getItemWishlist: function(product)
3251          {
3252                return {
3253                    item_id:                    this.getProductId(product),
3254                    item_list_name:             "Wishlist",
3255                    item_list_id:               "Wishlist",
3256                    item_name:                  product?.title,
3257                    price:                      product?.price/100,
3258                    item_brand:                 product?.vendor,
3259                    item_category:              product?.type,
3260                    google_business_vertical:   'retail'
3261                }
3262          },
3263          getIdentifier: function()
3264          {
3265              return options?.preferences?.dataLayer?.identifier ?? "product.id";
3266          },
3267          getProductId: function(entity, current_variant_id)
3268          {
3269              const identifier = this.getIdentifier();
3270
3271              const variant_id = entity?.variants?.pop()?.id ?? null;
3272              const default_target_country = options?.preferences?.dataLayer?.targetCountry ?? '';
3273              const target_country = default_target_country?.length > 0 ? default_target_country.toUpperCase() : options?.config?.locale.toUpperCase();
3274
3275              current_variant_id = current_variant_id || null;
3276
3277              switch(identifier)
3278              {
3279                  case "variant.id":
3280
3281                        if (current_variant_id)
3282                        {
3283                            return current_variant_id;
3284                        }
3285
3286                        if (variant_id)
3287                        {
3288                            return variant_id;
3289                        }
3290
3291                        break;
3292                  case "product.id": return entity.id;
3293                  case "product.sku": return entity.sku;
3294                  case "shopify.google": return ['shopify', target_country, entity.id, variant_id].join('_');
3295              }
3296
3297              return entity.id;
3298          },
3299          getProductItemId: function(item)
3300          { 
3301                const identifier = this.getIdentifier();
3302
3303                switch(identifier)
3304                {
3305                    case "variant.id":  return item?.variant_id ?? item.id;
3306                    case "product.id":  return item.product_id;
3307                    case "product.sku": return item?.sku ?? item.id;
3308                    case "shopify.google":  return ['shopify',options?.preferences?.dataLayer?.targetCountry, item.product_id,  item?.variant_id].join('_');
3309                }
3310
3311               return item.product_id;
3312          }
3313      }
3314    })("page.contact").track();
3315</script>
3315
3316
3317<!-- END app block --><!-- BEGIN app block: shopify://apps/powerful-form-builder/blocks/app-embed/e4bcb1eb-35b2-42e6-bc37-bfe0e1542c9d -->
3317<script type="text/javascript" hs-ignore data-cookieconsent="ignore">
3318  var Globo = Globo || {};
3319  var globoFormbuilderRecaptchaInit = function(){};
3320  var globoFormbuilderHcaptchaInit = function(){};
3321  window.Globo.FormBuilder = window.Globo.FormBuilder || {};
3322  window.Globo.FormBuilder.shop = {"configuration":{"money_format":"${{amount}}"},"pricing":{"features":{"bulkOrderForm":true,"cartForm":true,"fileUpload":30,"removeCopyright":true,"restrictedEmailDomains":false,"metrics":true}},"settings":{"copyright":"Powered by <a href=\"https://globosoftware.net\" target=\"_blank\">Globo</a> <a href=\"https://apps.shopify.com/form-builder-contact-form\" target=\"_blank\">Form Builder</a>","hideWaterMark":false,"reCaptcha":{"recaptchaType":"v2","siteKey":false,"languageCode":"en"},"hCaptcha":{"siteKey":"1a4ee652-baa8-414e-9236-cfbc7eacf300"},"scrollTop":false,"customCssCode":".globo-formbuilder .panels {\n  z-index: 1 !important;\n}\n\n.globo-form-app .header .title {\n  font-weight: 400 !important;\n}","customCssEnabled":true,"additionalColumns":[]},"encryption_form_id":1,"url":"https://app.powerfulform.com/","shop_url":"gentera-med.myshopify.com","CDN_URL":"https://dnhcnb9q6pxc3.cloudfront.net","flags":{"canary_app_version":"12x"},"app_id":"1783207"};
3323  if(window.Globo.FormBuilder.shop && window.Globo.FormBuilder.shop?.storefront_access_token){
3324    delete window.Globo.FormBuilder.shop.storefront_access_token;
3325  }
3326
3327  if(window.Globo.FormBuilder.shop.settings.customCssEnabled && window.Globo.FormBuilder.shop.settings.customCssCode){
3328    const customStyle = document.createElement('style');
3329    customStyle.type = 'text/css';
3330    customStyle.innerHTML = window.Globo.FormBuilder.shop.settings.customCssCode;
3331    document.head.appendChild(customStyle);
3332  }
3333
3334  window.Globo.FormBuilder.forms = [];
3335    
3336      
3337      
3338      
3339      window.Globo.FormBuilder.forms[93205] = {"93205":{"elements":[{"id":"group-1","type":"group","label":{"en":""},"description":"","elements":[{"id":"text-1","type":"text","label":{"en":"First Name","vi":"Your Name"},"placeholder":{"en":"First Name*","vi":"Your Name"},"description":null,"hideLabel":false,"required":true,"columnWidth":50},{"id":"text","type":"text","label":{"en":"Last Name","vi":"Your Name"},"placeholder":{"en":"Last Name*","vi":"Your Name"},"description":null,"hideLabel":false,"required":true,"columnWidth":50,"conditionalField":false},{"id":"email","type":"email","label":"Email","placeholder":{"en":"Email*"},"description":null,"hideLabel":false,"required":true,"columnWidth":50,"conditionalField":false,"displayType":"show","displayRules":[{"field":"","relation":"equal","condition":""}]},{"id":"phone-1","type":"phone","label":{"en":"Phone","vi":"Phone"},"placeholder":{"en":"Phone Number"},"description":"","validatePhone":false,"onlyShowFlag":false,"defaultCountryCode":"auto","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":50,"displayType":"show","displayDisjunctive":false,"conditionalField":false,"required":false,"displayRules":[{"field":"","relation":"equal","condition":""}]},{"id":"textarea","type":"textarea","label":"Message","placeholder":"Message","description":null,"hideLabel":false,"required":false,"columnWidth":100,"conditionalField":false}]}],"errorMessage":{"required":"{{ label | capitalize }} is required","minSelections":"Please choose at least {{ min_selections }} options","maxSelections":"Please choose at maximum of {{ max_selections }} options","exactlySelections":"Please choose exactly {{ exact_selections }} options","minProductSelections":"Please choose at least {{ min_selections }} products","maxProductSelections":"Please choose a maximum of {{ max_selections }} products","minProductQuantities":"Please choose a quantity of at least {{ min_quantities }} products","maxProductQuantities":"Please choose a quantity of no more than {{ max_quantities }} products","minEachProductQuantities":"Choose quantity of product {{product_name}} of at least {{min_quantities}}","maxEachProductQuantities":"Choose quantity of product {{product_name}} of at most {{max_quantities}}
3339","invalid":"Invalid","invalidName":"Invalid name","invalidEmail":"Email address is invalid","restrictedEmailDomain":"This email domain is restricted","invalidURL":"Invalid url","invalidPhone":"Invalid phone","invalidNumber":"Invalid number","invalidPassword":"Invalid password","confirmPasswordNotMatch":"Confirmed password doesn't match","customerAlreadyExists":"Customer already exists","keyAlreadyExists":"Data already exists","fileSizeLimit":"File size limit","fileNotAllowed":"File not allowed","requiredCaptcha":"Required captcha","requiredProducts":"Please select product","limitQuantity":"The number of products left in stock has been exceeded","shopifyInvalidPhone":"phone - Enter a valid phone number to use this delivery method","shopifyPhoneHasAlready":"phone - Phone has already been taken","shopifyInvalidProvice":"addresses.province - is not valid","otherError":"Something went wrong, please try again","limitNumberOfSubmissions":"Form submission limit reached"},"appearance":{"layout":"default","width":"900","style":"line","mainColor":"rgba(46,78,73,1)","floatingIcon":"\u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"envelope\" class=\"svg-inline--fa fa-envelope fa-w-16\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"\u003e\u003cpath fill=\"currentColor\" d=\"M464 64H48C21.49 64 0 85.49 0 112v288c0 26.51 21.49 48 48 48h416c26.51 0 48-21.49 48-48V112c0-26.51-21.49-48-48-48zm0 48v40.805c-22.422 18.259-58.168 46.651-134.587 106.49-16.841 13.247-50.201 45.072-73.413 44.701-23.208.375-56.579-31.459-73.413-44.701C106.18 199.465 70.425 171.067 48 152.805V112h416zM48 400V214.398c22.914 18.251 55.409 43.862 104.938 82.646 21.857 17.205 60.134 55.186 103.062 54.955 42.717.231 80.509-37.199 103.053-54.947 49.528-38.783 82.032-64.401 104.947-82.653V400H48z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e","floatingText":null,"displayOnAllPage":false,"formType":"normalForm","background":"color","backgroundColor":"#fff","descriptionColor":"#6c757d","headingColor":"#000","labelColor":"#1c1c1c","optionColor":"#000","paragraphBackground":"#fff","paragraphColor":"#000","theme_design":true,"font":{"family":"Almarai","variant":"regular"},"colorScheme":{"solidButton":{"red":35,"green":65,"blue":103},"solidButtonLabel":{"red":255,"green":255,"blue":255},"text":{"red":28,"green":28,"blue":28},"outlineButton":{"red":46,"green":78,"blue":73,"alpha":1},"background":{"red":255,"green":255,"blue":255}}},"afterSubmit":{"action":"clearForm","title":"Thanks for getting in touch!","message":"\u
3339003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e","redirectUrl":null,"submissionTag":{"enable":false,"fixed":{"enable":false,"tags":""},"dynamic":{"enable":false,"tags":[]}}},"footer":{"description":null,"previousText":"Previous","nextText":"Next","submitText":"Submit","submitFullWidth":true},"header":{"active":false,"title":"Contact us","description":"Leave your message and we'll get back to you shortly.","headerAlignment":"center"},"isStepByStepForm":true,"publish":{"requiredLogin":false,"requiredLoginMessage":"Please \u003ca href='\/account\/login' title='login'\u003elogin\u003c\/a\u003e to continue","allowNumberOfSubmissions":"","ticket":{"enabled":false}},"reCaptcha":{"captchaType":"hcaptcha","enable":true},"html":"\n\u003cdiv class=\"globo-form default-form globo-form-id-93205 \" data-locale=\"en\" \u003e\n\n\u003cstyle\u003e\n\n\n    \n        \n        @import url('https:\/\/fonts.googleapis.com\/css?family=Almarai:ital,wght@0,400');\n    \n\n    :root .globo-form-app[data-id=\"93205\"]{\n        \n        --gfb-color-solidButton: 35,65,103;\n        --gfb-color-solidButtonColor: rgb(var(--gfb-color-solidButton));\n        --gfb-color-solidButtonLabel: 255,255,255;\n        --gfb-color-solidButtonLabelColor: rgb(var(--gfb-color-solidButtonLabel));\n        --gfb-color-text: 28,28,28;\n        --gfb-color-textColor: rgb(var(--gfb-color-text));\n        --gfb-color-outlineButton: 46,78,73;\n        --gfb-color-outlineButtonColor: rgb(var(--gfb-color-outlineButton));\n        --gfb-color-background: 255,255,255;\n        --gfb-color-backgroundColor: rgb(var(--gfb-color-background));\n        \n        --gfb-main-color: rgba(46,78,73,1);\n        --gfb-primary-color: var(--gfb-color-solidButtonColor, var(--gfb-main-color));\n        --gfb-primary-text-color: var(--gfb-color-solidButtonLabelColor, #FFF);\n        --gfb-form-width: 900px;\n        --gfb-font-family: inherit;\n        --gfb-font-style: inherit;\n        --gfb--image: 40%;\n        --gfb-image-ratio-draft: var(--gfb--image);\n        --gfb-image-ratio: var(--gfb-image-ratio-draft);\n        \n        \n        --gfb-font-family: \"Almarai\";\n        --gfb-font-weight: normal;\n        --gfb-font-style: normal;\n        \n        --gfb-bg-temp-color: #FFF;\n        --gfb-bg-position: ;\n        \n            --gfb-bg-temp-color: #fff;\n        \n        --gfb-bg-color: var(--gfb-color-backgroundColor, var(--gfb-bg-temp-color));\n        \n    }\n    \n.globo-form-id-93205 .globo-form-app{\n    max-width: 900px;\n    width: -webkit-fill-available;\n    \n    background-color: var(--gfb-bg-color);\n    \n    \n}\n\n.globo-form-id-93205 .globo-form-app .globo-heading{\n    color: var(--gfb-color-textColor, #000)\n}\n\n\n.globo-form-id-93205 .globo-form-app .header {\n    text-align:center;\n}\n\n\n.globo-form-id-93205 .globo-form-app .globo-description,\n.globo-form-id-93205 .globo-form-app .header .globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-93205 .globo-form-app .globo-label,\n.globo-form-id-93205 .globo-form-app .globo-form-control label.globo-label,\n.globo-form-id-93205 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    color: var(--gfb-color-textColor, #1c1c1c);\n    text-align: left;\n}\n.globo-form-id-93205 .globo-form-app .globo-label.globo-position-label{\n    height: 20px !important;\n}\n.globo-form-id-93205 .globo-form-app .globo-form-control .help-text.globo-description,\n.globo-form-id-93205 .globo-form-app .globo-form-control span.globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-93205 .globo-form-app .globo-form-control .checkbox-wrapper .globo-option,\n.globo-form-id-93205 .globo-form-app .globo-form-control .radio-wrapper .globo-option\n{\n    color: var(--gfb-color-textColor, #1c1c1c);\n}\n.globo-form-id-93205 .globo-form-app .footer,\n.globo-form-id-93205 .globo-form-app .gfb__footer{\n    text-align:;\n}\n.globo-form-id-93205 .globo-form-app .footer button,\n.globo-form-id-93205 .globo-form-app .gfb__footer button{\n    border:1px solid var(--gfb-primary-color);\n    \n        width:100%;\n    \n}\n\n.globo-form-app .gfb__footer .previous {\n    margin-bottom: 10px;\n}\n\n.globo-form-id-93205 .globo-form-app .footer button.submit,\n.globo-form-id-93205 .globo-form-app .gfb__footer button.submit\n.globo-form-id-93205 .globo-form-app .footer button.checkout,\n.globo-form-id-93205 .globo-form-app .gfb__footer button.checkout,\n.globo-form-id-93205 .globo-form-app .footer button.action.loading .spinner,\n.globo-form-id-93205 .globo-form-app .gfb__footer button.action.loading .spinner{\n    background-color: var(--gfb-primary-color);\n    color : #ffffff;\n}\n.globo-form-id-93205 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:before {\n    content: url('data:image\/svg+xml;
3339 utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"rgba(46,78,73,1)\" d=\"M528.1 171.5L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6zM388.6 312.3l23.7 138.4L288 385.4l-124.3 65.3 23.7-138.4-100.6-98 139-20.2 62.2-126 62.2 126 139 20.2-100.6 98z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-93205 .globo-form-app .globo-form-control .star-rating\u003efieldset\u003einput:checked ~ label:before {\n    content: url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"rgba(46,78,73,1)\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-93205 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover:before,\n.globo-form-id-93205 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover ~ label:before{\n    content : url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"rgba(46,78,73,1)\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e')\n}\n.globo-form-id-93205 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input:checked ~ .checkbox-label:before {\n    border-color: var(--gfb-primary-color);\n    box-shadow: 0 4px 6px rgba(50,50,93,0.11), 0 1px 3px rgba(0,0,0,0.08);\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-93205 .globo-form-app .step.-completed .step__number,\n.globo-form-id-93205 .globo-form-app .line.-progress,\n.globo-form-id-93205 .globo-form-app .line.-start{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-93205 .globo-form-app .checkmark__check,\n.globo-form-id-93205 .globo-form-app .checkmark__circle{\n    stroke: var(--gfb-primary-color);\n}\n.globo-form-id-93205 .floating-button{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-93205 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input ~ .checkbox-label:before,\n.globo-form-app .globo-form-control .radio-wrapper .radio-input ~ .radio-label:after{\n    border-color : var(--gfb-primary-color);\n}\n.globo-form-id-93205 .flatpickr-day.selected, \n.globo-form-id-93205 .flatpickr-day.startRange, \n.globo-form-id-93205 .flatpickr-day.endRange, \n.globo-form-id-93205 .flatpickr-day.selected.inRange, \n.globo-form-id-93205 .flatpickr-day.startRange.inRange, \n.globo-form-id-93205 .flatpickr-day.endRange.inRange, \n.globo-form-id-93205 .flatpickr-day.selected:focus, \n.globo-form-id-93205 .flatpickr-day.startRange:focus, \n.globo-form-id-93205 .flatpickr-day.endRange:focus, \n.globo-form-id-93205 .flatpickr-day.selected:hover, \n.globo-form-id-93205 .flatpickr-day.startRange:hover, \n.globo-form-id-93205 .flatpickr-day.endRange:hover, \n.globo-form-id-93205 .flatpickr-day.selected.prevMonthDay, \n.globo-form-id-93205 .flatpickr-day.startRange.prevMonthDay, \n.globo-form-id-93205 .flatpickr-day.endRange.prevMonthDay, \
3339n.globo-form-id-93205 .flatpickr-day.selected.nextMonthDay, \n.globo-form-id-93205 .flatpickr-day.startRange.nextMonthDay, \n.globo-form-id-93205 .flatpickr-day.endRange.nextMonthDay {\n    background: var(--gfb-primary-color);\n    border-color: var(--gfb-primary-color);\n}\n.globo-form-id-93205 .globo-paragraph {\n    color: var(--gfb-color-textColor, #000);\n    width: 100%!important;\n}\n\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-app .header .title,\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-app .header .description,\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-id-93205 .globo-form-app .globo-heading,\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-id-93205 .globo-form-app .globo-label,\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-id-93205 .globo-form-app .globo-form-control label.globo-label,\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-id-93205 .globo-form-app .globo-form-control label.globo-label span.label-content,\n.globo-form.rtl .globo-form-app .header .title,\n.globo-form.rtl .globo-form-app .header .description,\n.globo-form.rtl.globo-form-id-93205 .globo-form-app .globo-heading,\n.globo-form.rtl.globo-form-id-93205 .globo-form-app .globo-label,\n.globo-form.rtl.globo-form-id-93205 .globo-form-app .globo-form-control label.globo-label,\n.globo-form.rtl.globo-form-id-93205 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    text-align: right;\n}\n\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-app .line,\n.globo-form.rtl .globo-form-app .line {\n    left: unset;\n    right: 50%;\n}\n\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-id-93205 .globo-form-app .line.-start,\n.globo-form.rtl .globo-form-id-93205 .globo-form-app .line.-start {\n    left: unset;    \n    right: 0%;\n}\n\n.not-rtl {\n    direction: ltr;\n}\n\n\u003c\/style\u003e\n\n\n\n\n\u003cdiv class=\"globo-form-app default-layout gfb-style-line  gfb-font-size-medium\" data-id=93205\u003e\n    \n    \u003cdiv class=\"header dismiss hidden\" onclick=\"Globo.FormBuilder.closeModalForm(this)\"\u003e\n        \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n    \u003c\/div\u003e\n    \u003cform class=\"g-container\" novalidate action=\"https:\/\/app.powerfulform.com\/api\/front\/form\/93205\/send\" method=\"POST\" enctype=\"multipart\/form-data\" data-id=93205\u003e\n        \n            \n        \n        \n            \u003cdiv class=\"globo-formbuilder-wizard\" data-id=93205\u003e\n                \u003cdiv class=\"wizard__content\"\u003e\n                    \u003cheader class=\"wizard__header\"\u003e\n                        \u003cdiv class=\"wizard__steps\"\u003e\n                        \u003cnav class=\"steps hidden\"\u003e\n                            \n                            \n                                \n                            \n                            \n                                \n                                    \n                                    \n                                    \n                                    \n                                    \u003cdiv class=\"step last \" data-element-id=\"group-1\"  data-step=\"0\" \u003e\n                                        \u003cdiv class=\"step__content\"\u003e\n                                            \u003cp class=\"step__number\"\u003e\u003c\/p\u003e\n                                            \u003csvg class=\"checkmark\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=52 height=52 viewBox=\"0 0 52 52\"\u003e\n                                                \u003ccircle class=\"checkmark__circle\" cx=\"26\" cy=\"26\" r=\"25\" fill=\"none\"\/\u003e\n                                                \u003cpath class=\"checkmark__check\" fill=\"none\" d=\"M14.1 27.2l7.1 7.2 16.7-16.8\"\/\u003e\n                                            \u003c\/svg\u003e\n                                            \u003cdiv class=\"lines\"\u003e\n                                                \n                                                    \u003cdiv class=\"line -start\"\u003e\u003c\/div\u003e\n                                                \n                                                \u003cdiv class=\"line -background\"\u003e\n                                                \u003c\/div\u003e\n                                                \u003cdiv class=\"line -progress\"\u003e\n                                                \u003c\/div\u003e\n                                            \u003c\/div\u003e  \n                                        \u003c\/div\u003e\n                                    \u003c\/div\u003e\n                                \n                            \n                        \u003c\/nav\u003e\n                        \u003c\/div\u003e\n                    \u003c\/header\u003e\n                    \u003cdiv class=\"panels\"\u003e\n                        \n                            \n                            \n                            \n                            \n                                \u003cdiv class=\"panel \" data-element-id=\"group-1\" data-id=93205  data-step=\"0\" style=\"padding-top:0\"\u003e\n                                    \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\u003cdiv class=\"globo-form-control layout-2-column \"  data-type='text' data-element-id='text-1'\u003e\n    \n    \n\n\n    \n        \n\u003clabel for=\"93205-text-1\" class=\"line-label globo-label gfb__label-v2  \" data-label=\"First Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"First Name\"\u003eFirst Name\u003c\/span\u003e\n    \n        \u003cspan class=\"text-danger text-smaller\"\u003e *\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \n        \u003cinput type=\"text\" aria-describedby='93205-text-1-error'  data-type=\"text\" class=\"line-input\" id=\"93205-text-1\" name=\"text-1\" placeholder=\"First Name*\" presence  \n            \n            \n        \u003e\n    \u003c\/div\u003e\n    \n        \u003csmall class=\"help-text globo-description\"\u003e\u003c\/small\u003e\n    \n    \u003csmall class=\"messages\" id=\"93205-text-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\u003cdiv class=\"globo-form-control layout-2-column \"  data-type='text' data-element-id='text'\u003e\n    \n    \n\n\n    \n        \n\u003clabel for=\"93205-text\" class=\"line-label globo-label gfb__label-v2  \" data-label=\"Last Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Last Name\"\u003eLast Name\u003c\/span\u003e\n    \n        \u003cspan class=\"text-danger text-smaller\"\u003e *\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \n        \u003cinput type=\"text\" aria-describedby='93205-text-error'  data-type=\"text\" class=\"line-input\" id=\"93205-text\" name=\"text\" placeholder=\"Last Name*\" presence  \n            \n            \n        \u003e\n    \u003c\/div\u003e\n    \n        \u003csmall class=\"help-text globo-description\"\u003e\u003c\/small\u003e\n    \n    \u003csmall class=\"messages\" id=\"93205-text-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\u003cdiv class=\"globo-form-control email-confirm layout-2-column \"  data-type='email' data-element-id='email'\u003e\n    \n    \n\n\n    \n        \n\u003clabel for=\"93205-email\" class=\"line-label globo-label gfb__label-v2  \" data-label=\"Email\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Email\"\u003eEmail\u003c\/span\u003e\n    \n        \u003cspan class=\"text-danger text-smaller\"\u003e *\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \n        \u003cinput type=\"text\" aria-describedby='93205-email-error'  data-type=\"email\" class=\"line-input\" id=\"93205-email\" name=\"email\" placeholder=\"Email*\" presence \n         \u003e\n    \u003c\/div\u003e\n    \n        \u003csmall class=\"help-text globo-description\"\u003e\u003c\/small\u003e\n    \n    \u003csmall class=\"messages\" id=\"93205-email-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\u003cdiv class=\"globo-form-control layout-2-column \"  data-type='phone' data-element-id='phone-1' \u003e\n    \n    \n\n\n    \n        \n\u003clabel for=\"93205-phone-1\" class=\"line-label globo-label gfb__label-v2  \" data-label=\"Phone\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Phone\"\u003ePhone\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n    \n\n    \u003cdiv class=\"globo-form-input gfb__phone-placeholder\" input-placeholder=\"Phone Number\"\u003e\n        \n        \n        \n        \n        \u003cinput type=\"text\" aria-describedby='93205-phone-1-error'  data-type=\"phone\" class=\"line-input\" oninput=\"Globo.FormBuilder.handleChangePhone(this)\" id=\"93205-phone-1\" name=\"phone-1\" placeholder=\"Phone Number\"  \n           default-country-code=\"auto\" \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"93205-phone-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='textarea' data-element-id='textarea'\u003e\n    \n    \n\n\n    \n        \n\u003clabel for=\"93205-textarea\" class=\"line-label globo-label gfb__label-v2  \" data-label=\"Message\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Message\"\u003eMessage\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003ctextarea id=\"93205-textarea\" aria-describedby='93205-textarea-error'  data-type=\"textarea\" class=\"line-input\" rows=\"3\" name=\"textarea\" placeholder=\"Message\"  \n         \u003e\u003c\/textarea\u003e\n    \u003c\/div\u003e\n    \n        \u003csmall class=\"help-text globo-description\"\u003e\u003c\/small\u003e\n    \n    \u003csmall class=\"messages\" id=\"93205-textarea-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                        \n                                    \n                                    \n                                        \n                                            \n                                                \u003cdiv class=\"globo-form-control\"\u003e  \n                                                    \u003cdiv class=\"globo-h-captcha\"\u003e\u003c\/div\u003e\n                                                    \u003cinput type=\"hidden\" name=\"hCaptcha\" id=\"hCaptcha\" data-globo-sitekey=\"1a4ee652-baa8-414e-9236-cfbc7eacf300\"\u003e\n                                                    \u003csmall class=\"messages\"\u003e\u003c\/small\u003e\n                                                \u003c\/div\u003e\n                                            \n                                        \n                                        \n                                    \n                                \u003c\/div\u003e\n                            \n                        \n                    \u003c\/div\u003e\n                    \u003cdiv class=\"message error\" data-other-error=\"Something went wrong, please try again\"\u003e\n                        \u003cdiv class=\"content\"\u003e\u003c\/div\u003e\n                        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                        \u003c\/div\u003e\n                    \u003c\/div\u003e\n                    \n                        \n                        \n                        \u003cdiv class=\"message success\"\u003e\n                            \n                                \u003cdiv class=\"gfb__c
3339ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n                            \n                            \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n                                \u003cdiv class=\"gfb__content-discount\"\u003e\n                                    \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                                    \u003cdiv class=\"gfb__copy\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e\n                                    \u003cdiv class=\"gfb__copied\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e        \n                                \u003c\/div\u003e\n                            \u003c\/div\u003e\n                            \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n                            \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                                \u003csvg width=20 height=20 width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                            \u003c\/div\u003e\n                        \u003c\/div\u003e\n                        \n                        \n                    \n                    \u003cdiv class=\"gfb__footer wizard__footer\" data-path=\"footer\" \u003e\n                        \n                            \n                            \u003cdiv class=\"description globo-description\"\u003e\u003c\/div\u003e\n                            \n                        \n                        \u003cbutton type=\"button\" class=\"action previous hidden line-button\"\u003ePrevious\u003c\/button\u003e\n                        \u003cbutton type=\"button\" class=\"action next submit line-button\" data-submitting-text=\"\" data-submit-text='\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eSubmit' data-next-text=\"Next\" \u003e\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eNext\u003c\/button\u003e\n                        \n                        \u003cp class=\"wizard__congrats-message\"\u003e\u003c\/p\u003e\n                    \u003c\/div\u003e\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n        \n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[id]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[email]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[name]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[title]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[href]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"_keyLabel\"\u003e\n    \u003c\/form\u003e\n    \n    \n    \u003cdiv class=\"message success\"\u003e\n        \n            \u003cdiv class=\"gfb__c
3339ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n        \n        \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n            \u003cdiv class=\"gfb__content-discount\"\u003e\n                \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                \u003cdiv class=\"gfb__copy\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e\n                \u003cdiv class=\"gfb__copied\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e        \n            \u003c\/div\u003e\n        \u003c\/div\u003e\n        \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n        \u003c\/div\u003e\n    \u003c\/div\u003e\n    \n    \n\u003c\/div\u003e\n\n\u003c\/div\u003e\n","title":"Gentera Contact Form"}}[93205];
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3345      window.Globo.FormBuilder.forms[97367] = {"97367":{"elements":[{"id":"group-1","type":"group","label":"Page 1","description":"","elements":[{"id":"name-1","type":"name","label":{"en":"Name"},"placeholder":{"en":""},"description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false},{"id":"name-2","type":"name","label":{"en":"Last Name"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"email-1","type":"email","label":"Email","placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"phone-1","type":"phone","label":{"en":"Phone Number"},"placeholder":"","description":"","validatePhone":false,"onlyShowFlag":false,"defaultCountryCode":"auto","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"textarea-1","type":"textarea","label":{"en":"Message"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false}]}],"errorMessage":{"required":"{{ label | capitalize }} is required","minSelections":"Please choose at least {{ min_selections }} options","maxSelections":"Please choose at maximum of {{ max_selections }} options","exactlySelections":"Please choose exactly {{ exact_selections }} options","minProductSelections":"Please choose at least {{ min_selections }} products","maxProductSelections":"Please choose a maximum of {{ max_selections }} products","minProductQuantities":"Please choose a quantity of at least {{ min_quantities }} products","maxProductQuantities":"Please choose a quantity of no more than {{ max_quantities }} products","minEachProductQuantities":"Choose quantity of product {{product_name}} of at least {{min_quantities}}","maxEachProductQuantities":"Choose quantity of product {{product_name}} of at most {{max_quantities}}
3345","invalid":"Invalid","invalidName":"Invalid name","invalidEmail":"Email address is invalid","restrictedEmailDomain":"This email domain is restricted","invalidURL":"Invalid url","invalidPhone":"Invalid phone","invalidNumber":"Invalid number","invalidPassword":"Invalid password","confirmPasswordNotMatch":"Confirmed password doesn't match","customerAlreadyExists":"Customer already exists","keyAlreadyExists":"Data already exists","fileSizeLimit":"File size limit","fileNotAllowed":"File not allowed","requiredCaptcha":"Required captcha","requiredProducts":"Please select product","limitQuantity":"The number of products left in stock has been exceeded","shopifyInvalidPhone":"phone - Enter a valid phone number to use this delivery method","shopifyPhoneHasAlready":"phone - Phone has already been taken","shopifyInvalidProvice":"addresses.province - is not valid","otherError":"Something went wrong, please try again","limitNumberOfSubmissions":"Form submission limit reached"},"appearance":{"layout":"boxed","theme_design":false,"width":600,"style":"material_outlined","mainColor":"#1c1c1c","floatingIcon":"\u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"envelope\" class=\"svg-inline--fa fa-envelope fa-w-16\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"\u003e\u003cpath fill=\"currentColor\" d=\"M464 64H48C21.49 64 0 85.49 0 112v288c0 26.51 21.49 48 48 48h416c26.51 0 48-21.49 48-48V112c0-26.51-21.49-48-48-48zm0 48v40.805c-22.422 18.259-58.168 46.651-134.587 106.49-16.841 13.247-50.201 45.072-73.413 44.701-23.208.375-56.579-31.459-73.413-44.701C106.18 199.465 70.425 171.067 48 152.805V112h416zM48 400V214.398c22.914 18.251 55.409 43.862 104.938 82.646 21.857 17.205 60.134 55.186 103.062 54.955 42.717.231 80.509-37.199 103.053-54.947 49.528-38.783 82.032-64.401 104.947-82.653V400H48z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e","floatingText":null,"displayOnAllPage":false,"formType":"normalForm","background":"color","backgroundColor":"#fff","descriptionColor":"#6c757d","headingColor":"#000","labelColor":"#1c1c1c","optionColor":"#000","paragraphBackground":"#fff","paragraphColor":"#000","colorScheme":{"solidButton":{"red":42,"green":64,"blue":100},"solidButtonLabel":{"red":255,"green":255,"blue":255},"text":{"red":28,"green":28,"blue":28},"outlineButton":{"red":28,"green":28,"blue":28},"background":{"red":255,"green":255,"blue":255,"alpha":1}},"fontSize":"medium"},"afterSubmit":{"action":"clearForm","title":"Thanks for getting in touch!","message":"\u
3345003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e","redirectUrl":null},"footer":{"description":null,"previousText":"Previous","nextText":"Next","submitText":"Submit"},"header":{"active":true,"title":{"en":"Start Your Personalized Care Journey"},"description":"","headerAlignment":"center"},"isStepByStepForm":true,"publish":{"requiredLogin":false,"requiredLoginMessage":"Please \u003ca href='\/account\/login' title='login'\u003elogin\u003c\/a\u003e to continue"},"reCaptcha":{"enable":false},"html":"\n\u003cdiv class=\"globo-form boxed-form globo-form-id-97367 \" data-locale=\"en\" \u003e\n\n\u003cstyle\u003e\n\n\n    :root .globo-form-app[data-id=\"97367\"]{\n        \n        --gfb-color-solidButton: 42,64,100;\n        --gfb-color-solidButtonColor: rgb(var(--gfb-color-solidButton));\n        --gfb-color-solidButtonLabel: 255,255,255;\n        --gfb-color-solidButtonLabelColor: rgb(var(--gfb-color-solidButtonLabel));\n        --gfb-color-text: 28,28,28;\n        --gfb-color-textColor: rgb(var(--gfb-color-text));\n        --gfb-color-outlineButton: 28,28,28;\n        --gfb-color-outlineButtonColor: rgb(var(--gfb-color-outlineButton));\n        --gfb-color-background: 255,255,255;\n        --gfb-color-backgroundColor: rgb(var(--gfb-color-background));\n        \n        --gfb-main-color: #1c1c1c;\n        --gfb-primary-color: var(--gfb-color-solidButtonColor, var(--gfb-main-color));\n        --gfb-primary-text-color: var(--gfb-color-solidButtonLabelColor, #FFF);\n        --gfb-form-width: 600px;\n        --gfb-font-family: inherit;\n        --gfb-font-style: inherit;\n        --gfb--image: 40%;\n        --gfb-image-ratio-draft: var(--gfb--image);\n        --gfb-image-ratio: var(--gfb-image-ratio-draft);\n        \n        --gfb-bg-temp-color: #FFF;\n        --gfb-bg-position: ;\n        \n            --gfb-bg-temp-color: #fff;\n        \n        --gfb-bg-color: var(--gfb-color-backgroundColor, var(--gfb-bg-temp-color));\n        \n    }\n    \n.globo-form-id-97367 .globo-form-app{\n    max-width: 600px;\n    width: -webkit-fill-available;\n    \n    background-color: var(--gfb-bg-color);\n    \n    \n}\n\n.globo-form-id-97367 .globo-form-app .globo-heading{\n    color: var(--gfb-color-textColor, #000)\n}\n\n\n.globo-form-id-97367 .globo-form-app .header {\n    text-align:center;\n}\n\n\n.globo-form-id-97367 .globo-form-app .globo-description,\n.globo-form-id-97367 .globo-form-app .header .globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-97367 .globo-form-app .globo-label,\n.globo-form-id-97367 .globo-form-app .globo-form-control label.globo-label,\n.globo-form-id-97367 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    color: var(--gfb-color-textColor, #1c1c1c);\n    text-align: left;\n}\n.globo-form-id-97367 .globo-form-app .globo-label.globo-position-label{\n    height: 20px !important;\n}\n.globo-form-id-97367 .globo-form-app .globo-form-control .help-text.globo-description,\n.globo-form-id-97367 .globo-form-app .globo-form-control span.globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-97367 .globo-form-app .globo-form-control .checkbox-wrapper .globo-option,\n.globo-form-id-97367 .globo-form-app .globo-form-control .radio-wrapper .globo-option\n{\n    color: var(--gfb-color-textColor, #1c1c1c);\n}\n.globo-form-id-97367 .globo-form-app .footer,\n.globo-form-id-97367 .globo-form-app .gfb__footer{\n    text-align:;\n}\n.globo-form-id-97367 .globo-form-app .footer button,\n.globo-form-id-97367 .globo-form-app .gfb__footer button{\n    border:1px solid var(--gfb-primary-color);\n    \n}\n.globo-form-id-97367 .globo-form-app .footer button.submit,\n.globo-form-id-97367 .globo-form-app .gfb__footer button.submit\n.globo-form-id-97367 .globo-form-app .footer button.checkout,\n.globo-form-id-97367 .globo-form-app .gfb__footer button.checkout,\n.globo-form-id-97367 .globo-form-app .footer button.action.loading .spinner,\n.globo-form-id-97367 .globo-form-app .gfb__footer button.action.loading .spinner{\n    background-color: var(--gfb-primary-color);\n    color : #ffffff;\n}\n.globo-form-id-97367 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:before {\n    content: url('data:image\/svg+xml;
3345 utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M528.1 171.5L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6zM388.6 312.3l23.7 138.4L288 385.4l-124.3 65.3 23.7-138.4-100.6-98 139-20.2 62.2-126 62.2 126 139 20.2-100.6 98z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-97367 .globo-form-app .globo-form-control .star-rating\u003efieldset\u003einput:checked ~ label:before {\n    content: url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-97367 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover:before,\n.globo-form-id-97367 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover ~ label:before{\n    content : url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e')\n}\n.globo-form-id-97367 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input:checked ~ .checkbox-label:before {\n    border-color: var(--gfb-primary-color);\n    box-shadow: 0 4px 6px rgba(50,50,93,0.11), 0 1px 3px rgba(0,0,0,0.08);\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-97367 .globo-form-app .step.-completed .step__number,\n.globo-form-id-97367 .globo-form-app .line.-progress,\n.globo-form-id-97367 .globo-form-app .line.-start{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-97367 .globo-form-app .checkmark__check,\n.globo-form-id-97367 .globo-form-app .checkmark__circle{\n    stroke: var(--gfb-primary-color);\n}\n.globo-form-id-97367 .floating-button{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-97367 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input ~ .checkbox-label:before,\n.globo-form-app .globo-form-control .radio-wrapper .radio-input ~ .radio-label:after{\n    border-color : var(--gfb-primary-color);\n}\n.globo-form-id-97367 .flatpickr-day.selected, \n.globo-form-id-97367 .flatpickr-day.startRange, \n.globo-form-id-97367 .flatpickr-day.endRange, \n.globo-form-id-97367 .flatpickr-day.selected.inRange, \n.globo-form-id-97367 .flatpickr-day.startRange.inRange, \n.globo-form-id-97367 .flatpickr-day.endRange.inRange, \n.globo-form-id-97367 .flatpickr-day.selected:focus, \n.globo-form-id-97367 .flatpickr-day.startRange:focus, \n.globo-form-id-97367 .flatpickr-day.endRange:focus, \n.globo-form-id-97367 .flatpickr-day.selected:hover, \n.globo-form-id-97367 .flatpickr-day.startRange:hover, \n.globo-form-id-97367 .flatpickr-day.endRange:hover, \n.globo-form-id-97367 .flatpickr-day.selected.prevMonthDay, \n.globo-form-id-97367 .flatpickr-day.startRange.prevMonthDay, \n.globo-form-id-97367 .flatpickr-day.endRange.prevMonthDay, \
3345n.globo-form-id-97367 .flatpickr-day.selected.nextMonthDay, \n.globo-form-id-97367 .flatpickr-day.startRange.nextMonthDay, \n.globo-form-id-97367 .flatpickr-day.endRange.nextMonthDay {\n    background: var(--gfb-primary-color);\n    border-color: var(--gfb-primary-color);\n}\n.globo-form-id-97367 .globo-paragraph {\n    color: var(--gfb-color-textColor, #000);\n    width: 100%!important;\n}\n\n[dir=\"rtl\"] .globo-form-app .header .title,\n[dir=\"rtl\"] .globo-form-app .header .description,\n[dir=\"rtl\"] .globo-form-id-97367 .globo-form-app .globo-heading,\n[dir=\"rtl\"] .globo-form-id-97367 .globo-form-app .globo-label,\n[dir=\"rtl\"] .globo-form-id-97367 .globo-form-app .globo-form-control label.globo-label,\n[dir=\"rtl\"] .globo-form-id-97367 .globo-form-app .globo-form-control label.globo-label span.label-content,\n.globo-form.rtl .globo-form-app .header .title,\n.globo-form.rtl .globo-form-app .header .description,\n.globo-form.rtl.globo-form-id-97367 .globo-form-app .globo-heading,\n.globo-form.rtl.globo-form-id-97367 .globo-form-app .globo-label,\n.globo-form.rtl.globo-form-id-97367 .globo-form-app .globo-form-control label.globo-label,\n.globo-form.rtl.globo-form-id-97367 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    text-align: right;\n}\n\n[dir=\"rtl\"] .globo-form-app .line,\n.globo-form.rtl .globo-form-app .line {\n    left: unset;\n    right: 50%;\n}\n\n[dir=\"rtl\"] .globo-form-id-97367 .globo-form-app .line.-start,\n.globo-form.rtl .globo-form-id-97367 .globo-form-app .line.-start {\n    left: unset;    \n    right: 0%;\n}\n\n\u003c\/style\u003e\n\n\n\n\n\u003cdiv class=\"globo-form-app boxed-layout gfb-style-material_outlined  gfb-font-size-medium\" data-id=97367\u003e\n    \n    \u003cdiv class=\"header dismiss hidden\" onclick=\"Globo.FormBuilder.closeModalForm(this)\"\u003e\n        \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n    \u003c\/div\u003e\n    \u003cform class=\"g-container\" novalidate action=\"https:\/\/app.powerfulform.com\/api\/front\/form\/97367\/send\" method=\"POST\" enctype=\"multipart\/form-data\" data-id=97367\u003e\n        \n            \n            \u003cdiv class=\"header\" data-path=\"header\"\u003e\n                \u003ch3 class=\"title globo-heading\"\u003eStart Your Personalized Care Journey\u003c\/h3\u003e\n                \n            \u003c\/div\u003e\n            \n        \n        \n            \u003cdiv class=\"globo-formbuilder-wizard\" data-id=97367\u003e\n                \u003cdiv class=\"wizard__content\"\u003e\n                    \u003cheader class=\"wizard__header\"\u003e\n                        \u003cdiv class=\"wizard__steps\"\u003e\n                        \u003cnav class=\"steps hidden\"\u003e\n                            \n                            \n                                \n                            \n                            \n                                \n                                    \n                                    \n                                    \n                                    \n                                    \u003cdiv class=\"step last \" data-element-id=\"group-1\"  data-step=\"0\" \u003e\n                                        \u003cdiv class=\"step__content\"\u003e\n                                            \u003cp class=\"step__number\"\u003e\u003c\/p\u003e\n                                            \u003csvg class=\"checkmark\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=52 height=52 viewBox=\"0 0 52 52\"\u003e\n                                                \u003ccircle class=\"checkmark__circle\" cx=\"26\" cy=\"26\" r=\"25\" fill=\"none\"\/\u003e\n                                                \u003cpath class=\"checkmark__check\" fill=\"none\" d=\"M14.1 27.2l7.1 7.2 16.7-16.8\"\/\u003e\n                                            \u003c\/svg\u003e\n                                            \u003cdiv class=\"lines\"\u003e\n                                                \n                                                    \u003cdiv class=\"line -start\"\u003e\u003c\/div\u003e\n                                                \n                                                \u003cdiv class=\"line -background\"\u003e\n                                                \u003c\/div\u003e\n                                                \u003cdiv class=\"line -progress\"\u003e\n                                                \u003c\/div\u003e\n                                            \u003c\/div\u003e  \n                                        \u003c\/div\u003e\n                                    \u003c\/div\u003e\n                                \n                            \n                        \u003c\/nav\u003e\n                        \u003c\/div\u003e\n                    \u003c\/header\u003e\n                    \u003cdiv class=\"panels\"\u003e\n                        \n                            \n                            \n                            \n                            \n                                \u003cdiv class=\"panel \" data-element-id=\"group-1\" data-id=97367  data-step=\"0\" style=\"padding-top:0\"\u003e\n                                    \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-1'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"97367-name-1\" 
3345class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Name\"\u003eName\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='97367-name-1-error'  data-type=\"name\" class=\"material_outlined-input\" id=\"97367-name-1\" name=\"name-1\" placeholder=\"\" \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"97367-name-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-2'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"97367-name-2\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Last Name\"\u003eLast Name\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='97367-name-2-error'  data-type=\"name\" class=\"material_outlined-input\" id=\"97367-name-2\" name=\"name-2\" placeholder=\"\" \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"97367-name-2-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control email-confirm layout-1-column \"  data-type='email' data-element-id='email-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"97367-email-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Email\"\u003eEmail\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='97367-email-1-error'  data-type=\"email\" class=\"material_outlined-input\" id=\"97367-email-1\" name=\"email-1\" placeholder=\"\"  \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"97367-email-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='phone' data-element-id='phone-1' \u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input gfb__phone-placeholder\" input-placeholder=\"\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"97367-phone-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Phone Number\"\u003ePhone Number\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \n        \n        \u003cinput type=\"text\" aria-describedby='97367-phone-1-error'  data-type=\"phone\" class=\"material_outlined-input\" oninput=\"Globo.FormBuilder.handleChangePhone(this)\" id=\"97367-phone-1\" name=\"phone-1\" placeholder=\"\"  \n           default-country-code=\"auto\"\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"97367-phone-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='textarea' data-element-id='textarea-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"97367-textarea-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Message\"\u003eMessage\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \u003ctextarea id=\"97367-textarea-1\" aria-describedby='97367-textarea-1-error'  data-type=\"textarea\" class=\"material_outlined-input\" rows=\"3\" name=\"textarea-1\" placeholder=\"\"  \n         \u003e\u003c\/textarea\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"97367-textarea-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                        \n                                    \n                                    \n                                        \n                                        \n                                    \n                                \u003c\/div\u003e\n                            \n                        \n                    \u003c\/div\u003e\n                    \u003cdiv class=\"message error\" data-other-error=\"Something went wrong, please try again\"\u003e\n                        \u003cdiv class=\"content\"\u003e\u003c\/div\u003e\n                        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                        \u003c\/div\u003e\n                    \u003c\/div\u003e\n                    \n                        \n                        \n                        \u003cdiv class=\"message success\"\u003e\n                            \n                                \u003cdiv class=\"gfb__c
3345ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n                            \n                            \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n                                \u003cdiv class=\"gfb__content-discount\"\u003e\n                                    \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                                    \u003cdiv class=\"gfb__copy\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e\n                                    \u003cdiv class=\"gfb__copied\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e        \n                                \u003c\/div\u003e\n                            \u003c\/div\u003e\n                            \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n                            \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                                \u003csvg width=20 height=20 width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                            \u003c\/div\u003e\n                        \u003c\/div\u003e\n                        \n                        \n                    \n                    \u003cdiv class=\"gfb__footer wizard__footer\" data-path=\"footer\" \u003e\n                        \n                            \n                            \u003cdiv class=\"description globo-description\"\u003e\u003c\/div\u003e\n                            \n                        \n                        \u003cbutton type=\"button\" class=\"action previous hidden material_outlined-button\"\u003ePrevious\u003c\/button\u003e\n                        \u003cbutton type=\"button\" class=\"action next submit material_outlined-button\" data-submitting-text=\"\" data-submit-text='\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eSubmit' data-next-text=\"Next\" \u003e\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eNext\u003c\/button\u003e\n                        \n                        \u003cp class=\"wizard__congrats-message\"\u003e\u003c\/p\u003e\n                    \u003c\/div\u003e\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n        \n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[id]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[email]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[name]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[title]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[href]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"_keyLabel\"\u003e\n    \u003c\/form\u003e\n    \n    \n    \u003cdiv class=\"message success\"\u003e\n        \n            \u003cdiv class=\"gfb__c
3345ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n        \n        \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n            \u003cdiv class=\"gfb__content-discount\"\u003e\n                \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                \u003cdiv class=\"gfb__copy\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e\n                \u003cdiv class=\"gfb__copied\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e        \n            \u003c\/div\u003e\n        \u003c\/div\u003e\n        \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n        \u003c\/div\u003e\n    \u003c\/div\u003e\n    \n    \n\u003c\/div\u003e\n\n\u003c\/div\u003e\n"}}[97367];
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3348      
3349      
3350      
3351      window.Globo.FormBuilder.forms[97383] = {"97383":{"elements":[{"id":"group-1","type":"group","label":"Page 1","description":"","elements":[{"id":"name-1","type":"name","label":{"en":"Name"},"placeholder":{"en":""},"description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false},{"id":"name-2","type":"name","label":{"en":"Last Name"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"email-1","type":"email","label":"Email","placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"phone-1","type":"phone","label":{"en":"Phone Number"},"placeholder":"","description":"","validatePhone":false,"onlyShowFlag":false,"defaultCountryCode":"auto","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"textarea-1","type":"textarea","label":{"en":"Message"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false}]}],"errorMessage":{"required":"{{ label | capitalize }} is required","minSelections":"Please choose at least {{ min_selections }} options","maxSelections":"Please choose at maximum of {{ max_selections }} options","exactlySelections":"Please choose exactly {{ exact_selections }} options","minProductSelections":"Please choose at least {{ min_selections }} products","maxProductSelections":"Please choose a maximum of {{ max_selections }} products","minProductQuantities":"Please choose a quantity of at least {{ min_quantities }} products","maxProductQuantities":"Please choose a quantity of no more than {{ max_quantities }} products","minEachProductQuantities":"Choose quantity of product {{product_name}} of at least {{min_quantities}}","maxEachProductQuantities":"Choose quantity of product {{product_name}} of at most {{max_quantities}}
3351","invalid":"Invalid","invalidName":"Invalid name","invalidEmail":"Email address is invalid","restrictedEmailDomain":"This email domain is restricted","invalidURL":"Invalid url","invalidPhone":"Invalid phone","invalidNumber":"Invalid number","invalidPassword":"Invalid password","confirmPasswordNotMatch":"Confirmed password doesn't match","customerAlreadyExists":"Customer already exists","keyAlreadyExists":"Data already exists","fileSizeLimit":"File size limit","fileNotAllowed":"File not allowed","requiredCaptcha":"Required captcha","requiredProducts":"Please select product","limitQuantity":"The number of products left in stock has been exceeded","shopifyInvalidPhone":"phone - Enter a valid phone number to use this delivery method","shopifyPhoneHasAlready":"phone - Phone has already been taken","shopifyInvalidProvice":"addresses.province - is not valid","otherError":"Something went wrong, please try again","limitNumberOfSubmissions":"Form submission limit reached"},"appearance":{"layout":"default","theme_design":false,"width":"700","style":"material_outlined","mainColor":"#1c1c1c","floatingIcon":"\u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"envelope\" class=\"svg-inline--fa fa-envelope fa-w-16\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"\u003e\u003cpath fill=\"currentColor\" d=\"M464 64H48C21.49 64 0 85.49 0 112v288c0 26.51 21.49 48 48 48h416c26.51 0 48-21.49 48-48V112c0-26.51-21.49-48-48-48zm0 48v40.805c-22.422 18.259-58.168 46.651-134.587 106.49-16.841 13.247-50.201 45.072-73.413 44.701-23.208.375-56.579-31.459-73.413-44.701C106.18 199.465 70.425 171.067 48 152.805V112h416zM48 400V214.398c22.914 18.251 55.409 43.862 104.938 82.646 21.857 17.205 60.134 55.186 103.062 54.955 42.717.231 80.509-37.199 103.053-54.947 49.528-38.783 82.032-64.401 104.947-82.653V400H48z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e","floatingText":null,"displayOnAllPage":false,"formType":"normalForm","background":"color","backgroundColor":"#fff","descriptionColor":"#6c757d","headingColor":"#000","labelColor":"#1c1c1c","optionColor":"#000","paragraphBackground":"#fff","paragraphColor":"#000","colorScheme":{"solidButton":{"red":42,"green":64,"blue":100},"solidButtonLabel":{"red":255,"green":255,"blue":255},"text":{"red":28,"green":28,"blue":28},"outlineButton":{"red":28,"green":28,"blue":28},"background":null},"fontSize":"medium"},"afterSubmit":{"action":"clearForm","title":"Thanks for getting in touch!","message":"\u
3351003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e","redirectUrl":null},"footer":{"description":null,"previousText":"Previous","nextText":"Next","submitText":"Submit"},"header":{"active":false,"title":"Contact Us","description":"","headerAlignment":"left"},"isStepByStepForm":true,"publish":{"requiredLogin":false,"requiredLoginMessage":"Please \u003ca href='\/account\/login' title='login'\u003elogin\u003c\/a\u003e to continue"},"reCaptcha":{"enable":false},"html":"\n\u003cdiv class=\"globo-form default-form globo-form-id-97383 \" data-locale=\"en\" \u003e\n\n\u003cstyle\u003e\n\n\n    :root .globo-form-app[data-id=\"97383\"]{\n        \n        --gfb-color-solidButton: 42,64,100;\n        --gfb-color-solidButtonColor: rgb(var(--gfb-color-solidButton));\n        --gfb-color-solidButtonLabel: 255,255,255;\n        --gfb-color-solidButtonLabelColor: rgb(var(--gfb-color-solidButtonLabel));\n        --gfb-color-text: 28,28,28;\n        --gfb-color-textColor: rgb(var(--gfb-color-text));\n        --gfb-color-outlineButton: 28,28,28;\n        --gfb-color-outlineButtonColor: rgb(var(--gfb-color-outlineButton));\n        --gfb-color-background: ,,;\n        --gfb-color-backgroundColor: rgb(var(--gfb-color-background));\n        \n        --gfb-main-color: #1c1c1c;\n        --gfb-primary-color: var(--gfb-color-solidButtonColor, var(--gfb-main-color));\n        --gfb-primary-text-color: var(--gfb-color-solidButtonLabelColor, #FFF);\n        --gfb-form-width: 700px;\n        --gfb-font-family: inherit;\n        --gfb-font-style: inherit;\n        --gfb--image: 40%;\n        --gfb-image-ratio-draft: var(--gfb--image);\n        --gfb-image-ratio: var(--gfb-image-ratio-draft);\n        \n        --gfb-bg-temp-color: #FFF;\n        --gfb-bg-position: ;\n        \n            --gfb-bg-temp-color: #fff;\n        \n        --gfb-bg-color: var(--gfb-color-backgroundColor, var(--gfb-bg-temp-color));\n        \n    }\n    \n.globo-form-id-97383 .globo-form-app{\n    max-width: 700px;\n    width: -webkit-fill-available;\n    \n    background-color: var(--gfb-bg-color);\n    \n    \n}\n\n.globo-form-id-97383 .globo-form-app .globo-heading{\n    color: var(--gfb-color-textColor, #000)\n}\n\n\n.globo-form-id-97383 .globo-form-app .header {\n    text-align:left;\n}\n\n\n.globo-form-id-97383 .globo-form-app .globo-description,\n.globo-form-id-97383 .globo-form-app .header .globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-97383 .globo-form-app .globo-label,\n.globo-form-id-97383 .globo-form-app .globo-form-control label.globo-label,\n.globo-form-id-97383 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    color: var(--gfb-color-textColor, #1c1c1c);\n    text-align: left;\n}\n.globo-form-id-97383 .globo-form-app .globo-label.globo-position-label{\n    height: 20px !important;\n}\n.globo-form-id-97383 .globo-form-app .globo-form-control .help-text.globo-description,\n.globo-form-id-97383 .globo-form-app .globo-form-control span.globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-97383 .globo-form-app .globo-form-control .checkbox-wrapper .globo-option,\n.globo-form-id-97383 .globo-form-app .globo-form-control .radio-wrapper .globo-option\n{\n    color: var(--gfb-color-textColor, #1c1c1c);\n}\n.globo-form-id-97383 .globo-form-app .footer,\n.globo-form-id-97383 .globo-form-app .gfb__footer{\n    text-align:;\n}\n.globo-form-id-97383 .globo-form-app .footer button,\n.globo-form-id-97383 .globo-form-app .gfb__footer button{\n    border:1px solid var(--gfb-primary-color);\n    \n}\n.globo-form-id-97383 .globo-form-app .footer button.submit,\n.globo-form-id-97383 .globo-form-app .gfb__footer button.submit\n.globo-form-id-97383 .globo-form-app .footer button.checkout,\n.globo-form-id-97383 .globo-form-app .gfb__footer button.checkout,\n.globo-form-id-97383 .globo-form-app .footer button.action.loading .spinner,\n.globo-form-id-97383 .globo-form-app .gfb__footer button.action.loading .spinner{\n    background-color: var(--gfb-primary-color);\n    color : #ffffff;\n}\n.globo-form-id-97383 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:before {\n    content: url('data:image\/svg+xml;
3351 utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M528.1 171.5L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6zM388.6 312.3l23.7 138.4L288 385.4l-124.3 65.3 23.7-138.4-100.6-98 139-20.2 62.2-126 62.2 126 139 20.2-100.6 98z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-97383 .globo-form-app .globo-form-control .star-rating\u003efieldset\u003einput:checked ~ label:before {\n    content: url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-97383 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover:before,\n.globo-form-id-97383 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover ~ label:before{\n    content : url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e')\n}\n.globo-form-id-97383 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input:checked ~ .checkbox-label:before {\n    border-color: var(--gfb-primary-color);\n    box-shadow: 0 4px 6px rgba(50,50,93,0.11), 0 1px 3px rgba(0,0,0,0.08);\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-97383 .globo-form-app .step.-completed .step__number,\n.globo-form-id-97383 .globo-form-app .line.-progress,\n.globo-form-id-97383 .globo-form-app .line.-start{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-97383 .globo-form-app .checkmark__check,\n.globo-form-id-97383 .globo-form-app .checkmark__circle{\n    stroke: var(--gfb-primary-color);\n}\n.globo-form-id-97383 .floating-button{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-97383 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input ~ .checkbox-label:before,\n.globo-form-app .globo-form-control .radio-wrapper .radio-input ~ .radio-label:after{\n    border-color : var(--gfb-primary-color);\n}\n.globo-form-id-97383 .flatpickr-day.selected, \n.globo-form-id-97383 .flatpickr-day.startRange, \n.globo-form-id-97383 .flatpickr-day.endRange, \n.globo-form-id-97383 .flatpickr-day.selected.inRange, \n.globo-form-id-97383 .flatpickr-day.startRange.inRange, \n.globo-form-id-97383 .flatpickr-day.endRange.inRange, \n.globo-form-id-97383 .flatpickr-day.selected:focus, \n.globo-form-id-97383 .flatpickr-day.startRange:focus, \n.globo-form-id-97383 .flatpickr-day.endRange:focus, \n.globo-form-id-97383 .flatpickr-day.selected:hover, \n.globo-form-id-97383 .flatpickr-day.startRange:hover, \n.globo-form-id-97383 .flatpickr-day.endRange:hover, \n.globo-form-id-97383 .flatpickr-day.selected.prevMonthDay, \n.globo-form-id-97383 .flatpickr-day.startRange.prevMonthDay, \n.globo-form-id-97383 .flatpickr-day.endRange.prevMonthDay, \
3351n.globo-form-id-97383 .flatpickr-day.selected.nextMonthDay, \n.globo-form-id-97383 .flatpickr-day.startRange.nextMonthDay, \n.globo-form-id-97383 .flatpickr-day.endRange.nextMonthDay {\n    background: var(--gfb-primary-color);\n    border-color: var(--gfb-primary-color);\n}\n.globo-form-id-97383 .globo-paragraph {\n    color: var(--gfb-color-textColor, #000);\n    width: 100%!important;\n}\n\n[dir=\"rtl\"] .globo-form-app .header .title,\n[dir=\"rtl\"] .globo-form-app .header .description,\n[dir=\"rtl\"] .globo-form-id-97383 .globo-form-app .globo-heading,\n[dir=\"rtl\"] .globo-form-id-97383 .globo-form-app .globo-label,\n[dir=\"rtl\"] .globo-form-id-97383 .globo-form-app .globo-form-control label.globo-label,\n[dir=\"rtl\"] .globo-form-id-97383 .globo-form-app .globo-form-control label.globo-label span.label-content,\n.globo-form.rtl .globo-form-app .header .title,\n.globo-form.rtl .globo-form-app .header .description,\n.globo-form.rtl.globo-form-id-97383 .globo-form-app .globo-heading,\n.globo-form.rtl.globo-form-id-97383 .globo-form-app .globo-label,\n.globo-form.rtl.globo-form-id-97383 .globo-form-app .globo-form-control label.globo-label,\n.globo-form.rtl.globo-form-id-97383 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    text-align: right;\n}\n\n[dir=\"rtl\"] .globo-form-app .line,\n.globo-form.rtl .globo-form-app .line {\n    left: unset;\n    right: 50%;\n}\n\n[dir=\"rtl\"] .globo-form-id-97383 .globo-form-app .line.-start,\n.globo-form.rtl .globo-form-id-97383 .globo-form-app .line.-start {\n    left: unset;    \n    right: 0%;\n}\n\n\u003c\/style\u003e\n\n\n\n\n\u003cdiv class=\"globo-form-app default-layout gfb-style-material_outlined  gfb-font-size-medium\" data-id=97383\u003e\n    \n    \u003cdiv class=\"header dismiss hidden\" onclick=\"Globo.FormBuilder.closeModalForm(this)\"\u003e\n        \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n    \u003c\/div\u003e\n    \u003cform class=\"g-container\" novalidate action=\"https:\/\/app.powerfulform.com\/api\/front\/form\/97383\/send\" method=\"POST\" enctype=\"multipart\/form-data\" data-id=97383\u003e\n        \n            \n        \n        \n            \u003cdiv class=\"globo-formbuilder-wizard\" data-id=97383\u003e\n                \u003cdiv class=\"wizard__content\"\u003e\n                    \u003cheader class=\"wizard__header\"\u003e\n                        \u003cdiv class=\"wizard__steps\"\u003e\n                        \u003cnav class=\"steps hidden\"\u003e\n                            \n                            \n                                \n                            \n                            \n                                \n                                    \n                                    \n                                    \n                                    \n                                    \u003cdiv class=\"step last \" data-element-id=\"group-1\"  data-step=\"0\" \u003e\n                                        \u003cdiv class=\"step__content\"\u003e\n                                            \u003cp class=\"step__number\"\u003e\u003c\/p\u003e\n                                            \u003csvg class=\"checkmark\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=52 height=52 viewBox=\"0 0 52 52\"\u003e\n                                                \u003ccircle class=\"checkmark__circle\" cx=\"26\" cy=\"26\" r=\"25\" fill=\"none\"\/\u003e\n                                                \u003cpath class=\"checkmark__check\" fill=\"none\" d=\"M14.1 27.2l7.1 7.2 16.7-16.8\"\/\u003e\n                                            \u003c\/svg\u003e\n                                            \u003cdiv class=\"lines\"\u003e\n                                                \n                                                    \u003cdiv class=\"line -start\"\u003e\u003c\/div\u003e\n                                                \n                                                \u003cdiv class=\"line -background\"\u003e\n                                                \u003c\/div\u003e\n                                                \u003cdiv class=\"line -progress\"\u003e\n                                                \u003c\/div\u003e\n                                            \u003c\/div\u003e  \n                                        \u003c\/div\u003e\n                                    \u003c\/div\u003e\n                                \n                            \n                        \u003c\/nav\u003e\n                        \u003c\/div\u003e\n                    \u003c\/header\u003e\n                    \u003cdiv class=\"panels\"\u003e\n                        \n                            \n                            \n                            \n                            \n                                \u003cdiv class=\"panel \" data-element-id=\"group-1\" data-id=97383  data-step=\"0\" style=\"padding-top:0\"\u003e\n                                    \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-1'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"97383-name-1\" 
3351class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Name\"\u003eName\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='97383-name-1-error'  data-type=\"name\" class=\"material_outlined-input\" id=\"97383-name-1\" name=\"name-1\" placeholder=\"\" \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"97383-name-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-2'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"97383-name-2\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Last Name\"\u003eLast Name\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='97383-name-2-error'  data-type=\"name\" class=\"material_outlined-input\" id=\"97383-name-2\" name=\"name-2\" placeholder=\"\" \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"97383-name-2-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control email-confirm layout-1-column \"  data-type='email' data-element-id='email-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"97383-email-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Email\"\u003eEmail\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='97383-email-1-error'  data-type=\"email\" class=\"material_outlined-input\" id=\"97383-email-1\" name=\"email-1\" placeholder=\"\"  \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"97383-email-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='phone' data-element-id='phone-1' \u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input gfb__phone-placeholder\" input-placeholder=\"\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"97383-phone-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Phone Number\"\u003ePhone Number\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \n        \n        \u003cinput type=\"text\" aria-describedby='97383-phone-1-error'  data-type=\"phone\" class=\"material_outlined-input\" oninput=\"Globo.FormBuilder.handleChangePhone(this)\" id=\"97383-phone-1\" name=\"phone-1\" placeholder=\"\"  \n           default-country-code=\"auto\" \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"97383-phone-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='textarea' data-element-id='textarea-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"97383-textarea-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Message\"\u003eMessage\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \u003ctextarea id=\"97383-textarea-1\" aria-describedby='97383-textarea-1-error'  data-type=\"textarea\" class=\"material_outlined-input\" rows=\"3\" name=\"textarea-1\" placeholder=\"\"  \n         \u003e\u003c\/textarea\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"97383-textarea-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                        \n                                    \n                                    \n                                        \n                                        \n                                    \n                                \u003c\/div\u003e\n                            \n                        \n                    \u003c\/div\u003e\n                    \u003cdiv class=\"message error\" data-other-error=\"Something went wrong, please try again\"\u003e\n                        \u003cdiv class=\"content\"\u003e\u003c\/div\u003e\n                        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                        \u003c\/div\u003e\n                    \u003c\/div\u003e\n                    \n                        \n                        \n                        \u003cdiv class=\"message success\"\u003e\n                            \n                                \u003cdiv class=\"gfb__c
3351ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n                            \n                            \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n                                \u003cdiv class=\"gfb__content-discount\"\u003e\n                                    \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                                    \u003cdiv class=\"gfb__copy\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e\n                                    \u003cdiv class=\"gfb__copied\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e        \n                                \u003c\/div\u003e\n                            \u003c\/div\u003e\n                            \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n                            \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                                \u003csvg width=20 height=20 width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                            \u003c\/div\u003e\n                        \u003c\/div\u003e\n                        \n                        \n                    \n                    \u003cdiv class=\"gfb__footer wizard__footer\" data-path=\"footer\" \u003e\n                        \n                            \n                            \u003cdiv class=\"description globo-description\"\u003e\u003c\/div\u003e\n                            \n                        \n                        \u003cbutton type=\"button\" class=\"action previous hidden material_outlined-button\"\u003ePrevious\u003c\/button\u003e\n                        \u003cbutton type=\"button\" class=\"action next submit material_outlined-button\" data-submitting-text=\"\" data-submit-text='\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eSubmit' data-next-text=\"Next\" \u003e\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eNext\u003c\/button\u003e\n                        \n                        \u003cp class=\"wizard__congrats-message\"\u003e\u003c\/p\u003e\n                    \u003c\/div\u003e\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n        \n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[id]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[email]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[name]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[title]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[href]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"_keyLabel\"\u003e\n    \u003c\/form\u003e\n    \n    \n    \u003cdiv class=\"message success\"\u003e\n        \n            \u003cdiv class=\"gfb__c
3351ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n        \n        \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n            \u003cdiv class=\"gfb__content-discount\"\u003e\n                \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                \u003cdiv class=\"gfb__copy\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e\n                \u003cdiv class=\"gfb__copied\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e        \n            \u003c\/div\u003e\n        \u003c\/div\u003e\n        \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n        \u003c\/div\u003e\n    \u003c\/div\u003e\n    \n    \n\u003c\/div\u003e\n\n\u003c\/div\u003e\n"}}[97383];
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3357      window.Globo.FormBuilder.forms[98218] = {"98218":{"elements":[{"id":"group-1","type":"group","label":"Page 1","description":"","elements":[{"id":"name-1","type":"name","label":{"en":"Name"},"placeholder":{"en":""},"description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false},{"id":"name-2","type":"name","label":{"en":"Last Name"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"email-1","type":"email","label":"Email","placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"phone-1","type":"phone","label":{"en":"Phone Number"},"placeholder":"","description":"","validatePhone":false,"onlyShowFlag":false,"defaultCountryCode":"auto","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"textarea-1","type":"textarea","label":{"en":"Message"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false}]}],"errorMessage":{"required":"{{ label | capitalize }} is required","minSelections":"Please choose at least {{ min_selections }} options","maxSelections":"Please choose at maximum of {{ max_selections }} options","exactlySelections":"Please choose exactly {{ exact_selections }} options","minProductSelections":"Please choose at least {{ min_selections }} products","maxProductSelections":"Please choose a maximum of {{ max_selections }} products","minProductQuantities":"Please choose a quantity of at least {{ min_quantities }} products","maxProductQuantities":"Please choose a quantity of no more than {{ max_quantities }} products","minEachProductQuantities":"Choose quantity of product {{product_name}} of at least {{min_quantities}}","maxEachProductQuantities":"Choose quantity of product {{product_name}} of at most {{max_quantities}}
3357","invalid":"Invalid","invalidName":"Invalid name","invalidEmail":"Email address is invalid","restrictedEmailDomain":"This email domain is restricted","invalidURL":"Invalid url","invalidPhone":"Invalid phone","invalidNumber":"Invalid number","invalidPassword":"Invalid password","confirmPasswordNotMatch":"Confirmed password doesn't match","customerAlreadyExists":"Customer already exists","keyAlreadyExists":"Data already exists","fileSizeLimit":"File size limit","fileNotAllowed":"File not allowed","requiredCaptcha":"Required captcha","requiredProducts":"Please select product","limitQuantity":"The number of products left in stock has been exceeded","shopifyInvalidPhone":"phone - Enter a valid phone number to use this delivery method","shopifyPhoneHasAlready":"phone - Phone has already been taken","shopifyInvalidProvice":"addresses.province - is not valid","otherError":"Something went wrong, please try again","limitNumberOfSubmissions":"Form submission limit reached"},"appearance":{"layout":"boxed","theme_design":false,"width":600,"style":"material_outlined","mainColor":"#1c1c1c","floatingIcon":"\u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"envelope\" class=\"svg-inline--fa fa-envelope fa-w-16\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"\u003e\u003cpath fill=\"currentColor\" d=\"M464 64H48C21.49 64 0 85.49 0 112v288c0 26.51 21.49 48 48 48h416c26.51 0 48-21.49 48-48V112c0-26.51-21.49-48-48-48zm0 48v40.805c-22.422 18.259-58.168 46.651-134.587 106.49-16.841 13.247-50.201 45.072-73.413 44.701-23.208.375-56.579-31.459-73.413-44.701C106.18 199.465 70.425 171.067 48 152.805V112h416zM48 400V214.398c22.914 18.251 55.409 43.862 104.938 82.646 21.857 17.205 60.134 55.186 103.062 54.955 42.717.231 80.509-37.199 103.053-54.947 49.528-38.783 82.032-64.401 104.947-82.653V400H48z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e","floatingText":null,"displayOnAllPage":false,"formType":"normalForm","background":"color","backgroundColor":"#fff","descriptionColor":"#6c757d","headingColor":"#000","labelColor":"#1c1c1c","optionColor":"#000","paragraphBackground":"#fff","paragraphColor":"#000","colorScheme":{"solidButton":{"red":42,"green":64,"blue":100},"solidButtonLabel":{"red":255,"green":255,"blue":255},"text":{"red":28,"green":28,"blue":28},"outlineButton":{"red":28,"green":28,"blue":28},"background":{"red":255,"green":255,"blue":255,"alpha":1}},"fontSize":"medium"},"afterSubmit":{"action":"clearForm","title":"Thanks for getting in touch!","message":"\u
3357003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e","redirectUrl":null},"footer":{"description":null,"previousText":"Previous","nextText":"Next","submitText":"Submit"},"header":{"active":true,"title":{"en":"Start Your Personalized Care Journey"},"description":"","headerAlignment":"center"},"isStepByStepForm":true,"publish":{"requiredLogin":false,"requiredLoginMessage":"Please \u003ca href='\/account\/login' title='login'\u003elogin\u003c\/a\u003e to continue"},"reCaptcha":{"enable":false},"html":"\n\u003cdiv class=\"globo-form boxed-form globo-form-id-98218 \" data-locale=\"en\" \u003e\n\n\u003cstyle\u003e\n\n\n    :root .globo-form-app[data-id=\"98218\"]{\n        \n        --gfb-color-solidButton: 42,64,100;\n        --gfb-color-solidButtonColor: rgb(var(--gfb-color-solidButton));\n        --gfb-color-solidButtonLabel: 255,255,255;\n        --gfb-color-solidButtonLabelColor: rgb(var(--gfb-color-solidButtonLabel));\n        --gfb-color-text: 28,28,28;\n        --gfb-color-textColor: rgb(var(--gfb-color-text));\n        --gfb-color-outlineButton: 28,28,28;\n        --gfb-color-outlineButtonColor: rgb(var(--gfb-color-outlineButton));\n        --gfb-color-background: 255,255,255;\n        --gfb-color-backgroundColor: rgb(var(--gfb-color-background));\n        \n        --gfb-main-color: #1c1c1c;\n        --gfb-primary-color: var(--gfb-color-solidButtonColor, var(--gfb-main-color));\n        --gfb-primary-text-color: var(--gfb-color-solidButtonLabelColor, #FFF);\n        --gfb-form-width: 600px;\n        --gfb-font-family: inherit;\n        --gfb-font-style: inherit;\n        --gfb--image: 40%;\n        --gfb-image-ratio-draft: var(--gfb--image);\n        --gfb-image-ratio: var(--gfb-image-ratio-draft);\n        \n        --gfb-bg-temp-color: #FFF;\n        --gfb-bg-position: ;\n        \n            --gfb-bg-temp-color: #fff;\n        \n        --gfb-bg-color: var(--gfb-color-backgroundColor, var(--gfb-bg-temp-color));\n        \n    }\n    \n.globo-form-id-98218 .globo-form-app{\n    max-width: 600px;\n    width: -webkit-fill-available;\n    \n    background-color: var(--gfb-bg-color);\n    \n    \n}\n\n.globo-form-id-98218 .globo-form-app .globo-heading{\n    color: var(--gfb-color-textColor, #000)\n}\n\n\n.globo-form-id-98218 .globo-form-app .header {\n    text-align:center;\n}\n\n\n.globo-form-id-98218 .globo-form-app .globo-description,\n.globo-form-id-98218 .globo-form-app .header .globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-98218 .globo-form-app .globo-label,\n.globo-form-id-98218 .globo-form-app .globo-form-control label.globo-label,\n.globo-form-id-98218 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    color: var(--gfb-color-textColor, #1c1c1c);\n    text-align: left;\n}\n.globo-form-id-98218 .globo-form-app .globo-label.globo-position-label{\n    height: 20px !important;\n}\n.globo-form-id-98218 .globo-form-app .globo-form-control .help-text.globo-description,\n.globo-form-id-98218 .globo-form-app .globo-form-control span.globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-98218 .globo-form-app .globo-form-control .checkbox-wrapper .globo-option,\n.globo-form-id-98218 .globo-form-app .globo-form-control .radio-wrapper .globo-option\n{\n    color: var(--gfb-color-textColor, #1c1c1c);\n}\n.globo-form-id-98218 .globo-form-app .footer,\n.globo-form-id-98218 .globo-form-app .gfb__footer{\n    text-align:;\n}\n.globo-form-id-98218 .globo-form-app .footer button,\n.globo-form-id-98218 .globo-form-app .gfb__footer button{\n    border:1px solid var(--gfb-primary-color);\n    \n}\n.globo-form-id-98218 .globo-form-app .footer button.submit,\n.globo-form-id-98218 .globo-form-app .gfb__footer button.submit\n.globo-form-id-98218 .globo-form-app .footer button.checkout,\n.globo-form-id-98218 .globo-form-app .gfb__footer button.checkout,\n.globo-form-id-98218 .globo-form-app .footer button.action.loading .spinner,\n.globo-form-id-98218 .globo-form-app .gfb__footer button.action.loading .spinner{\n    background-color: var(--gfb-primary-color);\n    color : #ffffff;\n}\n.globo-form-id-98218 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:before {\n    content: url('data:image\/svg+xml;
3357 utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M528.1 171.5L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6zM388.6 312.3l23.7 138.4L288 385.4l-124.3 65.3 23.7-138.4-100.6-98 139-20.2 62.2-126 62.2 126 139 20.2-100.6 98z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-98218 .globo-form-app .globo-form-control .star-rating\u003efieldset\u003einput:checked ~ label:before {\n    content: url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-98218 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover:before,\n.globo-form-id-98218 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover ~ label:before{\n    content : url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e')\n}\n.globo-form-id-98218 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input:checked ~ .checkbox-label:before {\n    border-color: var(--gfb-primary-color);\n    box-shadow: 0 4px 6px rgba(50,50,93,0.11), 0 1px 3px rgba(0,0,0,0.08);\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-98218 .globo-form-app .step.-completed .step__number,\n.globo-form-id-98218 .globo-form-app .line.-progress,\n.globo-form-id-98218 .globo-form-app .line.-start{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-98218 .globo-form-app .checkmark__check,\n.globo-form-id-98218 .globo-form-app .checkmark__circle{\n    stroke: var(--gfb-primary-color);\n}\n.globo-form-id-98218 .floating-button{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-98218 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input ~ .checkbox-label:before,\n.globo-form-app .globo-form-control .radio-wrapper .radio-input ~ .radio-label:after{\n    border-color : var(--gfb-primary-color);\n}\n.globo-form-id-98218 .flatpickr-day.selected, \n.globo-form-id-98218 .flatpickr-day.startRange, \n.globo-form-id-98218 .flatpickr-day.endRange, \n.globo-form-id-98218 .flatpickr-day.selected.inRange, \n.globo-form-id-98218 .flatpickr-day.startRange.inRange, \n.globo-form-id-98218 .flatpickr-day.endRange.inRange, \n.globo-form-id-98218 .flatpickr-day.selected:focus, \n.globo-form-id-98218 .flatpickr-day.startRange:focus, \n.globo-form-id-98218 .flatpickr-day.endRange:focus, \n.globo-form-id-98218 .flatpickr-day.selected:hover, \n.globo-form-id-98218 .flatpickr-day.startRange:hover, \n.globo-form-id-98218 .flatpickr-day.endRange:hover, \n.globo-form-id-98218 .flatpickr-day.selected.prevMonthDay, \n.globo-form-id-98218 .flatpickr-day.startRange.prevMonthDay, \n.globo-form-id-98218 .flatpickr-day.endRange.prevMonthDay, \
3357n.globo-form-id-98218 .flatpickr-day.selected.nextMonthDay, \n.globo-form-id-98218 .flatpickr-day.startRange.nextMonthDay, \n.globo-form-id-98218 .flatpickr-day.endRange.nextMonthDay {\n    background: var(--gfb-primary-color);\n    border-color: var(--gfb-primary-color);\n}\n.globo-form-id-98218 .globo-paragraph {\n    background: #fff;\n    color: var(--gfb-color-textColor, #000);\n    width: 100%!important;\n}\n\n[dir=\"rtl\"] .globo-form-app .header .title,\n[dir=\"rtl\"] .globo-form-app .header .description,\n[dir=\"rtl\"] .globo-form-id-98218 .globo-form-app .globo-heading,\n[dir=\"rtl\"] .globo-form-id-98218 .globo-form-app .globo-label,\n[dir=\"rtl\"] .globo-form-id-98218 .globo-form-app .globo-form-control label.globo-label,\n[dir=\"rtl\"] .globo-form-id-98218 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    text-align: right;\n}\n\n[dir=\"rtl\"] .globo-form-app .line {\n    left: unset;\n    right: 50%;\n}\n\n[dir=\"rtl\"] .globo-form-id-98218 .globo-form-app .line.-start {\n    left: unset;    \n    right: 0%;\n}\n\n\u003c\/style\u003e\n\n\n\n\n\u003cdiv class=\"globo-form-app boxed-layout gfb-style-material_outlined  gfb-font-size-medium\" data-id=98218\u003e\n    \n    \u003cdiv class=\"header dismiss hidden\" onclick=\"Globo.FormBuilder.closeModalForm(this)\"\u003e\n        \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n    \u003c\/div\u003e\n    \u003cform class=\"g-container\" novalidate action=\"https:\/\/app.powerfulform.com\/api\/front\/form\/98218\/send\" method=\"POST\" enctype=\"multipart\/form-data\" data-id=98218\u003e\n        \n            \n            \u003cdiv class=\"header\"\u003e\n                \u003ch3 class=\"title globo-heading\"\u003eStart Your Personalized Care Journey\u003c\/h3\u003e\n                \n            \u003c\/div\u003e\n            \n        \n        \n            \u003cdiv class=\"globo-formbuilder-wizard\" data-id=98218\u003e\n                \u003cdiv class=\"wizard__content\"\u003e\n                    \u003cheader class=\"wizard__header\"\u003e\n                        \u003cdiv class=\"wizard__steps\"\u003e\n                        \u003cnav class=\"steps hidden\"\u003e\n                            \n                            \n                                \n                            \n                            \n                                \n                                \n                                \n                                \n                                \u003cdiv class=\"step last \" data-element-id=\"group-1\"  data-step=\"0\" \u003e\n                                    \u003cdiv class=\"step__content\"\u003e\n                                        \u003cp class=\"step__number\"\u003e\u003c\/p\u003e\n                                        \u003csvg class=\"checkmark\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=52 height=52 viewBox=\"0 0 52 52\"\u003e\n                                            \u003ccircle class=\"checkmark__circle\" cx=\"26\" cy=\"26\" r=\"25\" fill=\"none\"\/\u003e\n                                            \u003cpath class=\"checkmark__check\" fill=\"none\" d=\"M14.1 27.2l7.1 7.2 16.7-16.8\"\/\u003e\n                                        \u003c\/svg\u003e\n                                        \u003cdiv class=\"lines\"\u003e\n                                            \n                                                \u003cdiv class=\"line -start\"\u003e\u003c\/div\u003e\n                                            \n                                            \u003cdiv class=\"line -background\"\u003e\n                                            \u003c\/div\u003e\n                                            \u003cdiv class=\"line -progress\"\u003e\n                                            \u003c\/div\u003e\n                                        \u003c\/div\u003e  \n                                    \u003c\/div\u003e\n                                \u003c\/div\u003e\n                            \n                        \u003c\/nav\u003e\n                        \u003c\/div\u003e\n                    \u003c\/header\u003e\n                    \u003cdiv class=\"panels\"\u003e\n                        \n                        \n                        \n                        \n                        \u003cdiv class=\"panel \" data-element-id=\"group-1\" data-id=98218  data-step=\"0\" style=\"padding-top:0\"\u003e\n                            \n                                \n                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name'\u003e\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"98218-name-1\" 
3357class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Name\"\u003eName\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\"  data-type=\"name\" class=\"material_outlined-input\" id=\"98218-name-1\" name=\"name-1\" placeholder=\"\"   \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"98218-name-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n                                \n                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name'\u003e\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"98218-name-2\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Last Name\"\u003eLast Name\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\"  data-type=\"name\" class=\"material_outlined-input\" id=\"98218-name-2\" name=\"name-2\" placeholder=\"\"   \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"98218-name-2-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n                                \n                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='email'\u003e\n    \n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"98218-email-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Email\"\u003eEmail\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\"  data-type=\"email\" class=\"material_outlined-input\" id=\"98218-email-1\" name=\"email-1\" placeholder=\"\"   \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"98218-email-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n                                \n                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='phone' \u003e\n    \n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input gfb__phone-placeholder\" input-placeholder=\"\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"98218-phone-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Phone Number\"\u003ePhone Number\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \n        \n        \u003cinput type=\"text\"  data-type=\"phone\" class=\"material_outlined-input\" id=\"98218-phone-1\" name=\"phone-1\" placeholder=\"\"     default-country-code=\"auto\"\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"98218-phone-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n                                \n                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='textarea'\u003e\n    \n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"98218-textarea-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Message\"\u003eMessage\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \u003ctextarea id=\"98218-textarea-1\"  data-type=\"textarea\" class=\"material_outlined-input\" rows=\"3\" name=\"textarea-1\" placeholder=\"\"   \u003e\u003c\/textarea\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"98218-textarea-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n                                \n                            \n                            \n                                \n                                \n                            \n                        \u003c\/div\u003e\n                        \n                    \u003c\/div\u003e\n                    \n                    \u003cdiv class=\"message error\" data-other-error=\"Something went wrong, please try again\"\u003e\n                        \u003cdiv class=\"content\"\u003e\u003c\/div\u003e\n                        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                        \u003c\/div\u003e\n                    \u003c\/div\u003e\n                    \n                        \n                        \n                        \u003cdiv class=\"message success\"\u003e\n                            \n                                \u003cdiv class=\"gfb__c
3357ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n                            \n                            \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n                                \u003cdiv class=\"gfb__content-discount\"\u003e\n                                    \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                                    \u003cdiv class=\"gfb__copy\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e\n                                    \u003cdiv class=\"gfb__copied\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e        \n                                \u003c\/div\u003e\n                            \u003c\/div\u003e\n                            \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n                            \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                                \u003csvg width=20 height=20 width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                            \u003c\/div\u003e\n                        \u003c\/div\u003e\n                        \n                        \n                    \n                    \u003cdiv class=\"gfb__footer wizard__footer\"\u003e\n                        \n                            \n                            \u003cdiv class=\"description globo-description\"\u003e\u003c\/div\u003e\n                            \n                        \n                        \u003cbutton type=\"button\" class=\"action previous hidden material_outlined-button\"\u003ePrevious\u003c\/button\u003e\n                        \u003cbutton type=\"button\" class=\"action next submit material_outlined-button\" data-submitting-text=\"\" data-submit-text='\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eSubmit' data-next-text=\"Next\" \u003e\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eNext\u003c\/button\u003e\n                        \n                        \u003cp class=\"wizard__congrats-message\"\u003e\u003c\/p\u003e\n                    \u003c\/div\u003e\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n        \n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[id]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[email]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[name]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[title]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[href]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"_keyLabel\"\u003e\n    \u003c\/form\u003e\n    \n    \n    \u003cdiv class=\"message success\"\u003e\n        \n            \u003cdiv class=\"gfb__c
3357ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n        \n        \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n            \u003cdiv class=\"gfb__content-discount\"\u003e\n                \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                \u003cdiv class=\"gfb__copy\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e\n                \u003cdiv class=\"gfb__copied\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e        \n            \u003c\/div\u003e\n        \u003c\/div\u003e\n        \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n        \u003c\/div\u003e\n    \u003c\/div\u003e\n    \n    \n\u003c\/div\u003e\n\n\u003c\/div\u003e\n"}}[98218];
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3363      window.Globo.FormBuilder.forms[98221] = {"98221":{"elements":[{"id":"group-1","type":"group","label":"Page 1","description":"","elements":[{"id":"name-1","type":"name","label":{"en":"Name"},"placeholder":{"en":""},"description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false},{"id":"name-2","type":"name","label":{"en":"Last Name"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"email-1","type":"email","label":"Email","placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"phone-1","type":"phone","label":{"en":"Phone Number"},"placeholder":"","description":"","validatePhone":false,"onlyShowFlag":false,"defaultCountryCode":"auto","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"textarea-1","type":"textarea","label":{"en":"Message"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false}]}],"errorMessage":{"required":"{{ label | capitalize }} is required","minSelections":"Please choose at least {{ min_selections }} options","maxSelections":"Please choose at maximum of {{ max_selections }} options","exactlySelections":"Please choose exactly {{ exact_selections }} options","minProductSelections":"Please choose at least {{ min_selections }} products","maxProductSelections":"Please choose a maximum of {{ max_selections }} products","minProductQuantities":"Please choose a quantity of at least {{ min_quantities }} products","maxProductQuantities":"Please choose a quantity of no more than {{ max_quantities }} products","minEachProductQuantities":"Choose quantity of product {{product_name}} of at least {{min_quantities}}","maxEachProductQuantities":"Choose quantity of product {{product_name}} of at most {{max_quantities}}
3363","invalid":"Invalid","invalidName":"Invalid name","invalidEmail":"Email address is invalid","restrictedEmailDomain":"This email domain is restricted","invalidURL":"Invalid url","invalidPhone":"Invalid phone","invalidNumber":"Invalid number","invalidPassword":"Invalid password","confirmPasswordNotMatch":"Confirmed password doesn't match","customerAlreadyExists":"Customer already exists","keyAlreadyExists":"Data already exists","fileSizeLimit":"File size limit","fileNotAllowed":"File not allowed","requiredCaptcha":"Required captcha","requiredProducts":"Please select product","limitQuantity":"The number of products left in stock has been exceeded","shopifyInvalidPhone":"phone - Enter a valid phone number to use this delivery method","shopifyPhoneHasAlready":"phone - Phone has already been taken","shopifyInvalidProvice":"addresses.province - is not valid","otherError":"Something went wrong, please try again","limitNumberOfSubmissions":"Form submission limit reached"},"appearance":{"layout":"default","theme_design":false,"width":"700","style":"material_outlined","mainColor":"#1c1c1c","floatingIcon":"\u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"envelope\" class=\"svg-inline--fa fa-envelope fa-w-16\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"\u003e\u003cpath fill=\"currentColor\" d=\"M464 64H48C21.49 64 0 85.49 0 112v288c0 26.51 21.49 48 48 48h416c26.51 0 48-21.49 48-48V112c0-26.51-21.49-48-48-48zm0 48v40.805c-22.422 18.259-58.168 46.651-134.587 106.49-16.841 13.247-50.201 45.072-73.413 44.701-23.208.375-56.579-31.459-73.413-44.701C106.18 199.465 70.425 171.067 48 152.805V112h416zM48 400V214.398c22.914 18.251 55.409 43.862 104.938 82.646 21.857 17.205 60.134 55.186 103.062 54.955 42.717.231 80.509-37.199 103.053-54.947 49.528-38.783 82.032-64.401 104.947-82.653V400H48z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e","floatingText":null,"displayOnAllPage":false,"formType":"normalForm","background":"color","backgroundColor":"#fff","descriptionColor":"#6c757d","headingColor":"#000","labelColor":"#1c1c1c","optionColor":"#000","paragraphBackground":"#fff","paragraphColor":"#000","colorScheme":{"solidButton":{"red":42,"green":64,"blue":100},"solidButtonLabel":{"red":255,"green":255,"blue":255},"text":{"red":28,"green":28,"blue":28},"outlineButton":{"red":28,"green":28,"blue":28},"background":null},"fontSize":"medium"},"afterSubmit":{"action":"clearForm","title":"Thanks for getting in touch!","message":"\u
3363003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e","redirectUrl":null},"footer":{"description":null,"previousText":"Previous","nextText":"Next","submitText":"Submit"},"header":{"active":false,"title":"Contact Us","description":"","headerAlignment":"left"},"isStepByStepForm":true,"publish":{"requiredLogin":false,"requiredLoginMessage":"Please \u003ca href='\/account\/login' title='login'\u003elogin\u003c\/a\u003e to continue"},"reCaptcha":{"enable":false},"html":"\n\u003cdiv class=\"globo-form default-form globo-form-id-98221 \" data-locale=\"en\" \u003e\n\n\u003cstyle\u003e\n\n\n    :root .globo-form-app[data-id=\"98221\"]{\n        \n        --gfb-color-solidButton: 42,64,100;\n        --gfb-color-solidButtonColor: rgb(var(--gfb-color-solidButton));\n        --gfb-color-solidButtonLabel: 255,255,255;\n        --gfb-color-solidButtonLabelColor: rgb(var(--gfb-color-solidButtonLabel));\n        --gfb-color-text: 28,28,28;\n        --gfb-color-textColor: rgb(var(--gfb-color-text));\n        --gfb-color-outlineButton: 28,28,28;\n        --gfb-color-outlineButtonColor: rgb(var(--gfb-color-outlineButton));\n        --gfb-color-background: ,,;\n        --gfb-color-backgroundColor: rgb(var(--gfb-color-background));\n        \n        --gfb-main-color: #1c1c1c;\n        --gfb-primary-color: var(--gfb-color-solidButtonColor, var(--gfb-main-color));\n        --gfb-primary-text-color: var(--gfb-color-solidButtonLabelColor, #FFF);\n        --gfb-form-width: 700px;\n        --gfb-font-family: inherit;\n        --gfb-font-style: inherit;\n        --gfb--image: 40%;\n        --gfb-image-ratio-draft: var(--gfb--image);\n        --gfb-image-ratio: var(--gfb-image-ratio-draft);\n        \n        --gfb-bg-temp-color: #FFF;\n        --gfb-bg-position: ;\n        \n            --gfb-bg-temp-color: #fff;\n        \n        --gfb-bg-color: var(--gfb-color-backgroundColor, var(--gfb-bg-temp-color));\n        \n    }\n    \n.globo-form-id-98221 .globo-form-app{\n    max-width: 700px;\n    width: -webkit-fill-available;\n    \n    background-color: var(--gfb-bg-color);\n    \n    \n}\n\n.globo-form-id-98221 .globo-form-app .globo-heading{\n    color: var(--gfb-color-textColor, #000)\n}\n\n\n.globo-form-id-98221 .globo-form-app .header {\n    text-align:left;\n}\n\n\n.globo-form-id-98221 .globo-form-app .globo-description,\n.globo-form-id-98221 .globo-form-app .header .globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-98221 .globo-form-app .globo-label,\n.globo-form-id-98221 .globo-form-app .globo-form-control label.globo-label,\n.globo-form-id-98221 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    color: var(--gfb-color-textColor, #1c1c1c);\n    text-align: left;\n}\n.globo-form-id-98221 .globo-form-app .globo-label.globo-position-label{\n    height: 20px !important;\n}\n.globo-form-id-98221 .globo-form-app .globo-form-control .help-text.globo-description,\n.globo-form-id-98221 .globo-form-app .globo-form-control span.globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-98221 .globo-form-app .globo-form-control .checkbox-wrapper .globo-option,\n.globo-form-id-98221 .globo-form-app .globo-form-control .radio-wrapper .globo-option\n{\n    color: var(--gfb-color-textColor, #1c1c1c);\n}\n.globo-form-id-98221 .globo-form-app .footer,\n.globo-form-id-98221 .globo-form-app .gfb__footer{\n    text-align:;\n}\n.globo-form-id-98221 .globo-form-app .footer button,\n.globo-form-id-98221 .globo-form-app .gfb__footer button{\n    border:1px solid var(--gfb-primary-color);\n    \n}\n.globo-form-id-98221 .globo-form-app .footer button.submit,\n.globo-form-id-98221 .globo-form-app .gfb__footer button.submit\n.globo-form-id-98221 .globo-form-app .footer button.checkout,\n.globo-form-id-98221 .globo-form-app .gfb__footer button.checkout,\n.globo-form-id-98221 .globo-form-app .footer button.action.loading .spinner,\n.globo-form-id-98221 .globo-form-app .gfb__footer button.action.loading .spinner{\n    background-color: var(--gfb-primary-color);\n    color : #ffffff;\n}\n.globo-form-id-98221 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:before {\n    content: url('data:image\/svg+xml;
3363 utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M528.1 171.5L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6zM388.6 312.3l23.7 138.4L288 385.4l-124.3 65.3 23.7-138.4-100.6-98 139-20.2 62.2-126 62.2 126 139 20.2-100.6 98z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-98221 .globo-form-app .globo-form-control .star-rating\u003efieldset\u003einput:checked ~ label:before {\n    content: url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-98221 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover:before,\n.globo-form-id-98221 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover ~ label:before{\n    content : url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e')\n}\n.globo-form-id-98221 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input:checked ~ .checkbox-label:before {\n    border-color: var(--gfb-primary-color);\n    box-shadow: 0 4px 6px rgba(50,50,93,0.11), 0 1px 3px rgba(0,0,0,0.08);\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-98221 .globo-form-app .step.-completed .step__number,\n.globo-form-id-98221 .globo-form-app .line.-progress,\n.globo-form-id-98221 .globo-form-app .line.-start{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-98221 .globo-form-app .checkmark__check,\n.globo-form-id-98221 .globo-form-app .checkmark__circle{\n    stroke: var(--gfb-primary-color);\n}\n.globo-form-id-98221 .floating-button{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-98221 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input ~ .checkbox-label:before,\n.globo-form-app .globo-form-control .radio-wrapper .radio-input ~ .radio-label:after{\n    border-color : var(--gfb-primary-color);\n}\n.globo-form-id-98221 .flatpickr-day.selected, \n.globo-form-id-98221 .flatpickr-day.startRange, \n.globo-form-id-98221 .flatpickr-day.endRange, \n.globo-form-id-98221 .flatpickr-day.selected.inRange, \n.globo-form-id-98221 .flatpickr-day.startRange.inRange, \n.globo-form-id-98221 .flatpickr-day.endRange.inRange, \n.globo-form-id-98221 .flatpickr-day.selected:focus, \n.globo-form-id-98221 .flatpickr-day.startRange:focus, \n.globo-form-id-98221 .flatpickr-day.endRange:focus, \n.globo-form-id-98221 .flatpickr-day.selected:hover, \n.globo-form-id-98221 .flatpickr-day.startRange:hover, \n.globo-form-id-98221 .flatpickr-day.endRange:hover, \n.globo-form-id-98221 .flatpickr-day.selected.prevMonthDay, \n.globo-form-id-98221 .flatpickr-day.startRange.prevMonthDay, \n.globo-form-id-98221 .flatpickr-day.endRange.prevMonthDay, \
3363n.globo-form-id-98221 .flatpickr-day.selected.nextMonthDay, \n.globo-form-id-98221 .flatpickr-day.startRange.nextMonthDay, \n.globo-form-id-98221 .flatpickr-day.endRange.nextMonthDay {\n    background: var(--gfb-primary-color);\n    border-color: var(--gfb-primary-color);\n}\n.globo-form-id-98221 .globo-paragraph {\n    background: #fff;\n    color: var(--gfb-color-textColor, #000);\n    width: 100%!important;\n}\n\n[dir=\"rtl\"] .globo-form-app .header .title,\n[dir=\"rtl\"] .globo-form-app .header .description,\n[dir=\"rtl\"] .globo-form-id-98221 .globo-form-app .globo-heading,\n[dir=\"rtl\"] .globo-form-id-98221 .globo-form-app .globo-label,\n[dir=\"rtl\"] .globo-form-id-98221 .globo-form-app .globo-form-control label.globo-label,\n[dir=\"rtl\"] .globo-form-id-98221 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    text-align: right;\n}\n\n[dir=\"rtl\"] .globo-form-app .line {\n    left: unset;\n    right: 50%;\n}\n\n[dir=\"rtl\"] .globo-form-id-98221 .globo-form-app .line.-start {\n    left: unset;    \n    right: 0%;\n}\n\n\u003c\/style\u003e\n\n\n\n\n\u003cdiv class=\"globo-form-app default-layout gfb-style-material_outlined  gfb-font-size-medium\" data-id=98221\u003e\n    \n    \u003cdiv class=\"header dismiss hidden\" onclick=\"Globo.FormBuilder.closeModalForm(this)\"\u003e\n        \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n    \u003c\/div\u003e\n    \u003cform class=\"g-container\" novalidate action=\"https:\/\/app.powerfulform.com\/api\/front\/form\/98221\/send\" method=\"POST\" enctype=\"multipart\/form-data\" data-id=98221\u003e\n        \n            \n        \n        \n            \u003cdiv class=\"globo-formbuilder-wizard\" data-id=98221\u003e\n                \u003cdiv class=\"wizard__content\"\u003e\n                    \u003cheader class=\"wizard__header\"\u003e\n                        \u003cdiv class=\"wizard__steps\"\u003e\n                        \u003cnav class=\"steps hidden\"\u003e\n                            \n                            \n                                \n                            \n                            \n                                \n                                \n                                \n                                \n                                \u003cdiv class=\"step last \" data-element-id=\"group-1\"  data-step=\"0\" \u003e\n                                    \u003cdiv class=\"step__content\"\u003e\n                                        \u003cp class=\"step__number\"\u003e\u003c\/p\u003e\n                                        \u003csvg class=\"checkmark\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=52 height=52 viewBox=\"0 0 52 52\"\u003e\n                                            \u003ccircle class=\"checkmark__circle\" cx=\"26\" cy=\"26\" r=\"25\" fill=\"none\"\/\u003e\n                                            \u003cpath class=\"checkmark__check\" fill=\"none\" d=\"M14.1 27.2l7.1 7.2 16.7-16.8\"\/\u003e\n                                        \u003c\/svg\u003e\n                                        \u003cdiv class=\"lines\"\u003e\n                                            \n                                                \u003cdiv class=\"line -start\"\u003e\u003c\/div\u003e\n                                            \n                                            \u003cdiv class=\"line -background\"\u003e\n                                            \u003c\/div\u003e\n                                            \u003cdiv class=\"line -progress\"\u003e\n                                            \u003c\/div\u003e\n                                        \u003c\/div\u003e  \n                                    \u003c\/div\u003e\n                                \u003c\/div\u003e\n                            \n                        \u003c\/nav\u003e\n                        \u003c\/div\u003e\n                    \u003c\/header\u003e\n                    \u003cdiv class=\"panels\"\u003e\n                        \n                        \n                        \n                        \n                        \u003cdiv class=\"panel \" data-element-id=\"group-1\" data-id=98221  data-step=\"0\" style=\"padding-top:0\"\u003e\n                            \n                                \n                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name'\u003e\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"98221-name-1\" 
3363class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Name\"\u003eName\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\"  data-type=\"name\" class=\"material_outlined-input\" id=\"98221-name-1\" name=\"name-1\" placeholder=\"\"   \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"98221-name-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n                                \n                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name'\u003e\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"98221-name-2\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Last Name\"\u003eLast Name\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\"  data-type=\"name\" class=\"material_outlined-input\" id=\"98221-name-2\" name=\"name-2\" placeholder=\"\"   \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"98221-name-2-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n                                \n                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='email'\u003e\n    \n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"98221-email-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Email\"\u003eEmail\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\"  data-type=\"email\" class=\"material_outlined-input\" id=\"98221-email-1\" name=\"email-1\" placeholder=\"\"   \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"98221-email-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n                                \n                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='phone' \u003e\n    \n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input gfb__phone-placeholder\" input-placeholder=\"\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"98221-phone-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Phone Number\"\u003ePhone Number\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \n        \n        \u003cinput type=\"text\"  data-type=\"phone\" class=\"material_outlined-input\" id=\"98221-phone-1\" name=\"phone-1\" placeholder=\"\"     default-country-code=\"auto\"\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"98221-phone-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n                                \n                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='textarea'\u003e\n    \n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"98221-textarea-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Message\"\u003eMessage\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \u003ctextarea id=\"98221-textarea-1\"  data-type=\"textarea\" class=\"material_outlined-input\" rows=\"3\" name=\"textarea-1\" placeholder=\"\"   \u003e\u003c\/textarea\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"98221-textarea-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n                                \n                            \n                            \n                                \n                                \n                            \n                        \u003c\/div\u003e\n                        \n                    \u003c\/div\u003e\n                    \n                    \u003cdiv class=\"message error\" data-other-error=\"Something went wrong, please try again\"\u003e\n                        \u003cdiv class=\"content\"\u003e\u003c\/div\u003e\n                        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                        \u003c\/div\u003e\n                    \u003c\/div\u003e\n                    \n                        \n                        \n                        \u003cdiv class=\"message success\"\u003e\n                            \n                                \u003cdiv class=\"gfb__c
3363ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n                            \n                            \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n                                \u003cdiv class=\"gfb__content-discount\"\u003e\n                                    \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                                    \u003cdiv class=\"gfb__copy\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e\n                                    \u003cdiv class=\"gfb__copied\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e        \n                                \u003c\/div\u003e\n                            \u003c\/div\u003e\n                            \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n                            \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                                \u003csvg width=20 height=20 width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                            \u003c\/div\u003e\n                        \u003c\/div\u003e\n                        \n                        \n                    \n                    \u003cdiv class=\"gfb__footer wizard__footer\"\u003e\n                        \n                            \n                            \u003cdiv class=\"description globo-description\"\u003e\u003c\/div\u003e\n                            \n                        \n                        \u003cbutton type=\"button\" class=\"action previous hidden material_outlined-button\"\u003ePrevious\u003c\/button\u003e\n                        \u003cbutton type=\"button\" class=\"action next submit material_outlined-button\" data-submitting-text=\"\" data-submit-text='\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eSubmit' data-next-text=\"Next\" \u003e\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eNext\u003c\/button\u003e\n                        \n                        \u003cp class=\"wizard__congrats-message\"\u003e\u003c\/p\u003e\n                    \u003c\/div\u003e\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n        \n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[id]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[email]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[name]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[title]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[href]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"_keyLabel\"\u003e\n    \u003c\/form\u003e\n    \n    \n    \u003cdiv class=\"message success\"\u003e\n        \n            \u003cdiv class=\"gfb__c
3363ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n        \n        \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n            \u003cdiv class=\"gfb__content-discount\"\u003e\n                \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                \u003cdiv class=\"gfb__copy\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e\n                \u003cdiv class=\"gfb__copied\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e        \n            \u003c\/div\u003e\n        \u003c\/div\u003e\n        \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n        \u003c\/div\u003e\n    \u003c\/div\u003e\n    \n    \n\u003c\/div\u003e\n\n\u003c\/div\u003e\n"}}[98221];
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3369      window.Globo.FormBuilder.forms[100957] = {"100957":{"elements":[{"id":"group-1","type":"group","label":"Page 1","description":"","elements":[{"id":"name-1","type":"name","label":{"en":"Name"},"placeholder":{"en":""},"description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false},{"id":"name-2","type":"name","label":{"en":"Last Name"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"email-1","type":"email","label":"Email","placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"phone-1","type":"phone","label":{"en":"Phone Number"},"placeholder":"","description":"","validatePhone":false,"onlyShowFlag":false,"defaultCountryCode":"auto","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"textarea-1","type":"textarea","label":{"en":"Message"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false}]}],"errorMessage":{"required":"{{ label | capitalize }} is required","minSelections":"Please choose at least {{ min_selections }} options","maxSelections":"Please choose at maximum of {{ max_selections }} options","exactlySelections":"Please choose exactly {{ exact_selections }} options","minProductSelections":"Please choose at least {{ min_selections }} products","maxProductSelections":"Please choose a maximum of {{ max_selections }} products","minProductQuantities":"Please choose a quantity of at least {{ min_quantities }} products","maxProductQuantities":"Please choose a quantity of no more than {{ max_quantities }} products","minEachProductQuantities":"Choose quantity of product {{product_name}} of at least {{min_quantities}}","maxEachProductQuantities":"Choose quantity of product {{product_name}} of at most {{max_quantities}}
3369","invalid":"Invalid","invalidName":"Invalid name","invalidEmail":"Email address is invalid","restrictedEmailDomain":"This email domain is restricted","invalidURL":"Invalid url","invalidPhone":"Invalid phone","invalidNumber":"Invalid number","invalidPassword":"Invalid password","confirmPasswordNotMatch":"Confirmed password doesn't match","customerAlreadyExists":"Customer already exists","keyAlreadyExists":"Data already exists","fileSizeLimit":"File size limit","fileNotAllowed":"File not allowed","requiredCaptcha":"Required captcha","requiredProducts":"Please select product","limitQuantity":"The number of products left in stock has been exceeded","shopifyInvalidPhone":"phone - Enter a valid phone number to use this delivery method","shopifyPhoneHasAlready":"phone - Phone has already been taken","shopifyInvalidProvice":"addresses.province - is not valid","otherError":"Something went wrong, please try again","limitNumberOfSubmissions":"Form submission limit reached"},"appearance":{"layout":"default","theme_design":false,"width":"700","style":"material_outlined","mainColor":"#1c1c1c","floatingIcon":"\u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"envelope\" class=\"svg-inline--fa fa-envelope fa-w-16\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"\u003e\u003cpath fill=\"currentColor\" d=\"M464 64H48C21.49 64 0 85.49 0 112v288c0 26.51 21.49 48 48 48h416c26.51 0 48-21.49 48-48V112c0-26.51-21.49-48-48-48zm0 48v40.805c-22.422 18.259-58.168 46.651-134.587 106.49-16.841 13.247-50.201 45.072-73.413 44.701-23.208.375-56.579-31.459-73.413-44.701C106.18 199.465 70.425 171.067 48 152.805V112h416zM48 400V214.398c22.914 18.251 55.409 43.862 104.938 82.646 21.857 17.205 60.134 55.186 103.062 54.955 42.717.231 80.509-37.199 103.053-54.947 49.528-38.783 82.032-64.401 104.947-82.653V400H48z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e","floatingText":null,"displayOnAllPage":false,"formType":"normalForm","background":"color","backgroundColor":"#fff","descriptionColor":"#6c757d","headingColor":"#000","labelColor":"#1c1c1c","optionColor":"#000","paragraphBackground":"#fff","paragraphColor":"#000","colorScheme":{"solidButton":{"red":42,"green":64,"blue":100},"solidButtonLabel":{"red":255,"green":255,"blue":255},"text":{"red":28,"green":28,"blue":28},"outlineButton":{"red":28,"green":28,"blue":28},"background":null},"fontSize":"medium"},"afterSubmit":{"action":"clearForm","title":"Thanks for getting in touch!","message":"\u
3369003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e","redirectUrl":null},"footer":{"description":null,"previousText":"Previous","nextText":"Next","submitText":"Submit"},"header":{"active":false,"title":"Contact Us","description":"","headerAlignment":"left"},"isStepByStepForm":true,"publish":{"requiredLogin":false,"requiredLoginMessage":"Please \u003ca href='\/account\/login' title='login'\u003elogin\u003c\/a\u003e to continue"},"reCaptcha":{"enable":false},"html":"\n\u003cdiv class=\"globo-form default-form globo-form-id-100957 \" data-locale=\"en\" \u003e\n\n\u003cstyle\u003e\n\n\n    :root .globo-form-app[data-id=\"100957\"]{\n        \n        --gfb-color-solidButton: 42,64,100;\n        --gfb-color-solidButtonColor: rgb(var(--gfb-color-solidButton));\n        --gfb-color-solidButtonLabel: 255,255,255;\n        --gfb-color-solidButtonLabelColor: rgb(var(--gfb-color-solidButtonLabel));\n        --gfb-color-text: 28,28,28;\n        --gfb-color-textColor: rgb(var(--gfb-color-text));\n        --gfb-color-outlineButton: 28,28,28;\n        --gfb-color-outlineButtonColor: rgb(var(--gfb-color-outlineButton));\n        --gfb-color-background: ,,;\n        --gfb-color-backgroundColor: rgb(var(--gfb-color-background));\n        \n        --gfb-main-color: #1c1c1c;\n        --gfb-primary-color: var(--gfb-color-solidButtonColor, var(--gfb-main-color));\n        --gfb-primary-text-color: var(--gfb-color-solidButtonLabelColor, #FFF);\n        --gfb-form-width: 700px;\n        --gfb-font-family: inherit;\n        --gfb-font-style: inherit;\n        --gfb--image: 40%;\n        --gfb-image-ratio-draft: var(--gfb--image);\n        --gfb-image-ratio: var(--gfb-image-ratio-draft);\n        \n        --gfb-bg-temp-color: #FFF;\n        --gfb-bg-position: ;\n        \n            --gfb-bg-temp-color: #fff;\n        \n        --gfb-bg-color: var(--gfb-color-backgroundColor, var(--gfb-bg-temp-color));\n        \n    }\n    \n.globo-form-id-100957 .globo-form-app{\n    max-width: 700px;\n    width: -webkit-fill-available;\n    \n    background-color: var(--gfb-bg-color);\n    \n    \n}\n\n.globo-form-id-100957 .globo-form-app .globo-heading{\n    color: var(--gfb-color-textColor, #000)\n}\n\n\n.globo-form-id-100957 .globo-form-app .header {\n    text-align:left;\n}\n\n\n.globo-form-id-100957 .globo-form-app .globo-description,\n.globo-form-id-100957 .globo-form-app .header .globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-100957 .globo-form-app .globo-label,\n.globo-form-id-100957 .globo-form-app .globo-form-control label.globo-label,\n.globo-form-id-100957 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    color: var(--gfb-color-textColor, #1c1c1c);\n    text-align: left;\n}\n.globo-form-id-100957 .globo-form-app .globo-label.globo-position-label{\n    height: 20px !important;\n}\n.globo-form-id-100957 .globo-form-app .globo-form-control .help-text.globo-description,\n.globo-form-id-100957 .globo-form-app .globo-form-control span.globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-100957 .globo-form-app .globo-form-control .checkbox-wrapper .globo-option,\n.globo-form-id-100957 .globo-form-app .globo-form-control .radio-wrapper .globo-option\n{\n    color: var(--gfb-color-textColor, #1c1c1c);\n}\n.globo-form-id-100957 .globo-form-app .footer,\n.globo-form-id-100957 .globo-form-app .gfb__footer{\n    text-align:;\n}\n.globo-form-id-100957 .globo-form-app .footer button,\n.globo-form-id-100957 .globo-form-app .gfb__footer button{\n    border:1px solid var(--gfb-primary-color);\n    \n}\n.globo-form-id-100957 .globo-form-app .footer button.submit,\n.globo-form-id-100957 .globo-form-app .gfb__footer button.submit\n.globo-form-id-100957 .globo-form-app .footer button.checkout,\n.globo-form-id-100957 .globo-form-app .gfb__footer button.checkout,\n.globo-form-id-100957 .globo-form-app .footer button.action.loading .spinner,\n.globo-form-id-100957 .globo-form-app .gfb__footer button.action.loading .spinner{\n    background-color: var(--gfb-primary-color);\n    color : #ffffff;\n}\n.globo-form-id-100957 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:before {\n    content: url('data:image\/svg+xml;
3369 utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M528.1 171.5L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6zM388.6 312.3l23.7 138.4L288 385.4l-124.3 65.3 23.7-138.4-100.6-98 139-20.2 62.2-126 62.2 126 139 20.2-100.6 98z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-100957 .globo-form-app .globo-form-control .star-rating\u003efieldset\u003einput:checked ~ label:before {\n    content: url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-100957 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover:before,\n.globo-form-id-100957 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover ~ label:before{\n    content : url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e')\n}\n.globo-form-id-100957 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input:checked ~ .checkbox-label:before {\n    border-color: var(--gfb-primary-color);\n    box-shadow: 0 4px 6px rgba(50,50,93,0.11), 0 1px 3px rgba(0,0,0,0.08);\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-100957 .globo-form-app .step.-completed .step__number,\n.globo-form-id-100957 .globo-form-app .line.-progress,\n.globo-form-id-100957 .globo-form-app .line.-start{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-100957 .globo-form-app .checkmark__check,\n.globo-form-id-100957 .globo-form-app .checkmark__circle{\n    stroke: var(--gfb-primary-color);\n}\n.globo-form-id-100957 .floating-button{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-100957 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input ~ .checkbox-label:before,\n.globo-form-app .globo-form-control .radio-wrapper .radio-input ~ .radio-label:after{\n    border-color : var(--gfb-primary-color);\n}\n.globo-form-id-100957 .flatpickr-day.selected, \n.globo-form-id-100957 .flatpickr-day.startRange, \n.globo-form-id-100957 .flatpickr-day.endRange, \n.globo-form-id-100957 .flatpickr-day.selected.inRange, \n.globo-form-id-100957 .flatpickr-day.startRange.inRange, \n.globo-form-id-100957 .flatpickr-day.endRange.inRange, \n.globo-form-id-100957 .flatpickr-day.selected:focus, \n.globo-form-id-100957 .flatpickr-day.startRange:focus, \n.globo-form-id-100957 .flatpickr-day.endRange:focus, \n.globo-form-id-100957 .flatpickr-day.selected:hover, \n.globo-form-id-100957 .flatpickr-day.startRange:hover, \n.globo-form-id-100957 .flatpickr-day.endRange:hover, \n.globo-form-id-100957 .flatpickr-day.selected.prevMonthDay, \n.globo-form-id-100957 .flatpickr-day.startRange.prevMonthDay, \n.globo-form-id-100957 .flatpickr-day.endRange.prevMonthDay, \
3369n.globo-form-id-100957 .flatpickr-day.selected.nextMonthDay, \n.globo-form-id-100957 .flatpickr-day.startRange.nextMonthDay, \n.globo-form-id-100957 .flatpickr-day.endRange.nextMonthDay {\n    background: var(--gfb-primary-color);\n    border-color: var(--gfb-primary-color);\n}\n.globo-form-id-100957 .globo-paragraph {\n    background: #fff;\n    color: var(--gfb-color-textColor, #000);\n    width: 100%!important;\n}\n\n[dir=\"rtl\"] .globo-form-app .header .title,\n[dir=\"rtl\"] .globo-form-app .header .description,\n[dir=\"rtl\"] .globo-form-id-100957 .globo-form-app .globo-heading,\n[dir=\"rtl\"] .globo-form-id-100957 .globo-form-app .globo-label,\n[dir=\"rtl\"] .globo-form-id-100957 .globo-form-app .globo-form-control label.globo-label,\n[dir=\"rtl\"] .globo-form-id-100957 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    text-align: right;\n}\n\n[dir=\"rtl\"] .globo-form-app .line {\n    left: unset;\n    right: 50%;\n}\n\n[dir=\"rtl\"] .globo-form-id-100957 .globo-form-app .line.-start {\n    left: unset;    \n    right: 0%;\n}\n\n\u003c\/style\u003e\n\n\n\n\n\u003cdiv class=\"globo-form-app default-layout gfb-style-material_outlined  gfb-font-size-medium\" data-id=100957\u003e\n    \n    \u003cdiv class=\"header dismiss hidden\" onclick=\"Globo.FormBuilder.closeModalForm(this)\"\u003e\n        \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n    \u003c\/div\u003e\n    \u003cform class=\"g-container\" novalidate action=\"https:\/\/app.powerfulform.com\/api\/front\/form\/100957\/send\" method=\"POST\" enctype=\"multipart\/form-data\" data-id=100957\u003e\n        \n            \n        \n        \n            \u003cdiv class=\"globo-formbuilder-wizard\" data-id=100957\u003e\n                \u003cdiv class=\"wizard__content\"\u003e\n                    \u003cheader class=\"wizard__header\"\u003e\n                        \u003cdiv class=\"wizard__steps\"\u003e\n                        \u003cnav class=\"steps hidden\"\u003e\n                            \n                            \n                                \n                            \n                            \n                                \n                                \n                                \n                                \n                                \u003cdiv class=\"step last \" data-element-id=\"group-1\"  data-step=\"0\" \u003e\n                                    \u003cdiv class=\"step__content\"\u003e\n                                        \u003cp class=\"step__number\"\u003e\u003c\/p\u003e\n                                        \u003csvg class=\"checkmark\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=52 height=52 viewBox=\"0 0 52 52\"\u003e\n                                            \u003ccircle class=\"checkmark__circle\" cx=\"26\" cy=\"26\" r=\"25\" fill=\"none\"\/\u003e\n                                            \u003cpath class=\"checkmark__check\" fill=\"none\" d=\"M14.1 27.2l7.1 7.2 16.7-16.8\"\/\u003e\n                                        \u003c\/svg\u003e\n                                        \u003cdiv class=\"lines\"\u003e\n                                            \n                                                \u003cdiv class=\"line -start\"\u003e\u003c\/div\u003e\n                                            \n                                            \u003cdiv class=\"line -background\"\u003e\n                                            \u003c\/div\u003e\n                                            \u003cdiv class=\"line -progress\"\u003e\n                                            \u003c\/div\u003e\n                                        \u003c\/div\u003e  \n                                    \u003c\/div\u003e\n                                \u003c\/div\u003e\n                            \n                        \u003c\/nav\u003e\n                        \u003c\/div\u003e\n                    \u003c\/header\u003e\n                    \u003cdiv class=\"panels\"\u003e\n                        \n                        \n                        \n                        \n                        \u003cdiv class=\"panel \" data-element-id=\"group-1\" data-id=100957  data-step=\"0\" style=\"padding-top:0\"\u003e\n                            \n                                \n                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name'\u003e\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"100957-name-1\" 
3369class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Name\"\u003eName\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\"  data-type=\"name\" class=\"material_outlined-input\" id=\"100957-name-1\" name=\"name-1\" placeholder=\"\"   \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"100957-name-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n                                \n                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name'\u003e\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"100957-name-2\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Last Name\"\u003eLast Name\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\"  data-type=\"name\" class=\"material_outlined-input\" id=\"100957-name-2\" name=\"name-2\" placeholder=\"\"   \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"100957-name-2-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n                                \n                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='email'\u003e\n    \n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"100957-email-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Email\"\u003eEmail\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\"  data-type=\"email\" class=\"material_outlined-input\" id=\"100957-email-1\" name=\"email-1\" placeholder=\"\"   \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"100957-email-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n                                \n                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='phone' \u003e\n    \n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input gfb__phone-placeholder\" input-placeholder=\"\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"100957-phone-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Phone Number\"\u003ePhone Number\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \n        \n        \u003cinput type=\"text\"  data-type=\"phone\" class=\"material_outlined-input\" id=\"100957-phone-1\" name=\"phone-1\" placeholder=\"\"     default-country-code=\"auto\"\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"100957-phone-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n                                \n                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='textarea'\u003e\n    \n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"100957-textarea-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Message\"\u003eMessage\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \u003ctextarea id=\"100957-textarea-1\"  data-type=\"textarea\" class=\"material_outlined-input\" rows=\"3\" name=\"textarea-1\" placeholder=\"\"   \u003e\u003c\/textarea\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"100957-textarea-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n                                \n                            \n                            \n                                \n                                \n                            \n                        \u003c\/div\u003e\n                        \n                    \u003c\/div\u003e\n                    \n                    \u003cdiv class=\"message error\" data-other-error=\"Something went wrong, please try again\"\u003e\n                        \u003cdiv class=\"content\"\u003e\u003c\/div\u003e\n                        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                        \u003c\/div\u003e\n                    \u003c\/div\u003e\n                    \n                        \n                        \n                        \u003cdiv class=\"message success\"\u003e\n                            \n                                \u003cdiv class=\"gfb__c
3369ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n                            \n                            \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n                                \u003cdiv class=\"gfb__content-discount\"\u003e\n                                    \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                                    \u003cdiv class=\"gfb__copy\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e\n                                    \u003cdiv class=\"gfb__copied\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e        \n                                \u003c\/div\u003e\n                            \u003c\/div\u003e\n                            \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n                            \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                                \u003csvg width=20 height=20 width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                            \u003c\/div\u003e\n                        \u003c\/div\u003e\n                        \n                        \n                    \n                    \u003cdiv class=\"gfb__footer wizard__footer\"\u003e\n                        \n                            \n                            \u003cdiv class=\"description globo-description\"\u003e\u003c\/div\u003e\n                            \n                        \n                        \u003cbutton type=\"button\" class=\"action previous hidden material_outlined-button\"\u003ePrevious\u003c\/button\u003e\n                        \u003cbutton type=\"button\" class=\"action next submit material_outlined-button\" data-submitting-text=\"\" data-submit-text='\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eSubmit' data-next-text=\"Next\" \u003e\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eNext\u003c\/button\u003e\n                        \n                        \u003cp class=\"wizard__congrats-message\"\u003e\u003c\/p\u003e\n                    \u003c\/div\u003e\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n        \n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[id]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[email]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[name]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[title]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[href]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"_keyLabel\"\u003e\n    \u003c\/form\u003e\n    \n    \n    \u003cdiv class=\"message success\"\u003e\n        \n            \u003cdiv class=\"gfb__c
3369ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n        \n        \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n            \u003cdiv class=\"gfb__content-discount\"\u003e\n                \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                \u003cdiv class=\"gfb__copy\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e\n                \u003cdiv class=\"gfb__copied\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e        \n            \u003c\/div\u003e\n        \u003c\/div\u003e\n        \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n        \u003c\/div\u003e\n    \u003c\/div\u003e\n    \n    \n\u003c\/div\u003e\n\n\u003c\/div\u003e\n"}}[100957];
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3375      window.Globo.FormBuilder.forms[100958] = {"100958":{"elements":[{"id":"group-1","type":"group","label":"Page 1","description":"","elements":[{"id":"name-1","type":"name","label":{"en":"Name"},"placeholder":{"en":""},"description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false},{"id":"name-2","type":"name","label":{"en":"Last Name"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"email-1","type":"email","label":"Email","placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"phone-1","type":"phone","label":{"en":"Phone Number"},"placeholder":"","description":"","validatePhone":false,"onlyShowFlag":false,"defaultCountryCode":"auto","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"textarea-1","type":"textarea","label":{"en":"Message"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false}]}],"errorMessage":{"required":"{{ label | capitalize }} is required","minSelections":"Please choose at least {{ min_selections }} options","maxSelections":"Please choose at maximum of {{ max_selections }} options","exactlySelections":"Please choose exactly {{ exact_selections }} options","minProductSelections":"Please choose at least {{ min_selections }} products","maxProductSelections":"Please choose a maximum of {{ max_selections }} products","minProductQuantities":"Please choose a quantity of at least {{ min_quantities }} products","maxProductQuantities":"Please choose a quantity of no more than {{ max_quantities }} products","minEachProductQuantities":"Choose quantity of product {{product_name}} of at least {{min_quantities}}","maxEachProductQuantities":"Choose quantity of product {{product_name}} of at most {{max_quantities}}
3375","invalid":"Invalid","invalidName":"Invalid name","invalidEmail":"Email address is invalid","restrictedEmailDomain":"This email domain is restricted","invalidURL":"Invalid url","invalidPhone":"Invalid phone","invalidNumber":"Invalid number","invalidPassword":"Invalid password","confirmPasswordNotMatch":"Confirmed password doesn't match","customerAlreadyExists":"Customer already exists","keyAlreadyExists":"Data already exists","fileSizeLimit":"File size limit","fileNotAllowed":"File not allowed","requiredCaptcha":"Required captcha","requiredProducts":"Please select product","limitQuantity":"The number of products left in stock has been exceeded","shopifyInvalidPhone":"phone - Enter a valid phone number to use this delivery method","shopifyPhoneHasAlready":"phone - Phone has already been taken","shopifyInvalidProvice":"addresses.province - is not valid","otherError":"Something went wrong, please try again","limitNumberOfSubmissions":"Form submission limit reached"},"appearance":{"layout":"boxed","theme_design":false,"width":600,"style":"material_outlined","mainColor":"#1c1c1c","floatingIcon":"\u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"envelope\" class=\"svg-inline--fa fa-envelope fa-w-16\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"\u003e\u003cpath fill=\"currentColor\" d=\"M464 64H48C21.49 64 0 85.49 0 112v288c0 26.51 21.49 48 48 48h416c26.51 0 48-21.49 48-48V112c0-26.51-21.49-48-48-48zm0 48v40.805c-22.422 18.259-58.168 46.651-134.587 106.49-16.841 13.247-50.201 45.072-73.413 44.701-23.208.375-56.579-31.459-73.413-44.701C106.18 199.465 70.425 171.067 48 152.805V112h416zM48 400V214.398c22.914 18.251 55.409 43.862 104.938 82.646 21.857 17.205 60.134 55.186 103.062 54.955 42.717.231 80.509-37.199 103.053-54.947 49.528-38.783 82.032-64.401 104.947-82.653V400H48z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e","floatingText":null,"displayOnAllPage":false,"formType":"normalForm","background":"color","backgroundColor":"#fff","descriptionColor":"#6c757d","headingColor":"#000","labelColor":"#1c1c1c","optionColor":"#000","paragraphBackground":"#fff","paragraphColor":"#000","colorScheme":{"solidButton":{"red":42,"green":64,"blue":100},"solidButtonLabel":{"red":255,"green":255,"blue":255},"text":{"red":28,"green":28,"blue":28},"outlineButton":{"red":28,"green":28,"blue":28},"background":{"red":255,"green":255,"blue":255,"alpha":1}},"fontSize":"medium"},"afterSubmit":{"action":"clearForm","title":"Thanks for getting in touch!","message":"\u
3375003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e","redirectUrl":null},"footer":{"description":null,"previousText":"Previous","nextText":"Next","submitText":"Submit"},"header":{"active":true,"title":{"en":"Book Your Scan Now"},"description":"","headerAlignment":"center"},"isStepByStepForm":true,"publish":{"requiredLogin":false,"requiredLoginMessage":"Please \u003ca href='\/account\/login' title='login'\u003elogin\u003c\/a\u003e to continue"},"reCaptcha":{"enable":false},"html":"\n\u003cdiv class=\"globo-form boxed-form globo-form-id-100958 \" data-locale=\"en\" \u003e\n\n\u003cstyle\u003e\n\n\n    :root .globo-form-app[data-id=\"100958\"]{\n        \n        --gfb-color-solidButton: 42,64,100;\n        --gfb-color-solidButtonColor: rgb(var(--gfb-color-solidButton));\n        --gfb-color-solidButtonLabel: 255,255,255;\n        --gfb-color-solidButtonLabelColor: rgb(var(--gfb-color-solidButtonLabel));\n        --gfb-color-text: 28,28,28;\n        --gfb-color-textColor: rgb(var(--gfb-color-text));\n        --gfb-color-outlineButton: 28,28,28;\n        --gfb-color-outlineButtonColor: rgb(var(--gfb-color-outlineButton));\n        --gfb-color-background: 255,255,255;\n        --gfb-color-backgroundColor: rgb(var(--gfb-color-background));\n        \n        --gfb-main-color: #1c1c1c;\n        --gfb-primary-color: var(--gfb-color-solidButtonColor, var(--gfb-main-color));\n        --gfb-primary-text-color: var(--gfb-color-solidButtonLabelColor, #FFF);\n        --gfb-form-width: 600px;\n        --gfb-font-family: inherit;\n        --gfb-font-style: inherit;\n        --gfb--image: 40%;\n        --gfb-image-ratio-draft: var(--gfb--image);\n        --gfb-image-ratio: var(--gfb-image-ratio-draft);\n        \n        --gfb-bg-temp-color: #FFF;\n        --gfb-bg-position: ;\n        \n            --gfb-bg-temp-color: #fff;\n        \n        --gfb-bg-color: var(--gfb-color-backgroundColor, var(--gfb-bg-temp-color));\n        \n    }\n    \n.globo-form-id-100958 .globo-form-app{\n    max-width: 600px;\n    width: -webkit-fill-available;\n    \n    background-color: var(--gfb-bg-color);\n    \n    \n}\n\n.globo-form-id-100958 .globo-form-app .globo-heading{\n    color: var(--gfb-color-textColor, #000)\n}\n\n\n.globo-form-id-100958 .globo-form-app .header {\n    text-align:center;\n}\n\n\n.globo-form-id-100958 .globo-form-app .globo-description,\n.globo-form-id-100958 .globo-form-app .header .globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-100958 .globo-form-app .globo-label,\n.globo-form-id-100958 .globo-form-app .globo-form-control label.globo-label,\n.globo-form-id-100958 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    color: var(--gfb-color-textColor, #1c1c1c);\n    text-align: left;\n}\n.globo-form-id-100958 .globo-form-app .globo-label.globo-position-label{\n    height: 20px !important;\n}\n.globo-form-id-100958 .globo-form-app .globo-form-control .help-text.globo-description,\n.globo-form-id-100958 .globo-form-app .globo-form-control span.globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-100958 .globo-form-app .globo-form-control .checkbox-wrapper .globo-option,\n.globo-form-id-100958 .globo-form-app .globo-form-control .radio-wrapper .globo-option\n{\n    color: var(--gfb-color-textColor, #1c1c1c);\n}\n.globo-form-id-100958 .globo-form-app .footer,\n.globo-form-id-100958 .globo-form-app .gfb__footer{\n    text-align:;\n}\n.globo-form-id-100958 .globo-form-app .footer button,\n.globo-form-id-100958 .globo-form-app .gfb__footer button{\n    border:1px solid var(--gfb-primary-color);\n    \n}\n.globo-form-id-100958 .globo-form-app .footer button.submit,\n.globo-form-id-100958 .globo-form-app .gfb__footer button.submit\n.globo-form-id-100958 .globo-form-app .footer button.checkout,\n.globo-form-id-100958 .globo-form-app .gfb__footer button.checkout,\n.globo-form-id-100958 .globo-form-app .footer button.action.loading .spinner,\n.globo-form-id-100958 .globo-form-app .gfb__footer button.action.loading .spinner{\n    background-color: var(--gfb-primary-color);\n    color : #ffffff;\n}\n.globo-form-id-100958 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:before {\n    content: url('data:image\/svg+xml;
3375 utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M528.1 171.5L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6zM388.6 312.3l23.7 138.4L288 385.4l-124.3 65.3 23.7-138.4-100.6-98 139-20.2 62.2-126 62.2 126 139 20.2-100.6 98z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-100958 .globo-form-app .globo-form-control .star-rating\u003efieldset\u003einput:checked ~ label:before {\n    content: url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-100958 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover:before,\n.globo-form-id-100958 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover ~ label:before{\n    content : url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e')\n}\n.globo-form-id-100958 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input:checked ~ .checkbox-label:before {\n    border-color: var(--gfb-primary-color);\n    box-shadow: 0 4px 6px rgba(50,50,93,0.11), 0 1px 3px rgba(0,0,0,0.08);\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-100958 .globo-form-app .step.-completed .step__number,\n.globo-form-id-100958 .globo-form-app .line.-progress,\n.globo-form-id-100958 .globo-form-app .line.-start{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-100958 .globo-form-app .checkmark__check,\n.globo-form-id-100958 .globo-form-app .checkmark__circle{\n    stroke: var(--gfb-primary-color);\n}\n.globo-form-id-100958 .floating-button{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-100958 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input ~ .checkbox-label:before,\n.globo-form-app .globo-form-control .radio-wrapper .radio-input ~ .radio-label:after{\n    border-color : var(--gfb-primary-color);\n}\n.globo-form-id-100958 .flatpickr-day.selected, \n.globo-form-id-100958 .flatpickr-day.startRange, \n.globo-form-id-100958 .flatpickr-day.endRange, \n.globo-form-id-100958 .flatpickr-day.selected.inRange, \n.globo-form-id-100958 .flatpickr-day.startRange.inRange, \n.globo-form-id-100958 .flatpickr-day.endRange.inRange, \n.globo-form-id-100958 .flatpickr-day.selected:focus, \n.globo-form-id-100958 .flatpickr-day.startRange:focus, \n.globo-form-id-100958 .flatpickr-day.endRange:focus, \n.globo-form-id-100958 .flatpickr-day.selected:hover, \n.globo-form-id-100958 .flatpickr-day.startRange:hover, \n.globo-form-id-100958 .flatpickr-day.endRange:hover, \n.globo-form-id-100958 .flatpickr-day.selected.prevMonthDay, \n.globo-form-id-100958 .flatpickr-day.startRange.prevMonthDay, \n.globo-form-id-100958 .flatpickr-day.endRange.prevMonthDay, \
3375n.globo-form-id-100958 .flatpickr-day.selected.nextMonthDay, \n.globo-form-id-100958 .flatpickr-day.startRange.nextMonthDay, \n.globo-form-id-100958 .flatpickr-day.endRange.nextMonthDay {\n    background: var(--gfb-primary-color);\n    border-color: var(--gfb-primary-color);\n}\n.globo-form-id-100958 .globo-paragraph {\n    background: #fff;\n    color: var(--gfb-color-textColor, #000);\n    width: 100%!important;\n}\n\n[dir=\"rtl\"] .globo-form-app .header .title,\n[dir=\"rtl\"] .globo-form-app .header .description,\n[dir=\"rtl\"] .globo-form-id-100958 .globo-form-app .globo-heading,\n[dir=\"rtl\"] .globo-form-id-100958 .globo-form-app .globo-label,\n[dir=\"rtl\"] .globo-form-id-100958 .globo-form-app .globo-form-control label.globo-label,\n[dir=\"rtl\"] .globo-form-id-100958 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    text-align: right;\n}\n\n[dir=\"rtl\"] .globo-form-app .line {\n    left: unset;\n    right: 50%;\n}\n\n[dir=\"rtl\"] .globo-form-id-100958 .globo-form-app .line.-start {\n    left: unset;    \n    right: 0%;\n}\n\n\u003c\/style\u003e\n\n\n\n\n\u003cdiv class=\"globo-form-app boxed-layout gfb-style-material_outlined  gfb-font-size-medium\" data-id=100958\u003e\n    \n    \u003cdiv class=\"header dismiss hidden\" onclick=\"Globo.FormBuilder.closeModalForm(this)\"\u003e\n        \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n    \u003c\/div\u003e\n    \u003cform class=\"g-container\" novalidate action=\"https:\/\/app.powerfulform.com\/api\/front\/form\/100958\/send\" method=\"POST\" enctype=\"multipart\/form-data\" data-id=100958\u003e\n        \n            \n            \u003cdiv class=\"header\" data-path=\"header\"\u003e\n                \u003ch3 class=\"title globo-heading\"\u003eBook Your Scan Now\u003c\/h3\u003e\n                \n            \u003c\/div\u003e\n            \n        \n        \n            \u003cdiv class=\"globo-formbuilder-wizard\" data-id=100958\u003e\n                \u003cdiv class=\"wizard__content\"\u003e\n                    \u003cheader class=\"wizard__header\"\u003e\n                        \u003cdiv class=\"wizard__steps\"\u003e\n                        \u003cnav class=\"steps hidden\"\u003e\n                            \n                            \n                                \n                            \n                            \n                                \n                                    \n                                    \n                                    \n                                    \n                                    \u003cdiv class=\"step last \" data-element-id=\"group-1\"  data-step=\"0\" \u003e\n                                        \u003cdiv class=\"step__content\"\u003e\n                                            \u003cp class=\"step__number\"\u003e\u003c\/p\u003e\n                                            \u003csvg class=\"checkmark\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=52 height=52 viewBox=\"0 0 52 52\"\u003e\n                                                \u003ccircle class=\"checkmark__circle\" cx=\"26\" cy=\"26\" r=\"25\" fill=\"none\"\/\u003e\n                                                \u003cpath class=\"checkmark__check\" fill=\"none\" d=\"M14.1 27.2l7.1 7.2 16.7-16.8\"\/\u003e\n                                            \u003c\/svg\u003e\n                                            \u003cdiv class=\"lines\"\u003e\n                                                \n                                                    \u003cdiv class=\"line -start\"\u003e\u003c\/div\u003e\n                                                \n                                                \u003cdiv class=\"line -background\"\u003e\n                                                \u003c\/div\u003e\n                                                \u003cdiv class=\"line -progress\"\u003e\n                                                \u003c\/div\u003e\n                                            \u003c\/div\u003e  \n                                        \u003c\/div\u003e\n                                    \u003c\/div\u003e\n                                \n                            \n                        \u003c\/nav\u003e\n                        \u003c\/div\u003e\n                    \u003c\/header\u003e\n                    \u003cdiv class=\"panels\"\u003e\n                        \n                            \n                            \n                            \n                            \n                                \u003cdiv class=\"panel \" data-element-id=\"group-1\" data-id=100958  data-step=\"0\" style=\"padding-top:0\"\u003e\n                                    \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-1'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"100958-name-1\" 
3375class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Name\"\u003eName\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\"  data-type=\"name\" class=\"material_outlined-input\" id=\"100958-name-1\" name=\"name-1\" placeholder=\"\"   \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"100958-name-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-2'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"100958-name-2\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Last Name\"\u003eLast Name\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\"  data-type=\"name\" class=\"material_outlined-input\" id=\"100958-name-2\" name=\"name-2\" placeholder=\"\"   \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"100958-name-2-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='email' data-element-id='email-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"100958-email-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Email\"\u003eEmail\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\"  data-type=\"email\" class=\"material_outlined-input\" id=\"100958-email-1\" name=\"email-1\" placeholder=\"\"   \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"100958-email-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='phone' data-element-id='phone-1' \u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input gfb__phone-placeholder\" input-placeholder=\"\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"100958-phone-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Phone Number\"\u003ePhone Number\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \n        \n        \u003cinput type=\"text\"  data-type=\"phone\" class=\"material_outlined-input\" id=\"100958-phone-1\" name=\"phone-1\" placeholder=\"\"     default-country-code=\"auto\"\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"100958-phone-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='textarea' data-element-id='textarea-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"100958-textarea-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Message\"\u003eMessage\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \u003ctextarea id=\"100958-textarea-1\"  data-type=\"textarea\" class=\"material_outlined-input\" rows=\"3\" name=\"textarea-1\" placeholder=\"\"   \u003e\u003c\/textarea\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"100958-textarea-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                        \n                                    \n                                    \n                                        \n                                        \n                                    \n                                \u003c\/div\u003e\n                            \n                        \n                    \u003c\/div\u003e\n                    \u003cdiv class=\"message error\" data-other-error=\"Something went wrong, please try again\"\u003e\n                        \u003cdiv class=\"content\"\u003e\u003c\/div\u003e\n                        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                        \u003c\/div\u003e\n                    \u003c\/div\u003e\n                    \n                        \n                        \n                        \u003cdiv class=\"message success\"\u003e\n                            \n                                \u003cdiv class=\"gfb__c
3375ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n                            \n                            \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n                                \u003cdiv class=\"gfb__content-discount\"\u003e\n                                    \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                                    \u003cdiv class=\"gfb__copy\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e\n                                    \u003cdiv class=\"gfb__copied\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e        \n                                \u003c\/div\u003e\n                            \u003c\/div\u003e\n                            \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n                            \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                                \u003csvg width=20 height=20 width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                            \u003c\/div\u003e\n                        \u003c\/div\u003e\n                        \n                        \n                    \n                    \u003cdiv class=\"gfb__footer wizard__footer\" data-path=\"footer\" \u003e\n                        \n                            \n                            \u003cdiv class=\"description globo-description\"\u003e\u003c\/div\u003e\n                            \n                        \n                        \u003cbutton type=\"button\" class=\"action previous hidden material_outlined-button\"\u003ePrevious\u003c\/button\u003e\n                        \u003cbutton type=\"button\" class=\"action next submit material_outlined-button\" data-submitting-text=\"\" data-submit-text='\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eSubmit' data-next-text=\"Next\" \u003e\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eNext\u003c\/button\u003e\n                        \n                        \u003cp class=\"wizard__congrats-message\"\u003e\u003c\/p\u003e\n                    \u003c\/div\u003e\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n        \n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[id]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[email]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[name]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[title]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[href]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"_keyLabel\"\u003e\n    \u003c\/form\u003e\n    \n    \n    \u003cdiv class=\"message success\"\u003e\n        \n            \u003cdiv class=\"gfb__c
3375ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n        \n        \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n            \u003cdiv class=\"gfb__content-discount\"\u003e\n                \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                \u003cdiv class=\"gfb__copy\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e\n                \u003cdiv class=\"gfb__copied\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e        \n            \u003c\/div\u003e\n        \u003c\/div\u003e\n        \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n        \u003c\/div\u003e\n    \u003c\/div\u003e\n    \n    \n\u003c\/div\u003e\n\n\u003c\/div\u003e\n"}}[100958];
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3381      window.Globo.FormBuilder.forms[110956] = {"110956":{"elements":[{"id":"group-1","type":"group","label":"Page 1","description":"","elements":[{"id":"name-1","type":"name","label":{"en":"Name"},"placeholder":{"en":""},"description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false},{"id":"name-2","type":"name","label":{"en":"Last Name"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"email-1","type":"email","label":"Email","placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"phone-1","type":"phone","label":{"en":"Phone Number"},"placeholder":"","description":"","validatePhone":false,"onlyShowFlag":false,"defaultCountryCode":"auto","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"textarea-1","type":"textarea","label":{"en":"Message"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false}]}],"errorMessage":{"required":"{{ label | capitalize }} is required","minSelections":"Please choose at least {{ min_selections }} options","maxSelections":"Please choose at maximum of {{ max_selections }} options","exactlySelections":"Please choose exactly {{ exact_selections }} options","minProductSelections":"Please choose at least {{ min_selections }} products","maxProductSelections":"Please choose a maximum of {{ max_selections }} products","minProductQuantities":"Please choose a quantity of at least {{ min_quantities }} products","maxProductQuantities":"Please choose a quantity of no more than {{ max_quantities }} products","minEachProductQuantities":"Choose quantity of product {{product_name}} of at least {{min_quantities}}","maxEachProductQuantities":"Choose quantity of product {{product_name}} of at most {{max_quantities}}
3381","invalid":"Invalid","invalidName":"Invalid name","invalidEmail":"Email address is invalid","restrictedEmailDomain":"This email domain is restricted","invalidURL":"Invalid url","invalidPhone":"Invalid phone","invalidNumber":"Invalid number","invalidPassword":"Invalid password","confirmPasswordNotMatch":"Confirmed password doesn't match","customerAlreadyExists":"Customer already exists","keyAlreadyExists":"Data already exists","fileSizeLimit":"File size limit","fileNotAllowed":"File not allowed","requiredCaptcha":"Required captcha","requiredProducts":"Please select product","limitQuantity":"The number of products left in stock has been exceeded","shopifyInvalidPhone":"phone - Enter a valid phone number to use this delivery method","shopifyPhoneHasAlready":"phone - Phone has already been taken","shopifyInvalidProvice":"addresses.province - is not valid","otherError":"Something went wrong, please try again","limitNumberOfSubmissions":"Form submission limit reached"},"appearance":{"layout":"boxed","theme_design":false,"width":600,"style":"material_outlined","mainColor":"#1c1c1c","floatingIcon":"\u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"envelope\" class=\"svg-inline--fa fa-envelope fa-w-16\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"\u003e\u003cpath fill=\"currentColor\" d=\"M464 64H48C21.49 64 0 85.49 0 112v288c0 26.51 21.49 48 48 48h416c26.51 0 48-21.49 48-48V112c0-26.51-21.49-48-48-48zm0 48v40.805c-22.422 18.259-58.168 46.651-134.587 106.49-16.841 13.247-50.201 45.072-73.413 44.701-23.208.375-56.579-31.459-73.413-44.701C106.18 199.465 70.425 171.067 48 152.805V112h416zM48 400V214.398c22.914 18.251 55.409 43.862 104.938 82.646 21.857 17.205 60.134 55.186 103.062 54.955 42.717.231 80.509-37.199 103.053-54.947 49.528-38.783 82.032-64.401 104.947-82.653V400H48z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e","floatingText":null,"displayOnAllPage":false,"formType":"normalForm","background":"color","backgroundColor":"#fff","descriptionColor":"#6c757d","headingColor":"#000","labelColor":"#1c1c1c","optionColor":"#000","paragraphBackground":"#fff","paragraphColor":"#000","colorScheme":{"solidButton":{"red":42,"green":64,"blue":100},"solidButtonLabel":{"red":255,"green":255,"blue":255},"text":{"red":28,"green":28,"blue":28},"outlineButton":{"red":28,"green":28,"blue":28},"background":{"red":255,"green":255,"blue":255,"alpha":1}},"fontSize":"medium"},"afterSubmit":{"action":"clearForm","title":"Thanks for getting in touch!","message":"\u
3381003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e","redirectUrl":null},"footer":{"description":null,"previousText":"Previous","nextText":"Next","submitText":"Submit"},"header":{"active":true,"title":{"en":"Call 305-424-5775 to Book Your Scan"},"description":{"en":"\u003ch3\u003e\u003cbr\u003e\u003c\/h3\u003e"},"headerAlignment":"center"},"isStepByStepForm":true,"publish":{"requiredLogin":false,"requiredLoginMessage":"Please \u003ca href='\/account\/login' title='login'\u003elogin\u003c\/a\u003e to continue"},"reCaptcha":{"enable":false},"html":"\n\u003cdiv class=\"globo-form boxed-form globo-form-id-110956 \" data-locale=\"en\" \u003e\n\n\u003cstyle\u003e\n\n\n    :root .globo-form-app[data-id=\"110956\"]{\n        \n        --gfb-color-solidButton: 42,64,100;\n        --gfb-color-solidButtonColor: rgb(var(--gfb-color-solidButton));\n        --gfb-color-solidButtonLabel: 255,255,255;\n        --gfb-color-solidButtonLabelColor: rgb(var(--gfb-color-solidButtonLabel));\n        --gfb-color-text: 28,28,28;\n        --gfb-color-textColor: rgb(var(--gfb-color-text));\n        --gfb-color-outlineButton: 28,28,28;\n        --gfb-color-outlineButtonColor: rgb(var(--gfb-color-outlineButton));\n        --gfb-color-background: 255,255,255;\n        --gfb-color-backgroundColor: rgb(var(--gfb-color-background));\n        \n        --gfb-main-color: #1c1c1c;\n        --gfb-primary-color: var(--gfb-color-solidButtonColor, var(--gfb-main-color));\n        --gfb-primary-text-color: var(--gfb-color-solidButtonLabelColor, #FFF);\n        --gfb-form-width: 600px;\n        --gfb-font-family: inherit;\n        --gfb-font-style: inherit;\n        --gfb--image: 40%;\n        --gfb-image-ratio-draft: var(--gfb--image);\n        --gfb-image-ratio: var(--gfb-image-ratio-draft);\n        \n        --gfb-bg-temp-color: #FFF;\n        --gfb-bg-position: ;\n        \n            --gfb-bg-temp-color: #fff;\n        \n        --gfb-bg-color: var(--gfb-color-backgroundColor, var(--gfb-bg-temp-color));\n        \n    }\n    \n.globo-form-id-110956 .globo-form-app{\n    max-width: 600px;\n    width: -webkit-fill-available;\n    \n    background-color: var(--gfb-bg-color);\n    \n    \n}\n\n.globo-form-id-110956 .globo-form-app .globo-heading{\n    color: var(--gfb-color-textColor, #000)\n}\n\n\n.globo-form-id-110956 .globo-form-app .header {\n    text-align:center;\n}\n\n\n.globo-form-id-110956 .globo-form-app .globo-description,\n.globo-form-id-110956 .globo-form-app .header .globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-110956 .globo-form-app .globo-label,\n.globo-form-id-110956 .globo-form-app .globo-form-control label.globo-label,\n.globo-form-id-110956 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    color: var(--gfb-color-textColor, #1c1c1c);\n    text-align: left;\n}\n.globo-form-id-110956 .globo-form-app .globo-label.globo-position-label{\n    height: 20px !important;\n}\n.globo-form-id-110956 .globo-form-app .globo-form-control .help-text.globo-description,\n.globo-form-id-110956 .globo-form-app .globo-form-control span.globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-110956 .globo-form-app .globo-form-control .checkbox-wrapper .globo-option,\n.globo-form-id-110956 .globo-form-app .globo-form-control .radio-wrapper .globo-option\n{\n    color: var(--gfb-color-textColor, #1c1c1c);\n}\n.globo-form-id-110956 .globo-form-app .footer,\n.globo-form-id-110956 .globo-form-app .gfb__footer{\n    text-align:;\n}\n.globo-form-id-110956 .globo-form-app .footer button,\n.globo-form-id-110956 .globo-form-app .gfb__footer button{\n    border:1px solid var(--gfb-primary-color);\n    \n}\n.globo-form-id-110956 .globo-form-app .footer button.submit,\n.globo-form-id-110956 .globo-form-app .gfb__footer button.submit\n.globo-form-id-110956 .globo-form-app .footer button.checkout,\n.globo-form-id-110956 .globo-form-app .gfb__footer button.checkout,\n.globo-form-id-110956 .globo-form-app .footer button.action.loading .spinner,\n.globo-form-id-110956 .globo-form-app .gfb__footer button.action.loading .spinner{\n    background-color: var(--gfb-primary-color);\n    color : #ffffff;\n}\n.globo-form-id-110956 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:before {\n    content: url('data:image\/svg+xml;
3381 utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M528.1 171.5L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6zM388.6 312.3l23.7 138.4L288 385.4l-124.3 65.3 23.7-138.4-100.6-98 139-20.2 62.2-126 62.2 126 139 20.2-100.6 98z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-110956 .globo-form-app .globo-form-control .star-rating\u003efieldset\u003einput:checked ~ label:before {\n    content: url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-110956 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover:before,\n.globo-form-id-110956 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover ~ label:before{\n    content : url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e')\n}\n.globo-form-id-110956 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input:checked ~ .checkbox-label:before {\n    border-color: var(--gfb-primary-color);\n    box-shadow: 0 4px 6px rgba(50,50,93,0.11), 0 1px 3px rgba(0,0,0,0.08);\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-110956 .globo-form-app .step.-completed .step__number,\n.globo-form-id-110956 .globo-form-app .line.-progress,\n.globo-form-id-110956 .globo-form-app .line.-start{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-110956 .globo-form-app .checkmark__check,\n.globo-form-id-110956 .globo-form-app .checkmark__circle{\n    stroke: var(--gfb-primary-color);\n}\n.globo-form-id-110956 .floating-button{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-110956 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input ~ .checkbox-label:before,\n.globo-form-app .globo-form-control .radio-wrapper .radio-input ~ .radio-label:after{\n    border-color : var(--gfb-primary-color);\n}\n.globo-form-id-110956 .flatpickr-day.selected, \n.globo-form-id-110956 .flatpickr-day.startRange, \n.globo-form-id-110956 .flatpickr-day.endRange, \n.globo-form-id-110956 .flatpickr-day.selected.inRange, \n.globo-form-id-110956 .flatpickr-day.startRange.inRange, \n.globo-form-id-110956 .flatpickr-day.endRange.inRange, \n.globo-form-id-110956 .flatpickr-day.selected:focus, \n.globo-form-id-110956 .flatpickr-day.startRange:focus, \n.globo-form-id-110956 .flatpickr-day.endRange:focus, \n.globo-form-id-110956 .flatpickr-day.selected:hover, \n.globo-form-id-110956 .flatpickr-day.startRange:hover, \n.globo-form-id-110956 .flatpickr-day.endRange:hover, \n.globo-form-id-110956 .flatpickr-day.selected.prevMonthDay, \n.globo-form-id-110956 .flatpickr-day.startRange.prevMonthDay, \n.globo-form-id-110956 .flatpickr-day.endRange.prevMonthDay, \
3381n.globo-form-id-110956 .flatpickr-day.selected.nextMonthDay, \n.globo-form-id-110956 .flatpickr-day.startRange.nextMonthDay, \n.globo-form-id-110956 .flatpickr-day.endRange.nextMonthDay {\n    background: var(--gfb-primary-color);\n    border-color: var(--gfb-primary-color);\n}\n.globo-form-id-110956 .globo-paragraph {\n    background: #fff;\n    color: var(--gfb-color-textColor, #000);\n    width: 100%!important;\n}\n\n[dir=\"rtl\"] .globo-form-app .header .title,\n[dir=\"rtl\"] .globo-form-app .header .description,\n[dir=\"rtl\"] .globo-form-id-110956 .globo-form-app .globo-heading,\n[dir=\"rtl\"] .globo-form-id-110956 .globo-form-app .globo-label,\n[dir=\"rtl\"] .globo-form-id-110956 .globo-form-app .globo-form-control label.globo-label,\n[dir=\"rtl\"] .globo-form-id-110956 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    text-align: right;\n}\n\n[dir=\"rtl\"] .globo-form-app .line {\n    left: unset;\n    right: 50%;\n}\n\n[dir=\"rtl\"] .globo-form-id-110956 .globo-form-app .line.-start {\n    left: unset;    \n    right: 0%;\n}\n\n\u003c\/style\u003e\n\n\n\n\n\u003cdiv class=\"globo-form-app boxed-layout gfb-style-material_outlined  gfb-font-size-medium\" data-id=110956\u003e\n    \n    \u003cdiv class=\"header dismiss hidden\" onclick=\"Globo.FormBuilder.closeModalForm(this)\"\u003e\n        \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n    \u003c\/div\u003e\n    \u003cform class=\"g-container\" novalidate action=\"https:\/\/app.powerfulform.com\/api\/front\/form\/110956\/send\" method=\"POST\" enctype=\"multipart\/form-data\" data-id=110956\u003e\n        \n            \n            \u003cdiv class=\"header\" data-path=\"header\"\u003e\n                \u003ch3 class=\"title globo-heading\"\u003eCall 305-424-5775 to Book Your Scan\u003c\/h3\u003e\n                \n                \u003cdiv class=\"description globo-description\"\u003e\u003ch3\u003e\u003cbr\u003e\u003c\/h3\u003e\u003c\/div\u003e\n                \n            \u003c\/div\u003e\n            \n        \n        \n            \u003cdiv class=\"globo-formbuilder-wizard\" data-id=110956\u003e\n                \u003cdiv class=\"wizard__content\"\u003e\n                    \u003cheader class=\"wizard__header\"\u003e\n                        \u003cdiv class=\"wizard__steps\"\u003e\n                        \u003cnav class=\"steps hidden\"\u003e\n                            \n                            \n                                \n                            \n                            \n                                \n                                    \n                                    \n                                    \n                                    \n                                    \u003cdiv class=\"step last \" data-element-id=\"group-1\"  data-step=\"0\" \u003e\n                                        \u003cdiv class=\"step__content\"\u003e\n                                            \u003cp class=\"step__number\"\u003e\u003c\/p\u003e\n                                            \u003csvg class=\"checkmark\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=52 height=52 viewBox=\"0 0 52 52\"\u003e\n                                                \u003ccircle class=\"checkmark__circle\" cx=\"26\" cy=\"26\" r=\"25\" fill=\"none\"\/\u003e\n                                                \u003cpath class=\"checkmark__check\" fill=\"none\" d=\"M14.1 27.2l7.1 7.2 16.7-16.8\"\/\u003e\n                                            \u003c\/svg\u003e\n                                            \u003cdiv class=\"lines\"\u003e\n                                                \n                                                    \u003cdiv class=\"line -start\"\u003e\u003c\/div\u003e\n                                                \n                                                \u003cdiv class=\"line -background\"\u003e\n                                                \u003c\/div\u003e\n                                                \u003cdiv class=\"line -progress\"\u003e\n                                                \u003c\/div\u003e\n                                            \u003c\/div\u003e  \n                                        \u003c\/div\u003e\n                                    \u003c\/div\u003e\n                                \n                            \n                        \u003c\/nav\u003e\n                        \u003c\/div\u003e\n                    \u003c\/header\u003e\n                    \u003cdiv class=\"panels\"\u003e\n                        \n                            \n                            \n                            \n                            \n                                \u003cdiv class=\"panel \" data-element-id=\"group-1\" data-id=110956  data-step=\"0\" style=\"padding-top:0\"\u003e\n                                    \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-1'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"110956-name-1\" 
3381class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Name\"\u003eName\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\"  data-type=\"name\" class=\"material_outlined-input\" id=\"110956-name-1\" name=\"name-1\" placeholder=\"\"   \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"110956-name-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-2'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"110956-name-2\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Last Name\"\u003eLast Name\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\"  data-type=\"name\" class=\"material_outlined-input\" id=\"110956-name-2\" name=\"name-2\" placeholder=\"\"   \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"110956-name-2-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='email' data-element-id='email-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"110956-email-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Email\"\u003eEmail\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\"  data-type=\"email\" class=\"material_outlined-input\" id=\"110956-email-1\" name=\"email-1\" placeholder=\"\"   \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"110956-email-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='phone' data-element-id='phone-1' \u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input gfb__phone-placeholder\" input-placeholder=\"\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"110956-phone-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Phone Number\"\u003ePhone Number\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \n        \n        \u003cinput type=\"text\"  data-type=\"phone\" class=\"material_outlined-input\" id=\"110956-phone-1\" name=\"phone-1\" placeholder=\"\"     default-country-code=\"auto\"\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"110956-phone-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='textarea' data-element-id='textarea-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"110956-textarea-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Message\"\u003eMessage\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \u003ctextarea id=\"110956-textarea-1\"  data-type=\"textarea\" class=\"material_outlined-input\" rows=\"3\" name=\"textarea-1\" placeholder=\"\"   \u003e\u003c\/textarea\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"110956-textarea-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                        \n                                    \n                                    \n                                        \n                                        \n                                    \n                                \u003c\/div\u003e\n                            \n                        \n                    \u003c\/div\u003e\n                    \u003cdiv class=\"message error\" data-other-error=\"Something went wrong, please try again\"\u003e\n                        \u003cdiv class=\"content\"\u003e\u003c\/div\u003e\n                        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                        \u003c\/div\u003e\n                    \u003c\/div\u003e\n                    \n                        \n                        \n                        \u003cdiv class=\"message success\"\u003e\n                            \n                                \u003cdiv class=\"gfb__c
3381ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n                            \n                            \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n                                \u003cdiv class=\"gfb__content-discount\"\u003e\n                                    \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                                    \u003cdiv class=\"gfb__copy\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e\n                                    \u003cdiv class=\"gfb__copied\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e        \n                                \u003c\/div\u003e\n                            \u003c\/div\u003e\n                            \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n                            \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                                \u003csvg width=20 height=20 width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                            \u003c\/div\u003e\n                        \u003c\/div\u003e\n                        \n                        \n                    \n                    \u003cdiv class=\"gfb__footer wizard__footer\" data-path=\"footer\" \u003e\n                        \n                            \n                            \u003cdiv class=\"description globo-description\"\u003e\u003c\/div\u003e\n                            \n                        \n                        \u003cbutton type=\"button\" class=\"action previous hidden material_outlined-button\"\u003ePrevious\u003c\/button\u003e\n                        \u003cbutton type=\"button\" class=\"action next submit material_outlined-button\" data-submitting-text=\"\" data-submit-text='\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eSubmit' data-next-text=\"Next\" \u003e\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eNext\u003c\/button\u003e\n                        \n                        \u003cp class=\"wizard__congrats-message\"\u003e\u003c\/p\u003e\n                    \u003c\/div\u003e\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n        \n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[id]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[email]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[name]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[title]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[href]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"_keyLabel\"\u003e\n    \u003c\/form\u003e\n    \n    \n    \u003cdiv class=\"message success\"\u003e\n        \n            \u003cdiv class=\"gfb__c
3381ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n        \n        \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n            \u003cdiv class=\"gfb__content-discount\"\u003e\n                \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                \u003cdiv class=\"gfb__copy\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e\n                \u003cdiv class=\"gfb__copied\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e        \n            \u003c\/div\u003e\n        \u003c\/div\u003e\n        \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n        \u003c\/div\u003e\n    \u003c\/div\u003e\n    \n    \n\u003c\/div\u003e\n\n\u003c\/div\u003e\n"}}[110956];
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3387      window.Globo.FormBuilder.forms[113666] = {"113666":{"elements":[{"id":"group-1","type":"group","label":"Page 1","description":"","elements":[{"id":"name-1","type":"name","label":{"en":"Name"},"placeholder":{"en":""},"description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false},{"id":"name-2","type":"name","label":{"en":"Last Name"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"email-1","type":"email","label":"Email","placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"phone-1","type":"phone","label":{"en":"Phone Number"},"placeholder":"","description":"","validatePhone":false,"onlyShowFlag":false,"defaultCountryCode":"auto","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"textarea-1","type":"textarea","label":{"en":"Message"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false}]}],"errorMessage":{"required":"{{ label | capitalize }} is required","minSelections":"Please choose at least {{ min_selections }} options","maxSelections":"Please choose at maximum of {{ max_selections }} options","exactlySelections":"Please choose exactly {{ exact_selections }} options","minProductSelections":"Please choose at least {{ min_selections }} products","maxProductSelections":"Please choose a maximum of {{ max_selections }} products","minProductQuantities":"Please choose a quantity of at least {{ min_quantities }} products","maxProductQuantities":"Please choose a quantity of no more than {{ max_quantities }} products","minEachProductQuantities":"Choose quantity of product {{product_name}} of at least {{min_quantities}}","maxEachProductQuantities":"Choose quantity of product {{product_name}} of at most {{max_quantities}}
3387","invalid":"Invalid","invalidName":"Invalid name","invalidEmail":"Email address is invalid","restrictedEmailDomain":"This email domain is restricted","invalidURL":"Invalid url","invalidPhone":"Invalid phone","invalidNumber":"Invalid number","invalidPassword":"Invalid password","confirmPasswordNotMatch":"Confirmed password doesn't match","customerAlreadyExists":"Customer already exists","keyAlreadyExists":"Data already exists","fileSizeLimit":"File size limit","fileNotAllowed":"File not allowed","requiredCaptcha":"Required captcha","requiredProducts":"Please select product","limitQuantity":"The number of products left in stock has been exceeded","shopifyInvalidPhone":"phone - Enter a valid phone number to use this delivery method","shopifyPhoneHasAlready":"phone - Phone has already been taken","shopifyInvalidProvice":"addresses.province - is not valid","otherError":"Something went wrong, please try again","limitNumberOfSubmissions":"Form submission limit reached"},"appearance":{"layout":"boxed","theme_design":false,"width":600,"style":"material_outlined","mainColor":"#1c1c1c","floatingIcon":"\u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"envelope\" class=\"svg-inline--fa fa-envelope fa-w-16\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"\u003e\u003cpath fill=\"currentColor\" d=\"M464 64H48C21.49 64 0 85.49 0 112v288c0 26.51 21.49 48 48 48h416c26.51 0 48-21.49 48-48V112c0-26.51-21.49-48-48-48zm0 48v40.805c-22.422 18.259-58.168 46.651-134.587 106.49-16.841 13.247-50.201 45.072-73.413 44.701-23.208.375-56.579-31.459-73.413-44.701C106.18 199.465 70.425 171.067 48 152.805V112h416zM48 400V214.398c22.914 18.251 55.409 43.862 104.938 82.646 21.857 17.205 60.134 55.186 103.062 54.955 42.717.231 80.509-37.199 103.053-54.947 49.528-38.783 82.032-64.401 104.947-82.653V400H48z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e","floatingText":null,"displayOnAllPage":false,"formType":"normalForm","background":"color","backgroundColor":"#fff","descriptionColor":"#6c757d","headingColor":"#000","labelColor":"#1c1c1c","optionColor":"#000","paragraphBackground":"#fff","paragraphColor":"#000","colorScheme":{"solidButton":{"red":42,"green":64,"blue":100},"solidButtonLabel":{"red":255,"green":255,"blue":255},"text":{"red":28,"green":28,"blue":28},"outlineButton":{"red":28,"green":28,"blue":28},"background":{"red":255,"green":255,"blue":255,"alpha":1}},"fontSize":"medium"},"afterSubmit":{"action":"clearForm","title":"Thanks for getting in touch!","message":"\u
3387003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e","redirectUrl":null},"footer":{"description":null,"previousText":"Previous","nextText":"Next","submitText":"Submit"},"header":{"active":true,"title":{"en":"Book Your Scan Now"},"description":"","headerAlignment":"center"},"isStepByStepForm":true,"publish":{"requiredLogin":false,"requiredLoginMessage":"Please \u003ca href='\/account\/login' title='login'\u003elogin\u003c\/a\u003e to continue"},"reCaptcha":{"enable":false},"html":"\n\u003cdiv class=\"globo-form boxed-form globo-form-id-113666 \" data-locale=\"en\" \u003e\n\n\u003cstyle\u003e\n\n\n    :root .globo-form-app[data-id=\"113666\"]{\n        \n        --gfb-color-solidButton: 42,64,100;\n        --gfb-color-solidButtonColor: rgb(var(--gfb-color-solidButton));\n        --gfb-color-solidButtonLabel: 255,255,255;\n        --gfb-color-solidButtonLabelColor: rgb(var(--gfb-color-solidButtonLabel));\n        --gfb-color-text: 28,28,28;\n        --gfb-color-textColor: rgb(var(--gfb-color-text));\n        --gfb-color-outlineButton: 28,28,28;\n        --gfb-color-outlineButtonColor: rgb(var(--gfb-color-outlineButton));\n        --gfb-color-background: 255,255,255;\n        --gfb-color-backgroundColor: rgb(var(--gfb-color-background));\n        \n        --gfb-main-color: #1c1c1c;\n        --gfb-primary-color: var(--gfb-color-solidButtonColor, var(--gfb-main-color));\n        --gfb-primary-text-color: var(--gfb-color-solidButtonLabelColor, #FFF);\n        --gfb-form-width: 600px;\n        --gfb-font-family: inherit;\n        --gfb-font-style: inherit;\n        --gfb--image: 40%;\n        --gfb-image-ratio-draft: var(--gfb--image);\n        --gfb-image-ratio: var(--gfb-image-ratio-draft);\n        \n        --gfb-bg-temp-color: #FFF;\n        --gfb-bg-position: ;\n        \n            --gfb-bg-temp-color: #fff;\n        \n        --gfb-bg-color: var(--gfb-color-backgroundColor, var(--gfb-bg-temp-color));\n        \n    }\n    \n.globo-form-id-113666 .globo-form-app{\n    max-width: 600px;\n    width: -webkit-fill-available;\n    \n    background-color: var(--gfb-bg-color);\n    \n    \n}\n\n.globo-form-id-113666 .globo-form-app .globo-heading{\n    color: var(--gfb-color-textColor, #000)\n}\n\n\n.globo-form-id-113666 .globo-form-app .header {\n    text-align:center;\n}\n\n\n.globo-form-id-113666 .globo-form-app .globo-description,\n.globo-form-id-113666 .globo-form-app .header .globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-113666 .globo-form-app .globo-label,\n.globo-form-id-113666 .globo-form-app .globo-form-control label.globo-label,\n.globo-form-id-113666 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    color: var(--gfb-color-textColor, #1c1c1c);\n    text-align: left;\n}\n.globo-form-id-113666 .globo-form-app .globo-label.globo-position-label{\n    height: 20px !important;\n}\n.globo-form-id-113666 .globo-form-app .globo-form-control .help-text.globo-description,\n.globo-form-id-113666 .globo-form-app .globo-form-control span.globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-113666 .globo-form-app .globo-form-control .checkbox-wrapper .globo-option,\n.globo-form-id-113666 .globo-form-app .globo-form-control .radio-wrapper .globo-option\n{\n    color: var(--gfb-color-textColor, #1c1c1c);\n}\n.globo-form-id-113666 .globo-form-app .footer,\n.globo-form-id-113666 .globo-form-app .gfb__footer{\n    text-align:;\n}\n.globo-form-id-113666 .globo-form-app .footer button,\n.globo-form-id-113666 .globo-form-app .gfb__footer button{\n    border:1px solid var(--gfb-primary-color);\n    \n}\n.globo-form-id-113666 .globo-form-app .footer button.submit,\n.globo-form-id-113666 .globo-form-app .gfb__footer button.submit\n.globo-form-id-113666 .globo-form-app .footer button.checkout,\n.globo-form-id-113666 .globo-form-app .gfb__footer button.checkout,\n.globo-form-id-113666 .globo-form-app .footer button.action.loading .spinner,\n.globo-form-id-113666 .globo-form-app .gfb__footer button.action.loading .spinner{\n    background-color: var(--gfb-primary-color);\n    color : #ffffff;\n}\n.globo-form-id-113666 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:before {\n    content: url('data:image\/svg+xml;
3387 utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M528.1 171.5L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6zM388.6 312.3l23.7 138.4L288 385.4l-124.3 65.3 23.7-138.4-100.6-98 139-20.2 62.2-126 62.2 126 139 20.2-100.6 98z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-113666 .globo-form-app .globo-form-control .star-rating\u003efieldset\u003einput:checked ~ label:before {\n    content: url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-113666 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover:before,\n.globo-form-id-113666 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover ~ label:before{\n    content : url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e')\n}\n.globo-form-id-113666 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input:checked ~ .checkbox-label:before {\n    border-color: var(--gfb-primary-color);\n    box-shadow: 0 4px 6px rgba(50,50,93,0.11), 0 1px 3px rgba(0,0,0,0.08);\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-113666 .globo-form-app .step.-completed .step__number,\n.globo-form-id-113666 .globo-form-app .line.-progress,\n.globo-form-id-113666 .globo-form-app .line.-start{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-113666 .globo-form-app .checkmark__check,\n.globo-form-id-113666 .globo-form-app .checkmark__circle{\n    stroke: var(--gfb-primary-color);\n}\n.globo-form-id-113666 .floating-button{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-113666 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input ~ .checkbox-label:before,\n.globo-form-app .globo-form-control .radio-wrapper .radio-input ~ .radio-label:after{\n    border-color : var(--gfb-primary-color);\n}\n.globo-form-id-113666 .flatpickr-day.selected, \n.globo-form-id-113666 .flatpickr-day.startRange, \n.globo-form-id-113666 .flatpickr-day.endRange, \n.globo-form-id-113666 .flatpickr-day.selected.inRange, \n.globo-form-id-113666 .flatpickr-day.startRange.inRange, \n.globo-form-id-113666 .flatpickr-day.endRange.inRange, \n.globo-form-id-113666 .flatpickr-day.selected:focus, \n.globo-form-id-113666 .flatpickr-day.startRange:focus, \n.globo-form-id-113666 .flatpickr-day.endRange:focus, \n.globo-form-id-113666 .flatpickr-day.selected:hover, \n.globo-form-id-113666 .flatpickr-day.startRange:hover, \n.globo-form-id-113666 .flatpickr-day.endRange:hover, \n.globo-form-id-113666 .flatpickr-day.selected.prevMonthDay, \n.globo-form-id-113666 .flatpickr-day.startRange.prevMonthDay, \n.globo-form-id-113666 .flatpickr-day.endRange.prevMonthDay, \
3387n.globo-form-id-113666 .flatpickr-day.selected.nextMonthDay, \n.globo-form-id-113666 .flatpickr-day.startRange.nextMonthDay, \n.globo-form-id-113666 .flatpickr-day.endRange.nextMonthDay {\n    background: var(--gfb-primary-color);\n    border-color: var(--gfb-primary-color);\n}\n.globo-form-id-113666 .globo-paragraph {\n    background: #fff;\n    color: var(--gfb-color-textColor, #000);\n    width: 100%!important;\n}\n\n[dir=\"rtl\"] .globo-form-app .header .title,\n[dir=\"rtl\"] .globo-form-app .header .description,\n[dir=\"rtl\"] .globo-form-id-113666 .globo-form-app .globo-heading,\n[dir=\"rtl\"] .globo-form-id-113666 .globo-form-app .globo-label,\n[dir=\"rtl\"] .globo-form-id-113666 .globo-form-app .globo-form-control label.globo-label,\n[dir=\"rtl\"] .globo-form-id-113666 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    text-align: right;\n}\n\n[dir=\"rtl\"] .globo-form-app .line {\n    left: unset;\n    right: 50%;\n}\n\n[dir=\"rtl\"] .globo-form-id-113666 .globo-form-app .line.-start {\n    left: unset;    \n    right: 0%;\n}\n\n\u003c\/style\u003e\n\n\n\n\n\u003cdiv class=\"globo-form-app boxed-layout gfb-style-material_outlined  gfb-font-size-medium\" data-id=113666\u003e\n    \n    \u003cdiv class=\"header dismiss hidden\" onclick=\"Globo.FormBuilder.closeModalForm(this)\"\u003e\n        \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n    \u003c\/div\u003e\n    \u003cform class=\"g-container\" novalidate action=\"https:\/\/app.powerfulform.com\/api\/front\/form\/113666\/send\" method=\"POST\" enctype=\"multipart\/form-data\" data-id=113666\u003e\n        \n            \n            \u003cdiv class=\"header\" data-path=\"header\"\u003e\n                \u003ch3 class=\"title globo-heading\"\u003eBook Your Scan Now\u003c\/h3\u003e\n                \n            \u003c\/div\u003e\n            \n        \n        \n            \u003cdiv class=\"globo-formbuilder-wizard\" data-id=113666\u003e\n                \u003cdiv class=\"wizard__content\"\u003e\n                    \u003cheader class=\"wizard__header\"\u003e\n                        \u003cdiv class=\"wizard__steps\"\u003e\n                        \u003cnav class=\"steps hidden\"\u003e\n                            \n                            \n                                \n                            \n                            \n                                \n                                    \n                                    \n                                    \n                                    \n                                    \u003cdiv class=\"step last \" data-element-id=\"group-1\"  data-step=\"0\" \u003e\n                                        \u003cdiv class=\"step__content\"\u003e\n                                            \u003cp class=\"step__number\"\u003e\u003c\/p\u003e\n                                            \u003csvg class=\"checkmark\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=52 height=52 viewBox=\"0 0 52 52\"\u003e\n                                                \u003ccircle class=\"checkmark__circle\" cx=\"26\" cy=\"26\" r=\"25\" fill=\"none\"\/\u003e\n                                                \u003cpath class=\"checkmark__check\" fill=\"none\" d=\"M14.1 27.2l7.1 7.2 16.7-16.8\"\/\u003e\n                                            \u003c\/svg\u003e\n                                            \u003cdiv class=\"lines\"\u003e\n                                                \n                                                    \u003cdiv class=\"line -start\"\u003e\u003c\/div\u003e\n                                                \n                                                \u003cdiv class=\"line -background\"\u003e\n                                                \u003c\/div\u003e\n                                                \u003cdiv class=\"line -progress\"\u003e\n                                                \u003c\/div\u003e\n                                            \u003c\/div\u003e  \n                                        \u003c\/div\u003e\n                                    \u003c\/div\u003e\n                                \n                            \n                        \u003c\/nav\u003e\n                        \u003c\/div\u003e\n                    \u003c\/header\u003e\n                    \u003cdiv class=\"panels\"\u003e\n                        \n                            \n                            \n                            \n                            \n                                \u003cdiv class=\"panel \" data-element-id=\"group-1\" data-id=113666  data-step=\"0\" style=\"padding-top:0\"\u003e\n                                    \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-1'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"113666-name-1\" 
3387class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Name\"\u003eName\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\"  data-type=\"name\" class=\"material_outlined-input\" id=\"113666-name-1\" name=\"name-1\" placeholder=\"\"   \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"113666-name-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-2'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"113666-name-2\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Last Name\"\u003eLast Name\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\"  data-type=\"name\" class=\"material_outlined-input\" id=\"113666-name-2\" name=\"name-2\" placeholder=\"\"   \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"113666-name-2-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='email' data-element-id='email-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"113666-email-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Email\"\u003eEmail\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\"  data-type=\"email\" class=\"material_outlined-input\" id=\"113666-email-1\" name=\"email-1\" placeholder=\"\"   \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"113666-email-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='phone' data-element-id='phone-1' \u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input gfb__phone-placeholder\" input-placeholder=\"\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"113666-phone-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Phone Number\"\u003ePhone Number\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \n        \n        \u003cinput type=\"text\"  data-type=\"phone\" class=\"material_outlined-input\" id=\"113666-phone-1\" name=\"phone-1\" placeholder=\"\"     default-country-code=\"auto\"\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"113666-phone-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='textarea' data-element-id='textarea-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"113666-textarea-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Message\"\u003eMessage\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \u003ctextarea id=\"113666-textarea-1\"  data-type=\"textarea\" class=\"material_outlined-input\" rows=\"3\" name=\"textarea-1\" placeholder=\"\"   \u003e\u003c\/textarea\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"113666-textarea-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                        \n                                    \n                                    \n                                        \n                                        \n                                    \n                                \u003c\/div\u003e\n                            \n                        \n                    \u003c\/div\u003e\n                    \u003cdiv class=\"message error\" data-other-error=\"Something went wrong, please try again\"\u003e\n                        \u003cdiv class=\"content\"\u003e\u003c\/div\u003e\n                        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                        \u003c\/div\u003e\n                    \u003c\/div\u003e\n                    \n                        \n                        \n                        \u003cdiv class=\"message success\"\u003e\n                            \n                                \u003cdiv class=\"gfb__c
3387ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n                            \n                            \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n                                \u003cdiv class=\"gfb__content-discount\"\u003e\n                                    \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                                    \u003cdiv class=\"gfb__copy\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e\n                                    \u003cdiv class=\"gfb__copied\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e        \n                                \u003c\/div\u003e\n                            \u003c\/div\u003e\n                            \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n                            \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                                \u003csvg width=20 height=20 width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                            \u003c\/div\u003e\n                        \u003c\/div\u003e\n                        \n                        \n                    \n                    \u003cdiv class=\"gfb__footer wizard__footer\" data-path=\"footer\" \u003e\n                        \n                            \n                            \u003cdiv class=\"description globo-description\"\u003e\u003c\/div\u003e\n                            \n                        \n                        \u003cbutton type=\"button\" class=\"action previous hidden material_outlined-button\"\u003ePrevious\u003c\/button\u003e\n                        \u003cbutton type=\"button\" class=\"action next submit material_outlined-button\" data-submitting-text=\"\" data-submit-text='\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eSubmit' data-next-text=\"Next\" \u003e\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eNext\u003c\/button\u003e\n                        \n                        \u003cp class=\"wizard__congrats-message\"\u003e\u003c\/p\u003e\n                    \u003c\/div\u003e\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n        \n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[id]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[email]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[name]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[title]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[href]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"_keyLabel\"\u003e\n    \u003c\/form\u003e\n    \n    \n    \u003cdiv class=\"message success\"\u003e\n        \n            \u003cdiv class=\"gfb__c
3387ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n        \n        \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n            \u003cdiv class=\"gfb__content-discount\"\u003e\n                \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                \u003cdiv class=\"gfb__copy\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e\n                \u003cdiv class=\"gfb__copied\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e        \n            \u003c\/div\u003e\n        \u003c\/div\u003e\n        \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n        \u003c\/div\u003e\n    \u003c\/div\u003e\n    \n    \n\u003c\/div\u003e\n\n\u003c\/div\u003e\n"}}[113666];
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3393      window.Globo.FormBuilder.forms[125237] = {"125237":{"elements":[{"id":"group-1","type":"group","label":"Page 1","description":"","elements":[{"id":"name-1","type":"name","label":{"en":"Name"},"placeholder":{"en":""},"description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false},{"id":"name-2","type":"name","label":{"en":"Last Name"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"email-1","type":"email","label":"Email","placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"phone-1","type":"phone","label":{"en":"Phone Number"},"placeholder":"","description":"","validatePhone":false,"onlyShowFlag":false,"defaultCountryCode":"auto","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"textarea-1","type":"textarea","label":{"en":"Message"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false}]}],"errorMessage":{"required":"{{ label | capitalize }} is required","minSelections":"Please choose at least {{ min_selections }} options","maxSelections":"Please choose at maximum of {{ max_selections }} options","exactlySelections":"Please choose exactly {{ exact_selections }} options","minProductSelections":"Please choose at least {{ min_selections }} products","maxProductSelections":"Please choose a maximum of {{ max_selections }} products","minProductQuantities":"Please choose a quantity of at least {{ min_quantities }} products","maxProductQuantities":"Please choose a quantity of no more than {{ max_quantities }} products","minEachProductQuantities":"Choose quantity of product {{product_name}} of at least {{min_quantities}}","maxEachProductQuantities":"Choose quantity of product {{product_name}} of at most {{max_quantities}}
3393","invalid":"Invalid","invalidName":"Invalid name","invalidEmail":"Email address is invalid","restrictedEmailDomain":"This email domain is restricted","invalidURL":"Invalid url","invalidPhone":"Invalid phone","invalidNumber":"Invalid number","invalidPassword":"Invalid password","confirmPasswordNotMatch":"Confirmed password doesn't match","customerAlreadyExists":"Customer already exists","keyAlreadyExists":"Data already exists","fileSizeLimit":"File size limit","fileNotAllowed":"File not allowed","requiredCaptcha":"Required captcha","requiredProducts":"Please select product","limitQuantity":"The number of products left in stock has been exceeded","shopifyInvalidPhone":"phone - Enter a valid phone number to use this delivery method","shopifyPhoneHasAlready":"phone - Phone has already been taken","shopifyInvalidProvice":"addresses.province - is not valid","otherError":"Something went wrong, please try again","limitNumberOfSubmissions":"Form submission limit reached"},"appearance":{"layout":"boxed","theme_design":false,"width":600,"style":"material_outlined","mainColor":"#1c1c1c","floatingIcon":"\u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"envelope\" class=\"svg-inline--fa fa-envelope fa-w-16\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"\u003e\u003cpath fill=\"currentColor\" d=\"M464 64H48C21.49 64 0 85.49 0 112v288c0 26.51 21.49 48 48 48h416c26.51 0 48-21.49 48-48V112c0-26.51-21.49-48-48-48zm0 48v40.805c-22.422 18.259-58.168 46.651-134.587 106.49-16.841 13.247-50.201 45.072-73.413 44.701-23.208.375-56.579-31.459-73.413-44.701C106.18 199.465 70.425 171.067 48 152.805V112h416zM48 400V214.398c22.914 18.251 55.409 43.862 104.938 82.646 21.857 17.205 60.134 55.186 103.062 54.955 42.717.231 80.509-37.199 103.053-54.947 49.528-38.783 82.032-64.401 104.947-82.653V400H48z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e","floatingText":null,"displayOnAllPage":false,"formType":"normalForm","background":"color","backgroundColor":"#fff","descriptionColor":"#6c757d","headingColor":"#000","labelColor":"#1c1c1c","optionColor":"#000","paragraphBackground":"#fff","paragraphColor":"#000","colorScheme":{"solidButton":{"red":42,"green":64,"blue":100},"solidButtonLabel":{"red":255,"green":255,"blue":255},"text":{"red":28,"green":28,"blue":28},"outlineButton":{"red":28,"green":28,"blue":28},"background":{"red":255,"green":255,"blue":255,"alpha":1}},"fontSize":"medium"},"afterSubmit":{"action":"clearForm","title":"Thanks for getting in touch!","message":"\u
3393003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e","redirectUrl":null},"footer":{"description":null,"previousText":"Previous","nextText":"Next","submitText":"Submit"},"header":{"active":true,"title":{"en":"Reserve Your Experience"},"description":"","headerAlignment":"center"},"isStepByStepForm":true,"publish":{"requiredLogin":false,"requiredLoginMessage":"Please \u003ca href='\/account\/login' title='login'\u003elogin\u003c\/a\u003e to continue"},"reCaptcha":{"enable":false},"html":"\n\u003cdiv class=\"globo-form boxed-form globo-form-id-125237 \" data-locale=\"en\" \u003e\n\n\u003cstyle\u003e\n\n\n    :root .globo-form-app[data-id=\"125237\"]{\n        \n        --gfb-color-solidButton: 42,64,100;\n        --gfb-color-solidButtonColor: rgb(var(--gfb-color-solidButton));\n        --gfb-color-solidButtonLabel: 255,255,255;\n        --gfb-color-solidButtonLabelColor: rgb(var(--gfb-color-solidButtonLabel));\n        --gfb-color-text: 28,28,28;\n        --gfb-color-textColor: rgb(var(--gfb-color-text));\n        --gfb-color-outlineButton: 28,28,28;\n        --gfb-color-outlineButtonColor: rgb(var(--gfb-color-outlineButton));\n        --gfb-color-background: 255,255,255;\n        --gfb-color-backgroundColor: rgb(var(--gfb-color-background));\n        \n        --gfb-main-color: #1c1c1c;\n        --gfb-primary-color: var(--gfb-color-solidButtonColor, var(--gfb-main-color));\n        --gfb-primary-text-color: var(--gfb-color-solidButtonLabelColor, #FFF);\n        --gfb-form-width: 600px;\n        --gfb-font-family: inherit;\n        --gfb-font-style: inherit;\n        --gfb--image: 40%;\n        --gfb-image-ratio-draft: var(--gfb--image);\n        --gfb-image-ratio: var(--gfb-image-ratio-draft);\n        \n        --gfb-bg-temp-color: #FFF;\n        --gfb-bg-position: ;\n        \n            --gfb-bg-temp-color: #fff;\n        \n        --gfb-bg-color: var(--gfb-color-backgroundColor, var(--gfb-bg-temp-color));\n        \n    }\n    \n.globo-form-id-125237 .globo-form-app{\n    max-width: 600px;\n    width: -webkit-fill-available;\n    \n    background-color: var(--gfb-bg-color);\n    \n    \n}\n\n.globo-form-id-125237 .globo-form-app .globo-heading{\n    color: var(--gfb-color-textColor, #000)\n}\n\n\n.globo-form-id-125237 .globo-form-app .header {\n    text-align:center;\n}\n\n\n.globo-form-id-125237 .globo-form-app .globo-description,\n.globo-form-id-125237 .globo-form-app .header .globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-125237 .globo-form-app .globo-label,\n.globo-form-id-125237 .globo-form-app .globo-form-control label.globo-label,\n.globo-form-id-125237 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    color: var(--gfb-color-textColor, #1c1c1c);\n    text-align: left;\n}\n.globo-form-id-125237 .globo-form-app .globo-label.globo-position-label{\n    height: 20px !important;\n}\n.globo-form-id-125237 .globo-form-app .globo-form-control .help-text.globo-description,\n.globo-form-id-125237 .globo-form-app .globo-form-control span.globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-125237 .globo-form-app .globo-form-control .checkbox-wrapper .globo-option,\n.globo-form-id-125237 .globo-form-app .globo-form-control .radio-wrapper .globo-option\n{\n    color: var(--gfb-color-textColor, #1c1c1c);\n}\n.globo-form-id-125237 .globo-form-app .footer,\n.globo-form-id-125237 .globo-form-app .gfb__footer{\n    text-align:;\n}\n.globo-form-id-125237 .globo-form-app .footer button,\n.globo-form-id-125237 .globo-form-app .gfb__footer button{\n    border:1px solid var(--gfb-primary-color);\n    \n}\n.globo-form-id-125237 .globo-form-app .footer button.submit,\n.globo-form-id-125237 .globo-form-app .gfb__footer button.submit\n.globo-form-id-125237 .globo-form-app .footer button.checkout,\n.globo-form-id-125237 .globo-form-app .gfb__footer button.checkout,\n.globo-form-id-125237 .globo-form-app .footer button.action.loading .spinner,\n.globo-form-id-125237 .globo-form-app .gfb__footer button.action.loading .spinner{\n    background-color: var(--gfb-primary-color);\n    color : #ffffff;\n}\n.globo-form-id-125237 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:before {\n    content: url('data:image\/svg+xml;
3393 utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M528.1 171.5L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6zM388.6 312.3l23.7 138.4L288 385.4l-124.3 65.3 23.7-138.4-100.6-98 139-20.2 62.2-126 62.2 126 139 20.2-100.6 98z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-125237 .globo-form-app .globo-form-control .star-rating\u003efieldset\u003einput:checked ~ label:before {\n    content: url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-125237 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover:before,\n.globo-form-id-125237 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover ~ label:before{\n    content : url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e')\n}\n.globo-form-id-125237 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input:checked ~ .checkbox-label:before {\n    border-color: var(--gfb-primary-color);\n    box-shadow: 0 4px 6px rgba(50,50,93,0.11), 0 1px 3px rgba(0,0,0,0.08);\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-125237 .globo-form-app .step.-completed .step__number,\n.globo-form-id-125237 .globo-form-app .line.-progress,\n.globo-form-id-125237 .globo-form-app .line.-start{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-125237 .globo-form-app .checkmark__check,\n.globo-form-id-125237 .globo-form-app .checkmark__circle{\n    stroke: var(--gfb-primary-color);\n}\n.globo-form-id-125237 .floating-button{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-125237 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input ~ .checkbox-label:before,\n.globo-form-app .globo-form-control .radio-wrapper .radio-input ~ .radio-label:after{\n    border-color : var(--gfb-primary-color);\n}\n.globo-form-id-125237 .flatpickr-day.selected, \n.globo-form-id-125237 .flatpickr-day.startRange, \n.globo-form-id-125237 .flatpickr-day.endRange, \n.globo-form-id-125237 .flatpickr-day.selected.inRange, \n.globo-form-id-125237 .flatpickr-day.startRange.inRange, \n.globo-form-id-125237 .flatpickr-day.endRange.inRange, \n.globo-form-id-125237 .flatpickr-day.selected:focus, \n.globo-form-id-125237 .flatpickr-day.startRange:focus, \n.globo-form-id-125237 .flatpickr-day.endRange:focus, \n.globo-form-id-125237 .flatpickr-day.selected:hover, \n.globo-form-id-125237 .flatpickr-day.startRange:hover, \n.globo-form-id-125237 .flatpickr-day.endRange:hover, \n.globo-form-id-125237 .flatpickr-day.selected.prevMonthDay, \n.globo-form-id-125237 .flatpickr-day.startRange.prevMonthDay, \n.globo-form-id-125237 .flatpickr-day.endRange.prevMonthDay, \
3393n.globo-form-id-125237 .flatpickr-day.selected.nextMonthDay, \n.globo-form-id-125237 .flatpickr-day.startRange.nextMonthDay, \n.globo-form-id-125237 .flatpickr-day.endRange.nextMonthDay {\n    background: var(--gfb-primary-color);\n    border-color: var(--gfb-primary-color);\n}\n.globo-form-id-125237 .globo-paragraph {\n    background: #fff;\n    color: var(--gfb-color-textColor, #000);\n    width: 100%!important;\n}\n\n[dir=\"rtl\"] .globo-form-app .header .title,\n[dir=\"rtl\"] .globo-form-app .header .description,\n[dir=\"rtl\"] .globo-form-id-125237 .globo-form-app .globo-heading,\n[dir=\"rtl\"] .globo-form-id-125237 .globo-form-app .globo-label,\n[dir=\"rtl\"] .globo-form-id-125237 .globo-form-app .globo-form-control label.globo-label,\n[dir=\"rtl\"] .globo-form-id-125237 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    text-align: right;\n}\n\n[dir=\"rtl\"] .globo-form-app .line {\n    left: unset;\n    right: 50%;\n}\n\n[dir=\"rtl\"] .globo-form-id-125237 .globo-form-app .line.-start {\n    left: unset;    \n    right: 0%;\n}\n\n\u003c\/style\u003e\n\n\n\n\n\u003cdiv class=\"globo-form-app boxed-layout gfb-style-material_outlined  gfb-font-size-medium\" data-id=125237\u003e\n    \n    \u003cdiv class=\"header dismiss hidden\" onclick=\"Globo.FormBuilder.closeModalForm(this)\"\u003e\n        \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n    \u003c\/div\u003e\n    \u003cform class=\"g-container\" novalidate action=\"https:\/\/app.powerfulform.com\/api\/front\/form\/125237\/send\" method=\"POST\" enctype=\"multipart\/form-data\" data-id=125237\u003e\n        \n            \n            \u003cdiv class=\"header\" data-path=\"header\"\u003e\n                \u003ch3 class=\"title globo-heading\"\u003eReserve Your Experience\u003c\/h3\u003e\n                \n            \u003c\/div\u003e\n            \n        \n        \n            \u003cdiv class=\"globo-formbuilder-wizard\" data-id=125237\u003e\n                \u003cdiv class=\"wizard__content\"\u003e\n                    \u003cheader class=\"wizard__header\"\u003e\n                        \u003cdiv class=\"wizard__steps\"\u003e\n                        \u003cnav class=\"steps hidden\"\u003e\n                            \n                            \n                                \n                            \n                            \n                                \n                                    \n                                    \n                                    \n                                    \n                                    \u003cdiv class=\"step last \" data-element-id=\"group-1\"  data-step=\"0\" \u003e\n                                        \u003cdiv class=\"step__content\"\u003e\n                                            \u003cp class=\"step__number\"\u003e\u003c\/p\u003e\n                                            \u003csvg class=\"checkmark\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=52 height=52 viewBox=\"0 0 52 52\"\u003e\n                                                \u003ccircle class=\"checkmark__circle\" cx=\"26\" cy=\"26\" r=\"25\" fill=\"none\"\/\u003e\n                                                \u003cpath class=\"checkmark__check\" fill=\"none\" d=\"M14.1 27.2l7.1 7.2 16.7-16.8\"\/\u003e\n                                            \u003c\/svg\u003e\n                                            \u003cdiv class=\"lines\"\u003e\n                                                \n                                                    \u003cdiv class=\"line -start\"\u003e\u003c\/div\u003e\n                                                \n                                                \u003cdiv class=\"line -background\"\u003e\n                                                \u003c\/div\u003e\n                                                \u003cdiv class=\"line -progress\"\u003e\n                                                \u003c\/div\u003e\n                                            \u003c\/div\u003e  \n                                        \u003c\/div\u003e\n                                    \u003c\/div\u003e\n                                \n                            \n                        \u003c\/nav\u003e\n                        \u003c\/div\u003e\n                    \u003c\/header\u003e\n                    \u003cdiv class=\"panels\"\u003e\n                        \n                            \n                            \n                            \n                            \n                                \u003cdiv class=\"panel \" data-element-id=\"group-1\" data-id=125237  data-step=\"0\" style=\"padding-top:0\"\u003e\n                                    \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-1'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"125237-name-1\" 
3393class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Name\"\u003eName\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\"  data-type=\"name\" class=\"material_outlined-input\" id=\"125237-name-1\" name=\"name-1\" placeholder=\"\"   \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"125237-name-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-2'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"125237-name-2\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Last Name\"\u003eLast Name\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\"  data-type=\"name\" class=\"material_outlined-input\" id=\"125237-name-2\" name=\"name-2\" placeholder=\"\"   \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"125237-name-2-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='email' data-element-id='email-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"125237-email-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Email\"\u003eEmail\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\"  data-type=\"email\" class=\"material_outlined-input\" id=\"125237-email-1\" name=\"email-1\" placeholder=\"\"   \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"125237-email-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='phone' data-element-id='phone-1' \u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input gfb__phone-placeholder\" input-placeholder=\"\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"125237-phone-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Phone Number\"\u003ePhone Number\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \n        \n        \u003cinput type=\"text\"  data-type=\"phone\" class=\"material_outlined-input\" id=\"125237-phone-1\" name=\"phone-1\" placeholder=\"\"     default-country-code=\"auto\"\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"125237-phone-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='textarea' data-element-id='textarea-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"125237-textarea-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Message\"\u003eMessage\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \u003ctextarea id=\"125237-textarea-1\"  data-type=\"textarea\" class=\"material_outlined-input\" rows=\"3\" name=\"textarea-1\" placeholder=\"\"   \u003e\u003c\/textarea\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"125237-textarea-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                        \n                                    \n                                    \n                                        \n                                        \n                                    \n                                \u003c\/div\u003e\n                            \n                        \n                    \u003c\/div\u003e\n                    \u003cdiv class=\"message error\" data-other-error=\"Something went wrong, please try again\"\u003e\n                        \u003cdiv class=\"content\"\u003e\u003c\/div\u003e\n                        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                        \u003c\/div\u003e\n                    \u003c\/div\u003e\n                    \n                        \n                        \n                        \u003cdiv class=\"message success\"\u003e\n                            \n                                \u003cdiv class=\"gfb__c
3393ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n                            \n                            \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n                                \u003cdiv class=\"gfb__content-discount\"\u003e\n                                    \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                                    \u003cdiv class=\"gfb__copy\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e\n                                    \u003cdiv class=\"gfb__copied\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e        \n                                \u003c\/div\u003e\n                            \u003c\/div\u003e\n                            \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n                            \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                                \u003csvg width=20 height=20 width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                            \u003c\/div\u003e\n                        \u003c\/div\u003e\n                        \n                        \n                    \n                    \u003cdiv class=\"gfb__footer wizard__footer\" data-path=\"footer\" \u003e\n                        \n                            \n                            \u003cdiv class=\"description globo-description\"\u003e\u003c\/div\u003e\n                            \n                        \n                        \u003cbutton type=\"button\" class=\"action previous hidden material_outlined-button\"\u003ePrevious\u003c\/button\u003e\n                        \u003cbutton type=\"button\" class=\"action next submit material_outlined-button\" data-submitting-text=\"\" data-submit-text='\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eSubmit' data-next-text=\"Next\" \u003e\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eNext\u003c\/button\u003e\n                        \n                        \u003cp class=\"wizard__congrats-message\"\u003e\u003c\/p\u003e\n                    \u003c\/div\u003e\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n        \n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[id]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[email]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[name]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[title]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[href]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"_keyLabel\"\u003e\n    \u003c\/form\u003e\n    \n    \n    \u003cdiv class=\"message success\"\u003e\n        \n            \u003cdiv class=\"gfb__c
3393ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n        \n        \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n            \u003cdiv class=\"gfb__content-discount\"\u003e\n                \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                \u003cdiv class=\"gfb__copy\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e\n                \u003cdiv class=\"gfb__copied\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e        \n            \u003c\/div\u003e\n        \u003c\/div\u003e\n        \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n        \u003c\/div\u003e\n    \u003c\/div\u003e\n    \n    \n\u003c\/div\u003e\n\n\u003c\/div\u003e\n"}}[125237];
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3399      window.Globo.FormBuilder.forms[138101] = {"138101":{"elements":[{"id":"group-1","type":"group","label":"Page 1","description":"","elements":[{"id":"name-1","type":"name","label":{"en":"Name"},"placeholder":{"en":""},"description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false},{"id":"name-2","type":"name","label":{"en":"Last Name"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"email-1","type":"email","label":"Email","placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"phone-1","type":"phone","label":{"en":"Phone Number"},"placeholder":"","description":"","validatePhone":false,"onlyShowFlag":false,"defaultCountryCode":"auto","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"text-1","type":"text","label":{"en":"Service Requested"},"placeholder":"","description":"","limitCharacters":false,"characters":[],"hideLabel":false,"keepPositionLabel":false,"onlyNumbers":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"textarea-1","type":"textarea","label":{"en":"Message"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false}]}],"errorMessage":{"required":"{{ label | capitalize }} is required","minSelections":"Please choose at least {{ min_selections }} options","maxSelections":"Please choose at maximum of {{ max_selections }} options","exactlySelections":"Please choose exactly {{ exact_selections }} options","minProductSelections":"Please choose at least {{ min_selections }} products","maxProductSelections":"Please choose a maximum of {{ max_selections }} products","minProductQuantities":"Please choose a quantity of at least {{ min_quantities }} products","maxProductQuantities":"Please choose a quantity of no more than {{ max_quantities }} products","minEachProductQuantities":"Choose quantity of product {{product_name}} of at least {{min_quantities}}","maxEachProductQuantities":"Choose quantity of product {{product_name}} of at most {{max_quantities}}
3399","invalid":"Invalid","invalidName":"Invalid name","invalidEmail":"Email address is invalid","restrictedEmailDomain":"This email domain is restricted","invalidURL":"Invalid url","invalidPhone":"Invalid phone","invalidNumber":"Invalid number","invalidPassword":"Invalid password","confirmPasswordNotMatch":"Confirmed password doesn't match","customerAlreadyExists":"Customer already exists","keyAlreadyExists":"Data already exists","fileSizeLimit":"File size limit","fileNotAllowed":"File not allowed","requiredCaptcha":"Required captcha","requiredProducts":"Please select product","limitQuantity":"The number of products left in stock has been exceeded","shopifyInvalidPhone":"phone - Enter a valid phone number to use this delivery method","shopifyPhoneHasAlready":"phone - Phone has already been taken","shopifyInvalidProvice":"addresses.province - is not valid","otherError":"Something went wrong, please try again","limitNumberOfSubmissions":"Form submission limit reached"},"appearance":{"layout":"boxed","theme_design":false,"width":600,"style":"material_outlined","mainColor":"#1c1c1c","floatingIcon":"\u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"envelope\" class=\"svg-inline--fa fa-envelope fa-w-16\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"\u003e\u003cpath fill=\"currentColor\" d=\"M464 64H48C21.49 64 0 85.49 0 112v288c0 26.51 21.49 48 48 48h416c26.51 0 48-21.49 48-48V112c0-26.51-21.49-48-48-48zm0 48v40.805c-22.422 18.259-58.168 46.651-134.587 106.49-16.841 13.247-50.201 45.072-73.413 44.701-23.208.375-56.579-31.459-73.413-44.701C106.18 199.465 70.425 171.067 48 152.805V112h416zM48 400V214.398c22.914 18.251 55.409 43.862 104.938 82.646 21.857 17.205 60.134 55.186 103.062 54.955 42.717.231 80.509-37.199 103.053-54.947 49.528-38.783 82.032-64.401 104.947-82.653V400H48z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e","floatingText":null,"displayOnAllPage":false,"formType":"normalForm","background":"color","backgroundColor":"#fff","descriptionColor":"#6c757d","headingColor":"#000","labelColor":"#1c1c1c","optionColor":"#000","paragraphBackground":"#fff","paragraphColor":"#000","colorScheme":{"solidButton":{"red":42,"green":64,"blue":100},"solidButtonLabel":{"red":255,"green":255,"blue":255},"text":{"red":28,"green":28,"blue":28},"outlineButton":{"red":28,"green":28,"blue":28},"background":{"red":255,"green":255,"blue":255,"alpha":1}},"fontSize":"medium"},"afterSubmit":{"action":"clearForm","title":"Thanks for getting in touch!","message":"\u
3399003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e","redirectUrl":null},"footer":{"description":null,"previousText":"Previous","nextText":"Next","submitText":"Submit"},"header":{"active":false,"title":{"en":"Reserve Your Experience"},"description":"","headerAlignment":"center"},"isStepByStepForm":true,"publish":{"requiredLogin":false,"requiredLoginMessage":"Please \u003ca href='\/account\/login' title='login'\u003elogin\u003c\/a\u003e to continue"},"reCaptcha":{"enable":false},"html":"\n\u003cdiv class=\"globo-form boxed-form globo-form-id-138101 \" data-locale=\"en\" \u003e\n\n\u003cstyle\u003e\n\n\n    :root .globo-form-app[data-id=\"138101\"]{\n        \n        --gfb-color-solidButton: 42,64,100;\n        --gfb-color-solidButtonColor: rgb(var(--gfb-color-solidButton));\n        --gfb-color-solidButtonLabel: 255,255,255;\n        --gfb-color-solidButtonLabelColor: rgb(var(--gfb-color-solidButtonLabel));\n        --gfb-color-text: 28,28,28;\n        --gfb-color-textColor: rgb(var(--gfb-color-text));\n        --gfb-color-outlineButton: 28,28,28;\n        --gfb-color-outlineButtonColor: rgb(var(--gfb-color-outlineButton));\n        --gfb-color-background: 255,255,255;\n        --gfb-color-backgroundColor: rgb(var(--gfb-color-background));\n        \n        --gfb-main-color: #1c1c1c;\n        --gfb-primary-color: var(--gfb-color-solidButtonColor, var(--gfb-main-color));\n        --gfb-primary-text-color: var(--gfb-color-solidButtonLabelColor, #FFF);\n        --gfb-form-width: 600px;\n        --gfb-font-family: inherit;\n        --gfb-font-style: inherit;\n        --gfb--image: 40%;\n        --gfb-image-ratio-draft: var(--gfb--image);\n        --gfb-image-ratio: var(--gfb-image-ratio-draft);\n        \n        --gfb-bg-temp-color: #FFF;\n        --gfb-bg-position: ;\n        \n            --gfb-bg-temp-color: #fff;\n        \n        --gfb-bg-color: var(--gfb-color-backgroundColor, var(--gfb-bg-temp-color));\n        \n    }\n    \n.globo-form-id-138101 .globo-form-app{\n    max-width: 600px;\n    width: -webkit-fill-available;\n    \n    background-color: var(--gfb-bg-color);\n    \n    \n}\n\n.globo-form-id-138101 .globo-form-app .globo-heading{\n    color: var(--gfb-color-textColor, #000)\n}\n\n\n.globo-form-id-138101 .globo-form-app .header {\n    text-align:center;\n}\n\n\n.globo-form-id-138101 .globo-form-app .globo-description,\n.globo-form-id-138101 .globo-form-app .header .globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-138101 .globo-form-app .globo-label,\n.globo-form-id-138101 .globo-form-app .globo-form-control label.globo-label,\n.globo-form-id-138101 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    color: var(--gfb-color-textColor, #1c1c1c);\n    text-align: left;\n}\n.globo-form-id-138101 .globo-form-app .globo-label.globo-position-label{\n    height: 20px !important;\n}\n.globo-form-id-138101 .globo-form-app .globo-form-control .help-text.globo-description,\n.globo-form-id-138101 .globo-form-app .globo-form-control span.globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-138101 .globo-form-app .globo-form-control .checkbox-wrapper .globo-option,\n.globo-form-id-138101 .globo-form-app .globo-form-control .radio-wrapper .globo-option\n{\n    color: var(--gfb-color-textColor, #1c1c1c);\n}\n.globo-form-id-138101 .globo-form-app .footer,\n.globo-form-id-138101 .globo-form-app .gfb__footer{\n    text-align:;\n}\n.globo-form-id-138101 .globo-form-app .footer button,\n.globo-form-id-138101 .globo-form-app .gfb__footer button{\n    border:1px solid var(--gfb-primary-color);\n    \n}\n.globo-form-id-138101 .globo-form-app .footer button.submit,\n.globo-form-id-138101 .globo-form-app .gfb__footer button.submit\n.globo-form-id-138101 .globo-form-app .footer button.checkout,\n.globo-form-id-138101 .globo-form-app .gfb__footer button.checkout,\n.globo-form-id-138101 .globo-form-app .footer button.action.loading .spinner,\n.globo-form-id-138101 .globo-form-app .gfb__footer button.action.loading .spinner{\n    background-color: var(--gfb-primary-color);\n    color : #ffffff;\n}\n.globo-form-id-138101 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:before {\n    content: url('data:image\/svg+xml;
3399 utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M528.1 171.5L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6zM388.6 312.3l23.7 138.4L288 385.4l-124.3 65.3 23.7-138.4-100.6-98 139-20.2 62.2-126 62.2 126 139 20.2-100.6 98z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-138101 .globo-form-app .globo-form-control .star-rating\u003efieldset\u003einput:checked ~ label:before {\n    content: url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-138101 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover:before,\n.globo-form-id-138101 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover ~ label:before{\n    content : url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e')\n}\n.globo-form-id-138101 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input:checked ~ .checkbox-label:before {\n    border-color: var(--gfb-primary-color);\n    box-shadow: 0 4px 6px rgba(50,50,93,0.11), 0 1px 3px rgba(0,0,0,0.08);\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-138101 .globo-form-app .step.-completed .step__number,\n.globo-form-id-138101 .globo-form-app .line.-progress,\n.globo-form-id-138101 .globo-form-app .line.-start{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-138101 .globo-form-app .checkmark__check,\n.globo-form-id-138101 .globo-form-app .checkmark__circle{\n    stroke: var(--gfb-primary-color);\n}\n.globo-form-id-138101 .floating-button{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-138101 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input ~ .checkbox-label:before,\n.globo-form-app .globo-form-control .radio-wrapper .radio-input ~ .radio-label:after{\n    border-color : var(--gfb-primary-color);\n}\n.globo-form-id-138101 .flatpickr-day.selected, \n.globo-form-id-138101 .flatpickr-day.startRange, \n.globo-form-id-138101 .flatpickr-day.endRange, \n.globo-form-id-138101 .flatpickr-day.selected.inRange, \n.globo-form-id-138101 .flatpickr-day.startRange.inRange, \n.globo-form-id-138101 .flatpickr-day.endRange.inRange, \n.globo-form-id-138101 .flatpickr-day.selected:focus, \n.globo-form-id-138101 .flatpickr-day.startRange:focus, \n.globo-form-id-138101 .flatpickr-day.endRange:focus, \n.globo-form-id-138101 .flatpickr-day.selected:hover, \n.globo-form-id-138101 .flatpickr-day.startRange:hover, \n.globo-form-id-138101 .flatpickr-day.endRange:hover, \n.globo-form-id-138101 .flatpickr-day.selected.prevMonthDay, \n.globo-form-id-138101 .flatpickr-day.startRange.prevMonthDay, \n.globo-form-id-138101 .flatpickr-day.endRange.prevMonthDay, \
3399n.globo-form-id-138101 .flatpickr-day.selected.nextMonthDay, \n.globo-form-id-138101 .flatpickr-day.startRange.nextMonthDay, \n.globo-form-id-138101 .flatpickr-day.endRange.nextMonthDay {\n    background: var(--gfb-primary-color);\n    border-color: var(--gfb-primary-color);\n}\n.globo-form-id-138101 .globo-paragraph {\n    color: var(--gfb-color-textColor, #000);\n    width: 100%!important;\n}\n\n[dir=\"rtl\"] .globo-form-app .header .title,\n[dir=\"rtl\"] .globo-form-app .header .description,\n[dir=\"rtl\"] .globo-form-id-138101 .globo-form-app .globo-heading,\n[dir=\"rtl\"] .globo-form-id-138101 .globo-form-app .globo-label,\n[dir=\"rtl\"] .globo-form-id-138101 .globo-form-app .globo-form-control label.globo-label,\n[dir=\"rtl\"] .globo-form-id-138101 .globo-form-app .globo-form-control label.globo-label span.label-content,\n.globo-form.rtl .globo-form-app .header .title,\n.globo-form.rtl .globo-form-app .header .description,\n.globo-form.rtl.globo-form-id-138101 .globo-form-app .globo-heading,\n.globo-form.rtl.globo-form-id-138101 .globo-form-app .globo-label,\n.globo-form.rtl.globo-form-id-138101 .globo-form-app .globo-form-control label.globo-label,\n.globo-form.rtl.globo-form-id-138101 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    text-align: right;\n}\n\n[dir=\"rtl\"] .globo-form-app .line,\n.globo-form.rtl .globo-form-app .line {\n    left: unset;\n    right: 50%;\n}\n\n[dir=\"rtl\"] .globo-form-id-138101 .globo-form-app .line.-start,\n.globo-form.rtl .globo-form-id-138101 .globo-form-app .line.-start {\n    left: unset;    \n    right: 0%;\n}\n\n\u003c\/style\u003e\n\n\n\n\n\u003cdiv class=\"globo-form-app boxed-layout gfb-style-material_outlined  gfb-font-size-medium\" data-id=138101\u003e\n    \n    \u003cdiv class=\"header dismiss hidden\" onclick=\"Globo.FormBuilder.closeModalForm(this)\"\u003e\n        \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n    \u003c\/div\u003e\n    \u003cform class=\"g-container\" novalidate action=\"https:\/\/app.powerfulform.com\/api\/front\/form\/138101\/send\" method=\"POST\" enctype=\"multipart\/form-data\" data-id=138101\u003e\n        \n            \n        \n        \n            \u003cdiv class=\"globo-formbuilder-wizard\" data-id=138101\u003e\n                \u003cdiv class=\"wizard__content\"\u003e\n                    \u003cheader class=\"wizard__header\"\u003e\n                        \u003cdiv class=\"wizard__steps\"\u003e\n                        \u003cnav class=\"steps hidden\"\u003e\n                            \n                            \n                                \n                            \n                            \n                                \n                                    \n                                    \n                                    \n                                    \n                                    \u003cdiv class=\"step last \" data-element-id=\"group-1\"  data-step=\"0\" \u003e\n                                        \u003cdiv class=\"step__content\"\u003e\n                                            \u003cp class=\"step__number\"\u003e\u003c\/p\u003e\n                                            \u003csvg class=\"checkmark\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=52 height=52 viewBox=\"0 0 52 52\"\u003e\n                                                \u003ccircle class=\"checkmark__circle\" cx=\"26\" cy=\"26\" r=\"25\" fill=\"none\"\/\u003e\n                                                \u003cpath class=\"checkmark__check\" fill=\"none\" d=\"M14.1 27.2l7.1 7.2 16.7-16.8\"\/\u003e\n                                            \u003c\/svg\u003e\n                                            \u003cdiv class=\"lines\"\u003e\n                                                \n                                                    \u003cdiv class=\"line -start\"\u003e\u003c\/div\u003e\n                                                \n                                                \u003cdiv class=\"line -background\"\u003e\n                                                \u003c\/div\u003e\n                                                \u003cdiv class=\"line -progress\"\u003e\n                                                \u003c\/div\u003e\n                                            \u003c\/div\u003e  \n                                        \u003c\/div\u003e\n                                    \u003c\/div\u003e\n                                \n                            \n                        \u003c\/nav\u003e\n                        \u003c\/div\u003e\n                    \u003c\/header\u003e\n                    \u003cdiv class=\"panels\"\u003e\n                        \n                            \n                            \n                            \n                            \n                                \u003cdiv class=\"panel \" data-element-id=\"group-1\" data-id=138
3399101  data-step=\"0\" style=\"padding-top:0\"\u003e\n                                    \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-1'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"138101-name-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Name\"\u003eName\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='138101-name-1-error'  data-type=\"name\" class=\"material_outlined-input\" id=\"138101-name-1\" name=\"name-1\" placeholder=\"\" \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"138101-name-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-2'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"138101-name-2\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Last Name\"\u003eLast Name\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='138101-name-2-error'  data-type=\"name\" class=\"material_outlined-input\" id=\"138101-name-2\" name=\"name-2\" placeholder=\"\" \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"138101-name-2-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control email-confirm layout-1-column \"  data-type='email' data-element-id='email-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"138101-email-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Email\"\u003eEmail\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='138101-email-1-error'  data-type=\"email\" class=\"material_outlined-input\" id=\"138101-email-1\" name=\"email-1\" placeholder=\"\"  \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"138101-email-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='phone' data-element-id='phone-1' \u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input gfb__phone-placeholder\" input-placeholder=\"\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"138101-phone-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Phone Number\"\u003ePhone Number\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \n        \n        \u003cinput type=\"text\" aria-describedby='138101-phone-1-error'  data-type=\"phone\" class=\"material_outlined-input\" oninput=\"Globo.FormBuilder.handleChangePhone(this)\" id=\"138101-phone-1\" name=\"phone-1\" placeholder=\"\"  \n           default-country-code=\"auto\"\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"138101-phone-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='text' data-element-id='text-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"
3399Service Requested\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"138101-text-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Service Requested\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Service Requested\"\u003eService Requested\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='138101-text-1-error'  data-type=\"text\" class=\"material_outlined-input\" id=\"138101-text-1\" name=\"text-1\" placeholder=\"\"   \n            \n            \n        \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"138101-text-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='textarea' data-element-id='textarea-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"138101-textarea-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Message\"\u003eMessage\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \u003ctextarea id=\"138101-textarea-1\" aria-describedby='138101-textarea-1-error'  data-type=\"textarea\" class=\"material_outlined-input\" rows=\"3\" name=\"textarea-1\" placeholder=\"\"  \n         \u003e\u003c\/textarea\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"138101-textarea-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                        \n                                    \n                                    \n                                        \n                                        \n                                    \n                                \u003c\/div\u003e\n                            \n                        \n                    \u003c\/div\u003e\n                    \u003cdiv class=\"message error\" data-other-error=\"Something went wrong, please try again\"\u003e\n                        \u003cdiv class=\"content\"\u003e\u003c\/div\u003e\n                        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                        \u003c\/div\u003e\n                    \u003c\/div\u003e\n                    \n                        \n                        \n                        \u003cdiv class=\"message success\"\u003e\n                            \n                                \u003cdiv class=\"gfb__c
3399ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n                            \n                            \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n                                \u003cdiv class=\"gfb__content-discount\"\u003e\n                                    \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                                    \u003cdiv class=\"gfb__copy\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e\n                                    \u003cdiv class=\"gfb__copied\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e        \n                                \u003c\/div\u003e\n                            \u003c\/div\u003e\n                            \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n                            \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                                \u003csvg width=20 height=20 width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                            \u003c\/div\u003e\n                        \u003c\/div\u003e\n                        \n                        \n                    \n                    \u003cdiv class=\"gfb__footer wizard__footer\" data-path=\"footer\" \u003e\n                        \n                            \n                            \u003cdiv class=\"description globo-description\"\u003e\u003c\/div\u003e\n                            \n                        \n                        \u003cbutton type=\"button\" class=\"action previous hidden material_outlined-button\"\u003ePrevious\u003c\/button\u003e\n                        \u003cbutton type=\"button\" class=\"action next submit material_outlined-button\" data-submitting-text=\"\" data-submit-text='\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eSubmit' data-next-text=\"Next\" \u003e\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eNext\u003c\/button\u003e\n                        \n                        \u003cp class=\"wizard__congrats-message\"\u003e\u003c\/p\u003e\n                    \u003c\/div\u003e\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n        \n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[id]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[email]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[name]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[title]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[href]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"_keyLabel\"\u003e\n    \u003c\/form\u003e\n    \n    \n    \u003cdiv class=\"message success\"\u003e\n        \n            \u003cdiv class=\"gfb__c
3399ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n        \n        \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n            \u003cdiv class=\"gfb__content-discount\"\u003e\n                \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                \u003cdiv class=\"gfb__copy\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e\n                \u003cdiv class=\"gfb__copied\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e        \n            \u003c\/div\u003e\n        \u003c\/div\u003e\n        \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n        \u003c\/div\u003e\n    \u003c\/div\u003e\n    \n    \n\u003c\/div\u003e\n\n\u003c\/div\u003e\n"}}[138101];
3400      
3401    
3402      
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3404      
3405      window.Globo.FormBuilder.forms[142529] = {"142529":{"elements":[{"id":"group-1","type":"group","label":"Page 1","description":"","elements":[{"id":"name-1","type":"name","label":{"en":"Name"},"placeholder":{"en":""},"description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false},{"id":"name-2","type":"name","label":{"en":"Last Name"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"email-1","type":"email","label":"Email","placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"phone-1","type":"phone","label":{"en":"Phone Number"},"placeholder":"","description":"","validatePhone":false,"onlyShowFlag":false,"defaultCountryCode":"auto","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"textarea-1","type":"textarea","label":{"en":"Message"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false}]}],"errorMessage":{"required":"{{ label | capitalize }} is required","minSelections":"Please choose at least {{ min_selections }} options","maxSelections":"Please choose at maximum of {{ max_selections }} options","exactlySelections":"Please choose exactly {{ exact_selections }} options","minProductSelections":"Please choose at least {{ min_selections }} products","maxProductSelections":"Please choose a maximum of {{ max_selections }} products","minProductQuantities":"Please choose a quantity of at least {{ min_quantities }} products","maxProductQuantities":"Please choose a quantity of no more than {{ max_quantities }} products","minEachProductQuantities":"Choose quantity of product {{product_name}} of at least {{min_quantities}}","maxEachProductQuantities":"Choose quantity of product {{product_name}} of at most {{max_quantities}}
3405","invalid":"Invalid","invalidName":"Invalid name","invalidEmail":"Email address is invalid","restrictedEmailDomain":"This email domain is restricted","invalidURL":"Invalid url","invalidPhone":"Invalid phone","invalidNumber":"Invalid number","invalidPassword":"Invalid password","confirmPasswordNotMatch":"Confirmed password doesn't match","customerAlreadyExists":"Customer already exists","keyAlreadyExists":"Data already exists","fileSizeLimit":"File size limit","fileNotAllowed":"File not allowed","requiredCaptcha":"Required captcha","requiredProducts":"Please select product","limitQuantity":"The number of products left in stock has been exceeded","shopifyInvalidPhone":"phone - Enter a valid phone number to use this delivery method","shopifyPhoneHasAlready":"phone - Phone has already been taken","shopifyInvalidProvice":"addresses.province - is not valid","otherError":"Something went wrong, please try again","limitNumberOfSubmissions":"Form submission limit reached"},"appearance":{"layout":"boxed","theme_design":false,"width":600,"style":"material_outlined","mainColor":"#1c1c1c","floatingIcon":"\u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"envelope\" class=\"svg-inline--fa fa-envelope fa-w-16\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"\u003e\u003cpath fill=\"currentColor\" d=\"M464 64H48C21.49 64 0 85.49 0 112v288c0 26.51 21.49 48 48 48h416c26.51 0 48-21.49 48-48V112c0-26.51-21.49-48-48-48zm0 48v40.805c-22.422 18.259-58.168 46.651-134.587 106.49-16.841 13.247-50.201 45.072-73.413 44.701-23.208.375-56.579-31.459-73.413-44.701C106.18 199.465 70.425 171.067 48 152.805V112h416zM48 400V214.398c22.914 18.251 55.409 43.862 104.938 82.646 21.857 17.205 60.134 55.186 103.062 54.955 42.717.231 80.509-37.199 103.053-54.947 49.528-38.783 82.032-64.401 104.947-82.653V400H48z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e","floatingText":null,"displayOnAllPage":false,"formType":"normalForm","background":"color","backgroundColor":"#fff","descriptionColor":"#6c757d","headingColor":"#000","labelColor":"#1c1c1c","optionColor":"#000","paragraphBackground":"#fff","paragraphColor":"#000","colorScheme":{"solidButton":{"red":42,"green":64,"blue":100},"solidButtonLabel":{"red":255,"green":255,"blue":255},"text":{"red":28,"green":28,"blue":28},"outlineButton":{"red":28,"green":28,"blue":28},"background":{"red":255,"green":255,"blue":255,"alpha":1}},"fontSize":"medium"},"afterSubmit":{"action":"clearForm","title":"Thanks for getting in touch!","message":"\u
3405003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e","redirectUrl":null},"footer":{"description":null,"previousText":"Previous","nextText":"Next","submitText":"Submit"},"header":{"active":true,"title":{"en":"Book Your Scan Now"},"description":"","headerAlignment":"center"},"isStepByStepForm":true,"publish":{"requiredLogin":false,"requiredLoginMessage":"Please \u003ca href='\/account\/login' title='login'\u003elogin\u003c\/a\u003e to continue"},"reCaptcha":{"enable":false},"html":"\n\u003cdiv class=\"globo-form boxed-form globo-form-id-142529 \" data-locale=\"en\" \u003e\n\n\u003cstyle\u003e\n\n\n    :root .globo-form-app[data-id=\"142529\"]{\n        \n        --gfb-color-solidButton: 42,64,100;\n        --gfb-color-solidButtonColor: rgb(var(--gfb-color-solidButton));\n        --gfb-color-solidButtonLabel: 255,255,255;\n        --gfb-color-solidButtonLabelColor: rgb(var(--gfb-color-solidButtonLabel));\n        --gfb-color-text: 28,28,28;\n        --gfb-color-textColor: rgb(var(--gfb-color-text));\n        --gfb-color-outlineButton: 28,28,28;\n        --gfb-color-outlineButtonColor: rgb(var(--gfb-color-outlineButton));\n        --gfb-color-background: 255,255,255;\n        --gfb-color-backgroundColor: rgb(var(--gfb-color-background));\n        \n        --gfb-main-color: #1c1c1c;\n        --gfb-primary-color: var(--gfb-color-solidButtonColor, var(--gfb-main-color));\n        --gfb-primary-text-color: var(--gfb-color-solidButtonLabelColor, #FFF);\n        --gfb-form-width: 600px;\n        --gfb-font-family: inherit;\n        --gfb-font-style: inherit;\n        --gfb--image: 40%;\n        --gfb-image-ratio-draft: var(--gfb--image);\n        --gfb-image-ratio: var(--gfb-image-ratio-draft);\n        \n        --gfb-bg-temp-color: #FFF;\n        --gfb-bg-position: ;\n        \n            --gfb-bg-temp-color: #fff;\n        \n        --gfb-bg-color: var(--gfb-color-backgroundColor, var(--gfb-bg-temp-color));\n        \n    }\n    \n.globo-form-id-142529 .globo-form-app{\n    max-width: 600px;\n    width: -webkit-fill-available;\n    \n    background-color: var(--gfb-bg-color);\n    \n    \n}\n\n.globo-form-id-142529 .globo-form-app .globo-heading{\n    color: var(--gfb-color-textColor, #000)\n}\n\n\n.globo-form-id-142529 .globo-form-app .header {\n    text-align:center;\n}\n\n\n.globo-form-id-142529 .globo-form-app .globo-description,\n.globo-form-id-142529 .globo-form-app .header .globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-142529 .globo-form-app .globo-label,\n.globo-form-id-142529 .globo-form-app .globo-form-control label.globo-label,\n.globo-form-id-142529 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    color: var(--gfb-color-textColor, #1c1c1c);\n    text-align: left;\n}\n.globo-form-id-142529 .globo-form-app .globo-label.globo-position-label{\n    height: 20px !important;\n}\n.globo-form-id-142529 .globo-form-app .globo-form-control .help-text.globo-description,\n.globo-form-id-142529 .globo-form-app .globo-form-control span.globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-142529 .globo-form-app .globo-form-control .checkbox-wrapper .globo-option,\n.globo-form-id-142529 .globo-form-app .globo-form-control .radio-wrapper .globo-option\n{\n    color: var(--gfb-color-textColor, #1c1c1c);\n}\n.globo-form-id-142529 .globo-form-app .footer,\n.globo-form-id-142529 .globo-form-app .gfb__footer{\n    text-align:;\n}\n.globo-form-id-142529 .globo-form-app .footer button,\n.globo-form-id-142529 .globo-form-app .gfb__footer button{\n    border:1px solid var(--gfb-primary-color);\n    \n}\n.globo-form-id-142529 .globo-form-app .footer button.submit,\n.globo-form-id-142529 .globo-form-app .gfb__footer button.submit\n.globo-form-id-142529 .globo-form-app .footer button.checkout,\n.globo-form-id-142529 .globo-form-app .gfb__footer button.checkout,\n.globo-form-id-142529 .globo-form-app .footer button.action.loading .spinner,\n.globo-form-id-142529 .globo-form-app .gfb__footer button.action.loading .spinner{\n    background-color: var(--gfb-primary-color);\n    color : #ffffff;\n}\n.globo-form-id-142529 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:before {\n    content: url('data:image\/svg+xml;
3405 utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M528.1 171.5L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6zM388.6 312.3l23.7 138.4L288 385.4l-124.3 65.3 23.7-138.4-100.6-98 139-20.2 62.2-126 62.2 126 139 20.2-100.6 98z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-142529 .globo-form-app .globo-form-control .star-rating\u003efieldset\u003einput:checked ~ label:before {\n    content: url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-142529 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover:before,\n.globo-form-id-142529 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover ~ label:before{\n    content : url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e')\n}\n.globo-form-id-142529 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input:checked ~ .checkbox-label:before {\n    border-color: var(--gfb-primary-color);\n    box-shadow: 0 4px 6px rgba(50,50,93,0.11), 0 1px 3px rgba(0,0,0,0.08);\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-142529 .globo-form-app .step.-completed .step__number,\n.globo-form-id-142529 .globo-form-app .line.-progress,\n.globo-form-id-142529 .globo-form-app .line.-start{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-142529 .globo-form-app .checkmark__check,\n.globo-form-id-142529 .globo-form-app .checkmark__circle{\n    stroke: var(--gfb-primary-color);\n}\n.globo-form-id-142529 .floating-button{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-142529 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input ~ .checkbox-label:before,\n.globo-form-app .globo-form-control .radio-wrapper .radio-input ~ .radio-label:after{\n    border-color : var(--gfb-primary-color);\n}\n.globo-form-id-142529 .flatpickr-day.selected, \n.globo-form-id-142529 .flatpickr-day.startRange, \n.globo-form-id-142529 .flatpickr-day.endRange, \n.globo-form-id-142529 .flatpickr-day.selected.inRange, \n.globo-form-id-142529 .flatpickr-day.startRange.inRange, \n.globo-form-id-142529 .flatpickr-day.endRange.inRange, \n.globo-form-id-142529 .flatpickr-day.selected:focus, \n.globo-form-id-142529 .flatpickr-day.startRange:focus, \n.globo-form-id-142529 .flatpickr-day.endRange:focus, \n.globo-form-id-142529 .flatpickr-day.selected:hover, \n.globo-form-id-142529 .flatpickr-day.startRange:hover, \n.globo-form-id-142529 .flatpickr-day.endRange:hover, \n.globo-form-id-142529 .flatpickr-day.selected.prevMonthDay, \n.globo-form-id-142529 .flatpickr-day.startRange.prevMonthDay, \n.globo-form-id-142529 .flatpickr-day.endRange.prevMonthDay, \
3405n.globo-form-id-142529 .flatpickr-day.selected.nextMonthDay, \n.globo-form-id-142529 .flatpickr-day.startRange.nextMonthDay, \n.globo-form-id-142529 .flatpickr-day.endRange.nextMonthDay {\n    background: var(--gfb-primary-color);\n    border-color: var(--gfb-primary-color);\n}\n.globo-form-id-142529 .globo-paragraph {\n    color: var(--gfb-color-textColor, #000);\n    width: 100%!important;\n}\n\n[dir=\"rtl\"] .globo-form-app .header .title,\n[dir=\"rtl\"] .globo-form-app .header .description,\n[dir=\"rtl\"] .globo-form-id-142529 .globo-form-app .globo-heading,\n[dir=\"rtl\"] .globo-form-id-142529 .globo-form-app .globo-label,\n[dir=\"rtl\"] .globo-form-id-142529 .globo-form-app .globo-form-control label.globo-label,\n[dir=\"rtl\"] .globo-form-id-142529 .globo-form-app .globo-form-control label.globo-label span.label-content,\n.globo-form.rtl .globo-form-app .header .title,\n.globo-form.rtl .globo-form-app .header .description,\n.globo-form.rtl.globo-form-id-142529 .globo-form-app .globo-heading,\n.globo-form.rtl.globo-form-id-142529 .globo-form-app .globo-label,\n.globo-form.rtl.globo-form-id-142529 .globo-form-app .globo-form-control label.globo-label,\n.globo-form.rtl.globo-form-id-142529 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    text-align: right;\n}\n\n[dir=\"rtl\"] .globo-form-app .line,\n.globo-form.rtl .globo-form-app .line {\n    left: unset;\n    right: 50%;\n}\n\n[dir=\"rtl\"] .globo-form-id-142529 .globo-form-app .line.-start,\n.globo-form.rtl .globo-form-id-142529 .globo-form-app .line.-start {\n    left: unset;    \n    right: 0%;\n}\n\n\u003c\/style\u003e\n\n\n\n\n\u003cdiv class=\"globo-form-app boxed-layout gfb-style-material_outlined  gfb-font-size-medium\" data-id=142529\u003e\n    \n    \u003cdiv class=\"header dismiss hidden\" onclick=\"Globo.FormBuilder.closeModalForm(this)\"\u003e\n        \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n    \u003c\/div\u003e\n    \u003cform class=\"g-container\" novalidate action=\"https:\/\/app.powerfulform.com\/api\/front\/form\/142529\/send\" method=\"POST\" enctype=\"multipart\/form-data\" data-id=142529\u003e\n        \n            \n            \u003cdiv class=\"header\" data-path=\"header\"\u003e\n                \u003ch3 class=\"title globo-heading\"\u003eBook Your Scan Now\u003c\/h3\u003e\n                \n            \u003c\/div\u003e\n            \n        \n        \n            \u003cdiv class=\"globo-formbuilder-wizard\" data-id=142529\u003e\n                \u003cdiv class=\"wizard__content\"\u003e\n                    \u003cheader class=\"wizard__header\"\u003e\n                        \u003cdiv class=\"wizard__steps\"\u003e\n                        \u003cnav class=\"steps hidden\"\u003e\n                            \n                            \n                                \n                            \n                            \n                                \n                                    \n                                    \n                                    \n                                    \n                                    \u003cdiv class=\"step last \" data-element-id=\"group-1\"  data-step=\"0\" \u003e\n                                        \u003cdiv class=\"step__content\"\u003e\n                                            \u003cp class=\"step__number\"\u003e\u003c\/p\u003e\n                                            \u003csvg class=\"checkmark\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=52 height=52 viewBox=\"0 0 52 52\"\u003e\n                                                \u003ccircle class=\"checkmark__circle\" cx=\"26\" cy=\"26\" r=\"25\" fill=\"none\"\/\u003e\n                                                \u003cpath class=\"checkmark__check\" fill=\"none\" d=\"M14.1 27.2l7.1 7.2 16.7-16.8\"\/\u003e\n                                            \u003c\/svg\u003e\n                                            \u003cdiv class=\"lines\"\u003e\n                                                \n                                                    \u003cdiv class=\"line -start\"\u003e\u003c\/div\u003e\n                                                \n                                                \u003cdiv class=\"line -background\"\u003e\n                                                \u003c\/div\u003e\n                                                \u003cdiv class=\"line -progress\"\u003e\n                                                \u003c\/div\u003e\n                                            \u003c\/div\u003e  \n                                        \u003c\/div\u003e\n                                    \u003c\/div\u003e\n                                \n                            \n                        \u003c\/nav\u003e\n                        \u003c\/div\u003e\n                    \u003c\/header\u003e\n                    \u003cdiv class=\"panels\"\u003e\n                        \n                            \n                            \n                            \n                            \n                                \u003cdiv class=\"panel \" data-element-id=\"group-1\" data-id=142529  data-step=\"0\" style=\"padding-top:0\"\u003e\n                                    \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-1'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"142529-name-1\" 
3405class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Name\"\u003eName\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='142529-name-1-error'  data-type=\"name\" class=\"material_outlined-input\" id=\"142529-name-1\" name=\"name-1\" placeholder=\"\" \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"142529-name-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-2'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"142529-name-2\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Last Name\"\u003eLast Name\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='142529-name-2-error'  data-type=\"name\" class=\"material_outlined-input\" id=\"142529-name-2\" name=\"name-2\" placeholder=\"\" \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"142529-name-2-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control email-confirm layout-1-column \"  data-type='email' data-element-id='email-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"142529-email-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Email\"\u003eEmail\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='142529-email-1-error'  data-type=\"email\" class=\"material_outlined-input\" id=\"142529-email-1\" name=\"email-1\" placeholder=\"\"  \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"142529-email-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='phone' data-element-id='phone-1' \u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input gfb__phone-placeholder\" input-placeholder=\"\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"142529-phone-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Phone Number\"\u003ePhone Number\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \n        \n        \u003cinput type=\"text\" aria-describedby='142529-phone-1-error'  data-type=\"phone\" class=\"material_outlined-input\" oninput=\"Globo.FormBuilder.handleChangePhone(this)\" id=\"142529-phone-1\" name=\"phone-1\" placeholder=\"\"  \n           default-country-code=\"auto\"\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"142529-phone-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='textarea' data-element-id='textarea-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"142529-textarea-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Message\"\u003eMessage\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \u003ctextarea id=\"142529-textarea-1\" aria-describedby='142529-textarea-1-error'  data-type=\"textarea\" class=\"material_outlined-input\" rows=\"3\" name=\"textarea-1\" placeholder=\"\"  \n         \u003e\u003c\/textarea\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"142529-textarea-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                        \n                                    \n                                    \n                                        \n                                        \n                                    \n                                \u003c\/div\u003e\n                            \n                        \n                    \u003c\/div\u003e\n                    \u003cdiv class=\"message error\" data-other-error=\"Something went wrong, please try again\"\u003e\n                        \u003cdiv class=\"content\"\u003e\u003c\/div\u003e\n                        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                        \u003c\/div\u003e\n                    \u003c\/div\u003e\n                    \n                        \n                        \n                        \u003cdiv class=\"message success\"\u003e\n                            \n                                \u003cdiv class=\"gfb__c
3405ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n                            \n                            \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n                                \u003cdiv class=\"gfb__content-discount\"\u003e\n                                    \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                                    \u003cdiv class=\"gfb__copy\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e\n                                    \u003cdiv class=\"gfb__copied\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e        \n                                \u003c\/div\u003e\n                            \u003c\/div\u003e\n                            \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n                            \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                                \u003csvg width=20 height=20 width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                            \u003c\/div\u003e\n                        \u003c\/div\u003e\n                        \n                        \n                    \n                    \u003cdiv class=\"gfb__footer wizard__footer\" data-path=\"footer\" \u003e\n                        \n                            \n                            \u003cdiv class=\"description globo-description\"\u003e\u003c\/div\u003e\n                            \n                        \n                        \u003cbutton type=\"button\" class=\"action previous hidden material_outlined-button\"\u003ePrevious\u003c\/button\u003e\n                        \u003cbutton type=\"button\" class=\"action next submit material_outlined-button\" data-submitting-text=\"\" data-submit-text='\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eSubmit' data-next-text=\"Next\" \u003e\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eNext\u003c\/button\u003e\n                        \n                        \u003cp class=\"wizard__congrats-message\"\u003e\u003c\/p\u003e\n                    \u003c\/div\u003e\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n        \n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[id]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[email]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[name]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[title]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[href]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"_keyLabel\"\u003e\n    \u003c\/form\u003e\n    \n    \n    \u003cdiv class=\"message success\"\u003e\n        \n            \u003cdiv class=\"gfb__c
3405ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n        \n        \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n            \u003cdiv class=\"gfb__content-discount\"\u003e\n                \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                \u003cdiv class=\"gfb__copy\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e\n                \u003cdiv class=\"gfb__copied\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e        \n            \u003c\/div\u003e\n        \u003c\/div\u003e\n        \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n        \u003c\/div\u003e\n    \u003c\/div\u003e\n    \n    \n\u003c\/div\u003e\n\n\u003c\/div\u003e\n"}}[142529];
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3411      window.Globo.FormBuilder.forms[144092] = {"144092":{"elements":[{"id":"group-1","type":"group","label":"Page 1","description":"","elements":[{"id":"name-1","type":"name","label":{"en":"Nombre"},"placeholder":{"en":""},"description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false},{"id":"name-2","type":"name","label":{"en":"Apellido"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"email-1","type":"email","label":"Email","placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"phone-1","type":"phone","label":{"en":"Teléfono"},"placeholder":"","description":"","validatePhone":false,"onlyShowFlag":false,"defaultCountryCode":"auto","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"textarea-1","type":"textarea","label":{"en":"Mensaje"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false}]}],"errorMessage":{"required":"{{ label | capitalize }} is required","minSelections":"Please choose at least {{ min_selections }} options","maxSelections":"Please choose at maximum of {{ max_selections }} options","exactlySelections":"Please choose exactly {{ exact_selections }} options","minProductSelections":"Please choose at least {{ min_selections }} products","maxProductSelections":"Please choose a maximum of {{ max_selections }} products","minProductQuantities":"Please choose a quantity of at least {{ min_quantities }} products","maxProductQuantities":"Please choose a quantity of no more than {{ max_quantities }} products","minEachProductQuantities":"Choose quantity of product {{product_name}} of at least {{min_quantities}}","maxEachProductQuantities":"Choose quantity of product {{product_name}} of at most {{max_quantities}}
3411","invalid":"Invalid","invalidName":"Invalid name","invalidEmail":"Email address is invalid","restrictedEmailDomain":"This email domain is restricted","invalidURL":"Invalid url","invalidPhone":"Invalid phone","invalidNumber":"Invalid number","invalidPassword":"Invalid password","confirmPasswordNotMatch":"Confirmed password doesn't match","customerAlreadyExists":"Customer already exists","keyAlreadyExists":"Data already exists","fileSizeLimit":"File size limit","fileNotAllowed":"File not allowed","requiredCaptcha":"Required captcha","requiredProducts":"Please select product","limitQuantity":"The number of products left in stock has been exceeded","shopifyInvalidPhone":"phone - Enter a valid phone number to use this delivery method","shopifyPhoneHasAlready":"phone - Phone has already been taken","shopifyInvalidProvice":"addresses.province - is not valid","otherError":"Something went wrong, please try again","limitNumberOfSubmissions":"Form submission limit reached"},"appearance":{"layout":"boxed","theme_design":false,"width":600,"style":"material_outlined","mainColor":"#1c1c1c","floatingIcon":"\u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"envelope\" class=\"svg-inline--fa fa-envelope fa-w-16\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"\u003e\u003cpath fill=\"currentColor\" d=\"M464 64H48C21.49 64 0 85.49 0 112v288c0 26.51 21.49 48 48 48h416c26.51 0 48-21.49 48-48V112c0-26.51-21.49-48-48-48zm0 48v40.805c-22.422 18.259-58.168 46.651-134.587 106.49-16.841 13.247-50.201 45.072-73.413 44.701-23.208.375-56.579-31.459-73.413-44.701C106.18 199.465 70.425 171.067 48 152.805V112h416zM48 400V214.398c22.914 18.251 55.409 43.862 104.938 82.646 21.857 17.205 60.134 55.186 103.062 54.955 42.717.231 80.509-37.199 103.053-54.947 49.528-38.783 82.032-64.401 104.947-82.653V400H48z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e","floatingText":null,"displayOnAllPage":false,"formType":"normalForm","background":"color","backgroundColor":"#fff","descriptionColor":"#6c757d","headingColor":"#000","labelColor":"#1c1c1c","optionColor":"#000","paragraphBackground":"#fff","paragraphColor":"#000","colorScheme":{"solidButton":{"red":42,"green":64,"blue":100},"solidButtonLabel":{"red":255,"green":255,"blue":255},"text":{"red":28,"green":28,"blue":28},"outlineButton":{"red":28,"green":28,"blue":28},"background":{"red":255,"green":255,"blue":255,"alpha":1}},"fontSize":"medium"},"afterSubmit":{"action":"clearForm","title":"Thanks for getting in touch!","message":"\u
3411003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e","redirectUrl":null},"footer":{"description":null,"previousText":"Previous","nextText":"Next","submitText":{"en":"Enviar"},"submitAlignment":"left"},"header":{"active":true,"title":{"en":""},"description":"","headerAlignment":"center"},"isStepByStepForm":true,"publish":{"requiredLogin":false,"requiredLoginMessage":"Please \u003ca href='\/account\/login' title='login'\u003elogin\u003c\/a\u003e to continue"},"reCaptcha":{"enable":false},"html":"\n\u003cdiv class=\"globo-form boxed-form globo-form-id-144092 \" data-locale=\"en\" \u003e\n\n\u003cstyle\u003e\n\n\n    :root .globo-form-app[data-id=\"144092\"]{\n        \n        --gfb-color-solidButton: 42,64,100;\n        --gfb-color-solidButtonColor: rgb(var(--gfb-color-solidButton));\n        --gfb-color-solidButtonLabel: 255,255,255;\n        --gfb-color-solidButtonLabelColor: rgb(var(--gfb-color-solidButtonLabel));\n        --gfb-color-text: 28,28,28;\n        --gfb-color-textColor: rgb(var(--gfb-color-text));\n        --gfb-color-outlineButton: 28,28,28;\n        --gfb-color-outlineButtonColor: rgb(var(--gfb-color-outlineButton));\n        --gfb-color-background: 255,255,255;\n        --gfb-color-backgroundColor: rgb(var(--gfb-color-background));\n        \n        --gfb-main-color: #1c1c1c;\n        --gfb-primary-color: var(--gfb-color-solidButtonColor, var(--gfb-main-color));\n        --gfb-primary-text-color: var(--gfb-color-solidButtonLabelColor, #FFF);\n        --gfb-form-width: 600px;\n        --gfb-font-family: inherit;\n        --gfb-font-style: inherit;\n        --gfb--image: 40%;\n        --gfb-image-ratio-draft: var(--gfb--image);\n        --gfb-image-ratio: var(--gfb-image-ratio-draft);\n        \n        --gfb-bg-temp-color: #FFF;\n        --gfb-bg-position: ;\n        \n            --gfb-bg-temp-color: #fff;\n        \n        --gfb-bg-color: var(--gfb-color-backgroundColor, var(--gfb-bg-temp-color));\n        \n    }\n    \n.globo-form-id-144092 .globo-form-app{\n    max-width: 600px;\n    width: -webkit-fill-available;\n    \n    background-color: var(--gfb-bg-color);\n    \n    \n}\n\n.globo-form-id-144092 .globo-form-app .globo-heading{\n    color: var(--gfb-color-textColor, #000)\n}\n\n\n.globo-form-id-144092 .globo-form-app .header {\n    text-align:center;\n}\n\n\n.globo-form-id-144092 .globo-form-app .globo-description,\n.globo-form-id-144092 .globo-form-app .header .globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-144092 .globo-form-app .globo-label,\n.globo-form-id-144092 .globo-form-app .globo-form-control label.globo-label,\n.globo-form-id-144092 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    color: var(--gfb-color-textColor, #1c1c1c);\n    text-align: left;\n}\n.globo-form-id-144092 .globo-form-app .globo-label.globo-position-label{\n    height: 20px !important;\n}\n.globo-form-id-144092 .globo-form-app .globo-form-control .help-text.globo-description,\n.globo-form-id-144092 .globo-form-app .globo-form-control span.globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-144092 .globo-form-app .globo-form-control .checkbox-wrapper .globo-option,\n.globo-form-id-144092 .globo-form-app .globo-form-control .radio-wrapper .globo-option\n{\n    color: var(--gfb-color-textColor, #1c1c1c);\n}\n.globo-form-id-144092 .globo-form-app .footer,\n.globo-form-id-144092 .globo-form-app .gfb__footer{\n    text-align:left;\n}\n.globo-form-id-144092 .globo-form-app .footer button,\n.globo-form-id-144092 .globo-form-app .gfb__footer button{\n    border:1px solid var(--gfb-primary-color);\n    \n}\n.globo-form-id-144092 .globo-form-app .footer button.submit,\n.globo-form-id-144092 .globo-form-app .gfb__footer button.submit\n.globo-form-id-144092 .globo-form-app .footer button.checkout,\n.globo-form-id-144092 .globo-form-app .gfb__footer button.checkout,\n.globo-form-id-144092 .globo-form-app .footer button.action.loading .spinner,\n.globo-form-id-144092 .globo-form-app .gfb__footer button.action.loading .spinner{\n    background-color: var(--gfb-primary-color);\n    color : #ffffff;\n}\n.globo-form-id-144092 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:before {\n    content: url('data:image\/svg+xml;
3411 utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M528.1 171.5L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6zM388.6 312.3l23.7 138.4L288 385.4l-124.3 65.3 23.7-138.4-100.6-98 139-20.2 62.2-126 62.2 126 139 20.2-100.6 98z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-144092 .globo-form-app .globo-form-control .star-rating\u003efieldset\u003einput:checked ~ label:before {\n    content: url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-144092 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover:before,\n.globo-form-id-144092 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover ~ label:before{\n    content : url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e')\n}\n.globo-form-id-144092 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input:checked ~ .checkbox-label:before {\n    border-color: var(--gfb-primary-color);\n    box-shadow: 0 4px 6px rgba(50,50,93,0.11), 0 1px 3px rgba(0,0,0,0.08);\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-144092 .globo-form-app .step.-completed .step__number,\n.globo-form-id-144092 .globo-form-app .line.-progress,\n.globo-form-id-144092 .globo-form-app .line.-start{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-144092 .globo-form-app .checkmark__check,\n.globo-form-id-144092 .globo-form-app .checkmark__circle{\n    stroke: var(--gfb-primary-color);\n}\n.globo-form-id-144092 .floating-button{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-144092 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input ~ .checkbox-label:before,\n.globo-form-app .globo-form-control .radio-wrapper .radio-input ~ .radio-label:after{\n    border-color : var(--gfb-primary-color);\n}\n.globo-form-id-144092 .flatpickr-day.selected, \n.globo-form-id-144092 .flatpickr-day.startRange, \n.globo-form-id-144092 .flatpickr-day.endRange, \n.globo-form-id-144092 .flatpickr-day.selected.inRange, \n.globo-form-id-144092 .flatpickr-day.startRange.inRange, \n.globo-form-id-144092 .flatpickr-day.endRange.inRange, \n.globo-form-id-144092 .flatpickr-day.selected:focus, \n.globo-form-id-144092 .flatpickr-day.startRange:focus, \n.globo-form-id-144092 .flatpickr-day.endRange:focus, \n.globo-form-id-144092 .flatpickr-day.selected:hover, \n.globo-form-id-144092 .flatpickr-day.startRange:hover, \n.globo-form-id-144092 .flatpickr-day.endRange:hover, \n.globo-form-id-144092 .flatpickr-day.selected.prevMonthDay, \n.globo-form-id-144092 .flatpickr-day.startRange.prevMonthDay, \n.globo-form-id-144092 .flatpickr-day.endRange.prevMonthDay, \
3411n.globo-form-id-144092 .flatpickr-day.selected.nextMonthDay, \n.globo-form-id-144092 .flatpickr-day.startRange.nextMonthDay, \n.globo-form-id-144092 .flatpickr-day.endRange.nextMonthDay {\n    background: var(--gfb-primary-color);\n    border-color: var(--gfb-primary-color);\n}\n.globo-form-id-144092 .globo-paragraph {\n    color: var(--gfb-color-textColor, #000);\n    width: 100%!important;\n}\n\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-app .header .title,\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-app .header .description,\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-id-144092 .globo-form-app .globo-heading,\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-id-144092 .globo-form-app .globo-label,\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-id-144092 .globo-form-app .globo-form-control label.globo-label,\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-id-144092 .globo-form-app .globo-form-control label.globo-label span.label-content,\n.globo-form.rtl .globo-form-app .header .title,\n.globo-form.rtl .globo-form-app .header .description,\n.globo-form.rtl.globo-form-id-144092 .globo-form-app .globo-heading,\n.globo-form.rtl.globo-form-id-144092 .globo-form-app .globo-label,\n.globo-form.rtl.globo-form-id-144092 .globo-form-app .globo-form-control label.globo-label,\n.globo-form.rtl.globo-form-id-144092 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    text-align: right;\n}\n\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-app .line,\n.globo-form.rtl .globo-form-app .line {\n    left: unset;\n    right: 50%;\n}\n\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-id-144092 .globo-form-app .line.-start,\n.globo-form.rtl .globo-form-id-144092 .globo-form-app .line.-start {\n    left: unset;    \n    right: 0%;\n}\n\n.not-rtl {\n    direction: ltr;\n}\n\n\u003c\/style\u003e\n\n\n\n\n\u003cdiv class=\"globo-form-app boxed-layout gfb-style-material_outlined  gfb-font-size-medium\" data-id=144092\u003e\n    \n    \u003cdiv class=\"header dismiss hidden\" onclick=\"Globo.FormBuilder.closeModalForm(this)\"\u003e\n        \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n    \u003c\/div\u003e\n    \u003cform class=\"g-container\" novalidate action=\"https:\/\/app.powerfulform.com\/api\/front\/form\/144092\/send\" method=\"POST\" enctype=\"multipart\/form-data\" data-id=144092\u003e\n        \n            \n            \u003cdiv class=\"header\" data-path=\"header\"\u003e\n                \u003ch3 class=\"title globo-heading\"\u003e\u003c\/h3\u003e\n                \n            \u003c\/div\u003e\n            \n        \n        \n            \u003cdiv class=\"globo-formbuilder-wizard\" data-id=144092\u003e\n                \u003cdiv class=\"wizard__content\"\u003e\n                    \u003cheader class=\"wizard__header\"\u003e\n                        \u003cdiv class=\"wizard__steps\"\u003e\n                        \u003cnav class=\"steps hidden\"\u003e\n                            \n                            \n                                \n                            \n                            \n                                \n                                    \n                                    \n                                    \n                                    \n                                    \u003cdiv class=\"step last \" data-element-id=\"group-1\"  data-step=\"0\" \u003e\n                                        \u003cdiv class=\"step__content\"\u003e\n                                            \u003cp class=\"step__number\"\u003e\u003c\/p\u003e\n                                            \u003csvg class=\"checkmark\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=52 height=52 viewBox=\"0 0 52 52\"\u003e\n                                                \u003ccircle class=\"checkmark__circle\" cx=\"26\" cy=\"26\" r=\"25\" fill=\"none\"\/\u003e\n                                                \u003cpath class=\"checkmark__check\" fill=\"none\" d=\"M14.1 27.2l7.1 7.2 16.7-16.8\"\/\u003e\n                                            \u003c\/svg\u003e\n                                            \u003cdiv class=\"lines\"\u003e\n                                                \n                                                    \u003cdiv class=\"line -start\"\u003e\u003c\/div\u003e\n                                                \n                                                \u003cdiv class=\"line -background\"\u003e\n                                                \u003c\/div\u003e\n                                                \u003cdiv class=\"line -progress\"\u003e\n                                                \u003c\/div\u003e\n                                            \u003c\/div\u003e  \n                                        \u003c\/div\u003e\n                                    \u003c\/div\u003e\n                                \n                            \n                        \u003c\/nav\u003e\n                        \u003c\/div\u003e\n                    \u003c\/header\u003e\n                    \u003cdiv class=\"panels\"\u003e\n                        \n                            \n                            \n                            \n                            \n                                \u003cdiv class=\"panel \" data-element-id=\"group-1\" data-id=144092  data-step=\"0\" style=\"padding-top:0\"\u003e\n                                    \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-1'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Nombre\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"144092-name-1\" 
3411class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Nombre\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Nombre\"\u003eNombre\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='144092-name-1-error'  data-type=\"name\" class=\"material_outlined-input\" id=\"144092-name-1\" name=\"name-1\" placeholder=\"\" \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"144092-name-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-2'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Apellido\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"144092-name-2\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Apellido\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Apellido\"\u003eApellido\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='144092-name-2-error'  data-type=\"name\" class=\"material_outlined-input\" id=\"144092-name-2\" name=\"name-2\" placeholder=\"\" \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"144092-name-2-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control email-confirm layout-1-column \"  data-type='email' data-element-id='email-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"144092-email-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Email\"\u003eEmail\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='144092-email-1-error'  data-type=\"email\" class=\"material_outlined-input\" id=\"144092-email-1\" name=\"email-1\" placeholder=\"\"  \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"144092-email-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='phone' data-element-id='phone-1' \u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Teléfono\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input gfb__phone-placeholder\" input-placeholder=\"\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"144092-phone-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Teléfono\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Teléfono\"\u003eTeléfono\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \n        \n        \u003cinput type=\"text\" aria-describedby='144092-phone-1-error'  data-type=\"phone\" class=\"material_outlined-input\" oninput=\"Globo.FormBuilder.handleChangePhone(this)\" id=\"144092-phone-1\" name=\"phone-1\" placeholder=\"\"  \n           default-country-code=\"auto\" \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"144092-phone-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='textarea' data-element-id='textarea-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Mensaje\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"144092-textarea-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Mensaje\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Mensaje\"\u003eMensaje\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \u003ctextarea id=\"144092-textarea-1\" aria-describedby='144092-textarea-1-error'  data-type=\"textarea\" class=\"material_outlined-input\" rows=\"3\" name=\"textarea-1\" placeholder=\"\"  \n         \u003e\u003c\/textarea\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"144092-textarea-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                        \n                                    \n                                    \n                                        \n                                        \n                                    \n                                \u003c\/div\u003e\n                            \n                        \n                    \u003c\/div\u003e\n                    \u003cdiv class=\"message error\" data-other-error=\"Something went wrong, please try again\"\u003e\n                        \u003cdiv class=\"content\"\u003e\u003c\/div\u003e\n                        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                        \u003c\/div\u003e\n                    \u003c\/div\u003e\n                    \n                        \n                        \n                        \u003cdiv class=\"message success\"\u003e\n                            \n                                \u003cdiv class=\"gfb__c
3411ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n                            \n                            \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n                                \u003cdiv class=\"gfb__content-discount\"\u003e\n                                    \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                                    \u003cdiv class=\"gfb__copy\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e\n                                    \u003cdiv class=\"gfb__copied\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e        \n                                \u003c\/div\u003e\n                            \u003c\/div\u003e\n                            \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n                            \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                                \u003csvg width=20 height=20 width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                            \u003c\/div\u003e\n                        \u003c\/div\u003e\n                        \n                        \n                    \n                    \u003cdiv class=\"gfb__footer wizard__footer\" data-path=\"footer\" \u003e\n                        \n                            \n                            \u003cdiv class=\"description globo-description\"\u003e\u003c\/div\u003e\n                            \n                        \n                        \u003cbutton type=\"button\" class=\"action previous hidden material_outlined-button\"\u003ePrevious\u003c\/button\u003e\n                        \u003cbutton type=\"button\" class=\"action next submit material_outlined-button\" data-submitting-text=\"\" data-submit-text='\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eEnviar' data-next-text=\"Next\" \u003e\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eNext\u003c\/button\u003e\n                        \n                        \u003cp class=\"wizard__congrats-message\"\u003e\u003c\/p\u003e\n                    \u003c\/div\u003e\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n        \n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[id]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[email]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[name]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[title]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[href]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"_keyLabel\"\u003e\n    \u003c\/form\u003e\n    \n    \n    \u003cdiv class=\"message success\"\u003e\n        \n            \u003cdiv class=\"gfb__c
3411ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n        \n        \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n            \u003cdiv class=\"gfb__content-discount\"\u003e\n                \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                \u003cdiv class=\"gfb__copy\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e\n                \u003cdiv class=\"gfb__copied\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e        \n            \u003c\/div\u003e\n        \u003c\/div\u003e\n        \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n        \u003c\/div\u003e\n    \u003c\/div\u003e\n    \n    \n\u003c\/div\u003e\n\n\u003c\/div\u003e\n"}}[144092];
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3416      
3417      window.Globo.FormBuilder.forms[144670] = {"144670":{"elements":[{"id":"group-1","type":"group","label":"Page 1","description":"","elements":[{"id":"name-1","type":"name","label":{"en":"Full Name"},"placeholder":{"en":""},"description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false},{"id":"name-2","type":"name","label":{"en":"Last Name"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false,"hidden":true},{"id":"email-1","type":"email","label":"Email","placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"phone-1","type":"phone","label":{"en":"Phone Number"},"placeholder":"","description":"","validatePhone":false,"onlyShowFlag":false,"defaultCountryCode":"auto","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"select-1","type":"select","label":{"en":"How did you hear about us?"},"placeholder":"Please select","options":[{"label":{"en":"Iman Hasan (@imanhasan)"},"value":"Iman Hasan (@imanhasan)"},{"label":{"en":"Instagram"},"value":"Instagram"},{"label":{"en":"Friend or Family"},"value":"Friend or Family","description":"Option 3"},{"label":{"en":"Google"},"value":"Google","description":"Option 4"},{"label":{"en":"Other"},"value":"Other","description":"Option 5"}],"defaultOption":"","description":"","hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"textarea-1","type":"textarea","label":{"en":"Message"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"text-1","type":"text","label":"Text","placeholder":"","description":"","limitCharacters":false,"characters":[],"hideLabel":false,"keepPositionLabel":false,"onlyNumbers":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false,"hidden":true},{"id":"paragraph-1","type":"paragraph","text":{"en":"\u003cp\u003eBy submitting this form you agree to be contacted by Gentera Center for Precision Medicine regarding your appointment request.\u003c\/p\u003e"},"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false}]}],"errorMessage":{"required":"{{ label | capitalize }} is required","minSelections":"Please choose at least {{ min_selections }} options","maxSelections":"Please choose at maximum of {{ max_selections }} options","exactlySelections":"Please choose exactly {{ exact_selections }} options","minProductSelections":"Please choose at least {{ min_selections }} products","maxProductSelections":"Please choose a maximum of {{ max_selections }} products","minProductQuantities":"Please choose a quantity of at least {{ min_quantities }} products","maxProductQuantities":"Please choose a quantity of no more than {{ max_quantities }} products","minEachProductQuantities":"Choose quantity of product {{product_name}} of at least {{min_quantities}}","maxEachProductQuantities":"Choose quantity of product {{product_name}} of at most {{max_quantities}}
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3417003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e","redirectUrl":null},"footer":{"description":null,"previousText":"Previous","nextText":"Next","submitText":"Submit"},"header":{"active":true,"title":{"en":"Request your appointment"},"description":{"en":"\u003cp\u003e\u003cspan style=\"background-color: rgb(255, 255, 255); color: rgb(119, 119, 119);\"\u003eFill out the form below and our team will be in touch within 24 hours to confirm your booking.\u003c\/span\u003e\u003c\/p\u003e"},"headerAlignment":"left"},"isStepByStepForm":true,"publish":{"requiredLogin":false,"requiredLoginMessage":"Please \u003ca href='\/account\/login' title='login'\u003elogin\u003c\/a\u003e to continue"},"reCaptcha":{"enable":false},"html":"\n\u003cdiv class=\"globo-form boxed-form globo-form-id-144670 \" data-locale=\"en\" \u003e\n\n\u003cstyle\u003e\n\n\n    :root .globo-form-app[data-id=\"144670\"]{\n        \n        --gfb-color-solidButton: 42,64,100;\n        --gfb-color-solidButtonColor: rgb(var(--gfb-color-solidButton));\n        --gfb-color-solidButtonLabel: 255,255,255;\n        --gfb-color-solidButtonLabelColor: rgb(var(--gfb-color-solidButtonLabel));\n        --gfb-color-text: 28,28,28;\n        --gfb-color-textColor: rgb(var(--gfb-color-text));\n        --gfb-color-outlineButton: 28,28,28;\n        --gfb-color-outlineButtonColor: rgb(var(--gfb-color-outlineButton));\n        --gfb-color-background: 255,255,255;\n        --gfb-color-backgroundColor: rgb(var(--gfb-color-background));\n        \n        --gfb-main-color: #1c1c1c;\n        --gfb-primary-color: var(--gfb-color-solidButtonColor, var(--gfb-main-color));\n        --gfb-primary-text-color: var(--gfb-color-solidButtonLabelColor, #FFF);\n        --gfb-form-width: 600px;\n        --gfb-font-family: inherit;\n        --gfb-font-style: inherit;\n        --gfb--image: 40%;\n        --gfb-image-ratio-draft: var(--gfb--image);\n        --gfb-image-ratio: var(--gfb-image-ratio-draft);\n        \n        --gfb-bg-temp-color: #FFF;\n        --gfb-bg-position: ;\n        \n            --gfb-bg-temp-color: #fff;\n        \n        --gfb-bg-color: var(--gfb-color-backgroundColor, var(--gfb-bg-temp-color));\n        \n    }\n    \n.globo-form-id-144670 .globo-form-app{\n    max-width: 600px;\n    width: -webkit-fill-available;\n    \n    background-color: var(--gfb-bg-color);\n    \n    \n}\n\n.globo-form-id-144670 .globo-form-app .globo-heading{\n    color: var(--gfb-color-textColor, #000)\n}\n\n\n.globo-form-id-144670 .globo-form-app .header {\n    text-align:left;\n}\n\n\n.globo-form-id-144670 .globo-form-app .globo-description,\n.globo-form-id-144670 .globo-form-app .header .globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-144670 .globo-form-app .globo-label,\n.globo-form-id-144670 .globo-form-app .globo-form-control label.globo-label,\n.globo-form-id-144670 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    color: var(--gfb-color-textColor, #1c1c1c);\n    text-align: left;\n}\n.globo-form-id-144670 .globo-form-app .globo-label.globo-position-label{\n    height: 20px !important;\n}\n.globo-form-id-144670 .globo-form-app .globo-form-control .help-text.globo-description,\n.globo-form-id-144670 .globo-form-app .globo-form-control span.globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-144670 .globo-form-app .globo-form-control .checkbox-wrapper .globo-option,\n.globo-form-id-144670 .globo-form-app .globo-form-control .radio-wrapper .globo-option\n{\n    color: var(--gfb-color-textColor, #1c1c1c);\n}\n.globo-form-id-144670 .globo-form-app .footer,\n.globo-form-id-144670 .globo-form-app .gfb__footer{\n    text-align:;\n}\n.globo-form-id-144670 .globo-form-app .footer button,\n.globo-form-id-144670 .globo-form-app .gfb__footer button{\n    border:1px solid var(--gfb-primary-color);\n    \n}\n.globo-form-id-144670 .globo-form-app .footer button.submit,\n.globo-form-id-144670 .globo-form-app .gfb__footer button.submit\n.globo-form-id-144670 .globo-form-app .footer button.checkout,\n.globo-form-id-144670 .globo-form-app .gfb__footer button.checkout,\n.globo-form-id-144670 .globo-form-app .footer button.action.loading .spinner,\n.globo-form-id-144670 .globo-form-app .gfb__footer button.action.loading .spinner{\n    background-color: var(--gfb-primary-color);\n    color : #ffffff;\n}\n.globo-form-id-144670 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:before {\n    content: url('data:image\/svg+xml;
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   \n    right: 0%;\n}\n\n\u003c\/style\u003e\n\n\n\n\n\u003cdiv class=\"globo-form-app boxed-layout gfb-style-material_outlined  gfb-font-size-small\" data-id=144670\u003e\n    \n    \u003cdiv class=\"header dismiss hidden\" onclick=\"Globo.FormBuilder.closeModalForm(this)\"\u003e\n        \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n    \u003c\/div\u003e\n    \u003cform class=\"g-container\" novalidate action=\"https:\/\/app.powerfulform.com\/api\/front\/form\/144670\/send\" method=\"POST\" enctype=\"multipart\/form-data\" data-id=144670\u003e\n        \n            \n            \u003cdiv class=\"header\" data-path=\"header\"\u003e\n                \u003ch3 class=\"title globo-heading\"\u003eRequest your appointment\u003c\/h3\u003e\n                \n                \u003cdiv class=\"description globo-description\"\u003e\u003cp\u003e\u003cspan style=\"background-color: rgb(255, 255, 255); color: rgb(119, 119, 119);\"\u003eFill out the form below and our team will be in touch within 24 hours to confirm your booking.\u003c\/span\u003e\u003c\/p\u003e\u003c\/div\u003e\n                \n            \u003c\/div\u003e\n            \n        \n        \n            \u003cdiv class=\"globo-formbuilder-wizard\" data-id=144670\u003e\n                \u003cdiv class=\"wizard__content\"\u003e\n                    \u003cheader class=\"wizard__header\"\u003e\n                        \u003cdiv class=\"wizard__steps\"\u003e\n                        \u003cnav class=\"steps hidden\"\u003e\n                            \n                            \n                                \n                            \n                            \n                                \n                                    \n                                    \n                                    \n                                    \n                                    \u003cdiv class=\"step last \" data-element-id=\"group-1\"  data-step=\"0\" \u003e\n                                        \u003cdiv class=\"step__content\"\u003e\n                                            \u003cp class=\"step__number\"\u003e\u003c\/p\u003e\n                                            \u003csvg class=\"checkmark\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=52 height=52 viewBox=\"0 0 52 52\"\u003e\n                                                \u003ccircle class=\"checkmark__circle\" cx=\"26\" cy=\"26\" r=\"25\" fill=\"none\"\/\u003e\n                                                \u003cpath class=\"checkmark__check\" fill=\"none\" d=\"M14.1 27.2l7.1 7.2 16.7-16.8\"\/\u003e\n                                            \u003c\/svg\u003e\n                                            \u003cdiv class=\"lines\"\u003e\n                                                \n                                                    \u003cdiv class=\"line -start\"\u003e\u003c\/div\u003e\n                                                \n                                                \u003cdiv class=\"line -background\"\u003e\n                                                \u003c\/div\u003e\n                                                \u003cdiv class=\"line -progress\"\u003e\n                                                \u003c\/div\u003e\n                                            \u003c\/div\u003e  \n                                        \u003c\/div\u003e\n                                    \u003c\/div\u003e\n                                \n                            \n                        \u003c\/nav\u003e\n                        \u003c\/div\u003e\n                    \u003c\/header\u003e\n                    \u003cdiv class=\"panels\"\u003e\n                        \n                            \n                            \n                            \n                            \n                                \u003cdiv class=\"panel \" data-element-id=\"group-1\" data-id=144670  data-step=\"0\" style=\"padding-top:0\"\u003e\n                                    \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-1'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Full Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"144670-name-1\" 
3417class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Full Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Full Name\"\u003eFull Name\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='144670-name-1-error'  data-type=\"name\" class=\"material_outlined-input\" id=\"144670-name-1\" name=\"name-1\" placeholder=\"\" \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"144670-name-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control email-confirm layout-1-column \"  data-type='email' data-element-id='email-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"144670-email-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Email\"\u003eEmail\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='144670-email-1-error'  data-type=\"email\" class=\"material_outlined-input\" id=\"144670-email-1\" name=\"email-1\" placeholder=\"\"  \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"144670-email-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='phone' data-element-id='phone-1' \u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input gfb__phone-placeholder\" input-placeholder=\"\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"144670-phone-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Phone Number\"\u003ePhone Number\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \n        \n        \u003cinput type=\"text\" aria-describedby='144670-phone-1-error'  data-type=\"phone\" class=\"material_outlined-input\" oninput=\"Globo.FormBuilder.handleChangePhone(this)\" id=\"144670-phone-1\" name=\"phone-1\" placeholder=\"\"  \n           default-country-code=\"auto\"\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"144670-phone-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='select' data-element-id='select-1' data-default-value=\"\" data-type=\"select\" \u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"How did you hear about us?\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \n    \n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"144670-select-1\" 
3417class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"How did you hear about us?\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"How did you hear about us?\"\u003eHow did you hear about us?\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cselect data-searchable=\"\" name=\"select-1\" aria-describedby='144670-select-1-error'  id=\"144670-select-1\" class=\"material_outlined-input wide\" \u003e\n            \u003coption selected=\"selected\" value=\"\" disabled=\"disabled\"\u003ePlease select\u003c\/option\u003e\n            \n            \u003coption value=\"Iman Hasan (@imanhasan)\" \u003eIman Hasan (@imanhasan)\u003c\/option\u003e\n            \n            \u003coption value=\"Instagram\" \u003eInstagram\u003c\/option\u003e\n            \n            \u003coption value=\"Friend or Family\" \u003eFriend or Family\u003c\/option\u003e\n            \n            \u003coption value=\"Google\" \u003eGoogle\u003c\/option\u003e\n            \n            \u003coption value=\"Other\" \u003eOther\u003c\/option\u003e\n            \n        \u003c\/select\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"144670-select-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='textarea' data-element-id='textarea-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"144670-textarea-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Message\"\u003eMessage\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \u003ctextarea id=\"144670-textarea-1\" aria-describedby='144670-textarea-1-error'  data-type=\"textarea\" class=\"material_outlined-input\" rows=\"3\" name=\"textarea-1\" placeholder=\"\"  \n         \u003e\u003c\/textarea\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"144670-textarea-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='paragraph' data-element-id='paragraph-1'\u003e\n    \n\n    \n    \u003cdiv tabindex=\"0\" class=\"globo-paragraph\" id=\"paragraph-1\" \u003e\u003cp\u003eBy submitting this form you agree to be contacted by Gentera Center for Precision Medicine regarding your appointment request.\u003c\/p\u003e\u003c\/div\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                        \n                                    \n                                    \n                                        \n                                        \n                                    \n                                \u003c\/div\u003e\n                            \n                        \n                    \u003c\/div\u003e\n                    \u003cdiv class=\"message error\" data-other-error=\"Something went wrong, please try again\"\u003e\n                        \u003cdiv class=\"content\"\u003e\u003c\/div\u003e\n                        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                        \u003c\/div\u003e\n                    \u003c\/div\u003e\n                    \n                        \n                        \n                        \u003cdiv class=\"message success\"\u003e\n                            \n                                \u003cdiv class=\"gfb__c
3417ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n                            \n                            \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n                                \u003cdiv class=\"gfb__content-discount\"\u003e\n                                    \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                                    \u003cdiv class=\"gfb__copy\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e\n                                    \u003cdiv class=\"gfb__copied\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e        \n                                \u003c\/div\u003e\n                            \u003c\/div\u003e\n                            \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n                            \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                                \u003csvg width=20 height=20 width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                            \u003c\/div\u003e\n                        \u003c\/div\u003e\n                        \n                        \n                    \n                    \u003cdiv class=\"gfb__footer wizard__footer\" data-path=\"footer\" \u003e\n                        \n                            \n                            \u003cdiv class=\"description globo-description\"\u003e\u003c\/div\u003e\n                            \n                        \n                        \u003cbutton type=\"button\" class=\"action previous hidden material_outlined-button\"\u003ePrevious\u003c\/button\u003e\n                        \u003cbutton type=\"button\" class=\"action next submit material_outlined-button\" data-submitting-text=\"\" data-submit-text='\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eSubmit' data-next-text=\"Next\" \u003e\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eNext\u003c\/button\u003e\n                        \n                        \u003cp class=\"wizard__congrats-message\"\u003e\u003c\/p\u003e\n                    \u003c\/div\u003e\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n        \n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[id]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[email]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[name]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[title]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[href]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"_keyLabel\"\u003e\n    \u003c\/form\u003e\n    \n    \n    \u003cdiv class=\"message success\"\u003e\n        \n            \u003cdiv class=\"gfb__c
3417ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n        \n        \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n            \u003cdiv class=\"gfb__content-discount\"\u003e\n                \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                \u003cdiv class=\"gfb__copy\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e\n                \u003cdiv class=\"gfb__copied\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e        \n            \u003c\/div\u003e\n        \u003c\/div\u003e\n        \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n        \u003c\/div\u003e\n    \u003c\/div\u003e\n    \n    \n\u003c\/div\u003e\n\n\u003c\/div\u003e\n"}}[144670];
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3423      window.Globo.FormBuilder.forms[146298] = {"146298":{"elements":[{"id":"group-1","type":"group","label":"Page 1","description":"","elements":[{"id":"name-1","type":"name","label":{"en":"First Name"},"placeholder":{"en":""},"description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false},{"id":"name-2","type":"name","label":{"en":"Last Name"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false,"hidden":false},{"id":"email-1","type":"email","label":"Email","placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"phone-1","type":"phone","label":{"en":"Phone Number"},"placeholder":"","description":"","validatePhone":false,"onlyShowFlag":false,"defaultCountryCode":"auto","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"select-1","type":"select","label":{"en":"What is your main health goal? "},"placeholder":"Please select","options":[{"label":{"en":"Energy \u0026 Performance"},"value":"Energy \u0026 Performance"},{"label":{"en":"Weight Management"},"value":"Weight Management"},{"label":{"en":"Anti-Aging"},"value":"Anti-Aging","description":"Option 3"},{"label":{"en":"Hormone Balance"},"value":"Hormone Balance","description":"Option 4"},{"label":{"en":"Mental Clarity"}
3423,"value":"Mental Clarity","description":"Option 5"},{"label":{"en":"Other"},"value":"Other","description":"Option 6"}],"defaultOption":"","description":"","hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"textarea-1","type":"textarea","label":{"en":"Message"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false,"hidden":true},{"id":"text-1","type":"text","label":"Text","placeholder":"","description":"","limitCharacters":false,"characters":[],"hideLabel":false,"keepPositionLabel":false,"onlyNumbers":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false,"hidden":true},{"id":"paragraph-1","type":"paragraph","text":{"en":"\u003cp\u003eBy submitting this form you agree to be contacted by Gentera Center for Precision Medicine regarding your appointment request.\u003c\/p\u003e"},"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false}]}],"errorMessage":{"required":"{{ label | capitalize }} is required","minSelections":"Please choose at least {{ min_selections }} options","maxSelections":"Please choose at maximum of {{ max_selections }} options","exactlySelections":"Please choose exactly {{ exact_selections }} options","minProductSelections":"Please choose at least {{ min_selections }} products","maxProductSelections":"Please choose a maximum of {{ max_selections }} products","minProductQuantities":"Please choose a quantity of at least {{ min_quantities }} products","maxProductQuantities":"Please choose a quantity of no more than {{ max_quantities }} products","minEachProductQuantities":"Choose quantity of product {{product_name}} of at least {{min_quantities}}","maxEachProductQuantities":"Choose quantity of product {{product_name}} of at most {{max_quantities}}","invalid":"Invalid","invalidName":"Invalid name","invalidEmail":"Email address is invalid","restrictedEmailDomain":"This email domain is restricted","invalidURL":"Invalid url","invalidPhone":"Invalid phone","invalidNumber":"Invalid number","invalidPassword":"Invalid password","confirmPasswordNotMatch":"Confirmed password doesn't match","customerAlreadyExists":"Customer already exists","keyAlreadyExists":"Data already exists","fileSizeLimit":"File size limit","fileNotAllowed":"File not allowed","requiredCaptcha":"Required captcha","requiredProducts":"Please select product","limitQuantity":"The number of products left in stock has been exceeded","shopifyInvalidPhone":"phone - Enter a valid phone number to use this delivery method","shopifyPhoneHasAlready":"phone - Phone has already been taken","shopifyInvalidProvice":"addresses.province - is not valid","otherError":"Something went wrong, please try again","limitNumberOfSubmissions":"Form submission limit reached"},"appearance":{"layout":"boxed","theme_design":false,"width":600,"style":"material_outlined","mainColor":"#1c1c1c","floatingIcon":"\u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"envelope\" class=\"svg-inline--fa fa-envelope fa-w-16\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"\u003e\u003cpath fill=\"currentColor\" d=\"M464 64H48C21.49 64 0 85.49 0 112v288c0 26.51 21.49 48 48 48h416c26.51 0 48-21.49 48-48V112c0-26.51-21.49-48-48-48zm0 48v40.805c-22.422 18.259-58.168 46.651-134.587 106.49-16.841 13.247-50.201 45.072-73.413 44.701-23.208.375-56.579-31.459-73.413-44.701C106.18 199.465 70.425 171.067 48 152.805V112h416zM48 400V214.398c22.914 18.251 55.409 43.862 104.938 82.646 21.857 17.205 60.134 55.186 103.062 54.955 42.717.231 80.509-37.199 103.053-54.947 49.528-38.783 82.032-64.401 104.947-82.653V400H48z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e","floatingText":null,"displayOnAllPage":false,"formType":"normalForm","background":"color","backgroundColor":"#fff","descriptionColor":"#6c757d","headingColor":"#000","labelColor":"#1c1c1c","optionColor":"#000","paragraphBackgroun
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One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e","redirectUrl":null},"footer":{"description":null,"previousText":"Previous","nextText":"Next","submitText":"Submit"},"header":{"active":true,"title":{"en":"Request your appointment"},"description":{"en":"\u003cp\u003e\u003cspan style=\"background-color: rgb(255, 255, 255); color: rgb(119, 119, 119);\"\u003eFill out the form below and our team will be in touch within 24 hours to confirm your booking.\u003c\/span\u003e\u003c\/p\u003e"},"headerAlignment":"left"},"isStepByStepForm":true,"publish":{"requiredLogin":false,"requiredLoginMessage":"Please \u003ca href='\/account\/login' title='login'\u003elogin\u003c\/a\u003e to continue"},"reCaptcha":{"enable":false},"html":"\n\u003cdiv class=\"globo-form boxed-form globo-form-id-146298 \" data-locale=\"en\" \u003e\n\n\u003cstyle\u003e\n\n\n    :root .globo-form-app[data-id=\"146298\"]{\n        \n        --gfb-color-solidButton: 42,64,100;\n        --gfb-color-solidButtonColor: rgb(var(--gfb-color-solidButton));\n        --gfb-color-solidButtonLabel: 255,255,255;\n        --gfb-color-solidButtonLabelColor: rgb(var(--gfb-color-solidButtonLabel));\n        --gfb-color-text: 28,28,28;\n        --gfb-color-textColor: rgb(var(--gfb-color-text));\n        --gfb-color-outlineButton: 28,28,28;\n        --gfb-color-outlineButtonColor: rgb(var(--gfb-color-outlineButton));\n        --gfb-color-background: 255,255,255;\n        --gfb-color-backgroundColor: rgb(var(--gfb-color-background));\n        \n        --gfb-main-color: #1c1c1c;\n        --gfb-primary-color: var(--gfb-color-solidButtonColor, var(--gfb-main-color));\n        --gfb-primary-text-color: var(--gfb-color-solidButtonLabelColor, #FFF);\n        --gfb-form-width: 600px;\n        --gfb-font-family: inherit;\n        --gfb-font-style: inherit;\n        --gfb--image: 40%;\n        --gfb-image-ratio-draft: var(--gfb--image);\n        --gfb-image-ratio: var(--gfb-image-ratio-draft);\n        \n        --gfb-bg-temp-color: #FFF;\n        --gfb-bg-position: ;\n        \n            --gfb-bg-temp-color: #fff;\n        \n        --gfb-bg-color: var(--gfb-color-backgroundColor, var(--gfb-bg-temp-color));\n        \n    }\n    \n.globo-form-id-146298 .globo-form-app{\n    max-width: 600px;\n    width: -webkit-fill-available;\n    \n    background-color: var(--gfb-bg-color);\n    \n    \n}\n\n.globo-form-id-146298 .globo-form-app .globo-heading{\n    color: var(--gfb-color-textColor, #000)\n}\n\n\n.globo-form-id-146298 .globo-form-app .header {\n    text-align:left;\n}\n\n\n.globo-form-id-146298 .globo-form-app .globo-description,\n.globo-form-id-146298 .globo-form-app .header .globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-146298 .globo-form-app .globo-label,\n.globo-form-id-146298 .globo-form-app .globo-form-control label.globo-label,\n.globo-form-id-146298 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    color: var(--gfb-color-textColor, #1c1c1c);\n    text-align: left;\n}\n.globo-form-id-146298 .globo-form-app .globo-label.globo-position-label{\n    height: 20px !important;\n}\n.globo-form-id-146298 .globo-form-app .globo-form-control .help-text.globo-description,\n.globo-form-id-146298 .globo-form-app .globo-form-control span.globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-146298 .globo-form-app .globo-form-control .checkbox-wrapper .globo-option,\n.globo-form-id-146298 .globo-form-app .globo-form-control .radio-wrapper .globo-option\n{\n    color: var(--gfb-color-textColor, #1c1c1c);\n}\n.globo-form-id-146298 .globo-form-app .footer,\n.globo-form-id-146298 .globo-form-app .gfb__footer{\n    text-align:;\n}\n.globo-form-id-146298 .globo-form-app .footer button,\n.globo-form-id-146298 .globo-form-app .gfb__footer button{\n    border:1px solid var(--gfb-primary-color);\n    \n}\n.globo-form-id-146298 .globo-form-app .footer button.submit,\n.globo-form-id-146298 .globo-form-app .gfb__footer button.submit\n.globo-form-id-146298 .globo-form-app .footer button.checkout,\n.globo-form-id-146298 .globo-form-app .gfb__footer button.checkout,\n.globo-form-id-146298 .globo-form-app .footer button.action.loading .spinner,\n.globo-form-id-146298 .globo-form-app .gfb__footer button.action.loading .spinner{\n    background-color: var(--gfb-primary-color);\n    color : #ffffff;\n}\n.globo-form-id-146298 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:before {\n    content: url('data:image\/svg+xml;
3423 utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M528.1 171.5L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6zM388.6 312.3l23.7 138.4L288 385.4l-124.3 65.3 23.7-138.4-100.6-98 139-20.2 62.2-126 62.2 126 139 20.2-100.6 98z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-146298 .globo-form-app .globo-form-control .star-rating\u003efieldset\u003einput:checked ~ label:before {\n    content: url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-146298 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover:before,\n.globo-form-id-146298 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover ~ label:before{\n    content : url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e')\n}\n.globo-form-id-146298 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input:checked ~ .checkbox-label:before {\n    border-color: var(--gfb-primary-color);\n    box-shadow: 0 4px 6px rgba(50,50,93,0.11), 0 1px 3px rgba(0,0,0,0.08);\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-146298 .globo-form-app .step.-completed .step__number,\n.globo-form-id-146298 .globo-form-app .line.-progress,\n.globo-form-id-146298 .globo-form-app .line.-start{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-146298 .globo-form-app .checkmark__check,\n.globo-form-id-146298 .globo-form-app .checkmark__circle{\n    stroke: var(--gfb-primary-color);\n}\n.globo-form-id-146298 .floating-button{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-146298 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input ~ .checkbox-label:before,\n.globo-form-app .globo-form-control .radio-wrapper .radio-input ~ .radio-label:after{\n    border-color : var(--gfb-primary-color);\n}\n.globo-form-id-146298 .flatpickr-day.selected, \n.globo-form-id-146298 .flatpickr-day.startRange, \n.globo-form-id-146298 .flatpickr-day.endRange, \n.globo-form-id-146298 .flatpickr-day.selected.inRange, \n.globo-form-id-146298 .flatpickr-day.startRange.inRange, \n.globo-form-id-146298 .flatpickr-day.endRange.inRange, \n.globo-form-id-146298 .flatpickr-day.selected:focus, \n.globo-form-id-146298 .flatpickr-day.startRange:focus, \n.globo-form-id-146298 .flatpickr-day.endRange:focus, \n.globo-form-id-146298 .flatpickr-day.selected:hover, \n.globo-form-id-146298 .flatpickr-day.startRange:hover, \n.globo-form-id-146298 .flatpickr-day.endRange:hover, \n.globo-form-id-146298 .flatpickr-day.selected.prevMonthDay, \n.globo-form-id-146298 .flatpickr-day.startRange.prevMonthDay, \n.globo-form-id-146298 .flatpickr-day.endRange.prevMonthDay, \
3423n.globo-form-id-146298 .flatpickr-day.selected.nextMonthDay, \n.globo-form-id-146298 .flatpickr-day.startRange.nextMonthDay, \n.globo-form-id-146298 .flatpickr-day.endRange.nextMonthDay {\n    background: var(--gfb-primary-color);\n    border-color: var(--gfb-primary-color);\n}\n.globo-form-id-146298 .globo-paragraph {\n    color: var(--gfb-color-textColor, #000);\n    width: 100%!important;\n}\n\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-app .header .title,\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-app .header .description,\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-id-146298 .globo-form-app .globo-heading,\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-id-146298 .globo-form-app .globo-label,\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-id-146298 .globo-form-app .globo-form-control label.globo-label,\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-id-146298 .globo-form-app .globo-form-control label.globo-label span.label-content,\n.globo-form.rtl .globo-form-app .header .title,\n.globo-form.rtl .globo-form-app .header .description,\n.globo-form.rtl.globo-form-id-146298 .globo-form-app .globo-heading,\n.globo-form.rtl.globo-form-id-146298 .globo-form-app .globo-label,\n.globo-form.rtl.globo-form-id-146298 .globo-form-app .globo-form-control label.globo-label,\n.globo-form.rtl.globo-form-id-146298 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    text-align: right;\n}\n\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-app .line,\n.globo-form.rtl .globo-form-app .line {\n    left: unset;\n    right: 50%;\n}\n\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-id-146298 .globo-form-app .line.-start,\n.globo-form.rtl .globo-form-id-146298 .globo-form-app .line.-start {\n    left: unset;    \n    right: 0%;\n}\n\n.not-rtl {\n    direction: ltr;\n}\n\n\u003c\/style\u003e\n\n\n\n\n\u003cdiv class=\"globo-form-app boxed-layout gfb-style-material_outlined  gfb-font-size-small\" data-id=146298\u003e\n    \n    \u003cdiv class=\"header dismiss hidden\" onclick=\"Globo.FormBuilder.closeModalForm(this)\"\u003e\n        \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n    \u003c\/div\u003e\n    \u003cform class=\"g-container\" novalidate action=\"https:\/\/app.powerfulform.com\/api\/front\/form\/146298\/send\" method=\"POST\" enctype=\"multipart\/form-data\" data-id=146298\u003e\n        \n            \n            \u003cdiv class=\"header\" data-path=\"header\"\u003e\n                \u003ch3 class=\"title globo-heading\"\u003eRequest your appointment\u003c\/h3\u003e\n                \n                \u003cdiv class=\"description globo-description\"\u003e\u003cp\u003e\u003cspan style=\"background-color: rgb(255, 255, 255); color: rgb(119, 119, 119);\"\u003eFill out the form below and our team will be in touch within 24 hours to confirm your booking.\u003c\/span\u003e\u003c\/p\u003e\u003c\/div\u003e\n                \n            \u003c\/div\u003e\n            \n        \n        \n            \u003cdiv class=\"globo-formbuilder-wizard\" data-id=146298\u003e\n                \u003cdiv class=\"wizard__content\"\u003e\n                    \u003cheader class=\"wizard__header\"\u003e\n                        \u003cdiv class=\"wizard__steps\"\u003e\n                        \u003cnav class=\"steps hidden\"\u003e\n                            \n                            \n                                \n                            \n                            \n                                \n                                    \n                                    \n                                    \n                                    \n                                    \u003cdiv class=\"step last \" data-element-id=\"group-1\"  data-step=\"0\" \u003e\n                                        \u003cdiv class=\"step__content\"\u003e\n                                            \u003cp class=\"step__number\"\u003e\u003c\/p\u003e\n                                            \u003csvg class=\"checkmark\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=52 height=52 viewBox=\"0 0 52 52\"\u003e\n                                                \u003ccircle class=\"checkmark__circle\" cx=\"26\" cy=\"26\" r=\"25\" fill=\"none\"\/\u003e\n                                                \u003cpath class=\"checkmark__check\" fill=\"none\" d=\"M14.1 27.2l7.1 7.2 16.7-16.8\"\/\u003e\n                                            \u003c\/svg\u003e\n                                            \u003cdiv class=\"lines\"\u003e\n                                                \n                                                    \u003cdiv class=\"line -start\"\u003e\u003c\/div\u003e\n                                                \n                                                \u003cdiv class=\"line -background\"\u003e\n                                                \u003c\/div\u003e\n                                                \u003cdiv class=\"line -progress\"\u003e\n                                                \u003c\/div\u003e\n                                            \u003c\/div\u003e  \n                                        \u003c\/div\u003e\n                                    \u003c\/div\u003e\n                                \n                            \n                        \u003c\/nav\u003e\n                        \u003c\/div\u003e\n                    \u003c\/header\u003e\n                    \u003cdiv class=\"panels\"\u003e\n                        \n                            \n                            \n                            \n                            \n                                \u003cdiv class=\"panel \" data-element-id=\"group-1\" data-id=146298  data-step=\"0\" style=\"padding-top:0\"\u003e\n                                    \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-1'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"First Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"146298-name-1\" 
3423class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"First Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"First Name\"\u003eFirst Name\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='146298-name-1-error'  data-type=\"name\" class=\"material_outlined-input\" id=\"146298-name-1\" name=\"name-1\" placeholder=\"\" \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"146298-name-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-2'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"146298-name-2\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Last Name\"\u003eLast Name\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='146298-name-2-error'  data-type=\"name\" class=\"material_outlined-input\" id=\"146298-name-2\" name=\"name-2\" placeholder=\"\" \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"146298-name-2-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control email-confirm layout-1-column \"  data-type='email' data-element-id='email-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"146298-email-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Email\"\u003eEmail\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='146298-email-1-error'  data-type=\"email\" class=\"material_outlined-input\" id=\"146298-email-1\" name=\"email-1\" placeholder=\"\"  \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"146298-email-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='phone' data-element-id='phone-1' \u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input gfb__phone-placeholder\" input-placeholder=\"\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"146298-phone-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Phone Number\"\u003ePhone Number\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \n        \n        \u003cinput type=\"text\" aria-describedby='146298-phone-1-error'  data-type=\"phone\" class=\"material_outlined-input\" oninput=\"Globo.FormBuilder.handleChangePhone(this)\" id=\"146298-phone-1\" name=\"phone-1\" placeholder=\"\"  \n           default-country-code=\"auto\" \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"146298-phone-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='select' data-element-id='select-1' data-default-value=\"\" data-type=\"select\" \u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"What is your main health goal? \"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \n    \n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"146298-select-1\" 
3423class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"What is your main health goal? \"\u003e\n    \u003cspan class=\"label-content\" data-label=\"What is your main health goal? \"\u003eWhat is your main health goal? \u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cselect data-searchable=\"\" name=\"select-1\" aria-describedby='146298-select-1-error'  id=\"146298-select-1\" class=\"material_outlined-input wide\" \u003e\n            \u003coption selected=\"selected\" value=\"\" disabled=\"disabled\"\u003ePlease select\u003c\/option\u003e\n            \n            \u003coption value=\"Energy \u0026amp; Performance\" \u003eEnergy \u0026 Performance\u003c\/option\u003e\n            \n            \u003coption value=\"Weight Management\" \u003eWeight Management\u003c\/option\u003e\n            \n            \u003coption value=\"Anti-Aging\" \u003eAnti-Aging\u003c\/option\u003e\n            \n            \u003coption value=\"Hormone Balance\" \u003eHormone Balance\u003c\/option\u003e\n            \n            \u003coption value=\"Mental Clarity\" \u003eMental Clarity\u003c\/option\u003e\n            \n            \u003coption value=\"Other\" \u003eOther\u003c\/option\u003e\n            \n        \u003c\/select\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"146298-select-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='paragraph' data-element-id='paragraph-1'\u003e\n    \n\n    \n    \u003cdiv tabindex=\"0\" class=\"globo-paragraph\" id=\"paragraph-1\" \u003e\u003cp\u003eBy submitting this form you agree to be contacted by Gentera Center for Precision Medicine regarding your appointment request.\u003c\/p\u003e\u003c\/div\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                        \n                                    \n                                    \n                                        \n                                        \n                                    \n                                \u003c\/div\u003e\n                            \n                        \n                    \u003c\/div\u003e\n                    \u003cdiv class=\"message error\" data-other-error=\"Something went wrong, please try again\"\u003e\n                        \u003cdiv class=\"content\"\u003e\u003c\/div\u003e\n                        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                        \u003c\/div\u003e\n                    \u003c\/div\u003e\n                    \n                        \n                        \n                        \u003cdiv class=\"message success\"\u003e\n                            \n                                \u003cdiv class=\"gfb__c
3423ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n                            \n                            \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n                                \u003cdiv class=\"gfb__content-discount\"\u003e\n                                    \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                                    \u003cdiv class=\"gfb__copy\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e\n                                    \u003cdiv class=\"gfb__copied\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e        \n                                \u003c\/div\u003e\n                            \u003c\/div\u003e\n                            \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n                            \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                                \u003csvg width=20 height=20 width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                            \u003c\/div\u003e\n                        \u003c\/div\u003e\n                        \n                        \n                    \n                    \u003cdiv class=\"gfb__footer wizard__footer\" data-path=\"footer\" \u003e\n                        \n                            \n                            \u003cdiv class=\"description globo-description\"\u003e\u003c\/div\u003e\n                            \n                        \n                        \u003cbutton type=\"button\" class=\"action previous hidden material_outlined-button\"\u003ePrevious\u003c\/button\u003e\n                        \u003cbutton type=\"button\" class=\"action next submit material_outlined-button\" data-submitting-text=\"\" data-submit-text='\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eSubmit' data-next-text=\"Next\" \u003e\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eNext\u003c\/button\u003e\n                        \n                        \u003cp class=\"wizard__congrats-message\"\u003e\u003c\/p\u003e\n                    \u003c\/div\u003e\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n        \n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[id]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[email]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[name]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[title]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[href]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"_keyLabel\"\u003e\n    \u003c\/form\u003e\n    \n    \n    \u003cdiv class=\"message success\"\u003e\n        \n            \u003cdiv class=\"gfb__c
3423ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n        \n        \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n            \u003cdiv class=\"gfb__content-discount\"\u003e\n                \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                \u003cdiv class=\"gfb__copy\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e\n                \u003cdiv class=\"gfb__copied\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e        \n            \u003c\/div\u003e\n        \u003c\/div\u003e\n        \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n        \u003c\/div\u003e\n    \u003c\/div\u003e\n    \n    \n\u003c\/div\u003e\n\n\u003c\/div\u003e\n"}}[146298];
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3429      window.Globo.FormBuilder.forms[148585] = {"148585":{"elements":[{"id":"group-1","type":"group","label":"Page 1","description":"","elements":[{"id":"name-1","type":"name","label":{"en":"Name"},"placeholder":{"en":""},"description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false},{"id":"name-2","type":"name","label":{"en":"Last Name"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"email-1","type":"email","label":"Email","placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"phone-1","type":"phone","label":{"en":"Phone Number"},"placeholder":"","description":"","validatePhone":false,"onlyShowFlag":false,"defaultCountryCode":"auto","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false},{"id":"textarea-1","type":"textarea","label":{"en":"Message"},"placeholder":"","description":"","limitCharacters":false,"characters":100,"hideLabel":false,"keepPositionLabel":false,"columnWidth":100,"displayType":"show","displayDisjunctive":false,"conditionalField":false}]}],"errorMessage":{"required":"{{ label | capitalize }} is required","minSelections":"Please choose at least {{ min_selections }} options","maxSelections":"Please choose at maximum of {{ max_selections }} options","exactlySelections":"Please choose exactly {{ exact_selections }} options","minProductSelections":"Please choose at least {{ min_selections }} products","maxProductSelections":"Please choose a maximum of {{ max_selections }} products","minProductQuantities":"Please choose a quantity of at least {{ min_quantities }} products","maxProductQuantities":"Please choose a quantity of no more than {{ max_quantities }} products","minEachProductQuantities":"Choose quantity of product {{product_name}} of at least {{min_quantities}}","maxEachProductQuantities":"Choose quantity of product {{product_name}} of at most {{max_quantities}}
3429","invalid":"Invalid","invalidName":"Invalid name","invalidEmail":"Email address is invalid","restrictedEmailDomain":"This email domain is restricted","invalidURL":"Invalid url","invalidPhone":"Invalid phone","invalidNumber":"Invalid number","invalidPassword":"Invalid password","confirmPasswordNotMatch":"Confirmed password doesn't match","customerAlreadyExists":"Customer already exists","keyAlreadyExists":"Data already exists","fileSizeLimit":"File size limit","fileNotAllowed":"File not allowed","requiredCaptcha":"Required captcha","requiredProducts":"Please select product","limitQuantity":"The number of products left in stock has been exceeded","shopifyInvalidPhone":"phone - Enter a valid phone number to use this delivery method","shopifyPhoneHasAlready":"phone - Phone has already been taken","shopifyInvalidProvice":"addresses.province - is not valid","otherError":"Something went wrong, please try again","limitNumberOfSubmissions":"Form submission limit reached"},"appearance":{"layout":"boxed","theme_design":false,"width":600,"style":"material_outlined","mainColor":"#1c1c1c","floatingIcon":"\u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"envelope\" class=\"svg-inline--fa fa-envelope fa-w-16\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"\u003e\u003cpath fill=\"currentColor\" d=\"M464 64H48C21.49 64 0 85.49 0 112v288c0 26.51 21.49 48 48 48h416c26.51 0 48-21.49 48-48V112c0-26.51-21.49-48-48-48zm0 48v40.805c-22.422 18.259-58.168 46.651-134.587 106.49-16.841 13.247-50.201 45.072-73.413 44.701-23.208.375-56.579-31.459-73.413-44.701C106.18 199.465 70.425 171.067 48 152.805V112h416zM48 400V214.398c22.914 18.251 55.409 43.862 104.938 82.646 21.857 17.205 60.134 55.186 103.062 54.955 42.717.231 80.509-37.199 103.053-54.947 49.528-38.783 82.032-64.401 104.947-82.653V400H48z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e","floatingText":null,"displayOnAllPage":false,"formType":"normalForm","background":"color","backgroundColor":"#fff","descriptionColor":"#6c757d","headingColor":"#000","labelColor":"#1c1c1c","optionColor":"#000","paragraphBackground":"#fff","paragraphColor":"#000","colorScheme":{"solidButton":{"red":42,"green":64,"blue":100},"solidButtonLabel":{"red":255,"green":255,"blue":255},"text":{"red":28,"green":28,"blue":28},"outlineButton":{"red":28,"green":28,"blue":28},"background":{"red":255,"green":255,"blue":255,"alpha":1}},"fontSize":"medium"},"afterSubmit":{"action":"clearForm","title":"Thanks for getting in touch!","message":"\u
3429003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e","redirectUrl":null},"footer":{"description":null,"previousText":"Previous","nextText":"Next","submitText":"Submit"},"header":{"active":true,"title":{"en":"Reserve Your Experience"},"description":"","headerAlignment":"center"},"isStepByStepForm":true,"publish":{"requiredLogin":false,"requiredLoginMessage":"Please \u003ca href='\/account\/login' title='login'\u003elogin\u003c\/a\u003e to continue"},"reCaptcha":{"enable":false},"html":"\n\u003cdiv class=\"globo-form boxed-form globo-form-id-148585 \" data-locale=\"en\" \u003e\n\n\u003cstyle\u003e\n\n\n    :root .globo-form-app[data-id=\"148585\"]{\n        \n        --gfb-color-solidButton: 42,64,100;\n        --gfb-color-solidButtonColor: rgb(var(--gfb-color-solidButton));\n        --gfb-color-solidButtonLabel: 255,255,255;\n        --gfb-color-solidButtonLabelColor: rgb(var(--gfb-color-solidButtonLabel));\n        --gfb-color-text: 28,28,28;\n        --gfb-color-textColor: rgb(var(--gfb-color-text));\n        --gfb-color-outlineButton: 28,28,28;\n        --gfb-color-outlineButtonColor: rgb(var(--gfb-color-outlineButton));\n        --gfb-color-background: 255,255,255;\n        --gfb-color-backgroundColor: rgb(var(--gfb-color-background));\n        \n        --gfb-main-color: #1c1c1c;\n        --gfb-primary-color: var(--gfb-color-solidButtonColor, var(--gfb-main-color));\n        --gfb-primary-text-color: var(--gfb-color-solidButtonLabelColor, #FFF);\n        --gfb-form-width: 600px;\n        --gfb-font-family: inherit;\n        --gfb-font-style: inherit;\n        --gfb--image: 40%;\n        --gfb-image-ratio-draft: var(--gfb--image);\n        --gfb-image-ratio: var(--gfb-image-ratio-draft);\n        \n        --gfb-bg-temp-color: #FFF;\n        --gfb-bg-position: ;\n        \n            --gfb-bg-temp-color: #fff;\n        \n        --gfb-bg-color: var(--gfb-color-backgroundColor, var(--gfb-bg-temp-color));\n        \n    }\n    \n.globo-form-id-148585 .globo-form-app{\n    max-width: 600px;\n    width: -webkit-fill-available;\n    \n    background-color: var(--gfb-bg-color);\n    \n    \n}\n\n.globo-form-id-148585 .globo-form-app .globo-heading{\n    color: var(--gfb-color-textColor, #000)\n}\n\n\n.globo-form-id-148585 .globo-form-app .header {\n    text-align:center;\n}\n\n\n.globo-form-id-148585 .globo-form-app .globo-description,\n.globo-form-id-148585 .globo-form-app .header .globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-148585 .globo-form-app .globo-label,\n.globo-form-id-148585 .globo-form-app .globo-form-control label.globo-label,\n.globo-form-id-148585 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    color: var(--gfb-color-textColor, #1c1c1c);\n    text-align: left;\n}\n.globo-form-id-148585 .globo-form-app .globo-label.globo-position-label{\n    height: 20px !important;\n}\n.globo-form-id-148585 .globo-form-app .globo-form-control .help-text.globo-description,\n.globo-form-id-148585 .globo-form-app .globo-form-control span.globo-description{\n    --gfb-color-description: rgba(var(--gfb-color-text), 0.8);\n    color: var(--gfb-color-description, #6c757d);\n}\n.globo-form-id-148585 .globo-form-app .globo-form-control .checkbox-wrapper .globo-option,\n.globo-form-id-148585 .globo-form-app .globo-form-control .radio-wrapper .globo-option\n{\n    color: var(--gfb-color-textColor, #1c1c1c);\n}\n.globo-form-id-148585 .globo-form-app .footer,\n.globo-form-id-148585 .globo-form-app .gfb__footer{\n    text-align:;\n}\n.globo-form-id-148585 .globo-form-app .footer button,\n.globo-form-id-148585 .globo-form-app .gfb__footer button{\n    border:1px solid var(--gfb-primary-color);\n    \n}\n.globo-form-id-148585 .globo-form-app .footer button.submit,\n.globo-form-id-148585 .globo-form-app .gfb__footer button.submit\n.globo-form-id-148585 .globo-form-app .footer button.checkout,\n.globo-form-id-148585 .globo-form-app .gfb__footer button.checkout,\n.globo-form-id-148585 .globo-form-app .footer button.action.loading .spinner,\n.globo-form-id-148585 .globo-form-app .gfb__footer button.action.loading .spinner{\n    background-color: var(--gfb-primary-color);\n    color : #ffffff;\n}\n.globo-form-id-148585 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:before {\n    content: url('data:image\/svg+xml;
3429 utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M528.1 171.5L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6zM388.6 312.3l23.7 138.4L288 385.4l-124.3 65.3 23.7-138.4-100.6-98 139-20.2 62.2-126 62.2 126 139 20.2-100.6 98z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-148585 .globo-form-app .globo-form-control .star-rating\u003efieldset\u003einput:checked ~ label:before {\n    content: url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e');\n}\n.globo-form-id-148585 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover:before,\n.globo-form-id-148585 .globo-form-app .globo-form-control .star-rating\u003efieldset:not(:checked)\u003elabel:hover ~ label:before{\n    content : url('data:image\/svg+xml; utf8, \u003csvg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"fas\" data-icon=\"star\" class=\"svg-inline--fa fa-star fa-w-18\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"\u003e\u003cpath fill=\"%231c1c1c\" d=\"M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e')\n}\n.globo-form-id-148585 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input:checked ~ .checkbox-label:before {\n    border-color: var(--gfb-primary-color);\n    box-shadow: 0 4px 6px rgba(50,50,93,0.11), 0 1px 3px rgba(0,0,0,0.08);\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-148585 .globo-form-app .step.-completed .step__number,\n.globo-form-id-148585 .globo-form-app .line.-progress,\n.globo-form-id-148585 .globo-form-app .line.-start{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-148585 .globo-form-app .checkmark__check,\n.globo-form-id-148585 .globo-form-app .checkmark__circle{\n    stroke: var(--gfb-primary-color);\n}\n.globo-form-id-148585 .floating-button{\n    background-color: var(--gfb-primary-color);\n}\n.globo-form-id-148585 .globo-form-app .globo-form-control .checkbox-wrapper .checkbox-input ~ .checkbox-label:before,\n.globo-form-app .globo-form-control .radio-wrapper .radio-input ~ .radio-label:after{\n    border-color : var(--gfb-primary-color);\n}\n.globo-form-id-148585 .flatpickr-day.selected, \n.globo-form-id-148585 .flatpickr-day.startRange, \n.globo-form-id-148585 .flatpickr-day.endRange, \n.globo-form-id-148585 .flatpickr-day.selected.inRange, \n.globo-form-id-148585 .flatpickr-day.startRange.inRange, \n.globo-form-id-148585 .flatpickr-day.endRange.inRange, \n.globo-form-id-148585 .flatpickr-day.selected:focus, \n.globo-form-id-148585 .flatpickr-day.startRange:focus, \n.globo-form-id-148585 .flatpickr-day.endRange:focus, \n.globo-form-id-148585 .flatpickr-day.selected:hover, \n.globo-form-id-148585 .flatpickr-day.startRange:hover, \n.globo-form-id-148585 .flatpickr-day.endRange:hover, \n.globo-form-id-148585 .flatpickr-day.selected.prevMonthDay, \n.globo-form-id-148585 .flatpickr-day.startRange.prevMonthDay, \n.globo-form-id-148585 .flatpickr-day.endRange.prevMonthDay, \
3429n.globo-form-id-148585 .flatpickr-day.selected.nextMonthDay, \n.globo-form-id-148585 .flatpickr-day.startRange.nextMonthDay, \n.globo-form-id-148585 .flatpickr-day.endRange.nextMonthDay {\n    background: var(--gfb-primary-color);\n    border-color: var(--gfb-primary-color);\n}\n.globo-form-id-148585 .globo-paragraph {\n    color: var(--gfb-color-textColor, #000);\n    width: 100%!important;\n}\n\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-app .header .title,\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-app .header .description,\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-id-148585 .globo-form-app .globo-heading,\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-id-148585 .globo-form-app .globo-label,\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-id-148585 .globo-form-app .globo-form-control label.globo-label,\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-id-148585 .globo-form-app .globo-form-control label.globo-label span.label-content,\n.globo-form.rtl .globo-form-app .header .title,\n.globo-form.rtl .globo-form-app .header .description,\n.globo-form.rtl.globo-form-id-148585 .globo-form-app .globo-heading,\n.globo-form.rtl.globo-form-id-148585 .globo-form-app .globo-label,\n.globo-form.rtl.globo-form-id-148585 .globo-form-app .globo-form-control label.globo-label,\n.globo-form.rtl.globo-form-id-148585 .globo-form-app .globo-form-control label.globo-label span.label-content{\n    text-align: right;\n}\n\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-app .line,\n.globo-form.rtl .globo-form-app .line {\n    left: unset;\n    right: 50%;\n}\n\n[dir=\"rtl\"]:not(:has(.not-rtl)) .globo-form-id-148585 .globo-form-app .line.-start,\n.globo-form.rtl .globo-form-id-148585 .globo-form-app .line.-start {\n    left: unset;    \n    right: 0%;\n}\n\n.not-rtl {\n    direction: ltr;\n}\n\n\u003c\/style\u003e\n\n\n\n\n\u003cdiv class=\"globo-form-app boxed-layout gfb-style-material_outlined  gfb-font-size-medium\" data-id=148585\u003e\n    \n    \u003cdiv class=\"header dismiss hidden\" onclick=\"Globo.FormBuilder.closeModalForm(this)\"\u003e\n        \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n    \u003c\/div\u003e\n    \u003cform class=\"g-container\" novalidate action=\"https:\/\/app.powerfulform.com\/api\/front\/form\/148585\/send\" method=\"POST\" enctype=\"multipart\/form-data\" data-id=148585\u003e\n        \n            \n            \u003cdiv class=\"header\" data-path=\"header\"\u003e\n                \u003ch3 class=\"title globo-heading\"\u003eReserve Your Experience\u003c\/h3\u003e\n                \n            \u003c\/div\u003e\n            \n        \n        \n            \u003cdiv class=\"globo-formbuilder-wizard\" data-id=148585\u003e\n                \u003cdiv class=\"wizard__content\"\u003e\n                    \u003cheader class=\"wizard__header\"\u003e\n                        \u003cdiv class=\"wizard__steps\"\u003e\n                        \u003cnav class=\"steps hidden\"\u003e\n                            \n                            \n                                \n                            \n                            \n                                \n                                    \n                                    \n                                    \n                                    \n                                    \u003cdiv class=\"step last \" data-element-id=\"group-1\"  data-step=\"0\" \u003e\n                                        \u003cdiv class=\"step__content\"\u003e\n                                            \u003cp class=\"step__number\"\u003e\u003c\/p\u003e\n                                            \u003csvg class=\"checkmark\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=52 height=52 viewBox=\"0 0 52 52\"\u003e\n                                                \u003ccircle class=\"checkmark__circle\" cx=\"26\" cy=\"26\" r=\"25\" fill=\"none\"\/\u003e\n                                                \u003cpath class=\"checkmark__check\" fill=\"none\" d=\"M14.1 27.2l7.1 7.2 16.7-16.8\"\/\u003e\n                                            \u003c\/svg\u003e\n                                            \u003cdiv class=\"lines\"\u003e\n                                                \n                                                    \u003cdiv class=\"line -start\"\u003e\u003c\/div\u003e\n                                                \n                                                \u003cdiv class=\"line -background\"\u003e\n                                                \u003c\/div\u003e\n                                                \u003cdiv class=\"line -progress\"\u003e\n                                                \u003c\/div\u003e\n                                            \u003c\/div\u003e  \n                                        \u003c\/div\u003e\n                                    \u003c\/div\u003e\n                                \n                            \n                        \u003c\/nav\u003e\n                        \u003c\/div\u003e\n                    \u003c\/header\u003e\n                    \u003cdiv class=\"panels\"\u003e\n                        \n                            \n                            \n                            \n                            \n                                \u003cdiv class=\"panel \" data-element-id=\"group-1\" data-id=148585  data-step=\"0\" style=\"padding-top:0\"\u003e\n                                    \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-1'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"148585-name-1\" 
3429class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Name\"\u003eName\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='148585-name-1-error'  data-type=\"name\" class=\"material_outlined-input\" id=\"148585-name-1\" name=\"name-1\" placeholder=\"\" \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"148585-name-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='name' data-element-id='name-2'\u003e\n\n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"148585-name-2\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Last Name\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Last Name\"\u003eLast Name\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='148585-name-2-error'  data-type=\"name\" class=\"material_outlined-input\" id=\"148585-name-2\" name=\"name-2\" placeholder=\"\" \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"148585-name-2-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control email-confirm layout-1-column \"  data-type='email' data-element-id='email-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"148585-email-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Email\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Email\"\u003eEmail\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \u003cinput type=\"text\" aria-describedby='148585-email-1-error'  data-type=\"email\" class=\"material_outlined-input\" id=\"148585-email-1\" name=\"email-1\" placeholder=\"\"  \n         \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"148585-email-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='phone' data-element-id='phone-1' \u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input gfb__phone-placeholder\" input-placeholder=\"\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"148585-phone-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Phone Number\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Phone Number\"\u003ePhone Number\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \n        \n        \n        \u003cinput type=\"text\" aria-describedby='148585-phone-1-error'  data-type=\"phone\" class=\"material_outlined-input\" oninput=\"Globo.FormBuilder.handleChangePhone(this)\" id=\"148585-phone-1\" name=\"phone-1\" placeholder=\"\"  \n           default-country-code=\"auto\" \u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"148585-phone-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                                \n                                                    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n    \n\n\n\n\n\u003cdiv class=\"globo-form-control layout-1-column \"  data-type='textarea' data-element-id='textarea-1'\u003e\n    \n    \n\n\n    \n        \u003cdiv class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n            \n        \u003c\/div\u003e\n    \n\n    \u003cdiv class=\"globo-form-input\"\u003e\n        \n        \u003cdiv class=\"gfb_material_outlined\"\u003e\n            \u003cdiv class=\"gfb__outline-start\"\u003e\u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-notch\"\u003e\n                \u003cdiv class=\"gfb__outline-panel-inactive\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-active\"\u003e\u003c\/div\u003e\n                \u003cdiv class=\"gfb__outline-panel-label\"\u003e\n                    \n\u003clabel for=\"148585-textarea-1\" class=\"material_outlined-label globo-label gfb__label-v2 \" data-label=\"Message\"\u003e\n    \u003cspan class=\"label-content\" data-label=\"Message\"\u003eMessage\u003c\/span\u003e\n    \n        \u003cspan\u003e\u003c\/span\u003e\n    \n\u003c\/label\u003e\n\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n            \u003cdiv class=\"gfb__outline-end\"\u003e\u003c\/div\u003e\n        \u003c\/div\u003e\n    \n        \u003ctextarea id=\"148585-textarea-1\" aria-describedby='148585-textarea-1-error'  data-type=\"textarea\" class=\"material_outlined-input\" rows=\"3\" name=\"textarea-1\" placeholder=\"\"  \n         \u003e\u003c\/textarea\u003e\n    \u003c\/div\u003e\n    \n    \u003csmall class=\"messages\" id=\"148585-textarea-1-error\"\u003e\u003c\/small\u003e\n\u003c\/div\u003e\n\n\n\n                                                \n                                            \n                                        \n                                    \n                                    \n                                        \n                                        \n                                    \n                                \u003c\/div\u003e\n                            \n                        \n                    \u003c\/div\u003e\n                    \u003cdiv class=\"message error\" data-other-error=\"Something went wrong, please try again\"\u003e\n                        \u003cdiv class=\"content\"\u003e\u003c\/div\u003e\n                        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                        \u003c\/div\u003e\n                    \u003c\/div\u003e\n                    \n                        \n                        \n                        \u003cdiv class=\"message success\"\u003e\n                            \n                                \u003cdiv class=\"gfb__c
3429ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n                            \n                            \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n                                \u003cdiv class=\"gfb__content-discount\"\u003e\n                                    \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                                    \u003cdiv class=\"gfb__copy\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e\n                                    \u003cdiv class=\"gfb__copied\"\u003e\n                                        \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                                    \u003c\/div\u003e        \n                                \u003c\/div\u003e\n                            \u003c\/div\u003e\n                            \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n                            \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n                                \u003csvg width=20 height=20 width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n                            \u003c\/div\u003e\n                        \u003c\/div\u003e\n                        \n                        \n                    \n                    \u003cdiv class=\"gfb__footer wizard__footer\" data-path=\"footer\" \u003e\n                        \n                            \n                            \u003cdiv class=\"description globo-description\"\u003e\u003c\/div\u003e\n                            \n                        \n                        \u003cbutton type=\"button\" class=\"action previous hidden material_outlined-button\"\u003ePrevious\u003c\/button\u003e\n                        \u003cbutton type=\"button\" class=\"action next submit material_outlined-button\" data-submitting-text=\"\" data-submit-text='\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eSubmit' data-next-text=\"Next\" \u003e\u003cspan class=\"spinner\"\u003e\u003c\/span\u003eNext\u003c\/button\u003e\n                        \n                        \u003cp class=\"wizard__congrats-message\"\u003e\u003c\/p\u003e\n                    \u003c\/div\u003e\n                \u003c\/div\u003e\n            \u003c\/div\u003e\n        \n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[id]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[email]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"customer[name]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[title]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"page[href]\"\u003e\n        \u003cinput type=\"hidden\" value=\"\" name=\"_keyLabel\"\u003e\n    \u003c\/form\u003e\n    \n    \n    \u003cdiv class=\"message success\"\u003e\n        \n            \u003cdiv class=\"gfb__c
3429ontent-title\"\u003eThanks for getting in touch!\u003c\/div\u003e\n        \n        \u003cdiv class=\"gfb__discount-wrapper\" onclick=\"Globo.FormBuilder.handleCopyDiscountCode(this)\"\u003e\n            \u003cdiv class=\"gfb__content-discount\"\u003e\n                \u003cspan class=\"gfb__discount-code\"\u003e\u003c\/span\u003e\n                \u003cdiv class=\"gfb__copy\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M384 336H192c-8.8 0-16-7.2-16-16V64c0-8.8 7.2-16 16-16l140.1 0L400 115.9V320c0 8.8-7.2 16-16 16zM192 384H384c35.3 0 64-28.7 64-64V115.9c0-12.7-5.1-24.9-14.1-33.9L366.1 14.1c-9-9-21.2-14.1-33.9-14.1H192c-35.3 0-64 28.7-64 64V320c0 35.3 28.7 64 64 64zM64 128c-35.3 0-64 28.7-64 64V448c0 35.3 28.7 64 64 64H256c35.3 0 64-28.7 64-64V416H272v32c0 8.8-7.2 16-16 16H64c-8.8 0-16-7.2-16-16V192c0-8.8 7.2-16 16-16H96V128H64z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e\n                \u003cdiv class=\"gfb__copied\"\u003e\n                    \u003csvg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"\u003e\u003cpath d=\"M438.6 105.4c12.5 12.5 12.5 32.8 0 45.3l-256 256c-12.5 12.5-32.8 12.5-45.3 0l-128-128c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0L160 338.7 393.4 105.4c12.5-12.5 32.8-12.5 45.3 0z\"\/\u003e\u003c\/svg\u003e\n                \u003c\/div\u003e        \n            \u003c\/div\u003e\n        \u003c\/div\u003e\n        \u003cdiv class=\"content\"\u003e\u003cp\u003eWe appreciate you contacting us. One of our colleagues will get back in touch with you soon!\u003c\/p\u003e\u003cp\u003e\u003cbr\u003e\u003c\/p\u003e\u003cp\u003eHave a great day!\u003c\/p\u003e\u003c\/div\u003e\n        \u003cdiv class=\"dismiss\" onclick=\"Globo.FormBuilder.dismiss(this)\"\u003e\n            \u003csvg width=20 height=20 viewBox=\"0 0 20 20\" class=\"\" focusable=\"false\" aria-hidden=\"true\"\u003e\u003cpath d=\"M11.414 10l4.293-4.293a.999.999 0 1 0-1.414-1.414L10 8.586 5.707 4.293a.999.999 0 1 0-1.414 1.414L8.586 10l-4.293 4.293a.999.999 0 1 0 1.414 1.414L10 11.414l4.293 4.293a.997.997 0 0 0 1.414 0 .999.999 0 0 0 0-1.414L11.414 10z\" fill-rule=\"evenodd\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n        \u003c\/div\u003e\n    \u003c\/div\u003e\n    \n    \n\u003c\/div\u003e\n\n\u003c\/div\u003e\n"}}[148585];
3430      
3431    
3432  
3433  window.Globo.FormBuilder.url = window.Globo.FormBuilder.shop.url;
3434  window.Globo.FormBuilder.CDN_URL = window.Globo.FormBuilder.shop.CDN_URL ?? window.Globo.FormBuilder.shop.url;
3435  window.Globo.FormBuilder.themeOs20 = true;
3436  window.Globo.FormBuilder.searchProductByJson = true;
3437  
3438  
3439  window.Globo.FormBuilder.__webpack_public_path_2__ = "https://cdn.shopify.com/extensions/01a0fc0d-2150-7cf1-86f8-1d048d2b8454/powerful-form-builder-360/assets/";Globo.FormBuilder.page = {
3440    href : window.location.href,
3441    type: "page"
3442  };
3443  Globo.FormBuilder.page.title = document.title
3444
3445  
3446  if(window.AVADA_SPEED_WHITELIST){
3447    const pfbs_w = new RegExp("powerful-form-builder", 'i')
3448    if(Array.isArray(window.AVADA_SPEED_WHITELIST)){
3449      window.AVADA_SPEED_WHITELIST.push(pfbs_w)
3450    }else{
3451      window.AVADA_SPEED_WHITELIST = [pfbs_w]
3452    }
3453  }
3454
3455  Globo.FormBuilder.shop.configuration = Globo.FormBuilder.shop.configuration || {};
3456  Globo.FormBuilder.shop.configuration.money_format = "${{amount}}";
3457</script>
vendor: 1 bytes, line 3457
3457
3458<script src="https://cdn.shopify.com/extensions/01a0fc0d-2150-7cf1-86f8-1d048d2b8454/powerful-form-builder-360/assets/globo.formbuilder.index.js" defer="defer" data-cookieconsent="ignore"></script>
3458
3459
3460
3461
3462
3463<!-- END app block --><link href="https://monorail-edge.shopifysvc.com" rel="dns-prefetch">
3464<script>(function(){if ("sendBeacon" in navigator && "performance" in window) {try {var session_token_from_headers = performance.getEntriesByType('navigation')[0].serverTiming.find(x => x.name == '_s').description;} catch {var session_token_from_headers = undefined;}var session_cookie_matches = document.cookie.match(/_shopify_s=([^;]*)/);var session_token_from_cookie = session_cookie_matches && session_cookie_matches.length === 2 ? session_cookie_matches[1] : "";var session_token = session_token_from_headers || session_token_from_cookie || "";function handle_abandonment_event(e) {var entries = performance.getEntries().filter(function(entry) {return /monorail-edge.shopifysvc.com/.test(entry.name);});if (!window.abandonment_tracked && entries.length === 0) {window.abandonment_tracked = true;var currentMs = Date.now();var navigation_start = performance.timing.navigationStart;var payload = {shop_id: 68921917611,url: window.location.href,navigation_start,duration: currentMs - navigation_start,session_token,page_type: "page"};window.navigator.sendBeacon("https://monorail-edge.shopifysvc.com/v1/produce", JSON.stringify({schema_id: "online_store_buyer_site_abandonment/1.1",payload: payload,metadata: {event_created_at_ms: currentMs,event_sent_at_ms: currentMs}}));}}window.addEventListener('pagehide', handle_abandonment_event);}}());</script>
vendor: 1 bytes, line 3464
3464
3465<script>
3466  window.__TREKKIE_SHIM_QUEUE = window.__TREKKIE_SHIM_QUEUE || [];
3467</script>
vendor: 1 bytes, line 3467
3467
3468<script>(function(){var wpmLoader=function(){"use strict";var e=/Googlebot|Storebot-Google|bingbot|Baiduspider|YandexBot|DuckDuckBot|Slurp|facebookexternalhit|Twitterbot|LinkedInBot|Applebot|AdsBot-Google|Mediapartners-Google|APIs-Google|PetalBot|SemrushBot|AhrefsBot|MJ12bot|DotBot|Acunetix|PerplexityBot|Perplexity-User/i,t=/bytedance/i;function i(){try{var e=document.cookie;if(!e||"string"!=typeof e)return;for(var t=0,i=e.split(";");t<i.length;t++){var n=i[t],r=n.indexOf("=");if(-1!==r){var o=n.slice(0,r).trim();if(o){var a=void 0;try{a=decodeURIComponent(o)}catch(e){a=o}if("_shopify_s"===a){var d=n.slice(r+1).trim();try{return decodeURIComponent(d)}catch(e){return d}}}}}return}catch(e){return}}function n(e){try{"undefined"!=typeof console&&"function"==typeof console.warn&&console.warn(e)}catch(e){}}function r(e,t){return"string"==typeof e&&e.length>0&&e.length<=t?e:void 0}function o(e){var t;switch(null==(t=null==e?void 0:e.navigation)?void 0:t.type){case 0:return"navigate";case 1:return"reload";case 2:return"back_forward";default:return}}function a(){var e,t,i;try{var n=null==(i=null==(t=null==(e=self.ShopifyAnalytics)?void 0:e.lib)?void 0:t.trekkie)?void 0:i.state;return"awaiting-consent"===n||"initialized"===n?n:void 0}catch(e){return}}return function(d,s,u,l){var c=arguments.length>4&&void 0!==arguments[4]?arguments[4]:{};try{var p=c.trekkieShim;!0!==p&&"true"!==p||null!=window.__TREKKIE_SHIM_QUEUE||(window.__TREKKIE_SHIM_QUEUE=[])}catch(e){}var f,v,h,y,g=(v=(f={modern:/Edge?\/(1{2}[4-9]|1[2-9]\d|[2-9]\d{2}|\d{4,})\.\d+(\.\d+|)|Firefox\/(1{2}[4-9]|1[2-9]\d|[2-9]\d{2}|\d{4,})\.\d+(\.\d+|)|Chrom(ium|e)\/(9{2}|\d{3,})\.\d+(\.\d+|)|(Maci|X1{2}).+ Version\/(15\.\d+|(1[6-9]|[2-9]\d|\d{3,})\.\d+)([,.]\d+|)( \(\w+\)|)( Mobile\/\w+|) Safari\/|Chrome.+OPR\/(9{2}|\d{3,})\.\d+\.\d+|(CPU[ +]OS|iPhone[ +]OS|CPU[ +]iPhone|CPU IPhone OS|CPU iPad OS)[ +]+(15[._]\d+|(1[6-9]|[2-9]\d|\d{3,})[._]\d+)([._]\d+|)|Android:?[ /-](14[89]|1[5-9]\d|[2-9]\d{2}|\d{4,})(\.\d+|)(\.\d+|)|Android.+Firefox\/(15\d|1[6-9]\d|[2-9]\d{2}|\d{4,})\.\d+(\.\d+|)|Android.+Chrom(ium|e)\/(14[89]|1[5-9]\d|[2-9]\d{2}|\d{4,})\.\d+(\.\d+|)|SamsungBrowser\/([2-9]\d|\d{3,})\.\d+/,legacy:/Edge?\/(1[6-9]|[2-9]\d|\d{3,})\.\d+(\.\d+|)|Firefox\/(5[4-9]|[6-9]\d|\d{3,})\.\d+(\.\d+|)|Chrom(ium|e)\/(5[1-9]|[6-9]\d|\d{3,})\.\d+(\.\d+|)([\d.]+$|.*Safari\/(?![\d.]+ Edge\/[\d.]+$))|(Maci|X1{2}).+ Version\/(10\.\d+|(1[1-9]|[2-9]\d|\d{3,})\.\d+)([,.]\d+|)( \(\w+\)|)( Mobile\/\w+|) Safari\/|Chrome.+OPR\/(3[89]|[4-9]\d|\d{3,})\.\d+\.\d+|(CPU[ +]OS|iPhone[ +]OS|CPU[ +]iPhone|CPU IPhone OS|CPU iPad OS)[ +]+(10[._]\d+|(1[1-9]|[2-9]\d|\d{3,})[._]\d+)([._]\d+|)|Android:?[ /-](14[89]|1[5-9]\d|[2-9]\d{2}|\d{4,})(\.\d+|)(\.\d+|)|Mobile Safari.+OPR\/([89]\d|\d{3,})\.\d+\.\d+|Android.+Firefox\/(15\d|1[6-9]\d|[2-9]\d{2}|\d{4,})\.\d+(\.\d+|)|Android.+Chrom(ium|e)\/(14[89]|1[5-9]\d|[2-9]\d{2}|\d{4,})\.\d+(\.\d+|)|Android.+(UC? ?Browser|UCWEB|U3)[ /]?(15\.([5-9]|\d{2,})|(1[6-9]|[2-9]\d|\d{3,})\.\d+)\.\d+|SamsungBrowser\/(5\.\d+|([6-9]|\d{2,})\.\d+)|Android.+MQ{2}Browser\/(14(\.(9|\d{2,})|)|(1[5-9]|[2-9]\d|\d{3,})(\.\d+|))(\.\d+|)|K[Aa][Ii]OS\/(3\.\d+|([4-9]|\d{2,})\.\d+)(\.\d+|)/}).modern,h=f.legacy,(y=navigator.userAgent).match(e)?"bot":y.match(v)?"modern":y.match(h)?"legacy":y.match(t)?"bot":"unknown"),m=function(e){var t,i,n=r(e,128);try{var a=window.performance,d=null==(t=null==a?void 0:a.getEntriesByType)?void 0:t.call(a,"navigation")[0];if(!d)return{requestId:n,navigationType:o(a)};var s="type"in d?r(d.type,64):void 0,u="serverTiming"in d&&Array.isArray(d.serverTiming)?d.serverTiming:[];return{requestId:null!=n?n:r(null==(i=u.find(function(e){return"requestID"===e.name}))?void 0:i.description,128),navigationType:s}}catch(e){return{requestId:n}}}(c.requestId),w=function(e){var t=e.version,r=e.browserTarget,o=e.surface,a=e.shopId,d=e.monorailEndpoint,s=window.location.href;return{emit:function(e){var u=e.status,l=e.errorMsg,c=e.failureReason,p=e.useKeepaliveFallback,f=void 0!==p&&p,v=e.navigationType,h=e.pagehidePersisted,y=e.requestId,g=e.trekkieState;if(d){var m,w;try{var b=(new Date).getTime();m=JSON.stringify({metadata:{event_sent_at_ms:b},events:[{schema_id:"web_pixels_manager_load/3.3",payload:{version:t,bundle_target:r,page_url:s,status:u,surface:o,error_msg:l,failure_reason:c,navigation_type:v,pagehide_persisted:h,request_id:y,trekkie_state:g,shop_id:a,visit_token:i()},metadata:{event_created_at_ms:b}}]})}catch(e){return}try{if("function"==typeof window.navigator.sendBeacon&&-1===(w=window.navigator.userAgent).indexOf("iPhone; CPU iPhone OS 12_")&&-1===w.indexOf("iPad; CPU OS 12_")&&-1===w.indexOf("iPod touch; CPU iPhone OS 12_")&&window.navigator.sendBeacon.bind(window.navigator)(d,m))return}catch(e){}if(f)try{"function"==typeof window.fetch&&window.fetch(d,{method:"POST",headers:{"Content-Type":"text/plain"},body:m,keepalive:!0}
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3468storefrontBaseUrl":"https:\/\/genteramed.com","extensionBaseUrl":"https:\/\/extensions.shopifycdn.com\/cdn\/shopifycloud\/web-pixels-manager","surface":"storefront-renderer","enabledBetaFlags":"[\"4c64608a\", \"16072cab\", \"8450a54b\"]","isMerchantRequest":"false","hashVersion":"7ec887c8w14f9f074p854094e1m1370c602","publish":"custom","events":"[[\"page_viewed\",{}]]"});})();</script>
3468<script>
3469  window.ShopifyAnalytics = window.ShopifyAnalytics || {};
3470  window.ShopifyAnalytics.meta = window.ShopifyAnalytics.meta || {};
3471  window.ShopifyAnalytics.meta.currency = 'USD';
3472  var meta = {"page":{"pageType":"page","resourceType":"page","resourceId":108279890091,"requestId":"9ead1a12-068f-47e2-8bc1-5f7811730efe-1791411456"}};
3473  for (var attr in meta) {
3474    window.ShopifyAnalytics.meta[attr] = meta[attr];
3475  }
3476</script>
vendor: 1 bytes, line 3476
3476
3477<script class="analytics">
3478  (function () {
3479    var customDocumentWrite = function(content) {
3480      var jquery = null;
3481
3482      if (window.jQuery) {
3483        jquery = window.jQuery;
3484      } else if (window.Checkout && window.Checkout.$) {
3485        jquery = window.Checkout.$;
3486      }
3487
3488      if (jquery) {
3489        jquery('body').append(content);
3490      }
3491    };
3492
3493    var hasLoggedConversion = function(token) {
3494      if (token) {
3495        return document.cookie.indexOf('loggedConversion=' + token) !== -1;
3496      }
3497      return false;
3498    }
3499
3500    var setCookieIfConversion = function(token) {
3501      if (token) {
3502        var twoMonthsFromNow = new Date(Date.now());
3503        twoMonthsFromNow.setMonth(twoMonthsFromNow.getMonth() + 2);
3504
3505        document.cookie = 'loggedConversion=' + token + '; expires=' + twoMonthsFromNow;
3506      }
3507    }
3508
3509    var trekkie = window.ShopifyAnalytics.lib = window.trekkie = window.trekkie || [];
3510    window.ShopifyAnalytics.lib.trekkie = window.trekkie;
3511    if (trekkie.integrations) {
3512      return;
3513    }
3514    trekkie.methods = [
3515      'identify',
3516      'page',
3517      'ready',
3518      'track',
3519      'trackForm',
3520      'trackLink'
3521    ];
3522    trekkie.factory = function(method) {
3523      return function() {
3524        var args = Array.prototype.slice.call(arguments);
3525        args.unshift(method);
3526        trekkie.push(args);
3527        if (method == 'track' || method == 'page') {
3528          var pageUrl;
3529          try {
3530            pageUrl = window.location.href;
3531          } catch (e) {}
3532          var pageReferrer;
3533          try {
3534            pageReferrer = document.referrer;
3535          } catch (e) {}
3536          try {
3537            if (window.__TREKKIE_SHIM_QUEUE == null) {
3538              window.__TREKKIE_SHIM_QUEUE = [];
3539            }
3540            window.__TREKKIE_SHIM_QUEUE.push({
3541              from: 'trekkie-stub',
3542              method: method,
3543              args: args.slice(1),
3544              pageContext: {
3545                url: pageUrl,
3546                referrer: pageReferrer
3547              }
3548            });
3549          } catch (e) {
3550            // no-op
3551          }
3552        }
3553        return trekkie;
3554      };
3555    };
3556    for (var i = 0; i < trekkie.methods.length; i++) {
3557      var key = trekkie.methods[i];
3558      trekkie[key] = trekkie.factory(key);
3559    }
3560    trekkie.load = function(config) {
3561      trekkie.config = config || {};
3562      trekkie.config.initialDocumentCookie = document.cookie;
3563      var first = document.getElementsByTagName('script')[0];
3564var script = document.createElement('script');
3565script.type = 'text/javascript';
3566script.onerror = function(e) {
3567  var scriptFallback = document.createElement('script');
3568  scriptFallback.type = 'text/javascript';
3569  scriptFallback.onerror = function(error) {
3570          var Monorail = {
3571      produce: function produce(monorailDomain, schemaId, payload) {
3572        var currentMs = new Date().getTime();
3573        var event = {
3574          schema_id: schemaId,
3575          payload: payload,
3576          metadata: {
3577            event_created_at_ms: currentMs,
3578            event_sent_at_ms: currentMs
3579          }
3580        };
3581        return Monorail.sendRequest("https://" + monorailDomain + "/v1/produce", JSON.stringify(event));
3582      },
3583      sendRequest: function sendRequest(endpointUrl, payload) {
3584        // Try the sendBeacon API
3585        if (window && window.navigator && typeof window.navigator.sendBeacon === 'function' && typeof window.Blob === 'function' && !Monorail.isIos12()) {
3586          var blobData = new window.Blob([payload], {
3587            type: 'text/plain'
3588          });
3589
3590          if (window.navigator.sendBeacon(endpointUrl, blobData)) {
3591            return true;
3592          } // sendBeacon was not successful
3593
3594        } // XHR beacon
3595
3596        var xhr = new XMLHttpRequest();
3597
3598        try {
3599          xhr.open('POST', endpointUrl);
3600          xhr.setRequestHeader('Content-Type', 'text/plain');
3601          xhr.send(payload);
3602        } catch (e) {
3603          console.log(e);
3604        }
3605
3606        return false;
3607      },
3608      isIos12: function isIos12() {
3609        return window.navigator.userAgent.lastIndexOf('iPhone; CPU iPhone OS 12_') !== -1 || window.navigator.userAgent.lastIndexOf('iPad; CPU OS 12_') !== -1;
3610      }
3611    };
3612    Monorail.produce('monorail-edge.shopifysvc.com',
3613      'trekkie_storefront_load_errors/1.1',
3614      {shop_id: 68921917611,
3615      theme_id: 142502953131,
3616      app_name: "storefront",
3617      context_url: window.location.href,
3618      source_url: "//genteramed.com/cdn/s/trekkie.storefront.51e69540e15035ae012ec8cc42e8f9cd792233a0.min.js"});
3619
3620  };
3621  scriptFallback.async = true;
3622  scriptFallback.src = '//genteramed.com/cdn/s/trekkie.storefront.51e69540e15035ae012ec8cc42e8f9cd792233a0.min.js';
3623  first.parentNode.insertBefore(scriptFallback, first);
3624};
3625script.async = true;
3626script.src = '//genteramed.com/cdn/s/trekkie.storefront.51e69540e15035ae012ec8cc42e8f9cd792233a0.min.js';
3627first.parentNode.insertBefore(script, first);
3628
3629    };
3630    trekkie.load(
3631      {"Trekkie":{"appName":"storefront","development":false,"defaultAttributes":{"shopId":68921917611,"isMerchantRequest":null,"themeId":142502953131,"themeCityHash":"6665658407860294004","contentLanguage":"en","currency":"USD","eventMetadataId":"873abdd4-1b40-4695-b583-8c2bc95ee713"},"isServerSideCookieWritingEnabled":true,"monorailRegion":"shop_domain","enabledBetaFlags":["764d78cb","8450a54b","4c64608a"]},"Session Attribution":{},"S2S":{"facebookCapiEnabled":false,"source":"trekkie-storefront-renderer","apiClientId":580111}}
3632    );
3633
3634    var loaded = false;
3635    trekkie.ready(function() {
3636      if (loaded) return;
3637      loaded = true;
3638
3639      window.ShopifyAnalytics.lib = window.trekkie;
3640
3641      var originalDocumentWrite = document.write;
3642      document.write = customDocumentWrite;
3643      try { window.ShopifyAnalytics.merchantGoogleAnalytics.call(this); } catch(error) {};
3644      document.write = originalDocumentWrite;
3645
3646      var match = window.location.pathname.match(/checkouts\/(.+)\/(thank_you|post_purchase)/)
3647      var token = match? match[1]: undefined;
3648      if (!hasLoggedConversion(token)) {
3649        setCookieIfConversion(token);
3650        
3651      }
3652    });
3653
3654    window.ShopifyAnalytics.lib.page(null,{"pageType":"page","resourceType":"page","resourceId":108279890091,"requestId":"9ead1a12-068f-47e2-8bc1-5f7811730efe-1791411456","shopifyEmitted":true});
3655
3656    var eventsListenerScript = document.createElement('script');
3657    eventsListenerScript.async = true;
3658    eventsListenerScript.src = "//genteramed.com/cdn/shopifycloud/storefront/assets/shop_events_listener-4e26a9ce.js";
3659    document.getElementsByTagName('head')[0].appendChild(eventsListenerScript);
3660})();</script>
vendor: 1 bytes, line 3660
3660
3661<script
3662  defer
3663  src="https://genteramed.com/cdn/shopifycloud/perf-kit/shopify-perf-kit-3.9.6.min.js"
3664  data-application="storefront-renderer"
3665  data-shop-id="68921917611"
3666  data-render-region="gcp-us-central1"
3667  data-page-type="page"
3668  data-theme-instance-id="142502953131"
3669  data-theme-name="Flow"
3670  data-theme-version="39.8.0"
3671  data-monorail-region="shop_domain"
3672  data-resource-timing-sampling-rate="10"
3673  data-shs="true"
3674  data-shs-beacon="true"
3675  data-shs-export-with-fetch="true"
3676  data-shs-logs-sample-rate="1"
3677  data-shs-beacon-endpoint="https://genteramed.com/api/collect"
3678></script>
3678
3679<meta name="shopify-y" content="c979ea15-b433-474a-825a-6d0c35badb68" data-expiration="1822969056000"><meta name="shopify-s" content="1aeb76cb-0ce9-4c02-ac13-35b2d2477fef" data-expiration="1791413256000"><meta name="new-cookie-storage-activated" content="t">
3680</head>
3681
3682
3683<body id="contact-us-gentera-med" class="contact-page template-page page-fade hover-zoom-enabled ">
3684  <a class="btn skip-to-content-link sr-only" href="#MainContent">
3685    Skip to content
3686  </a>
3687
3688  <noscript><link href="//genteramed.com/cdn/shop/t/3/assets/swiper-bundle.min.css?v=108600854557962455461749608473" rel="stylesheet" type="text/css" media="all" /></noscript>
3689  <noscript><link href="//genteramed.com/cdn/shop/t/3/assets/photoswipe.min.css?v=165459975419098386681741878166" rel="stylesheet" type="text/css" media="all" /></noscript>
3690  
3691  	<noscript><link href="//genteramed.com/cdn/shop/t/3/assets/animate.min.css?v=68297775102622399721741878166" rel="stylesheet" type="text/css" media="all" /></noscript>
3692  
3693  <noscript><link href="//genteramed.com/cdn/shop/t/3/assets/custom.css?v=102493421877365237651741878166" rel="stylesheet" type="text/css" media="all" /></noscript>
3694
3695  
3696  <safe-load-scripts class="hidden">
3697    
3697<script src="//genteramed.com/cdn/shop/t/3/assets/component-cart-quantity.js?v=70295216213169132451741878166" type="module" defer="defer" data-flow-load-key="component-cart-quantity"></script>
3697
3698  </safe-load-scripts>
3699  <safe-load-scripts class="hidden">
3700    
3700<script src="//genteramed.com/cdn/shop/t/3/assets/component-cart-update.js?v=38903525079000161031741878166" type="module" defer="defer" data-flow-load-key="component-cart-update"></script>
3700
3701  </safe-load-scripts>
3702  
3703
3704  
3705  
3706    <safe-load-scripts class="hidden">
3707      
3707<script src="//genteramed.com/cdn/shop/t/3/assets/component-cart-drawer.js?v=65263691251320179841741878165" type="module" defer="defer" data-flow-load-key="component-cart-drawer"></script>
3707
3708    </safe-load-scripts>
3709    <safe-load-scripts class="hidden">
3710      
3710<script src="//genteramed.com/cdn/shop/t/3/assets/component-cart-update-modal.js?v=86464604851413727601741878166" type="module" defer="defer" data-flow-load-key="component-cart-update-modal"></script>
3710
3711    </safe-load-scripts>
3712    
3713    
3714
3715<cart-drawer
3716  aria-modal="true"
3717  role="dialog"
3718  aria-hidden="true"
3719  class="global-drawer"
3720  data-drawer-position="right"
3721>
3722  <span data-drawer-close class="global-drawer__overlay"></span>
3723  <div class="global-drawer__content">
3724
3725    <header class="global-drawer__sticky-header">
3726      <button
3727        data-drawer-close
3728        type="button"
3729        aria-label="Close"
3730        class="global-drawer__close"
3731      >
3732        <span class="fallback-text">Close</span>
3733        
3734
3735
3736
3737
3738    <svg viewBox="0 0 20 20" fill="none" xmlns="http://www.w3.org/2000/svg" width="20" height="20"><path d="M5.63086 14.3692L10 10L14.3692 14.3692M14.3692 5.63086L9.99919 10L5.63086 5.63086" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"/></svg>
3739  
3740      </button>
3741      <div data-cart-dynamic-content="cart-header">
3742        <h3 class="cart-drawer__heading">Cart (0)</h3>
3743      </div>
3744    </header>
3745
3746    <div
3747      class="global-drawer__body global-drawer__body--with-padding cart-drawer__body"
3748      data-cart-dynamic-content="cart-body"
3749      data-cart-scroll-element
3750    >
3751      <div class="global-drawer__body--content">
3752        
3753
3754          <div class="cart-drawer__empty-container">
3755            
3756              <div class="cart-drawer__empty-message text-link-animated">Your cart is currently empty.</div>
3757            
3758
3759            <div class="cart-drawer__empty-btn-container">
3760              
3761                <a class="btn dynamic-section-button--drawer-filled cart-drawer__empty-btn" href="/collections/all">Return to shop</a>
3762              
3763            </div>
3764          </div>
3765        
3766
3767        
3768      </div>
3769    </div>
3770
3771    <div class="global-drawer__sticky-bottom" data-cart-dynamic-content="cart-footer">
3772
3773      
3774
3775    </div>
3776  </div>
3777</cart-drawer>
3778  
3779
3780  
3781  <div class="right-drawer-vue">
3782  
3783  <wetheme-right-drawer
3784    search-url="/search/suggest.json"
3785    is-predictive="true"
3786    search-collections=""
3787    language-url="/"
3788  >
3789  </wetheme-right-drawer>
3790</div>
3791<script type="text/x-template" id="wetheme-right-drawer-template">
3792  <div>
3793    <transition name="drawer-right">
3794      <div :class="[type === 'page' ? 'display-flex' : '']" class="drawer drawer--right drawer--cart" v-if="isOpen" ref="drawerRight">
3795        <div :class="[type === 'page' ? 'display-flex' : '', 'drawer__header', 'sitewide--title-wrapper']">
3796          <div class="drawer__close js-drawer-close">
3797            <button type="button" class="icon-fallback-text standalone-icon--wrapper" aria-label="Close" ref="drawerClose" v-on:click="close">
3798              <span class="fallback-text">Close</span>
3799              
3800
3801
3802
3803
3804    <svg viewBox="0 0 20 20" fill="none" xmlns="http://www.w3.org/2000/svg" width="20" height="20"><path d="M5.63086 14.3692L10 10L14.3692 14.3692M14.3692 5.63086L9.99919 10L5.63086 5.63086" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"/></svg>
3805  
3806            </button>
3807          </div>
3808          <input ref="drawerFocus" tabindex="-1" aria-hidden="true" class="sr-only" />
3809          <div :class="[type === 'page' ? 'remove-margin' : '', 'drawer__title', 'h2', 'true']">
3810            <span class="sr-only" v-if="type === 'page'">Size guide</span>
3811            <span v-if="type === 'search'">Search</span>
3812          </div>
3813        </div>
3814
3815        
3816
3817        <div id="SearchContainer" v-if="type === 'search'">
3818          <div class="search-drawer">
3819            <div class="input-group">
3820              <span class="input-group-btn">
3821                <button aria-label="Search" type="submit" class="search-input--btn icon-fallback-text standalone-icon--wrapper" v-on:click="onSearchSubmit" tabindex="0">
3822                  
3823
3824
3825
3826
3827    <svg viewBox="0 0 20 20" fill="none" xmlns="http://www.w3.org/2000/svg" width="20" height="20"><path d="M14.1667 14.1667L17.5 17.5M2.5 9.16667C2.5 10.9348 3.20238 12.6305 4.45262 13.8807C5.70286 15.131 7.39856 15.8333 9.16667 15.8333C10.9348 15.8333 12.6305 15.131 13.8807 13.8807C15.131 12.6305 15.8333 10.9348 15.8333 9.16667C15.8333 7.39856 15.131 5.70286 13.8807 4.45262C12.6305 3.20238 10.9348 2.5 9.16667 2.5C7.39856 2.5 5.70286 3.20238 4.45262 4.45262C3.20238 5.70286 2.5 7.39856 2.5 9.16667Z" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"/></svg>
3828  
3829                  <span class="fallback-text">Search</span>
3830                </button>
3831              </span>
3832              <div class="search-input-group">
3833                <input
3834                  type="search" name="q" id="search-input" placeholder="Search our store"
3835                  class="input-group-field" aria-label="Search our store" autocomplete="off" autocorrect="off" spellcheck="false" ref="searchText"
3836                  v-model="searchQuery" @keydown.enter="onSearchSubmit"
3837                />
3838                <button type="button" aria-label="Clear" class="search-drawer--clear icon-fallback-text standalone-icon--wrapper" v-if="searchQuery.length > 0" v-on:click="clearSearchInput">
3839                  <span class="fallback-text">Clear</span>
3840                  
3841
3842
3843
3844
3845    <svg viewBox="0 0 20 20" fill="none" xmlns="http://www.w3.org/2000/svg" width="20" height="20"><path d="M5.63086 14.3692L10 10L14.3692 14.3692M14.3692 5.63086L9.99919 10L5.63086 5.63086" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"/></svg>
3846  
3847                </button>
3848              </div>
3849            </div>
3850            <div class="wrapper-padded">
3851              <div id="search-results" class="grid-uniform">
3852                <div v-if="searching" class="search-loading standalone-icon--wrapper loading-state-icon">
3853                  
3854
3855
3856
3857
3858    <svg viewBox="0 0 25 24" fill="none" xmlns="http://www.w3.org/2000/svg" width="20" height="20" class="spin flex-full"> <g clip-path="url(#clip0_3605_47041)"> <path d="M12.5 23C6.42487 23 1.5 18.0751 1.5 12C1.5 5.92487 6.42487 1 12.5 1C18.5751 1 23.5 5.92487 23.5 12C23.5 15.1767 22.1534 18.0388 20 20.0468" stroke="currentColor" stroke-width="1.5" stroke-linecap="round"/></g><defs><clipPath id="clip0_3605_47041"><rect width="24" height="24" fill="none" transform="translate(0.5)"/></clipPath></defs></svg>
3859  <span class="sr-only">loading...</span>
3860                </div>
3861                <div v-text="searchSummary" v-if="!searching"></div>
3862                <div class="search-results__meta top" v-if="searchHasResults">
3863                  <div class="search-results__meta-view-all"><span id="search-show-more" class="search-show-more--btn"><a v-bind:href="searchPageUrlWithQuery">View all results</a></span></div>
3864                </div>
3865                <div class="" v-for="group in searchGroups" v-if="!searching">
3866                  <h2 v-text="group.name" v-if="group.results.length"></h2>
3867                  <div class="indiv-search-listing-grid" v-for="result in group.results">
3868                    <div class="grid">
3869                      <div class="grid__item large--one-fifth live-search--image" v-if="result.featured_image">
3870                        <a v-bind:href="`${result.url}`" v-bind:title="result.title">
3871                          <span v-if="result.featured_image.url">
3872                            <img
3873                              class="theme-img" 
3874                              loading="lazy"
3875                              v-bind:src="result.featured_image.url"
3876                              v-bind:alt="result.featured_image.alt"
3877                            />
3878                          </span>
3879                        </a>
3880                      </div>
3881                      <div class="grid__item line-search-content" :class="(result.image || result.featured_image) ? 'large--four-fifths' : 'large--one-whole'">
3882                        
3883                        <h5>
3884                          <a v-bind:href="`${result.url}`" v-html="result.title ? result.title : result.styled_text"></a>
3885                        </h5>
3886                        <div v-if="!result.available && group.name == 'Products'">Sold out</div>
3887                        
3888                        <div v-if="result.price" v-html="result.price"></div>
3889                        
3890                      </div>
3891                    </div>
3892                    <span class="search-drawer-separator" v-if="group.results.length"><hr /></span>
3893                  </div>
3894                </div>
3895                <div class="search-results__meta bottom" v-if="searchHasResults">
3896                  <div class="search-results__meta-view-all"><span id="search-show-more" class="search-show-more--btn"><a v-bind:href="searchPageUrlWithQuery">View all results</a></span></div>
3897                </div>
3898              </div>
3899            </div>
3900          </div>
3901        </div>
3902
3903        <div id="PageContainer" v-if="type === 'page'">
3904          <div ref="pageContent"></div>
3905        </div>
3906      </div>
3907    </transition>
3908  </div>
3909</script>
3909
3910
3911
3912  <div id="DrawerOverlay" class="drawer-overlay"></div>
3913  <div id="ThemeModal" class="theme-modal width--modal"></div>
3914
3915  <div 
3916    id="PageContainer" 
3917    data-editor-open="false" 
3918    data-cart-action="go_to_or_open_cart" 
3919    data-cart-type="drawer" 
3920    data-language-url="/" 
3921    data-show-currency-code="false"
3922    data-currency-code="USD"
3923  >
3924    <div class="no-js disclaimer">
3925      <p>This store requires javascript to be enabled for some features to work correctly.</p>
3926    </div>
3927
3928    <!-- BEGIN sections: header-group -->
3929<div id="shopify-section-sections--18151226867883__announcement-bar" class="shopify-section shopify-section-group-header-group"></div><div id="shopify-section-sections--18151226867883__header" class="shopify-section shopify-section-group-header-group header-section">
3930
3931<link href="//genteramed.com/cdn/shop/t/3/assets/component-mobile-menu.min.css?v=65241013563444139781741878166" rel="stylesheet" type="text/css" media="all" />
3932
3933
3934
3935
3936
3937
3938
3939
3940
3941
3942
3943
3944
3945
3946
3947
3948
3949
3950
3951
3952
3953
3954
3955
3956
3957
3958
3959
3960
3961
3962<noscript>
3963  
3964  <ul class="no-js-mobile-menu nav-link-animated">
3965  
3966    
3967      <li>
3968        <a href="/pages/concierge-medicine-miami">Concierge</a>
3969      </li>
3970    
3971  
3972    
3973      <li>
3974        <a href="#">Services</a>
3975        <ul>
3976          
3977            
3978              <li>
3979                <a href="/pages/iv-therapy-services">IV Therapy</a>
3980              </li>
3981            
3982          
3983            
3984              <li>
3985                <a href="/pages/hyperbaric-oxygen-therapy">HBOT</a>
3986              </li>
3987            
3988          
3989            
3990              <li>
3991                <a href="/pages/peptide-therapy-in-miami">Peptide Therapy</a>
3992              </li>
3993            
3994          
3995            
3996              <li>
3997                <a href="/pages/sexual-wellness">Sexual Wellness</a>
3998              </li>
3999            
4000          
4001        </ul>
4002      </li>
4003    
4004  
4005    
4006      <li>
4007        <a href="#">About</a>
4008        <ul>
4009          
4010            
4011              <li>
4012                <a href="/pages/the-team">The Team</a>
4013              </li>
4014            
4015          
4016            
4017              <li>
4018                <a href="/pages/who-we-are">Who We Are</a>
4019              </li>
4020            
4021          
4022        </ul>
4023      </li>
4024    
4025  
4026    
4027      <li>
4028        <a href="/pages/gentera-orthopedics">Gentera Orthopedics</a>
4029        <ul>
4030          
4031            
4032              <li>
4033                <a href="/pages/sports-medicine">Sports Medicine</a>
4034              </li>
4035            
4036          
4037            
4038              <li>
4039                <a href="/pages/advanced-pain-management">Pain Management</a>
4040              </li>
4041            
4042          
4043            
4044              <li>
4045                <a href="/pages/bone-marrow-aspirate-concentrate-bmac">BMAC</a>
4046              </li>
4047            
4048          
4049            
4050              <li>
4051                <a href="/pages/musculoskeletal-ultrasound-imaging">MSK</a>
4052              </li>
4053            
4054          
4055        </ul>
4056      </li>
4057    
4058  
4059    
4060      <li>
4061        <a href="/pages/integrative-medicine">Functional Medicine</a>
4062      </li>
4063    
4064  
4065    
4066      <li>
4067        <a href="/pages/precision-medicine">Precision Medicine</a>
4068        <ul>
4069          
4070            
4071              <li>
4072                <a href="/pages/diagnostic-testing">Diagnostics</a>
4073                <ul>
4074                  
4075                    <li>
4076                      <a href="/pages/cell-science">Cell Science</a>
4077                    </li>
4078                  
4079                    <li>
4080                      <a href="/pages/tricho-test">Tricho Test</a>
4081                    </li>
4082                  
4083                    <li>
4084                      <a href="/pages/galleri-test">Galleri</a>
4085                    </li>
4086                  
4087                    <li>
4088                      <a href="/pages/truage-test">TruAge</a>
4089                    </li>
4090                  
4091                    <li>
4092                      <a href="/pages/episeek">Episeek</a>
4093                    </li>
4094                  
4095                </ul>
4096              </li>
4097            
4098          
4099            
4100              <li>
4101                <a href="/pages/cleerly-diagnostics">Cleerly Diagnostics</a>
4102              </li>
4103            
4104          
4105            
4106              <li>
4107                <a href="/pages/prenuvo-scan">Prenuvo</a>
4108              </li>
4109            
4110          
4111        </ul>
4112      </li>
4113    
4114  
4115    
4116      <li>
4117        <a href="#">Media</a>
4118        <ul>
4119          
4120            
4121              <li>
4122                <a href="/blogs/news">News &amp; Updates</a>
4123              </li>
4124            
4125          
4126        </ul>
4127      </li>
4128    
4129  
4130    
4131      <li>
4132        <a href="/pages/contact">Contact</a>
4133      </li>
4134    
4135  
4136    
4137      <li>
4138        <a href="https://genteramed.repeatmd.app/signin">Shop on our app!</a>
4139      </li>
4140    
4141  
4142</ul>
4143</noscript>
4144
4145<style data-shopify>
4146  .default-menu-drawer-text-color {
4147    color: var(--menu-drawer-text-color);
4148  }
4149
4150  
4151</style>
4152
4153<div
4154  class="header-section--wrapper"
4155  data-wetheme-section-type="header"
4156  data-wetheme-section-id="sections--18151226867883__header"
4157  data-header-sticky="true"
4158  data-header-overlay="false"
4159>
4160  <div id="NavDrawerOverlay" class="drawer-overlay"></div>
4161  <div id="NavDrawer" class="drawer drawer--left" inert>
4162
4163    <div class="mobile-nav-grid-container">
4164      <div class="mobile-nav__logo-title">
4165        <div class="mobile-nav__logo-title--inner">
4166          <a href="#" class="mobile-menu--close-btn standalone-icon--wrapper" aria-label="Close menu" role="button">
4167            
4168
4169
4170
4171
4172    <svg viewBox="0 0 20 20" fill="none" xmlns="http://www.w3.org/2000/svg" width="20" height="20"><path d="M5.63086 14.3692L10 10L14.3692 14.3692M14.3692 5.63086L9.99919 10L5.63086 5.63086" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"/></svg>
4173  
4174          </a>
4175        </div>
4176      </div>
4177
4178      <!-- begin mobile-nav -->
4179      <ul class="mobile-nav mobile-nav--main">
4180        
4181        
4182          
4183          
4184            <li class="mobile-nav__item top-level">
4185              
4186                <a href="/pages/concierge-medicine-miami" class="mobile-nav__link">Concierge</a>
4187              
4188            </li>
4189          
4190        
4191          
4192          
4193            <li class="mobile-nav__item top-level" aria-haspopup="true">
4194              <div class="mobile-nav__has-sublist">
4195                <a href="#" class="mobile-nav__link">Services</a>
4196                <div class="mobile-nav__toggle">
4197                  <button type="button" class="icon-fallback-text mobile-nav__toggle-open standalone-icon--wrapper touch-target icon-no-padding" aria-label="See more">
4198                    
4199
4200
4201
4202
4203    <svg viewBox="0 0 20 20" fill="none" xmlns="http://www.w3.org/2000/svg" width="16" height="16" aria-hidden="true"><path d="M5.5 7.5L10.5 12.5L15.5 7.5" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"/></svg>
4204  
4205                  </button>
4206                  <button type="button" class="icon-fallback-text mobile-nav__toggle-close standalone-icon--wrapper touch-target icon-no-padding" aria-label="Close menu">
4207                    
4208
4209
4210
4211
4212    <svg viewBox="0 0 20 20" fill="none" xmlns="http://www.w3.org/2000/svg" width="16" height="16" aria-hidden="true"><path d="M5.5 12.5L10.5 7.5L15.5 12.5" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"/></svg>  
4213  
4214                  </button>
4215                </div>
4216              </div>
4217              <ul class="mobile-nav__sublist">
4218                
4219                  
4220                    <li class="mobile-nav__item">
4221                      <a href="/pages/iv-therapy-services" class="mobile-nav__link">IV Therapy</a>
4222                    </li>
4223                  
4224                
4225                  
4226                    <li class="mobile-nav__item">
4227                      <a href="/pages/hyperbaric-oxygen-therapy" class="mobile-nav__link">HBOT</a>
4228                    </li>
4229                  
4230                
4231                  
4232                    <li class="mobile-nav__item">
4233                      <a href="/pages/peptide-therapy-in-miami" class="mobile-nav__link">Peptide Therapy</a>
4234                    </li>
4235                  
4236                
4237                  
4238                    <li class="mobile-nav__item">
4239                      <a href="/pages/sexual-wellness" class="mobile-nav__link">Sexual Wellness</a>
4240                    </li>
4241                  
4242                
4243
4244                
4245              </ul>
4246            </li>
4247          
4248        
4249          
4250          
4251            <li class="mobile-nav__item top-level" aria-haspopup="true">
4252              <div class="mobile-nav__has-sublist">
4253                <a href="#" class="mobile-nav__link">About</a>
4254                <div class="mobile-nav__toggle">
4255                  <button type="button" class="icon-fallback-text mobile-nav__toggle-open standalone-icon--wrapper touch-target icon-no-padding" aria-label="See more">
4256                    
4257
4258
4259
4260
4261    <svg viewBox="0 0 20 20" fill="none" xmlns="http://www.w3.org/2000/svg" width="16" height="16" aria-hidden="true"><path d="M5.5 7.5L10.5 12.5L15.5 7.5" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"/></svg>
4262  
4263                  </button>
4264                  <button type="button" class="icon-fallback-text mobile-nav__toggle-close standalone-icon--wrapper touch-target icon-no-padding" aria-label="Close menu">
4265                    
4266
4267
4268
4269
4270    <svg viewBox="0 0 20 20" fill="none" xmlns="http://www.w3.org/2000/svg" width="16" height="16" aria-hidden="true"><path d="M5.5 12.5L10.5 7.5L15.5 12.5" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"/></svg>  
4271  
4272                  </button>
4273                </div>
4274              </div>
4275              <ul class="mobile-nav__sublist">
4276                
4277                  
4278                    <li class="mobile-nav__item">
4279                      <a href="/pages/the-team" class="mobile-nav__link">The Team</a>
4280                    </li>
4281                  
4282                
4283                  
4284                    <li class="mobile-nav__item">
4285                      <a href="/pages/who-we-are" class="mobile-nav__link">Who We Are</a>
4286                    </li>
4287                  
4288                
4289
4290                
4291              </ul>
4292            </li>
4293          
4294        
4295          
4296          
4297            <li class="mobile-nav__item top-level" aria-haspopup="true">
4298              <div class="mobile-nav__has-sublist">
4299                <a href="/pages/gentera-orthopedics" class="mobile-nav__link">Gentera Orthopedics</a>
4300                <div class="mobile-nav__toggle">
4301                  <button type="button" class="icon-fallback-text mobile-nav__toggle-open standalone-icon--wrapper touch-target icon-no-padding" aria-label="See more">
4302                    
4303
4304
4305
4306
4307    <svg viewBox="0 0 20 20" fill="none" xmlns="http://www.w3.org/2000/svg" width="16" height="16" aria-hidden="true"><path d="M5.5 7.5L10.5 12.5L15.5 7.5" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"/></svg>
4308  
4309                  </button>
4310                  <button type="button" class="icon-fallback-text mobile-nav__toggle-close standalone-icon--wrapper touch-target icon-no-padding" aria-label="Close menu">
4311                    
4312
4313
4314
4315
4316    <svg viewBox="0 0 20 20" fill="none" xmlns="http://www.w3.org/2000/svg" width="16" height="16" aria-hidden="true"><path d="M5.5 12.5L10.5 7.5L15.5 12.5" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"/></svg>  
4317  
4318                  </button>
4319                </div>
4320              </div>
4321              <ul class="mobile-nav__sublist">
4322                
4323                  
4324                    <li class="mobile-nav__item">
4325                      <a href="/pages/sports-medicine" class="mobile-nav__link">Sports Medicine</a>
4326                    </li>
4327                  
4328                
4329                  
4330                    <li class="mobile-nav__item">
4331                      <a href="/pages/advanced-pain-management" class="mobile-nav__link">Pain Management</a>
4332                    </li>
4333                  
4334                
4335                  
4336                    <li class="mobile-nav__item">
4337                      <a href="/pages/bone-marrow-aspirate-concentrate-bmac" class="mobile-nav__link">BMAC</a>
4338                    </li>
4339                  
4340                
4341                  
4342                    <li class="mobile-nav__item">
4343                      <a href="/pages/musculoskeletal-ultrasound-imaging" class="mobile-nav__link">MSK</a>
4344                    </li>
4345                  
4346                
4347
4348                
4349              </ul>
4350            </li>
4351          
4352        
4353          
4354          
4355            <li class="mobile-nav__item top-level">
4356              
4357                <a href="/pages/integrative-medicine" class="mobile-nav__link">Functional Medicine</a>
4358              
4359            </li>
4360          
4361        
4362          
4363          
4364            <li class="mobile-nav__item top-level" aria-haspopup="true">
4365              <div class="mobile-nav__has-sublist">
4366                <a href="/pages/precision-medicine" class="mobile-nav__link">Precision Medicine</a>
4367                <div class="mobile-nav__toggle">
4368                  <button type="button" class="icon-fallback-text mobile-nav__toggle-open standalone-icon--wrapper touch-target icon-no-padding" aria-label="See more">
4369                    
4370
4371
4372
4373
4374    <svg viewBox="0 0 20 20" fill="none" xmlns="http://www.w3.org/2000/svg" width="16" height="16" aria-hidden="true"><path d="M5.5 7.5L10.5 12.5L15.5 7.5" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"/></svg>
4375  
4376                  </button>
4377                  <button type="button" class="icon-fallback-text mobile-nav__toggle-close standalone-icon--wrapper touch-target icon-no-padding" aria-label="Close menu">
4378                    
4379
4380
4381
4382
4383    <svg viewBox="0 0 20 20" fill="none" xmlns="http://www.w3.org/2000/svg" width="16" height="16" aria-hidden="true"><path d="M5.5 12.5L10.5 7.5L15.5 12.5" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"/></svg>  
4384  
4385                  </button>
4386                </div>
4387              </div>
4388              <ul class="mobile-nav__sublist">
4389                
4390                  
4391                    <li class="mobile-nav__item ">
4392                      <div class="mobile-nav__has-sublist">
4393                        <a href="/pages/diagnostic-testing" class="mobile-nav__link">Diagnostics</a>
4394                        <div class="mobile-nav__toggle">
4395                          <button type="button" class="icon-fallback-text mobile-nav__toggle-open standalone-icon--wrapper touch-target icon-no-padding" name="See more">
4396                            
4397
4398
4399
4400
4401    <svg viewBox="0 0 20 20" fill="none" xmlns="http://www.w3.org/2000/svg" width="16" height="16" aria-hidden="true"><path d="M5.5 7.5L10.5 12.5L15.5 7.5" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"/></svg>
4402  
4403                            <span class="fallback-text">See more</span>
4404                          </button>
4405                          <button type="button" class="icon-fallback-text mobile-nav__toggle-close standalone-icon--wrapper touch-target icon-no-padding" name="Close menu">
4406                            
4407
4408
4409
4410
4411    <svg viewBox="0 0 20 20" fill="none" xmlns="http://www.w3.org/2000/svg" width="16" height="16" aria-hidden="true"><path d="M5.5 12.5L10.5 7.5L15.5 12.5" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"/></svg>  
4412  
4413                            <span class="fallback-text">Close menu</span>
4414                          </button>
4415                        </div>
4416                      </div>
4417                      <ul class="mobile-nav__sublist">
4418                        
4419                          <li class="mobile-nav__item">
4420                            <a href="/pages/cell-science" class="mobile-nav__link">Cell Science</a>
4421                          </li>
4422                        
4423                          <li class="mobile-nav__item">
4424                            <a href="/pages/tricho-test" class="mobile-nav__link">Tricho Test</a>
4425                          </li>
4426                        
4427                          <li class="mobile-nav__item">
4428                            <a href="/pages/galleri-test" class="mobile-nav__link">Galleri</a>
4429                          </li>
4430                        
4431                          <li class="mobile-nav__item">
4432                            <a href="/pages/truage-test" class="mobile-nav__link">TruAge</a>
4433                          </li>
4434                        
4435                          <li class="mobile-nav__item">
4436                            <a href="/pages/episeek" class="mobile-nav__link">Episeek</a>
4437                          </li>
4438                        
4439                      </ul>
4440                    </li>
4441                  
4442                
4443                  
4444                    <li class="mobile-nav__item">
4445                      <a href="/pages/cleerly-diagnostics" class="mobile-nav__link">Cleerly Diagnostics</a>
4446                    </li>
4447                  
4448                
4449                  
4450                    <li class="mobile-nav__item">
4451                      <a href="/pages/prenuvo-scan" class="mobile-nav__link">Prenuvo</a>
4452                    </li>
4453                  
4454                
4455
4456                
4457              </ul>
4458            </li>
4459          
4460        
4461          
4462          
4463            <li class="mobile-nav__item top-level" aria-haspopup="true">
4464              <div class="mobile-nav__has-sublist">
4465                <a href="#" class="mobile-nav__link">Media</a>
4466                <div class="mobile-nav__toggle">
4467                  <button type="button" class="icon-fallback-text mobile-nav__toggle-open standalone-icon--wrapper touch-target icon-no-padding" aria-label="See more">
4468                    
4469
4470
4471
4472
4473    <svg viewBox="0 0 20 20" fill="none" xmlns="http://www.w3.org/2000/svg" width="16" height="16" aria-hidden="true"><path d="M5.5 7.5L10.5 12.5L15.5 7.5" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"/></svg>
4474  
4475                  </button>
4476                  <button type="button" class="icon-fallback-text mobile-nav__toggle-close standalone-icon--wrapper touch-target icon-no-padding" aria-label="Close menu">
4477                    
4478
4479
4480
4481
4482    <svg viewBox="0 0 20 20" fill="none" xmlns="http://www.w3.org/2000/svg" width="16" height="16" aria-hidden="true"><path d="M5.5 12.5L10.5 7.5L15.5 12.5" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"/></svg>  
4483  
4484                  </button>
4485                </div>
4486              </div>
4487              <ul class="mobile-nav__sublist">
4488                
4489                  
4490                    <li class="mobile-nav__item">
4491                      <a href="/blogs/news" class="mobile-nav__link">News &amp; Updates</a>
4492                    </li>
4493                  
4494                
4495
4496                
4497              </ul>
4498            </li>
4499          
4500        
4501          
4502          
4503            <li class="mobile-nav__item top-level mobile-nav__item--active">
4504              
4505                <a href="/pages/contact" class="mobile-nav__link">Contact</a>
4506              
4507            </li>
4508          
4509        
4510          
4511          
4512            <li class="mobile-nav__item top-level">
4513              
4514                <a href="https://genteramed.repeatmd.app/signin" class="mobile-nav__link">Shop on our app!</a>
4515              
4516            </li>
4517          
4518        
4519      </ul>
4520
4521      <div class="mobile-nav--footer">
4522        <div class="mobile-nav locale--mobile">
4523          
4524  
4524<script src="//genteramed.com/cdn/shop/t/3/assets/component-localization-form.js?v=52480783616540860941741878166" defer="defer" type="module" data-internal-script></script>
4524
4525
4526
4527        </div>
4528
4529        
4530        
4531        <style data-shopify>
4532          .mobile-nav.nav--meta {
4533            display: grid;
4534            gap: 15px;
4535          }
4536
4537          .mobile-nav.nav--meta .mobile-nav__item.customer--info,
4538          .mobile-nav.nav--meta .mobile-nav__item.customer-logout-link,
4539          .mobile-nav.nav--meta .mobile-nav__item.customer-login-link,
4540          .mobile-nav.nav--meta .mobile-nav__item.sm-icons--wrapper {
4541            display: flex;
4542            flex-wrap: wrap;
4543          }
4544
4545          .mobile-nav.nav--meta .mobile-nav__item.sm-icons--wrapper #sm-icons {
4546            width: 100%;
4547          }
4548
4549          
4550        </style>
4551        <ul class="mobile-nav nav--meta hidden">
4552          
4553
4554        </ul>
4555      </div>
4556      <!-- //mobile-nav -->
4557    </div>
4558  </div>
4559
4560  
4561
4562  
4563
4564  
4565
4566  <header class="site-header wrapper-spacing--h  overlay-logo">
4567    <div class="site-header__wrapper site-header__wrapper--logo-left site-header__wrapper--with-menu">
4568      <div class="site-header__wrapper__left">
4569        
4570          
4571    <div class="site-header__logowrapper">
4572
4573      
4574        <div class="header-font site-header__logo site-title" itemscope itemtype="http://schema.org/Organization">
4575      
4576
4577        
4578    
4579      <a href="/" itemprop="url" class="site-header__logo-image">
4580        <style>
4581          .logo_image {
4582            max-height: unset!important;
4583            width: 75px;
4584          }
4585          @media screen and (max-width: 989px) {
4586            .logo_image {
4587              width: 75px;
4588            }
4589          }
4590        </style>
4591        
4592        
4593
4594
4595
4596
4597
4598
4599
4600
4601
4602
4603<div class="responsive-image-wrapper" style="">
4604
4605<noscript aria-hidden="true">
4606  <img
4607    
4608    class="theme-img logo_image"
4609    
4610      src="//genteramed.com/cdn/shop/files/gmed-logo-sticky-70.svg?crop=center&height=1000&v=1741879003&width=1000"
4611    
4612    
4613      alt="Gentera Med"
4614    
4615    itemprop="logo"
4616    style="object-fit:cover;object-position:50.0% 50.0%!important;"
4617    loading="eager"
4618  />
4619</noscript>
4620
4621<img
4622  loading="eager"
4623  class="theme-img logo_image js"
4624  style=" object-fit:cover;object-position:50.0% 50.0%!important;"
4625  
4626    alt="Gentera Med"
4627  
4628  itemprop="logo"
4629  width="70"
4630  height="70"
4631  srcset="//genteramed.com/cdn/shop/files/gmed-logo-sticky-70.svg?v=1741879003&width=70 70w"
4632  sizes="(min-width: 2000px) 1000px, (min-width: 1445px) calc(100vw / 2), (min-width: 1200px) calc(100vw / 1.75), (min-width: 1000px) calc(100vw / 1.5), (min-width: 750px) calc(100vw / 3), 100vw"
4633  src="//genteramed.com/cdn/shop/files/gmed-logo-sticky-70.svg?v=1741879003&width=1445"
4634/>
4635
4636</div>
4637
4638      </a>
4639    
4640  
4641        
4642    
4643  
4644
4645      
4646        </div>
4647      
4648
4649    </div>
4650  
4651        
4652      </div>
4653
4654      <div class="site-header__wrapper__center">
4655        
4656      </div>
4657
4658      <div class="site-header__wrapper__right top-links">
4659        
4660          
4661    <div role="navigation" class="js site-header__nav top-links" id="top_links_wrapper">
4662      <ul class="site-nav nav-link-animated  mega-menu-wrapper" id="AccessibleNav">
4663        
4664
4665
4666
4667  
4668    
4669    
4670
4671    
4672
4673    <li class="first-level-dropdown" >
4674      <a href="/pages/concierge-medicine-miami" class="site-nav__link">
4675        <div class="site-nav--link-wrapper">
4676          <span class="site-nav--link-text animated-underline">
4677            Concierge
4678          </span>
4679        </div>
4680      </a>
4681
4682      
4683    </li>
4684  
4685
4686
4687  
4688    
4689    
4690
4691    
4692
4693    <li class="site-nav--has-dropdown first-level-dropdown " aria-haspopup="true">
4694      <a href="#" class="site-nav__link">
4695        <div class="site-nav--link-wrapper">
4696          <span class="site-nav--link-text animated-underline">
4697            Services
4698          </span>
4699        </div>
4700      </a>
4701
4702      
4703
4704      <ul 
4705        class="site-nav__dropdown standard-dropdown"
4706        data-logo-placement="left"
4707      >
4708        
4709          
4710          
4711              <li>
4712                <a href="/pages/iv-therapy-services" class="site-nav__link">
4713                  <div class="site-nav--link-wrapper">
4714                    <div>
4715                      <span class="site-nav--link-text animated-underline">
4716                        IV Therapy
4717                      </span>
4718                    </div>
4719                  </div>
4720                </a>
4721              </li>
4722            
4723          
4724          
4725              <li>
4726                <a href="/pages/hyperbaric-oxygen-therapy" class="site-nav__link">
4727                  <div class="site-nav--link-wrapper">
4728                    <div>
4729                      <span class="site-nav--link-text animated-underline">
4730                        HBOT
4731                      </span>
4732                    </div>
4733                  </div>
4734                </a>
4735              </li>
4736            
4737          
4738          
4739              <li>
4740                <a href="/pages/peptide-therapy-in-miami" class="site-nav__link">
4741                  <div class="site-nav--link-wrapper">
4742                    <div>
4743                      <span class="site-nav--link-text animated-underline">
4744                        Peptide Therapy
4745                      </span>
4746                    </div>
4747                  </div>
4748                </a>
4749              </li>
4750            
4751          
4752          
4753              <li>
4754                <a href="/pages/sexual-wellness" class="site-nav__link">
4755                  <div class="site-nav--link-wrapper">
4756                    <div>
4757                      <span class="site-nav--link-text animated-underline">
4758                        Sexual Wellness
4759                      </span>
4760                    </div>
4761                  </div>
4762                </a>
4763              </li>
4764            
4765          
4766          
4767      </ul>
4768    </li>
4769
4770  
4771
4772
4773  
4774    
4775    
4776
4777    
4778
4779    <li class="site-nav--has-dropdown first-level-dropdown " aria-haspopup="true">
4780      <a href="#" class="site-nav__link">
4781        <div class="site-nav--link-wrapper">
4782          <span class="site-nav--link-text animated-underline">
4783            About
4784          </span>
4785        </div>
4786      </a>
4787
4788      
4789
4790      <ul 
4791        class="site-nav__dropdown standard-dropdown"
4792        data-logo-placement="left"
4793      >
4794        
4795          
4796          
4797              <li>
4798                <a href="/pages/the-team" class="site-nav__link">
4799                  <div class="site-nav--link-wrapper">
4800                    <div>
4801                      <span class="site-nav--link-text animated-underline">
4802                        The Team
4803                      </span>
4804                    </div>
4805                  </div>
4806                </a>
4807              </li>
4808            
4809          
4810          
4811              <li>
4812                <a href="/pages/who-we-are" class="site-nav__link">
4813                  <div class="site-nav--link-wrapper">
4814                    <div>
4815                      <span class="site-nav--link-text animated-underline">
4816                        Who We Are
4817                      </span>
4818                    </div>
4819                  </div>
4820                </a>
4821              </li>
4822            
4823          
4824          
4825      </ul>
4826    </li>
4827
4828  
4829
4830
4831  
4832    
4833    
4834
4835    
4836
4837    <li class="site-nav--has-dropdown first-level-dropdown " aria-haspopup="true">
4838      <a href="/pages/gentera-orthopedics" class="site-nav__link">
4839        <div class="site-nav--link-wrapper">
4840          <span class="site-nav--link-text animated-underline">
4841            Gentera Orthopedics
4842          </span>
4843        </div>
4844      </a>
4845
4846      
4847
4848      <ul 
4849        class="site-nav__dropdown standard-dropdown"
4850        data-logo-placement="left"
4851      >
4852        
4853          
4854          
4855              <li>
4856                <a href="/pages/sports-medicine" class="site-nav__link">
4857                  <div class="site-nav--link-wrapper">
4858                    <div>
4859                      <span class="site-nav--link-text animated-underline">
4860                        Sports Medicine
4861                      </span>
4862                    </div>
4863                  </div>
4864                </a>
4865              </li>
4866            
4867          
4868          
4869              <li>
4870                <a href="/pages/advanced-pain-management" class="site-nav__link">
4871                  <div class="site-nav--link-wrapper">
4872                    <div>
4873                      <span class="site-nav--link-text animated-underline">
4874                        Pain Management
4875                      </span>
4876                    </div>
4877                  </div>
4878                </a>
4879              </li>
4880            
4881          
4882          
4883              <li>
4884                <a href="/pages/bone-marrow-aspirate-concentrate-bmac" class="site-nav__link">
4885                  <div class="site-nav--link-wrapper">
4886                    <div>
4887                      <span class="site-nav--link-text animated-underline">
4888                        BMAC
4889                      </span>
4890                    </div>
4891                  </div>
4892                </a>
4893              </li>
4894            
4895          
4896          
4897              <li>
4898                <a href="/pages/musculoskeletal-ultrasound-imaging" class="site-nav__link">
4899                  <div class="site-nav--link-wrapper">
4900                    <div>
4901                      <span class="site-nav--link-text animated-underline">
4902                        MSK
4903                      </span>
4904                    </div>
4905                  </div>
4906                </a>
4907              </li>
4908            
4909          
4910          
4911      </ul>
4912    </li>
4913
4914  
4915
4916
4917  
4918    
4919    
4920
4921    
4922
4923    <li class="first-level-dropdown" >
4924      <a href="/pages/integrative-medicine" class="site-nav__link">
4925        <div class="site-nav--link-wrapper">
4926          <span class="site-nav--link-text animated-underline">
4927            Functional Medicine
4928          </span>
4929        </div>
4930      </a>
4931
4932      
4933    </li>
4934  
4935
4936
4937  
4938    
4939    
4940
4941    
4942
4943    <li class="site-nav--has-dropdown first-level-dropdown  mega-menu" aria-haspopup="true">
4944      <a href="/pages/precision-medicine" class="site-nav__link">
4945        <div class="site-nav--link-wrapper">
4946          <span class="site-nav--link-text animated-underline">
4947            Precision Medicine
4948          </span>
4949        </div>
4950      </a>
4951
4952      
4953
4954      <ul 
4955        class="site-nav__dropdown mega-menu-dropdown has--subdropdowns"
4956        data-logo-placement="left"
4957      >
4958        
4959
4960          <div class="container">
4961            
4962
4963<style data-shopify>
4964  [data-mega-menu-block-id="b9761f95-e4d2-4de1-82e6-ae6f7d56a8f7"] {
4965    grid-template-columns: 1fr;
4966  }
4967
4968  [data-mega-menu-block-id="b9761f95-e4d2-4de1-82e6-ae6f7d56a8f7"] .mega-menu--links {
4969    grid-template-columns: repeat(5, 1fr);
4970  }
4971
4972  .mega-menu-block .block-id-b9761f95-e4d2-4de1-82e6-ae6f7d56a8f7 .overlay-text-on-image-promo-1,
4973  .mega-menu-block .block-id-b9761f95-e4d2-4de1-82e6-ae6f7d56a8f7 .overlay-text-on-image-promo-1 a:hover {
4974    color: #ffffff !important;
4975  }
4976
4977  .mega-menu-block .block-id-b9761f95-e4d2-4de1-82e6-ae6f7d56a8f7 .overlay-text-on-image-promo-2,
4978  .mega-menu-block .block-id-b9761f95-e4d2-4de1-82e6-ae6f7d56a8f7 .overlay-text-on-image-promo-2 a:hover {
4979    color: #ffffff !important;
4980  }
4981</style>
4982
4983<div class="mega-menu-block" data-mega-menu-block-id="b9761f95-e4d2-4de1-82e6-ae6f7d56a8f7" >
4984  
4985
4986  
4987    <div class="mega-menu--links">
4988      
4989        <li class="dropdown-submenu nav-link-animated--custom" aria-haspopup="true">
4990          <div class="inner">
4991            <p class="h4 mega-menu-link--title"><a class="animated-link--item" href="/pages/diagnostic-testing">Diagnostics</a></p>
4992            <ul class="menu-link">
4993              
4994                <li>
4995                  <a class="animated-link--item" href="/pages/cell-science">Cell Science</a>
4996                </li>
4997              
4998                <li>
4999                  <a class="animated-link--item" href="/pages/tricho-test">Tricho Test</a>
5000                </li>
5001              
5002                <li>
5003                  <a class="animated-link--item" href="/pages/galleri-test">Galleri</a>
5004                </li>
5005              
5006                <li>
5007                  <a class="animated-link--item" href="/pages/truage-test">TruAge</a>
5008                </li>
5009              
5010                <li>
5011                  <a class="animated-link--item" href="/pages/episeek">Episeek</a>
5012                </li>
5013              
5014            </ul>
5015          </div>
5016        </li>
5017      
5018        <li class="dropdown-submenu nav-link-animated--custom" aria-haspopup="true">
5019          <div class="inner">
5020            <p class="h4 mega-menu-link--title"><a class="animated-link--item" href="/pages/cleerly-diagnostics">Cleerly Diagnostics</a></p>
5021            <ul class="menu-link">
5022              
5023            </ul>
5024          </div>
5025        </li>
5026      
5027        <li class="dropdown-submenu nav-link-animated--custom" aria-haspopup="true">
5028          <div class="inner">
5029            <p class="h4 mega-menu-link--title"><a class="animated-link--item" href="/pages/prenuvo-scan">Prenuvo</a></p>
5030            <ul class="menu-link">
5031              
5032            </ul>
5033          </div>
5034        </li>
5035      
5036    </div>
5037  
5038
5039  
5040</div>
5041
5042          </div>
5043
5044        
5045      </ul>
5046    </li>
5047
5048  
5049
5050
5051  
5052    
5053    
5054
5055    
5056
5057    <li class="site-nav--has-dropdown first-level-dropdown " aria-haspopup="true">
5058      <a href="#" class="site-nav__link">
5059        <div class="site-nav--link-wrapper">
5060          <span class="site-nav--link-text animated-underline">
5061            Media
5062          </span>
5063        </div>
5064      </a>
5065
5066      
5067
5068      <ul 
5069        class="site-nav__dropdown standard-dropdown"
5070        data-logo-placement="left"
5071      >
5072        
5073          
5074          
5075              <li>
5076                <a href="/blogs/news" class="site-nav__link">
5077                  <div class="site-nav--link-wrapper">
5078                    <div>
5079                      <span class="site-nav--link-text animated-underline">
5080                        News &amp; Updates
5081                      </span>
5082                    </div>
5083                  </div>
5084                </a>
5085              </li>
5086            
5087          
5088          
5089      </ul>
5090    </li>
5091
5092  
5093
5094
5095  
5096    
5097    
5098
5099    
5100
5101    <li class="first-level-dropdown" >
5102      <a href="/pages/contact" class="site-nav__link">
5103        <div class="site-nav--link-wrapper">
5104          <span class="site-nav--link-text animated-underline">
5105            Contact
5106          </span>
5107        </div>
5108      </a>
5109
5110      
5111    </li>
5112  
5113
5114
5115  
5116    
5117    
5118
5119    
5120
5121    <li class="first-level-dropdown" >
5122      <a href="https://genteramed.repeatmd.app/signin" class="site-nav__link">
5123        <div class="site-nav--link-wrapper">
5124          <span class="site-nav--link-text animated-underline">
5125            Shop on our app!
5126          </span>
5127        </div>
5128      </a>
5129
5130      
5131    </li>
5132  
5133
5134
5135
5136  <style data-shopify>
5137    .site-nav__dropdown.mega-menu-dropdown {
5138      top: calc(100% + 1px);
5139    }
5140  </style>
5141
5142      </ul>
5143    </div>
5144    <noscript>
5145      
5146      <ul>
5147  
5148    
5149      <li>
5150        <a href="/pages/concierge-medicine-miami">Concierge</a>
5151      </li>
5152    
5153  
5154    
5155      <li>
5156        <a href="#">Services</a>
5157        <ul>
5158          
5159            
5160              <li>
5161                <a href="/pages/iv-therapy-services">IV Therapy</a>
5162              </li>
5163            
5164          
5165            
5166              <li>
5167                <a href="/pages/hyperbaric-oxygen-therapy">HBOT</a>
5168              </li>
5169            
5170          
5171            
5172              <li>
5173                <a href="/pages/peptide-therapy-in-miami">Peptide Therapy</a>
5174              </li>
5175            
5176          
5177            
5178              <li>
5179                <a href="/pages/sexual-wellness">Sexual Wellness</a>
5180              </li>
5181            
5182          
5183        </ul>
5184      </li>
5185    
5186  
5187    
5188      <li>
5189        <a href="#">About</a>
5190        <ul>
5191          
5192            
5193              <li>
5194                <a href="/pages/the-team">The Team</a>
5195              </li>
5196            
5197          
5198            
5199              <li>
5200                <a href="/pages/who-we-are">Who We Are</a>
5201              </li>
5202            
5203          
5204        </ul>
5205      </li>
5206    
5207  
5208    
5209      <li>
5210        <a href="/pages/gentera-orthopedics">Gentera Orthopedics</a>
5211        <ul>
5212          
5213            
5214              <li>
5215                <a href="/pages/sports-medicine">Sports Medicine</a>
5216              </li>
5217            
5218          
5219            
5220              <li>
5221                <a href="/pages/advanced-pain-management">Pain Management</a>
5222              </li>
5223            
5224          
5225            
5226              <li>
5227                <a href="/pages/bone-marrow-aspirate-concentrate-bmac">BMAC</a>
5228              </li>
5229            
5230          
5231            
5232              <li>
5233                <a href="/pages/musculoskeletal-ultrasound-imaging">MSK</a>
5234              </li>
5235            
5236          
5237        </ul>
5238      </li>
5239    
5240  
5241    
5242      <li>
5243        <a href="/pages/integrative-medicine">Functional Medicine</a>
5244      </li>
5245    
5246  
5247    
5248      <li>
5249        <a href="/pages/precision-medicine">Precision Medicine</a>
5250        <ul>
5251          
5252            
5253              <li>
5254                <a href="/pages/diagnostic-testing">Diagnostics</a>
5255                <ul>
5256                  
5257                    <li>
5258                      <a href="/pages/cell-science">Cell Science</a>
5259                    </li>
5260                  
5261                    <li>
5262                      <a href="/pages/tricho-test">Tricho Test</a>
5263                    </li>
5264                  
5265                    <li>
5266                      <a href="/pages/galleri-test">Galleri</a>
5267                    </li>
5268                  
5269                    <li>
5270                      <a href="/pages/truage-test">TruAge</a>
5271                    </li>
5272                  
5273                    <li>
5274                      <a href="/pages/episeek">
5274Episeek</a>
5275                    </li>
5276                  
5277                </ul>
5278              </li>
5279            
5280          
5281            
5282              <li>
5283                <a href="/pages/cleerly-diagnostics">Cleerly Diagnostics</a>
5284              </li>
5285            
5286          
5287            
5288              <li>
5289                <a href="/pages/prenuvo-scan">Prenuvo</a>
5290              </li>
5291            
5292          
5293        </ul>
5294      </li>
5295    
5296  
5297    
5298      <li>
5299        <a href="#">Media</a>
5300        <ul>
5301          
5302            
5303              <li>
5304                <a href="/blogs/news">News &amp; Updates</a>
5305              </li>
5306            
5307          
5308        </ul>
5309      </li>
5310    
5311  
5312    
5313      <li>
5314        <a href="/pages/contact">Contact</a>
5315      </li>
5316    
5317  
5318    
5319      <li>
5320        <a href="https://genteramed.repeatmd.app/signin">Shop on our app!</a>
5321      </li>
5322    
5323  
5324</ul>
5325    </noscript>
5326  
5327          
5328  
5328<script src="//genteramed.com/cdn/shop/t/3/assets/component-localization-form.js?v=52480783616540860941741878166" defer="defer" type="module" data-internal-script></script>
5328
5329
5330
5331        
5332
5333        
5334  <ul class="site-header__links top-links--icon-links">
5335    
5336
5337    
5338
5339    
5340
5341    <li>
5342      <a 
5343        href="/cart" 
5344        class="site-header__cart-toggle js-drawer-open-right-link standalone-icon--wrapper"
5345        aria-controls="CartDrawer" 
5346        aria-expanded="false" 
5347        aria-label="Cart"
5348      >
5349        
5350          <span class="header--supporting-text">
5351            Cart
5352            
5353          </span>
5354        
5355      </a>
5356    </li>
5357
5358    
5359  </ul>
5360
5361      </div>
5362    </div>
5363
5364    
5365  </header>
5366
5367  <nav class="nav-bar mobile-nav-bar-wrapper overlay-logo">
5368    <div class="wrapper-spacing--h">
5369      <div class="mobile-nav-bar--inner">
5370        <div class="mobile-grid--table">
5371
5372          <div class="grid__item three-twelfths">
5373            <div class="site-nav--mobile">
5374              <button type="button" aria-label="Navigation" class="hamburger-nav-button icon-fallback-text site-nav__link js-drawer-open-left-link standalone-icon--wrapper" aria-controls="NavDrawer" aria-expanded="false">
5375                
5376
5377
5378
5379
5380    <svg viewBox="0 0 20 20" fill="none" xmlns="http://www.w3.org/2000/svg" class="fa-2x"><path d="M3 4.16675H18M3 10.0001H18M3 15.8334H18" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"/></svg>
5381  
5382                <span class="fallback-text">Navigation</span>
5383              </button>
5384
5385              
5386            </div>
5387          </div>
5388
5389          <div class="grid__item six-twelfths">
5390            
5391    <div class="site-header__logowrapper">
5392
5393      
5394        <div class="header-font site-header__logo site-title" itemscope itemtype="http://schema.org/Organization">
5395      
5396
5397        
5398    
5399      <a href="/" itemprop="url" class="site-header__logo-image">
5400        <style>
5401          .logo_image {
5402            max-height: unset!important;
5403            width: 75px;
5404          }
5405          @media screen and (max-width: 989px) {
5406            .logo_image {
5407              width: 75px;
5408            }
5409          }
5410        </style>
5411        
5412        
5413
5414
5415
5416
5417
5418
5419
5420
5421
5422
5423<div class="responsive-image-wrapper" style="">
5424
5425<noscript aria-hidden="true">
5426  <img
5427    
5428    class="theme-img logo_image"
5429    
5430      src="//genteramed.com/cdn/shop/files/gmed-logo-sticky-70.svg?crop=center&height=1000&v=1741879003&width=1000"
5431    
5432    
5433      alt="Gentera Med"
5434    
5435    itemprop="logo"
5436    style="object-fit:cover;object-position:50.0% 50.0%!important;"
5437    loading="eager"
5438  />
5439</noscript>
5440
5441<img
5442  loading="eager"
5443  class="theme-img logo_image js"
5444  style=" object-fit:cover;object-position:50.0% 50.0%!important;"
5445  
5446    alt="Gentera Med"
5447  
5448  itemprop="logo"
5449  width="70"
5450  height="70"
5451  srcset="//genteramed.com/cdn/shop/files/gmed-logo-sticky-70.svg?v=1741879003&width=70 70w"
5452  sizes="(min-width: 2000px) 1000px, (min-width: 1445px) calc(100vw / 2), (min-width: 1200px) calc(100vw / 1.75), (min-width: 1000px) calc(100vw / 1.5), (min-width: 750px) calc(100vw / 3), 100vw"
5453  src="//genteramed.com/cdn/shop/files/gmed-logo-sticky-70.svg?v=1741879003&width=1445"
5454/>
5455
5456</div>
5457
5458      </a>
5459    
5460  
5461        
5462    
5463  
5464
5465      
5466        </div>
5467      
5468
5469    </div>
5470  
5471          </div>
5472
5473          <div class="grid__item three-twelfths right-side text-right">
5474            <div class="site-nav--mobile">
5475
5476              
5477
5478              <a href="/cart" aria-label="Cart" class="js-drawer-open-right-link site-nav__link standalone-icon--wrapper" aria-controls="CartDrawer" aria-expanded="false">
5479                <span class="icon-fallback-text">
5480                  
5481
5482
5483
5484
5485    <svg viewBox="0 0 20 20" fill="none" xmlns="http://www.w3.org/2000/svg" width="20" height="20" class="fa-2x"><path d="M16.2493 18.3333C16.5809 18.3333 16.8988 18.2016 17.1332 17.9671C17.3677 17.7327 17.4993 17.4148 17.4993 17.0833C17.4993 16.7517 17.3677 16.4338 17.1332 16.1994C16.8988 15.9649 16.5809 15.8333 16.2493 15.8333C15.9178 15.8333 15.5999 15.9649 15.3655 16.1994C15.131 16.4338 14.9993 16.7517 14.9993 17.0833C14.9993 17.4148 15.131 17.7327 15.3655 17.9671C15.5999 18.2016 15.9178 18.3333 16.2493 18.3333ZM7.91602 18.3333C8.24754 18.3333 8.56548 18.2016 8.7999 17.9671C9.03432 17.7327 9.16602 17.4148 9.16602 17.0833C9.16602 16.7517 9.03432 16.4338 8.7999 16.1994C8.56548 15.9649 8.24754 15.8333 7.91602 15.8333C7.5845 15.8333 7.26655 15.9649 7.03213 16.1994C6.79771 16.4338 6.66602 16.7517 6.66602 17.0833C6.66602 17.4148 6.79771 17.7327 7.03213 17.9671C7.26655 18.2016 7.5845 18.3333 7.91602 18.3333Z" fill="#262428" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"/>
5485<path d="M4.16602 3.33341H18.3327L16.666 12.5001M4.16602 3.33341L5.83268 12.5001H16.666M4.16602 3.33341C4.02685 2.77758 3.33268 1.66675 1.66602 1.66675M16.666 12.5001H4.35768C2.87102 12.5001 2.08268 13.1509 2.08268 14.1667C2.08268 15.1826 2.87102 15.8334 4.35768 15.8334H16.2493" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"/></svg>
5486  
5487                  
5488                  <span class="fallback-text">Cart</span>
5489                </span>
5490              </a>
5491            </div>
5492          </div>
5493        </div>
5494      </div>
5495    </div>
5496  </nav>
5497</div>
5498
5499<style>
5500
5501  :root {
5502    --logo-max-width: 75px;
5503    --header-overlay-background-color: #242424;
5504
5505    
5506      --sticky-header-offset: -1px;
5507  }
5508
5509  .site-title{
5510  	padding: 20px 0;
5511  }
5512
5513  @media screen and (max-width: 989px) {
5514    .site-title{
5515      padding: 15px 0;
5516    }
5517  }
5518
5519  .site-header .site-header__wrapper .logo_image {
5520    max-width: 75px;
5521  }
5522
5523  @media screen and (max-width: 989px) {
5524    .site-header .site-header__wrapper .logo_image {
5525      max-width: 75px;
5526    }
5527  }
5528
5529  .site-nav__dropdown li, .inner .h4, .inner .h5 {
5530    text-align: left;
5531  }
5532
5533  .template-index .header-section.sticky-header:not(.sticked) .overlay-header,
5534  .template-index .header-section:not(.sticky-header) .overlay-header,
5535  
5536  .template-list-collections .header-section.sticky-header:not(.sticked) .overlay-header,
5537  .template-list-collections .header-section:not(.sticky-header) .overlay-header,
5538  .contact-page .header-section.sticky-header:not(.sticked) .overlay-header,
5539  .contact-page .header-section:not(.sticky-header) .overlay-header
5540  {
5541    background-color: rgba(36, 36, 36, 0.0);
5542  }
5543
5544  .overlay-header .grid--full {
5545    padding-left: 30px;
5546    padding-right: 30px;
5547  }
5548
5549  @media only screen and (min-width: 768px) and (max-width: 1200px) {
5550    .overlay-header .grid--full {
5551      padding-left: 15px;
5552      padding-right: 15px;
5553    }
5554  }
5555
5556  .template-index .overlay-header.force-hover,
5557  
5558  .template-list-collections .overlay-header.force-hover
5559  .contact-page .overlay-header.force-hover
5560   {
5561    background-color: #ffffff;
5562  }
5563
5564  
5565</style>
5566
5567
5568</div>
5569<!-- END sections: header-group -->
5570    <!-- BEGIN sections: overlay-group -->
5571
5572<!-- END sections: overlay-group -->
5573
5574    
5575
5576    
5577      <div id="MainContent" class="wrapper main-content page-main--wrapper">
5578    
5579
5580        <div id="shopify-section-template--18151226048683__gmed_hh_sectionhero_DD44Bt" class="shopify-section"><section class="gmed-sectionhero"
5581  style="background-image: url(//genteramed.com/cdn/shop/files/gmed-contactform.jpg?v=1748973532); height: 450px; margin-top: 0px; margin-bottom: 0px;">
5582
5583  
5584    <div class="gmed-sectionhero-overlay" style="opacity: 0.5"></div>
5585  
5586
5587  <!-- Breadcrumbs -->
5588  <div class="gmed-sectionhero-breadcrumbs">
5589    <div class="gmed-sectionhero-breadcrumbs-inner">
5590      <a href="/">Home</a>
5591      
5592      
5593        <span class="chevron">›</span><span>Contact</span>
5594      
5595    </div>
5596  </div>
5597
5598  <!-- Main Content -->
5599  <div class="gmed-sectionhero-content fade-up"
5600       style="padding-top: 60px; padding-bottom: 60px; text-align: center;">
5601    <div class="gmed-sectionhero-text-col"
5602         style="width: 100%
5603         ;">
5604      <h1 class="gmed-sectionhero-heading"
5605          style="color: #ffffff; font-size: 70px;">
5606        Contact Us
5607      </h1>
5608      <p class="gmed-sectionhero-subheading"
5609         style="color: #ffffff; font-size: 18px;">
5610        
5611      </p>
5612      
5613    </div>
5614
5615    
5616  </div>
5617</section>
5618
5619<style>
5620.gmed-sectionhero {
5621  position: relative;
5622  overflow: hidden;
5623  width: 100%;
5624  background-size: cover;
5625  background-position: center;
5626  z-index: 0;
5627}
5628
5629.gmed-sectionhero-overlay {
5630  position: absolute;
5631  inset: 0;
5632  background: black;
5633  z-index: 1;
5634  pointer-events: none;
5635}
5636
5637.gmed-sectionhero-breadcrumbs {
5638  position: relative;
5639  z-index: 3;
5640  width: 100%;
5641  max-width: 1440px;
5642  margin: 0 auto;
5643  padding: 40px 40px 0;
5644  display: flex;
5645}
5646
5647.gmed-sectionhero-breadcrumbs-inner {
5648  display: flex;
5649  flex-wrap: wrap;
5650  align-items: center;
5651  gap: 6px;
5652  font-size: 14px;
5653  color: #ffffff;
5654}
5655
5656.gmed-sectionhero-breadcrumbs-inner a,
5657.gmed-sectionhero-breadcrumbs-inner span {
5658  color: #ffffff;
5659  text-decoration: none;
5660}
5661
5662.gmed-sectionhero-breadcrumbs-inner a:hover {
5663  text-decoration: underline;
5664}
5665
5666.gmed-sectionhero-breadcrumbs-inner .chevron {
5667  margin: 0 6px;
5668  font-size: 14px;
5669  position: relative;
5670  top: 1px;
5671}
5672
5673.gmed-sectionhero-content {
5674  position: relative;
5675  z-index: 2;
5676  max-width: 1440px;
5677  margin: 0 auto;
5678  padding-left: 40px;
5679  padding-right: 20px;
5680  display: flex;
5681  gap: 20px;
5682  width: 100%;
5683  align-items: center;
5684  flex: 1;
5685  height: 100%;
5686  min-height: 0;
5687}
5688
5689.gmed-sectionhero-text-col,
5690.gmed-sectionhero-image-col {
5691  display: flex;
5692  flex-direction: column;
5693  justify-content: center;
5694  transform: translateY(-20px);
5695}
5696
5697.gmed-sectionhero-heading {
5698  font-weight: 400;
5699  line-height: 1.1;
5700  margin-bottom: 40px;
5701}
5702
5703.gmed-sectionhero-subheading {
5704  margin-bottom: 30px;
5705  max-width: 700px;
5706}
5707
5708.btn.btn--primary {
5709  color: #ffffff;
5710  padding: 15px 45px;
5711  border-radius: 9999px;
5712  text-decoration: none;
5713  transition: all 0.3s ease;
5714  display: inline-flex;
5715  align-items: center;
5716  justify-content: center;
5717  width: fit-content;
5718  white-space: nowrap;
5719  font-weight: 500;
5720  font-size: 14px;
5721  line-height: 1;
5722}
5723
5724.btn.btn--primary:hover {
5725  filter: brightness(1.15);
5726}
5727
5728.fade-up {
5729  opacity: 0;
5730  transform: translateY(30px);
5731  animation: fadeUp 1s ease-out forwards;
5732}
5733
5734@keyframes fadeUp {
5735  to {
5736    opacity: 1;
5737    transform: translateY(0);
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5739}
5740
5741@media screen and (max-width: 768px) {
5742  .gmed-sectionhero {
5743    background-image: url(//genteramed.com/cdn/shop/files/gmed-generic-postermobile.jpg?v=1750304362) !important;
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5745    margin-top: -60px;
5746    padding-top: 20px;
5747  }
5748
5749  .gmed-sectionhero-breadcrumbs {
5750    padding-left: 20px;
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5752    justify-content: center;
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5755
5756  .gmed-sectionhero-breadcrumbs-inner {
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5760  }
5761
5762  .gmed-sectionhero-content {
5763    flex-direction: column;
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5765    text-align: center !important;
5766    align-items: center;
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5768    padding-left: 20px;
5769    padding-right: 20px;
5770  }
5771
5772  .gmed-sectionhero-text-col,
5773  .gmed-sectionhero-image-col {
5774    width: 100% !important;
5775    transform: translateY(-20px);
5776  }
5777
5778  .gmed-sectionhero-heading {
5779    font-size: 50px !important;
5780    margin-bottom: 30px;
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5782
5783  .btn.btn--primary {
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5790</div><section id="shopify-section-template--18151226048683__custom_liquid_q4aaeh" class="shopify-section section--custom-liquid show-on-scroll">
5791<style>
5792  .custom-liquid img {
5793    max-width: 100%;
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5795</style>
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5797  class="custom-liquid wrapper-spacing--v wrapper-spacing--h color-scheme--white"
5798  data-wetheme-section-type="advanced-layout--custom-html"
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5800  style="--padding-section-top: 0px; --padding-section-bottom: 60px;"
5801>
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5803    
5804    
5805
5806
5807
5808    <div
5809      class="rte text-link-animated"
5810      data-animate
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vendor: 1 bytes, line 5815
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5822
5823
5824<style> #shopify-section-template--18151226048683__custom_liquid_q4aaeh #recura-form-widget h2 {width: 800px !important; max-width: 100% !important; margin: 0 auto 30px !important; text-align: center !important;} </style></section><section id="shopify-section-template--18151226048683__1748971489bac911b9" class="shopify-section"><div
5825  class="wrapper-spacing--v wrapper-spacing--h"
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5827  style="--padding-section-top: 0px; --padding-section-bottom: 0px;"
5828  >
5829	
5830        <div class="width--content">
5831    
5832
5833        </div>
5834    
5835</div>
5836  
5837</section><div id="shopify-section-template--18151226048683__rich_text_LCg9c8" class="shopify-section rich-text"><link href="//genteramed.com/cdn/shop/t/3/assets/section-rich-text.min.css?v=55175160537030404051741878166" rel="stylesheet" type="text/css" media="all" />
5838
5839
5840
5841<div
5842  class="wrapper-spacing--v wrapper-spacing--h color-scheme--white"
5843  data-wetheme-section-type="text--rich-text" 
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5846>
5847
5848<div class="show-on-scroll">
5849
5850	<div class="homepage-indiv-section-wrapper grid--full homepage-featured-content-wrapper">
5851
5852		<div class="homepage-featured-rich-text width--narrow homepage-featured-rich-text__text-alignment-desktop--center homepage-featured-rich-text__text-alignment-mobile--center">
5853
5854            
5855                
5856                        
5857                            <div 
5858                              class="sitewide--title-wrapper featured-row__subtext" 
5859                              style="padding-bottom: 20px;"
5860                              data-animate
5861                              data-animate-order="1"
5862                              
5863                            >
5864                              <h2 class="rte homepage-sections--title" style="font-size: 42px;">Find Us</h2>
5865                            </div>
5866                        
5867
5868                    
5869
5870            
5871                
5872                        
5873                            <div 
5874                              class="rte featured-row__subtext textarea text-link-animated richtext-block" 
5875                              style="font-size: 14px; padding-bottom: 20px;"
5876                              data-animate
5877                              data-animate-order="2"
5878                              
5879                            >
5880                              <p>550 Biltmore Way, Suite 101, Coral Gables, FL 33134</p><p>Email: [email protected]</p><p>Phone: <a href="tel:+1-305-424-5775" target="_blank">+1 (305) 424-5775</a></p>
5881                            </div>
5882                        
5883
5884                    
5885
5886            
5887
5888		</div>
5889
5890	</div>
5891
5892</div>
5893
5894</div>
5895
5896
5897
5898</div><section id="shopify-section-template--18151226048683__custom_html_CJh7PF" class="shopify-section index-section show-on-scroll"><style>
5899  .custom-html img {
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5904  class="custom-html wrapper-spacing--v color-scheme--white"
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5907  style="--padding-section-top: 0px; --padding-section-bottom: 0px;"
5908>
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5910    
5911    
5912
5913
5914
5915    
5916      
5917
5918      <div
5919        class="centered one-whole"
5920        data-animate
5921        data-animate-order="1"
5922        
5923        style="margin-bottom: 0px;"
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5927        </div>
5928      </div>
5929    
5930  </div>
5931</div>
5932
5933
5934</section>
5935      </div>
5936  </div>
5937
5938  <div class="footer-wrapper">
5939    <!-- BEGIN sections: footer-group -->
5940<div id="shopify-section-sections--18151226835115__gmed_hh_footer_zGMJH9" class="shopify-section shopify-section-group-footer-group"><style data-shopify>
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5947  align-items: flex-start;
5948}
5949.halo-footer .footer-grid > div {
5950  text-align: left !important;
5951}
5952.halo-footer .footer-grid > div:first-child {
5953  position: relative;
5954  text-align: center !important;
5955  padding-right: 30px;
5956}
5957
5958.halo-footer .footer-grid > div:first-child::after {
5959  content: "";
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5961  top: 0;
5962  right: 0;
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5966}
5967.halo-footer ul,
5968.halo-footer ul li,
5969.halo-footer ul li a {
5970  text-align: left !important;
5971  display: block !important;
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5973  margin-left: 0 !important;
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5975  color: white;
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5977.halo-footer ul li {
5978  margin-bottom: 14px;
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5980.halo-footer .footer-bottom-menu a {
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5986.halo-footer .footer-bottom-menu span.divider {
5987  color: white;
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5990.halo-footer .footer-bottom {
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5993.halo-footer .footer-bottom-menu {
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5995}
5996.halo-footer .footer-social-icons img {
5997  width: 24px;
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6000  display: inline-block;
6001  margin-top: -80px;
6002  vertical-align: middle;
6003}
6004@media screen and (max-width: 768px) {
6005  .halo-footer .footer-grid {
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6010    border-right: none;
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6013}
6014</style>
6015
6016<div class="halo-footer" style="background-color: #0a0c1b; color: white; padding: 60px 20px 30px;">
6017  <div class="footer-grid">
6018    <div>
6019      
6020        <img src="//genteramed.com/cdn/shop/files/gmed-logo-footer-210.svg?v=1748549791" alt="Secondary Logo" style="max-width: 270px; margin-bottom: 20px;">
6021      
6022      
6023        <p style="margin-bottom: 20px; font-size: 12px;">Patient financing available with</p>
6024      
6025      
6026        <img src="//genteramed.com/cdn/shop/files/gmed-affirm-160.svg?v=1748549827" alt="Logo" style="max-width: 110px; margin-bottom: 30px;">
6027      
6028    </div>
6029
6030    
6031    
6032      <div>
6033        <ul style="font-size: 14px; font-weight: 400;">
6034          
6035          
6036          
6037            
6038              <li><a href="">Home</a></li>
6039            
6040          
6041            
6042              <li><a href="/pages/concierge-medicine-miami">Concierge Membeship</a></li>
6043            
6044          
6045            
6046              <li><a href="/pages/iv-therapy-services">IV Therapy</a></li>
6047            
6048          
6049            
6050              <li><a href="/pages/hyperbaric-oxygen-therapy">HBOT</a></li>
6051            
6052          
6053            
6054              <li><a href="/pages/peptide-therapy-in-miami">Peptide Therapy</a></li>
6055            
6056          
6057            
6058              <li><a href="/pages/sexual-wellness">Sexual Wellness</a></li>
6059            
6060          
6061            
6062              <li><a href="/pages/gentera-orthopedics">Orthopedics</a></li>
6063            
6064          
6065            
6066          
6067            
6068          
6069            
6070          
6071            
6072          
6073            
6074          
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6099            
6100          
6101            
6102          
6103            
6104          
6105        </ul>
6106      </div>
6107    
6108      <div>
6109        <ul style="font-size: 14px; font-weight: 400;">
6110          
6111          
6112          
6113            
6114          
6115            
6116          
6117            
6118          
6119            
6120          
6121            
6122          
6123            
6124          
6125            
6126          
6127            
6128              <li><a href="/pages/sports-medicine">Sports Medicine</a></li>
6129            
6130          
6131            
6132              <li><a href="/pages/advanced-pain-management">Pain Management</a></li>
6133            
6134          
6135            
6136              <li><a href="/pages/bone-marrow-aspirate-concentrate-bmac">BMAC</a></li>
6137            
6138          
6139            
6140              <li><a href="/pages/musculoskeletal-ultrasound-imaging">MSK</a></li>
6141            
6142          
6143            
6144              <li><a href="/pages/diagnostic-testing">Diagnostic Testing</a></li>
6145            
6146          
6147            
6148              <li><a href="/pages/cell-science">Cell Science</a></li>
6149            
6150          
6151            
6152              <li><a href="/pages/tricho-test">Tricho Test</a></li>
6153            
6154          
6155            
6156          
6157            
6158          
6159            
6160          
6161            
6162          
6163            
6164          
6165            
6166          
6167            
6168          
6169            
6170          
6171            
6172          
6173            
6174          
6175            
6176          
6177            
6178          
6179            
6180          
6181        </ul>
6182      </div>
6183    
6184      <div>
6185        <ul style="font-size: 14px; font-weight: 400;">
6186          
6187          
6188          
6189            
6190          
6191            
6192          
6193            
6194          
6195            
6196          
6197            
6198          
6199            
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6205            
6206          
6207            
6208          
6209            
6210          
6211            
6212          
6213            
6214          
6215            
6216          
6217            
6218              <li><a href="/pages/galleri-test">Gelleri® Test</a></li>
6219            
6220          
6221            
6222              <li><a href="/pages/truage-test">TruAge</a></li>
6223            
6224          
6225            
6226              <li><a href="/pages/episeek">
6226Episeek</a></li>
6227            
6228          
6229            
6230              <li><a href="/pages/prenuvo-scan">Prenuvo</a></li>
6231            
6232          
6233            
6234              <li><a href="/pages/cleerly-diagnostics">Cleerly Diagnostics</a></li>
6235            
6236          
6237            
6238              <li><a href="/pages/vo2-max">VO2 Max</a></li>
6239            
6240          
6241            
6242              <li><a href="/pages/integrative-medicine">Integrative Medicine</a></li>
6243            
6244          
6245            
6246          
6247            
6248          
6249            
6250          
6251            
6252          
6253            
6254          
6255            
6256          
6257        </ul>
6258      </div>
6259    
6260      <div>
6261        <ul style="font-size: 14px; font-weight: 400;">
6262          
6263          
6264          
6265            
6266          
6267            
6268          
6269            
6270          
6271            
6272          
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6274          
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6279            
6280          
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6294          
6295            
6296          
6297            
6298          
6299            
6300          
6301            
6302          
6303            
6304          
6305            
6306          
6307            
6308              <li><a href="/pages/the-team">The Team</a></li>
6309            
6310          
6311            
6312              <li><a href="/pages/who-we-are">Who We Are</a></li>
6313            
6314          
6315            
6316              <li><a href="/blogs/news">Blog</a></li>
6317            
6318          
6319            
6320              <li><a href="/pages/contact">Contact Us</a></li>
6321            
6322          
6323            
6324              <li><a href="/">Shop On Our App</a></li>
6325            
6326          
6327            
6328              <li><a href="/pages/data-sharing-opt-out">Privacy</a></li>
6329            
6330          
6331        </ul>
6332      </div>
6333    
6334
6335    <div>
6336      <p>+1 (305) 424-5775</p>
6337      <p style="font-size: 14px;">550 Biltmore Way, Suite 101, Coral Gables, FL 33134</p>
6338      <p><a href="mailto:[email protected]" style="color: white;">[email protected]</a></p>
6339    </div>
6340  </div>
6341
6342  <hr style="border-top: 1px solid rgba(255,255,255,0.2); margin: 40px auto; max-width: 1440px;">
6343
6344  <div class="footer-bottom" style="display: flex; flex-wrap: wrap; justify-content: space-between; align-items: center; max-width: 1440px; margin: 0 auto; gap: 20px;">
6345    <div style="flex: 1 1 50%;">
6346      © 2026, Gentera Med. All rights reserved.
6347    </div>
6348    <div class="footer-social-icons" style="flex: 1 1 50%; display: flex; justify-content: flex-end; gap: 15px; align-items: center;">
6349      
6350        
6351      
6352        
6353      
6354        
6355      
6356        
6357      
6358        
6359      
6360        
6361      
6362        
6363      
6364        
6365      
6366        
6367      
6368        
6369      
6370        
6371      
6372        
6373      
6374        
6375      
6376        
6377      
6378        
6379      
6380        
6381      
6382        
6383      
6384        
6385      
6386        
6387      
6388        
6389      
6390        
6391      
6392        
6393      
6394        
6395      
6396        
6397      
6398        
6399      
6400        
6401      
6402        
6403          <a href="https://www.instagram.com/genteramed" target="_blank" rel="noopener">
6404            <img src="//genteramed.com/cdn/shop/files/gmed-social-instagram.png?v=1750830376&width=40" alt="Social Icon">
6405          </a>
6406        
6407      
6408        
6409          <a href="https://www.facebook.com/genteramed" target="_blank" rel="noopener">
6410            <img src="//genteramed.com/cdn/shop/files/gmed-social-facebook.png?v=1750830463&width=40" alt="Social Icon">
6411          </a>
6412        
6413      
6414        
6415          <a href="https://www.tiktok.com/@gentera.med" target="_blank" rel="noopener">
6416            <img src="//genteramed.com/cdn/shop/files/gmed-social-tiktok.png?v=1750830847&width=40" alt="Social Icon">
6417          </a>
6418        
6419      
6420        
6421          <a href="https://www.linkedin.com/company/genteramed/" target="_blank" rel="noopener">
6422            <img src="//genteramed.com/cdn/shop/files/gmed-social-linkedin.png?v=1750830602&width=40" alt="Social Icon">
6423          </a>
6424        
6425      
6426        
6427      
6428        
6429      
6430        
6431      
6432    </div>
6433  </div>
6434
6435  <div class="footer-bottom-menu" style="max-width: 1440px; margin: 20px auto 0; padding-top: 10px; display: flex; justify-content: center; flex-wrap: wrap; align-items: center;">
6436    
6437    
6438      <a href="/policies/privacy-policy">Privacy Policy</a>
6439      
6440        <span class="divider">|</span>
6441      
6442    
6443      <a href="/policies/terms-of-service">Terms of Service</a>
6444      
6445    
6446  </div>
6447</div>
6448
6449</div>
6450<!-- END sections: footer-group -->
6451  </div>
6452
6453  
6453<script defer type="module" src="//genteramed.com/cdn/shop/t/3/assets/theme.min.js?v=131424601142603319341741878166"></script>
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6454  
6454<script defer src="//genteramed.com/cdn/shop/t/3/assets/SafeLoadScripts.js?v=117039806523965685941741878165"></script>
6454
6455
6456  
6457
6458  
6459
6460  <style>
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6471  @media screen and (max-width: 767px) {
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6494  .back-to-top-button span {
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6671  window.accessProComplianceSettings = {"compliance_title":"Our Mission","compliance_content":"\u003cdiv class=\"ap-compliance-main-title\"\u003e\u003cstrong\u003eAccessPro Compliance Mission Statement\u003c\/strong\u003e\u003c\/div\u003e \u003cdiv class=\"ap-compliance-list-wrapper\"\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eWCAG 2.2 Commitment:\u003c\/strong\u003e We strictly adhere to WCAG 2.2 AA guidelines.\u003c\/div\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003ePersonalized UI:\u003c\/strong\u003e Users with disabilities can personalize the interface.\u003c\/div\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eAI-Based Compliance:\u003c\/strong\u003e We use AI to maintain accessibility during updates.\u003c\/div\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eARIA Attributes:\u003c\/strong\u003e Meaningful data for screen-readers using ARIA attributes.\u003c\/div\u003e \u003c\/div\u003e \u003cdiv class=\"ap-compliance-list-wrapper\"\u003e\u003cdiv class=\"ap-compliance-list-title\"\u003e\u003cstrong\u003eOptimized Screen Reader and Keyboard Navigation:\u003c\/strong\u003e\u003c\/div\u003e\u003cdiv class=\"ap-compliance-list\"\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eScreen-reader Optimization:\u003c\/strong\u003e ARIA attributes for meaningful data.\u003c\/div\u003e \u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eImage Description:\u003c\/strong\u003e Auto image descriptions for better understanding.\u003c\/div\u003e \u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eOCR Technology:\u003c\/strong\u003e Text extraction from images.\u003c\/div\u003e \u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eKeyboard Navigation:\u003c\/strong\u003e Enhanced keyboard operability. \u003c\/div\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eContent-skip Menus:\u003c\/strong\u003e Easy navigation with shortcuts.\u003c\/div\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003ePopup Handling:\u003c\/strong\u003e Improved handling of popups.\u003c\/div\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eShortcuts:\u003c\/strong\u003e Quick access to key elements with shortcuts.\u003c\/div\u003e\u003c\/div\u003e \u003c\/div\u003e \u003cdiv class=\"ap-compliance-list-wrapper\"\u003e\u003cdiv class=\"ap-compliance-list-title\"\u003e\u003cstrong\u003eSpecialized Profiles for Disabilities:\u003c\/strong\u003e\u003c\/div\u003e\u003cdiv class=\"ap-compliance-list\"\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eEpilepsy Safe Profile:\u003c\/strong\u003e Safe browsing with reduced triggers.\u003c\/div\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eVision Impaired Profile:\u003c\/strong\u003e Enhanced interface for visual impairments.\u003c\/div\u003e \u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eCognitive Disability Profile:\u003c\/strong\u003e Assistive features for cognitive disabilities.\u003c\/div\u003e \u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eADHD-Friendly Profile:\u003c\/strong\u003e Minimized distractions for ADHD users.\u003c\/div\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eBlind Users Profile:\u003c\/strong\u003e Compatibility with popular screen-readers.\u003c\/div\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eKe
6671yboard Navigation Profile:\u003c\/strong\u003e Navigate with keyboard commands.\u003c\/div\u003e\u003c\/div\u003e \u003c\/div\u003e \u003cdiv class=\"ap-compliance-list-wrapper\"\u003e\u003cdiv class=\"ap-compliance-list-title\"\u003e\u003cstrong\u003eCustomizable User Interface Adjustments:\u003c\/strong\u003e\u003c\/div\u003e\u003cdiv class=\"ap-compliance-list\"\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eFont Adjustments:\u003c\/strong\u003e Customize font settings for readability.\u003c\/div\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eColour Adjustments:\u003c\/strong\u003e Choose contrast profiles and color schemes.\u003c\/div\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eAnimations:\u003c\/strong\u003e Disable animations for user safety.\u003c\/div\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eContent Highlighting:\u003c\/strong\u003e Emphasize key elements.\u003c\/div\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eAudio Muting:\u003c\/strong\u003e Instantly mute the website.\u003c\/div\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eCognitive Disorders:\u003c\/strong\u003e Linked search engine for better understanding.\u003c\/div\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eAdditional Functions:\u003c\/strong\u003e Various customizable options.\u003c\/div\u003e\u003c\/div\u003e \u003c\/div\u003e \u003cdiv class=\"ap-compliance-list-wrapper\"\u003e\u003cdiv class=\"ap-compliance-list-title\"\u003e\u003cstrong\u003eBrowser and Assistive Technology Support:\u003c\/strong\u003e\u003c\/div\u003e\u003cdiv class=\"ap-compliance-list\"\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eSupported Browsers:\u003c\/strong\u003e Google Chrome, Mozilla Firefox, Apple Safari, Opera, Microsoft Edge.\u003c\/div\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eSupported Screen Readers:\u003c\/strong\u003e JAWS (Windows\/MAC), NVDA (Windows\/MAC).\u003c\/div\u003e\u003c\/div\u003e \u003c\/div\u003e \u003cdiv class=\"ap-compliance-list-wrapper\"\u003e\u003cdiv class=\"ap-compliance-list-title\"\u003e\u003cstrong\u003eContinual Accessibility Improvement:\u003c\/strong\u003e\u003c\/div\u003e\u003cdiv class=\"ap-compliance-list\"\u003e \u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eOngoing Efforts:\u003c\/strong\u003e We continuously enhance accessibility. \u003c\/div\u003e \u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eGoal:\u003c\/strong\u003e Achieve maximum accessibility with evolving technology.\u003c\/div\u003e\u003cdiv class=\"ap-compliance-list-item\"\u003e• \u003cstrong\u003eContact Us:\u003c\/strong\u003e Reach out via the website’s contact form for queries or concerns.\u003c\/div\u003e\u003c\/div\u003e \u003c\/div\u003e","statement_action":"popup","statement_redirect_url":"","statement_redirect_page_id":""};
6672  window.accessProCurrentPage = {
6673    pageType: "page",
6674    path: "\/pages\/contact"
6675  };
6676</script>
6676
6677
6678<style>
6679    
6680
6681  .asw-widget-button-top {
6682     position: absolute !important;
6683     top: 10px !important;
6684     left: 10px !important;
6685     background-color: #000 !important;
6686     color: #fff !important;
6687     text-decoration: none !important;
6688     overflow: hidden;
6689     width: 1px !important;
6690     height: 1px !important;
6691     margin: -1px !important;
6692     padding: 0 !important;
6693     border: 0 !important;
6694     clip: rect(0 0 0 0) !important;
6695     word-wrap: normal !important;
6696  }
6697    .asw-widget-button-top-focused,
6698    .asw-widget-button-top:focus {
6699      z-index: 9999 !important;
6700      overflow: auto !important;
6701      width: auto !important;
6702      height: auto !important;
6703      clip: auto !important;
6704      padding: 10px 15px !important;
6705    }
6706
6707    #acp-virtualKeyboardPopup {
6708      position: fixed;
6709      bottom: 80px;
6710      left: 50%;
6711      transform: translateX(-50%);
6712      background: #ffffff !important;
6713      border: 1px solid #ccc;
6714      padding: 8px;
6715      box-shadow: 0 8px 20px rgba(0, 0, 0, 0.2);
6716      z-index: 9999;
6717      display: none;
6718      width: 90%;
6719      max-width: 600px;
6720      border-radius: 10px;
6721    }
6722
6723    #acp-virtual-input {
6724      width: 100%;
6725      padding: 10px;
6726      font-size: 16px;
6727      margin-bottom: 10px;
6728    }
6729
6730    #acp-closeKeyboardBtn {
6731      color: #fff;
6732      border: none;
6733      padding: 1px 3px;
6734      cursor: pointer;
6735      float: right;
6736      border-radius: 4px;
6737      margin-bottom: 5px;
6738    }
6739    #acp-definition-popup {
6740      position: absolute;
6741      display: none;
6742      padding: 10px;
6743      background: white;
6744      border: 1px solid #ccc;
6745      z-index: 1000;
6746      border-radius: 14px;
6747    }
6748</style>
6749
6750<div id="acp-icon"></div>
6751<div id="acp-widget"></div>
6752
6753<!-- Virtual Keyboard Input and Keyboard -->
6754<div
6755  id="acp-definition-popup"
6756></div>
6757<div
6758  id="acp-dictionary-toast"
6759  class="asw-text-speech-bar"
6760  style="display: none;"
6761  data-ap-translate="DICTIONARY DESC"
6762>
6763  Double click on a word to see the definition.
6764</div>
6765<div id="acp-virtualKeyboardPopup" role="dialog" aria-modal="true" aria-label="Virtual keyboard popup">
6766  <button id="acp-closeKeyboardBtn" aria-label="Close virtual keyboard">
6767    <svg
6768      xmlns="http://www.w3.org/2000/svg"
6769      width="24"
6770      height="24"
6771      viewBox="0 0 24 24"
6772      fill="none"
6773    >
6774      <path
6775        d="M18 6L6 18"
6776        stroke="black"
6777        strokeWidth="2"
6778        strokeLinecap="round"
6779        strokeLinejoin="round"
6780      />
6781      <path
6782        d="M6 6L18 18"
6783        stroke="black"
6784        strokeWidth="2"
6785        strokeLinecap="round"
6786        strokeLinejoin="round"
6787      />
6788    </svg>
6789  </button>
6790  
6791  <div id="acp-virtual-keyboard" class="simple-keyboard"></div>
6792  
6792<script>
6793    function makeDraggableVirtualKeyboard(el) {
6794      let pos1 = 0,
6795        pos2 = 0,
6796        pos3 = 0,
6797        pos4 = 0;
6798
6799      el.onmousedown = dragMouseDown;
6800
6801      function dragMouseDown(e) {
6802        e.preventDefault();
6803        pos3 = e.clientX;
6804        pos4 = e.clientY;
6805        document.onmouseup = closeDragElement;
6806        document.onmousemove = elementDrag;
6807      }
6808
6809      function elementDrag(e) {
6810        e.preventDefault();
6811        pos1 = pos3 - e.clientX;
6812        pos2 = pos4 - e.clientY;
6813        pos3 = e.clientX;
6814        pos4 = e.clientY;
6815        el.style.top = el.offsetTop - pos2 + 'px';
6816        el.style.left = el.offsetLeft - pos1 + 'px';
6817        el.style.bottom = 'unset';
6818        el.style.right = 'unset';
6819      }
6820
6821      function closeDragElement() {
6822        document.onmouseup = null;
6823        document.onmousemove = null;
6824      }
6825    }
6826
6827    makeDraggableVirtualKeyboard(document.getElementById('acp-virtualKeyboardPopup'));
6828  </script>
6828
6829</div>
6830<script>
6831  // App Procxy Handle
6832  
6833  window.accessProProxyHandle = '/apps/access-pro';
6834  
6835
6836  // URLs
6837  window.accessProSettingsUrl = `${window.accessProProxyHandle}/theme/settings/`;
6838  window.accessProPageViewsCountUrl = `${window.accessProProxyHandle}/theme/views/update/count`;
6839  
6840
6841  // Translation URL
6842  var shopify_domain = `gentera-med.myshopify.com`;
6843  window.accessProTranslationUrl = `https://access-pro-api.entanglecommerce.com/api/v1/language/translate/?domain=${shopify_domain}`;
6844  window.pageViewsCountURL = `${window.accessProProxyHandle}/theme/views/update/count`;
6845</script>
6845
6846
6847<script src="https://cdn.shopify.com/extensions/01a1115f-a4db-79a9-998b-83572f4594c6/access-pro-2-247/assets/main.js" defer></script>
vendor: 1 bytes, line 6847
6847
6848<script>
6849  (function () {
6850    var params = new URLSearchParams(window.location.search);
6851    var token = params.get('acp_scan');
6852    if (!token) return;
6853
6854    function showScanOverlay(message) {
6855      var el = document.getElementById('acp-scan-overlay');
6856      if (!el) {
6857        el = document.createElement('div');
6858        el.id = 'acp-scan-overlay';
6859        el.style.cssText =
6860          'position:fixed;inset:0;background:rgba(255,255,255,0.94);z-index:2147483647;display:flex;align-items:center;justify-content:center;font-family:system-ui,-apple-system,sans-serif;';
6861        el.innerHTML =
6862          '<div style="text-align:center;max-width:320px;padding:24px">' +
6863          '<p style="font-size:18px;font-weight:600;margin:0 0 8px;color:#111">Scanning for accessibility</p>' +
6864          '<p id="acp-scan-overlay-status" style="font-size:14px;color:#666;margin:0"></p>' +
6865          '</div>';
6866        document.body.appendChild(el);
6867      }
6868      var status = document.getElementById('acp-scan-overlay-status');
6869      if (status) status.textContent = message || 'Please wait…';
6870    }
6871
6872    showScanOverlay('Preparing accessibility scan…');
6873
6874    function hideOverlay() {
6875      var el = document.getElementById('acp-scan-overlay');
6876      if (el) el.style.display = 'none';
6877    }
6878
6879    function pageIsThemePreview() {
6880      try {
6881        return Boolean(new URLSearchParams(window.location.search).get('preview_theme_id'));
6882      } catch (e) {
6883        return false;
6884      }
6885    }
6886
6887    // Shopify stores the unpublished theme in a storefront cookie. Clear it
6888    // here so the scan window never has to navigate to the live theme.
6889    var previewExitPromise = null;
6890    function exitThemePreviewQuietly() {
6891      if (!pageIsThemePreview()) return Promise.resolve();
6892      if (previewExitPromise) return previewExitPromise;
6893      previewExitPromise = new Promise(function (resolve) {
6894        var settled = false;
6895        function finish() {
6896          if (settled) return;
6897          settled = true;
6898          resolve();
6899        }
6900        setTimeout(finish, 2000);
6901        try {
6902          var frame = document.createElement('iframe');
6903          frame.setAttribute('aria-hidden', 'true');
6904          frame.title = '';
6905          frame.style.cssText =
6906            'position:absolute;width:0;height:0;border:0;visibility:hidden';
6907          frame.src = window.location.origin + '/?exitPreview=1';
6908          (document.body || document.documentElement).appendChild(frame);
6909        } catch (e) {}
6910        try {
6911          fetch(window.location.origin + '/?exitPreview=1', {
6912            credentials: 'include',
6913            cache: 'no-store',
6914            redirect: 'follow',
6915          }).catch(function () {});
6916        } catch (e) {}
6917      });
6918      return previewExitPromise;
6919    }
6920
6921    window.addEventListener('message', function (event) {
6922      if (event.source !== window.opener) return;
6923      var data = event.data;
6924      if (!data || data.type !== 'accesspro-exit-preview') return;
6925      exitThemePreviewQuietly().then(function () {
6926        if (window.opener) {
6927          window.opener.postMessage({ type: 'accesspro-preview-exited' }, '*');
6928        }
6929      });
6930    });
6931
6932    function submitScanResult(payload) {
6933      var params = new URLSearchParams(window.location.search);
6934      var jobId = params.get('acp_job');
6935      if (!jobId) {
6936        return;
6937      }
6938
6939      var pageUrl = window.location.origin + window.location.pathname;
6940      fetch(window.accessProProxyHandle + '/theme/accessibility-scan/complete', {
6941        method: 'POST',
6942        headers: { 'Content-Type': 'application/json' },
6943        body: JSON.stringify({
6944          jobId: jobId,
6945          scanToken: token,
6946          url: pageUrl,
6947          axeResults: payload.results || null,
6948          error:
6949            payload.type === 'accesspro-axe-scan-error'
6950              ? payload.message || 'Accessibility scan failed'
6951              : null,
6952        }),
6953      })
6954        .then(function (response) {
6955          return response.json().catch(function () {
6956            return {};
6957          });
6958        })
6959        .then(function (data) {
6960          if (window.opener) {
6961            var isFinal = data.reportId != null;
6962            var hasError = !data.success;
6963            var isNextScanPage = false;
6964            if (data.redirectUrl) {
6965              try {
6966                isNextScanPage = new URL(data.redirectUrl).searchParams.has('acp_scan');
6967              } catch (e) {}
6968            }
6969            var continuing = isNextScanPage && data.redirectUrl && !isFinal && !hasError;
6970
6971            function deliver() {
6972              window.opener.postMessage(
6973                {
6974                  type: 'accesspro-axe-scan-progress',
6975                  jobId: jobId,
6976                  redirectUrl: data.redirectUrl || null,
6977                  reportId: data.reportId != null ? data.reportId : null,
6978                  error: data.success ? null : (data.message || 'Scan failed'),
6979                },
6980                '*',
6981              );
6982
6983              if (isFinal) {
6984                showScanOverlay('Returning to your audit report…');
6985                return;
6986              }
6987
6988              if (continuing) {
6989                showScanOverlay('Scanning next page…');
6990                window.location.href = data.redirectUrl;
6991                return;
6992              }
6993
6994              setTimeout(function () {
6995                window.close();
6996              }, 400);
6997            }
6998
6999            if (pageIsThemePreview() && !continuing) {
7000              if (isFinal) showScanOverlay('Returning to your audit report…');
7001              exitThemePreviewQuietly().then(deliver);
7002              return;
7003            }
7004
7005            deliver();
7006            return;
7007          }
7008          if (data.redirectUrl) {
7009            showScanOverlay('Returning to your audit report…');
7010            window.location.href = data.redirectUrl;
7011            return;
7012          }
7013          showScanOverlay(data.message || 'Scan failed');
7014          if (window.opener) {
7015            window.opener.postMessage(
7016              {
7017                type: 'accesspro-axe-scan-progress',
7018                jobId: jobId,
7019                error: data.message || 'Scan failed',
7020              },
7021              '*',
7022            );
7023          }
7024        })
7025        .catch(function (err) {
7026          var message =
7027            (err && err.message) || 'Scan failed';
7028          showScanOverlay(message);
7029          function deliver() {
7030            if (!window.opener) return;
7031            var jobIdErr = new URLSearchParams(window.location.search).get('acp_job');
7032            window.opener.postMessage(
7033              {
7034                type: 'accesspro-axe-scan-progress',
7035                jobId: jobIdErr,
7036                error: message,
7037              },
7038              '*',
7039            );
7040          }
7041          if (pageIsThemePreview()) {
7042            exitThemePreviewQuietly().then(deliver);
7043            return;
7044          }
7045          deliver();
7046        });
7047    }
7048
7049    function waitForFullPageLoad() {
7050      return new Promise(function (resolve) {
7051        function settle() {
7052          // Extended settle time for dynamic content, carousels, lazy sections
7053          // Wait for network idle + animations + JS state changes
7054          setTimeout(function() {
7055            // Wait for any lazy images to finish loading
7056            var images = Array.prototype.slice.call(document.querySelectorAll('img[loading="lazy"]'));
7057            var pendingImages = images.filter(function(img) {
7058              return !img.complete;
7059            });
7060            
7061            if (pendingImages.length > 0) {
7062              var loaded = 0;
7063              var timeout = setTimeout(function() {
7064                resolve(); // Don't wait forever
7065              }, 2000);
7066              
7067              pendingImages.forEach(function(img) {
7068                function handleLoad() {
7069                  loaded++;
7070                  if (loaded >= pendingImages.length) {
7071                    clearTimeout(timeout);
7072                    // Additional wait for any pending RAF or microtasks
7073                    requestAnimationFrame(function() {
7074                      setTimeout(resolve, 100);
7075                    });
7076                  }
7077                }
7078                img.addEventListener('load', handleLoad, { once: true });
7079                img.addEventListener('error', handleLoad, { once: true });
7080              });
7081            } else {
7082              // Additional wait for any pending RAF or microtasks
7083              requestAnimationFrame(function() {
7084                setTimeout(resolve, 100);
7085              });
7086            }
7087          }, 3000);
7088        }
7089        if (document.readyState === 'complete') {
7090          settle();
7091          return;
7092        }
7093        window.addEventListener('load', settle, { once: true });
7094      });
7095    }
7096
7097    // Port of accessibility-scanner Phase 3 WCAG 2.2 / APG checks (browser-side).
7098    // Findings are merged into axe violations/incomplete so the existing pipeline needs no changes.
7099    function isAccessProScanElement(el) {
7100      if (!el || !el.closest) return false;
7101      return !!(
7102        el.closest('#acp-icon') ||
7103        el.closest('#acp-widget') ||
7104        el.closest('#acp-virtualKeyboardPopup') ||
7105        el.closest('#acp-definition-popup') ||
7106        el.closest('#acp-dictionary-toast') ||
7107        el.closest('#acp-scan-overlay') ||
7108        el.closest('[id^="acp-"]') ||
7109        el.closest('.asw-widget-button-top')
7110      );
7111    }
7112    
7113    // Enhanced element visibility check including all CSS hiding techniques
7114    function isElementVisible(el) {
7115      if (!el || !el.getBoundingClientRect) return false;
7116      var style = window.getComputedStyle(el);
7117      if (style.display === 'none' || style.visibility === 'hidden') return false;
7118      if (style.opacity === '0') return false;
7119      if (style.position === 'absolute' && style.clip === 'rect(0px, 0px, 0px, 0px)') return false;
7120      if (style.width === '1px' && style.height === '1px' && style.overflow === 'hidden') return false;
7121      var rect = el.getBoundingClientRect();
7122      if (rect.width === 0 || rect.height === 0) return false;
7123      return true;
7124    }
7125
7126    function runWcag22Checks() {
7127      var violations = [];
7128      var incomplete = [];
7129
7130      try {
7131        // WCAG 2.4.11 Focus Not Obscured — sticky/fixed heuristic (manual review)
7132        var stickyElements = Array.prototype.slice
7133          .call(document.querySelectorAll('*'))
7134          .filter(function (el) {
7135            if (isAccessProScanElement(el)) return false;
7136            if (!isElementVisible(el)) return false;
7137            var style = getComputedStyle(el);
7138            return (
7139              (style.position === 'sticky' || style.position === 'fixed') &&
7140              el.getBoundingClientRect().height > 40
7141            );
7142          })
7143          .slice(0, 5)
7144          .map(function (el) {
7145            var style = getComputedStyle(el);
7146            return {
7147              tag: el.tagName.toLowerCase(),
7148              id: el.id || null,
7149              height: Math.round(el.getBoundingClientRect().height),
7150              position: style.position,
7151            };
7152          });
7153
7154        if (stickyElements.length > 0) {
7155          incomplete.push({
7156            id: 'focus-not-obscured',
7157            impact: 'serious',
7158            tags: ['wcag22aa', 'wcag2411'],
7159            description:
7160              'WCAG 2.4.11: Focused elements must not be entirely obscured. Fixed/sticky elements detected — manual keyboard testing required.',
7161            helpUrl:
7162              'https://www.w3.org/WAI/WCAG22/Understanding/focus-not-obscured-minimum.html',
7163            nodes: stickyElements.map(function (e) {
7164              return {
7165                html:
7166                  '<' +
7167                  e.tag +
7168                  (e.id ? ' id="' + e.id + '"' : '') +
7169                  '> (' +
7170                  e.position +
7171                  ', ' +
7172                  e.height +
7173                  'px tall)',
7174                target: [e.tag + (e.id ? '#' + e.id : '')],
7175                failureSummary:
7176                  'Fixed/sticky element may obscure focused components. Verify with keyboard navigation.',
7177              };
7178            }),
7179          });
7180        }
7181        
7182        // NEW: aria-hidden-focus check - elements with aria-hidden="true" that are focusable
7183        var hiddenFocusable = [];
7184        document.querySelectorAll('[aria-hidden="true"]').forEach(function(el) {
7185          if (isAccessProScanElement(el)) return;
7186          // Check if this element or any descendant is focusable
7187          var focusableSelectors = 'a[href], button, input, select, textarea, [tabindex]:not
7187([tabindex="-1"])';
7188          var focusables = el.matches(focusableSelectors) ? [el] : Array.prototype.slice.call(el.querySelectorAll(focusableSelectors));
7189          focusables.forEach(function(focusEl) {
7190            if (isElementVisible(focusEl) && focusEl.tabIndex >= 0) {
7191              hiddenFocusable.push({
7192                html: focusEl.outerHTML.slice(0, 500),
7193                selector: buildScanSelector(focusEl),
7194                parentHiddenHtml: el.outerHTML.slice(0, 200)
7195              });
7196            }
7197          });
7198        });
7199        
7200        if (hiddenFocusable.length > 0) {
7201          violations.push({
7202            id: 'aria-hidden-focus',
7203            impact: 'serious',
7204            tags: ['wcag2aa', 'wcag412'],
7205            description: 'WCAG 4.1.2: Focusable elements must not be hidden with aria-hidden="true"',
7206            helpUrl: 'https://www.w3.org/WAI/WCAG22/Understanding/name-role-value.html',
7207            nodes: hiddenFocusable.slice(0, 10).map(function(item) {
7208              return {
7209                html: item.html,
7210                target: [item.selector],
7211                failureSummary: 'Focusable element is inside aria-hidden="true" container'
7212              };
7213            })
7214          });
7215        }
7216
7217        // WCAG 2.5.3 Label in Name - Enhanced with better visible text extraction
7218        // Visible text = text rendered on screen (excludes aria-hidden, sr-only, SVG internals).
7219        function getVisibleText(el) {
7220          var text = '';
7221          for (var i = 0; i < el.childNodes.length; i++) {
7222            var child = el.childNodes[i];
7223            if (child.nodeType === 3) { text += child.textContent; continue; }
7224            if (child.nodeType !== 1) continue;
7225            if (child.getAttribute('aria-hidden') === 'true') continue;
7226            var st = window.getComputedStyle(child);
7227            if (st.display === 'none' || st.visibility === 'hidden') continue;
7228            if (st.opacity === '0') continue;
7229            if (st.position === 'absolute') {
7230              var clip = st.clip;
7231              if (clip === 'rect(0px, 0px, 0px, 0px)' || clip === 'rect(0, 0, 0, 0)') continue;
7232            }
7233            if (st.width === '1px' && st.height === '1px' && st.overflow === 'hidden') continue;
7234            if (st.fontSize === '0px' || st.width === '0px' || st.height === '0px') continue;
7235            text += getVisibleText(child);
7236          }
7237          return text;
7238        }
7239        function buildScanSelector(el) {
7240          if (el.id) return '#' + CSS.escape(el.id);
7241          var testId = el.getAttribute('data-testid') || el.getAttribute('data-test-id');
7242          if (testId) return '[data-testid="' + testId + '"]';
7243          var tag = el.tagName.toLowerCase();
7244          var cls = (el.getAttribute('class') || '').split(/\s+/).filter(function (c) {
7245            return c && c.length < 60 && !/^(active|is-|js-|open|hidden|focus|hover)/i.test(c);
7246          }).slice(0, 3);
7247          return cls.length ? tag + '.' + cls.join('.') : tag;
7248        }
7249        
7250        // Enhanced selector to catch more interactive elements
7251        var interactiveSelector = 'button, [role="button"], a[aria-label], [role="link"][aria-label], ' +
7252          '[role="menuitem"][aria-label], [role="tab"][aria-label], [role="checkbox"][aria-label], ' +
7253          '[role="radio"][aria-label], [role="switch"][aria-label], [role="combobox"][aria-label], ' +
7254          '[role="searchbox"][aria-label], [role="textbox"][aria-label]';
7255          
7256        var mismatches = Array.prototype.slice
7257          .call(document.querySelectorAll(interactiveSelector))
7258          .filter(function (el) {
7259            return !isAccessProScanElement(el) && isElementVisible(el);
7260          })
7261          .map(function (el) {
7262            var ariaLabel = el.getAttribute('aria-label') || '';
7263            var visibleText = getVisibleText(el).replace(/\s+/g, ' ').trim();
7264            if (!ariaLabel || !visibleText) return null;
7265            if (visibleText.length <= 1) return null;
7266            
7267            // Normalize for comparison - remove punctuation and make case-insensitive
7268            var normalizedLabel = ariaLabel.toLowerCase().replace(/[^\w\s]/g, '');
7269            var normalizedVisible = visibleText.toLowerCase().replace(/[^\w\s]/g, '');
7270            
7271            // Check if visible text is substring of aria-label
7272            if (normalizedLabel.includes(normalizedVisible)) return null;
7273            
7274            // Check word-by-word containment for multi-word labels
7275            var visibleWords = normalizedVisible.split(/\s+/).filter(Boolean);
7276            if (visibleWords.length > 0) {
7277              var allWordsPresent = visibleWords.every(function(word) {
7278                return normalizedLabel.includes(word);
7279              });
7280              if (allWordsPresent) return null;
7281            }
7282            
7283            return {
7284              html: el.outerHTML.slice(0, 500),
7285              selector: buildScanSelector(el),
7286              ariaLabel: ariaLabel,
7287              visibleText: visibleText,
7288            };
7289          })
7290          .filter(Boolean)
7291          .slice(0, 10);
7292
7293        if (mismatches.length > 0) {
7294          violations.push({
7295            id: 'label-in-name',
7296            impact: 'serious',
7297            tags: ['wcag21a', 'wcag253'],
7298            description: 'WCAG 2.5.3: Accessible name must contain visible label text',
7299            helpUrl: 'https://www.w3.org/WAI/WCAG22/Understanding/label-in-name.html',
7300            nodes: mismatches.map(function (m) {
7301              return {
7302                html: m.html,
7303                target: [m.selector],
7304                failureSummary:
7305                  'aria-label="' +
7306                  m.ariaLabel +
7307                  '" does not contain visible text "' +
7308                  m.visibleText +
7309                  '"',
7310              };
7311            }),
7312          });
7313        }
7314
7315        // 2.5.7 Dragging Movements
7316        var draggableElements = Array.prototype.slice
7317          .call(
7318            document.querySelectorAll(
7319              '[draggable="true"], [data-sortable], .sortable-item',
7320            ),
7321          )
7322          .filter(function (el) {
7323            return !isAccessProScanElement(el);
7324          })
7325          .slice(0, 5)
7326          .map(function (el) {
7327            return {
7328              html: el.outerHTML.slice(0, 500),
7329              selector: buildScanSelector(el),
7330            };
7331          });
7332
7333        if (draggableElements.length > 0) {
7334          incomplete.push({
7335            id: 'dragging-movements',
7336            impact: 'serious',
7337            tags: ['wcag22aa', 'wcag257'],
7338            description:
7339              'WCAG 2.5.7: Draggable elements must have a single-pointer alternative. Manual verification required.',
7340            helpUrl: 'https://www.w3.org/WAI/WCAG22/Understanding/dragging-movements.html',
7341            nodes: draggableElements.map(function (e) {
7342              return {
7343                html: e.html,
7344                target: [e.selector],
7345                failureSummary:
7346                  'Verify that a keyboard or single-pointer alternative exists for this drag operation.',
7347              };
7348            }),
7349          });
7350        }
7351
7352        // ARIA APG: Dialog Pattern
7353        var badDialogs = Array.prototype.slice
7354          .call(document.querySelectorAll('[role="dialog"], [role="alertdialog"]'))
7355          .filter(function (el) {
7356            if (isAccessProScanElement(el)) return false;
7357            return !(
7358              el.hasAttribute('aria-labelledby') || el.hasAttribute('aria-label')
7359            );
7360          })
7361          .slice(0, 5)
7362          .map(function (el) {
7363            return {
7364              html: el.outerHTML.slice(0, 500),
7365              selector: buildScanSelector(el),
7366            };
7367          });
7368
7369        if (badDialogs.length > 0) {
7370          violations.push({
7371            id: 'dialog-missing-label',
7372            impact: 'serious',
7373            tags: ['aria-apg', 'wcag2aa'],
7374            description:
7375              'ARIA APG Dialog Pattern: role="dialog" must have aria-labelledby or aria-label',
7376            helpUrl: 'https://www.w3.org/WAI/ARIA/apg/patterns/dialog-modal/',
7377            nodes: badDialogs.map(function (d) {
7378              return {
7379                html: d.html,
7380                target: [d.selector],
7381                failureSummary:
7382                  'Add aria-labelledby pointing to a visible dialog title, or aria-label.',
7383              };
7384            }),
7385          });
7386        }
7387
7388        // ARIA APG: Tabs Pattern — tabs must have aria-selected (true on active, false on others
7388)
7389        var badTabs = [];
7390        Array.prototype.slice
7391          .call(document.querySelectorAll('[role="tablist"]'))
7392          .forEach(function (tabList) {
7393            if (isAccessProScanElement(tabList)) return;
7394            var tabs = Array.prototype.slice.call(tabList.querySelectorAll('[role="tab"]'));
7395            var hasAnySelected = tabs.some(function (t) { return t.getAttribute('aria-selected') === 'true'; });
7396            tabs.forEach(function (tab) {
7397                if (isAccessProScanElement(tab)) return;
7398                if (!tab.hasAttribute('aria-selected')) {
7399                  // Detect if this tab appears active (has aria-current, class "active", etc.)
7400                  var looksActive = !hasAnySelected && tab.classList.contains('active');
7401                  badTabs.push({
7402                    html: tab.outerHTML.slice(0, 500),
7403                    selector: buildScanSelector(tab),
7404                    suggestValue: looksActive ? 'true' : 'false',
7405                  });
7406                }
7407              });
7408          });
7409        badTabs = badTabs.slice(0, 5);
7410
7411        if (badTabs.length > 0) {
7412          violations.push({
7413            id: 'tabs-missing-aria-selected',
7414            impact: 'serious',
7415            tags: ['aria-apg', 'wcag2aa'],
7416            description:
7417              'ARIA APG Tabs Pattern: each [role="tab"] must have aria-selected="true" or aria-selected="false"',
7418            helpUrl: 'https://www.w3.org/WAI/ARIA/apg/patterns/tabs/',
7419            nodes: badTabs.map(function (t) {
7420              return {
7421                html: t.html,
7422                target: [t.selector],
7423                failureSummary:
7424                  'Tab missing aria-selected. Suggested value: aria-selected="' + (t.suggestValue || 'false') + '"',
7425              };
7426            }),
7427          });
7428        }
7429      } catch (err) {
7430        console.warn(
7431          '[AccessPro][AxeScan][storefront] WCAG 2.2 checks error',
7432          err && err.message ? err.message : err,
7433        );
7434      }
7435
7436      return { violations: violations, incomplete: incomplete };
7437    }
7438
7439    function runAxeScan() {
7440      if (!window.axe) {
7441        showScanOverlay('Scan failed: axe-core not loaded');
7442        notifyScanOpener({
7443          type: 'accesspro-axe-scan-error',
7444          token: token,
7445          message: 'axe-core failed to load',
7446        });
7447        return;
7448      }
7449      
7450      // CRITICAL: Hide overlay before scan to prevent interference with color-contrast/visibility checks
7451      hideOverlay();
7452      
7453      // Run axe WITHOUT overlay visible to get accurate color contrast and visibility results
7454      window.axe
7455        .run(document, {
7456          runOnly: {
7457            type: 'tag',
7458            values: ['wcag2a', 'wcag2aa', 'wcag21aa', 'wcag22aa'],
7459          },
7460          exclude: [
7461            ['#acp-icon'],
7462            ['#acp-widget'],
7463            ['#acp-virtualKeyboardPopup'],
7464            ['#acp-definition-popup'],
7465            ['#acp-dictionary-toast'],
7466            ['#acp-scan-overlay'],
7467            ['.asw-widget-button-top'],
7468          ],
7469        })
7470        .then(function (results) {
7471          // Now safe to show overlay after scan completes
7472          showScanOverlay('Processing scan results…');
7473          var extra = runWcag22Checks();
7474          if (!results.violations) results.violations = [];
7475          if (!results.incomplete) results.incomplete = [];
7476          // Scanner stores customChecks separately; merge into axe arrays so
7477          // buildAxeScanSummary (customChecks: []) still surfaces them.
7478          results.violations = results.violations.concat(extra.violations || []);
7479          results.incomplete = results.incomplete.concat(extra.incomplete || []);
7480
7481          // List rule only: axe often stores just the opening <ul> tag.
7482          // Re-serialize with direct children so the report/AI Fixes show the real issue.
7483          enrichListViolationNodes(results);
7484
7485          notifyScanOpener({
7486            type: 'accesspro-axe-scan',
7487            token: token,
7488            url: window.location.href,
7489            results: results,
7490          });
7491        })
7492        .catch(function (err) {
7493          showScanOverlay('Scan failed');
7494          notifyScanOpener({
7495            type: 'accesspro-axe-scan-error',
7496            token: token,
7497            message: err && err.message ? err.message : 'Accessibility scan failed',
7498          });
7499        });
7500    }
7501
7502    /**
7503     * Optimize axe `list` node payloads only (no other rules).
7504     * Horizon overflow-list / ul[part=list] failures need children in HTML
7505     * so merchants see role=presentation / non-li children clearly.
7506     */
7507    function enrichListViolationNodes(results) {
7508      var violations = results && results.violations;
7509      if (!violations || !violations.length) return;
7510
7511      function queryInRoot(root, sel) {
7512        if (!root || !sel) return null;
7513        try {
7514          return root.querySelector(sel);
7515        } catch (e) {
7516          return null;
7517        }
7518      }
7519
7520      function resolveShadowPath(path) {
7521        if (!path) return null;
7522        if (typeof path === 'string') {
7523          return (
7524            queryInRoot(document, path) ||
7525            queryDeepAll(path)[0] ||
7526            null
7527          );
7528        }
7529        if (!Array.isArray(path) || !path.length) return null;
7530
7531        // Nested shadow path: ["host", "inner"] or [["host", "inner"]]
7532        var steps = path;
7533        if (steps.length === 1 && Array.isArray(steps[0])) {
7534          steps = steps[0];
7535        }
7536
7537        var ctx = document;
7538        var el = null;
7539        for (var i = 0; i < steps.length; i++) {
7540          var step = steps[i];
7541          if (Array.isArray(step)) {
7542            el = resolveShadowPath(step);
7543          } else {
7544            el = queryInRoot(ctx, String(step));
7545            if (!el && ctx === document) {
7546              el = queryDeepAll(String(step))[0] || null;
7547            }
7548          }
7549          if (!el) return null;
7550          ctx = el.shadowRoot || el;
7551        }
7552        return el;
7553      }
7554
7555      function queryDeepAll(sel) {
7556        var out = [];
7557        function walk(root) {
7558          if (!root || !root.querySelectorAll) return;
7559          try {
7560            Array.prototype.push.apply(out, root.querySelectorAll(sel));
7561          } catch (e) {
7562            /* invalid selector */
7563          }
7564          var all = root.querySelectorAll ? root.querySelectorAll('*') : [];
7565          for (var i = 0; i < all.length; i++) {
7566            if (all[i].shadowRoot) walk(all[i].shadowRoot);
7567          }
7568        }
7569        walk(document);
7570        return out;
7571      }
7572
7573      function serializeChildSnippet(child) {
7574        if (!child || !child.tagName) return '';
7575        var tag = child.tagName.toLowerCase();
7576        var role = (child.getAttribute && child.getAttribute('role')) || '';
7577        var part = (child.getAttribute && child.getAttribute('part')) || '';
7578        var cls = (child.getAttribute && child.getAttribute('class')) || '';
7579        var open =
7580          '<' +
7581          tag +
7582          (role ? ' role="' + role + '"' : '') +
7583          (part ? ' part="' + part + '"' : '') +
7584          (cls
7585            ? ' class="' +
7586              String(cls)
7587                .trim()
7588                .split(/\s+/)
7589                .slice(0, 3)
7590                .join(' ') +
7591              '"'
7592            : '') +
7593          '>';
7594        var text = (child.textContent || '').replace(/\s+/g, ' ').trim().slice(0, 40);
7595        return open + (text ? text : '…') + '</' + tag + '>';
7596      }
7597
7598      function serializeListHtml(listEl) {
7599        if (!listEl || !listEl.tagName) return '';
7600        var tag = listEl.tagName.toLowerCase();
7601        if (tag !== 'ul' && tag !== 'ol') return '';
7602        var openMatch = String(listEl.outerHTML || '').match(/^<[^>]+>/);
7603        var openTag = openMatch ? openMatch[0] : '<' + tag + '>';
7604        var children = Array.prototype.slice.call(listEl.children || []).slice(0, 10);
7605        if (!children.length) return openTag;
7606        var lines = children.map(function (child) {
7607          return '  ' + serializeChildSnippet(child);
7608        });
7609        if ((listEl.children || []).length > 10) {
7610          lines.push('  <!-- … ' + (listEl.children.length - 10) + ' more -->');
7611        }
7612        return openTag + '\n' + lines.join('\n') + '\n</' + tag + '>';
7613      }
7614
7615      function findListFallback() {
7616        var candidates = queryDeepAll('ul[part="list"], overflow-list ul, ul, ol');
7617        var withBad = candidates.filter(function (listEl) {
7618          return Array.prototype.some.call(listEl.children || [], function (child) {
7619            var role = (child.getAttribute && child.getAttribute('role')) || '';
7620            var t = (child.tagName || '').toLowerCase();
7621            return (
7622              role === 'presentation' ||
7623              role === 'none' ||
7624              (t !== 'li' && t !== 'script' && t !== 'template' && t !== 'style')
7625            );
7626          });
7627        });
7628        return withBad.length === 1 ? withBad[0] : null;
7629      }
7630
7631      violations.forEach(function (v) {
7632        if (!v || v.id !== 'list') return;
7633        (v.nodes || []).forEach(function (node) {
7634          if (!node) return;
7635          var hintHtml = String(node.html || '');
7636          var el = resolveShadowPath(node.target);
7637
7638          // Flat axe targets like ["ul"] are too generic — prefer part=list from html hint.
7639          if (
7640            el &&
7641            /part\s*=\s*["']list["']/i.test(hintHtml) &&
7642            !(el.getAttribute && el.getAttribute('part') === 'list')
7643          ) {
7644            var partLists = queryDeepAll('ul[part="list"]');
7645            if (partLists.length === 1) el = partLists[0];
7646            else if (partLists.length > 1) {
7647              var badPart = partLists.filter(function (listEl) {
7648                return Array.prototype.some.call(listEl.children || [], function (child) {
7649                  var role = (child.getAttribute && child.getAttribute('role')) || '';
7650                  return role === 'presentation' || role === 'none';
7651                });
7652              });
7653              if (badPart.length === 1) el = badPart[0];
7654            }
7655          }
7656
7657          if (el && el.tagName) {
7658            var t = el.tagName.toLowerCase();
7659            if (t !== 'ul' && t !== 'ol' && el.closest) {
7660              el = el.closest('ul, ol') || el;
7661            }
7662          }
7663          if (!el || !el.tagName || !/^(UL|OL)$/.test(el.tagName)) {
7664            el = findListFallback();
7665          }
7666          if (!el) return;
7667
7668          var better = serializeListHtml(el);
7669          if (better && better.length > hintHtml.length) {
7670            node.html = better.slice(0, 2500);
7671          }
7672
7673          // Prefer a stable, actionable selector for Horizon chrome lists.
7674          if (el.getAttribute && el.getAttribute('part') === 'list') {
7675            node.target = ['ul[part="list"]'];
7676          }
7677        });
7678      });
7679    }
7680
7681    function notifyScanOpener(payload) {
7682      if (window.opener && payload.type === 'accesspro-axe-scan-error') {
7683        var jobId = new URLSearchParams(window.location.search).get('acp_job');
7684        showScanOverlay('Scan failed');
7685        window.opener.postMessage(
7686          {
7687            type: 'accesspro-axe-scan-progress',
7688            jobId: jobId,
7689            error: payload.message || 'Accessibility scan failed',
7690          },
7691          '*',
7692        );
7693        setTimeout(function () {
7694          window.close();
7695        }, 400);
7696        return;
7697      }
7698      submitScanResult(payload);
7699    }
7700
7701    var script = document.createElement('script');
7702    // cdnjs only goes up to 4.10.3; jsDelivr serves 4.11.1 (matches accessibility-scanner).
7703    script.src = 'https://cdn.jsdelivr.net/npm/[email protected]/axe.min.js';
7704    script.onload = function () {
7705      waitForFullPageLoad().then(runAxeScan);
7706    };
7707    script.onerror = function () {
7708      notifyScanOpener({
7709        type: 'accesspro-axe-scan-error',
7710        token: token,
7711        message: 'Failed to load axe-core',
7712      });
7713    };
7714    document.head.appendChild(script);
7715  })();
7716</script>
7716
7717
7718
7719<style>
7720  .accesspro-icon {
7721    display: inline-flex;
7722    flex-direction: column;
7723    align-items: center;
7724    gap: 4px;
7725    cursor: pointer;
7726    text-decoration: none;
7727    vertical-align: middle;
7728    color: var(--acp-trigger-color, #23185c);
7729  }
7730
7731  /* Icon-only triggers should not reserve a text line box. */
7732  .accesspro-icon[icon='true']:not(.acp-trigger--has-text) {
7733    line-height: 0;
7734  }
7735
7736  .accesspro-icon .asw-menu-btn-container {
7737    flex-shrink: 0;
7738  }
7739
7740  /* The cloned icon is inert; the host element is the control. */
7741  .accesspro-icon .asw-menu-btn-container,
7742  .accesspro-icon .asw-menu-btn {
7743    pointer-events: none;
7744  }
7745</style>
7746<script>
7747  (function () {
7748    var SELECTOR = '.accesspro-icon';
7749    var BOUND = 'acpTriggerBound';
7750    var FILLED = 'acpTriggerFilled';
7751    var settings = window.accessProWidgetSettings || {};
7752    var inlineMode = !!settings.hide_floating_icon;
7753    var fallbackReady = inlineMode;
7754    document.documentElement.style.setProperty(
7755      '--acp-trigger-color',
7756      settings.icon_color_fill || '#23185c'
7757    );
7758
7759    /* ---- open the widget ------------------------------------------------ */
7760    /* main.js is deferred, so iconInstance may not exist on an early click. */
7761    function openWidget(event) {
7762      if (event) event.preventDefault();
7763      if (window.iconInstance) {
7764        window.iconInstance.toggleWidget();
7765        return;
7766      }
7767      var waited = 0;
7768      var timer = setInterval(function () {
7769        if (window.iconInstance) {
7770          clearInterval(timer);
7771          window.iconInstance.toggleWidget();
7772        } else if ((waited += 100) >= 10000) {
7773          clearInterval(timer);
7774          console.error('[AccessPro] Widget did not load — cannot open menu.');
7775        }
7776      }, 100);
7777    }
7778
7779    /* ---- clone the floating icon ---------------------------------------- */
7780    function buildIcon() {
7781      var source = document.querySelector('#Access-Pro-Icon .asw-menu-btn-container');
7782      if (!source) return null;
7783
7784      var clone = source.cloneNode(true);
7785
7786      // Strip ids: the widget mutates apMenuIconStroke / apMenuIconFill by id
7787      // when contrast modes change, and duplicates would shadow the original.
7788      clone.removeAttribute('id');
7789      clone.querySelectorAll('[id]').forEach(function (node) {
7790        node.removeAttribute('id');
7791      });
7792
7793      // The dismiss "X" and loading dots belong to the floating icon only.
7794      clone.querySelectorAll('.asw-hide-widget-icon, .acp-floating-dots').forEach(function (node) {
7795        node.remove();
7796      });
7797
7798      // A <button> nested inside the merchant's <a>
7798 is invalid HTML. Swap it
7799      // for a <span> carrying the same classes so the widget CSS still applies.
7800      var button = clone.querySelector('.asw-menu-btn');
7801      if (button) {
7802        var span = document.createElement('span');
7803        span.className = button.className;
7804        span.setAttribute('style', button.getAttribute('style') || '');
7805        span.setAttribute('aria-hidden', 'true');
7806        while (button.firstChild) span.appendChild(button.firstChild);
7807        button.parentNode.replaceChild(span, button);
7808      }
7809
7810      return clone;
7811    }
7812
7813
7814    /* ---- fallback: build the icon from settings ------------------------- */
7815    /* Used when the floating icon is not in the DOM — the widget skips
7816       render() entirely if the visitor dismissed it, if a page/country filter
7817       bails out of init(), or if trigger display is set to title-only.
7818       Geometry below mirrors render() in main.js exactly. */
7819    var GLYPHS = {
7820      default: '<svg class="asw-main-icon" xmlns="http://www.w3.org/2000/svg" fill="#ffffff" style="height: 45%; width: 45%; fill: #ffffff" viewBox="0 0 512 512" aria-hidden="true" focusable="false"><path d="M256,112a56,56,0,1,1,56-56A56.06,56.06,0,0,1,256,112Z" /><path d="M432,112.8l-.45.12h0l-.42.13c-1,.28-2,.58-3,.89-18.61,5.46-108.93,30.92-172.56,30.92-59.13,0-141.28-22-167.56-29.47a73.79,73.79,0,0,0-8-2.58c-19-5-32,14.3-32,31.94,0,17.47,15.7,25.79,31.55,31.76v.28l95.22,29.74c9.73,3.73,12.33,7.54,13.6,10.84,4.13,10.59.83,31.56-.34,38.88l-5.8,45L150.05,477.44q-.15.72-.27,1.47l-.23,1.27h0c-2.32,16.15,9.54,31.82,32,31.82,19.6,0,28.25-13.53,32-31.94h0s28-157.57,42-157.57,42.84,157.57,42.84,157.57h0c3.75,18.41,12.4,31.94,32,31.94,22.52,0,34.38-15.74,32-31.94-.21-1.38-.46-2.74-.76-4.06L329,301.27l-5.79-45c-4.19-26.21-.82-34.87.32-36.9a1.09,1.09,0,0,0,.08-.15c1.08-2,6-6.48,17.48-10.79l89.28-31.21a16.9,16.9,0,0,0,1.62-.52c16-6,32-14.3,32-31.93S451,107.81,432,112.8Z" /></svg>',
7821      wheelchair: '<svg class="asw-main-icon" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 960 960" fill="#ffffff" aria-hidden="true" focusable="false"> <path d="M480 240q-33 0-56.5-23.5T400 160q0-33 23.5-56.5T480 80q33 0 56.5 23.5T560 160q0 33-23.5 56.5T480 240ZM680 880V680H480q-33 0-56.5-23.5T400 600V360q0-33 23.5-56.5T480 280q24 0 41.5 10.5T559 324q55 66 99.5 90.5T760 480v80q-53 0-107-23t-93-55v138h120q33 0 56.5 23.5T760 680v220h-80ZM400 880q-83 0-141.5-58.5T200 680q0-72 45.5-127T360 484v82q-35 14-57.5 44.5T280 680q0 50 35 85t85 35q39 0 69.5-22.5T514 720h82q-14 69-69 114.5T400 880Z" /> </svg>',
7822      blind: '<svg class="asw-main-icon" xmlns="http://www.w3.org/2000/svg" viewBox="0 -960 960 960" fill="#ffffff" style="fill: #ffffff" aria-hidden="true" focusable="false"> <path d="m240-60-64-48 104-139v-213q0-31 5.5-68.5T300-596l-60 34v142h-80v-188l216-123q8-5 17-7t19-2q24 0 44 12t30 33l31 67q20 44 61 66t102 22v80h-39L860-78l-35 20-237-413q-40-13-72.5-37.5T460-568q-10 29-15.5 66.5T441-432l79 112v260h-80v-200l-71-102-9 142L240-60Zm220-700q-33 0-56.5-23.5T380-840q0-33 23.5-56.5T460-920q33 0 56.5 23.5T540-840q0 33-23.5 56.5T460-760Z" /> </svg>',
7823      eye: '<svg class="asw-main-icon" xmlns="http://www.w3.org/2000/svg" viewBox="0 -960 960 960" fill="#ffffff" style="fill: #ffffff" aria-hidden="true" focusable="false"><path d="m644-428-58-58q9-47-27-88t-93-32l-58-58q17-8 34.5-12t37.5-4q75 0 127.5 52.5T660-500q0 20-4 37.5T644-428Zm128 126-58-56q38-29 67.5-63.5T832-500q-50-101-143.5-160.5T480-720q-29 0-57 4t-55 12l-62-62q41-17 84-25.5t90-8.5q151 0 269 83.5T920-500q-23 59-60.5 109.5T772-302Zm20 246L624-222q-35 11-70.5 16.5T480-200q-151 0-269-83.5T40-500q21-53 53-98.5t73-81.5L56-792l56-56 736 736-56 56ZM222-624q-29 26-53 57t-41 67q50 101 143.5 160.5T480-280q20 0 39-2.5t39-5.5l-36-38q-11 3-21 4.5t-21 1.5q-75 0-127.5-52.5T300-500q0-11 1.5-21t4.5-21l-84-82Zm319 93Zm-151 75Z" /></svg>',
7824      accStraight: '<svg class="asw-main-icon" xmlns="http://www.w3.org/2000/svg" height="24px" viewBox="0 -960 960 960" fill="#ffffff" style="fill: #ffffff" aria-hidden="true" focusable="false"><path d="M480-720q-33 0-56.5-23.5T400-800q0-33 23.5-56.5T480-880q33 0 56.5 23.5T560-800q0 33-23.5 56.5T480-720ZM360-80v-520H120v-80h720v80H600v520h-80v-240h-80v240h-80Z" /></svg>',
7825      settings: '<svg class="asw-main-icon" xmlns="http://www.w3.org/2000/svg" viewBox="0 -960 960 960" fill="#ffffff" style="fill: #ffffff" aria-hidden="true" focusable="false">
7825<path d="m370-80-16-128q-13-5-24.5-12T307-235l-119 50L78-375l103-78q-1-7-1-13.5v-27q0-6.5 1-13.5L78-585l110-190 119 50q11-8 23-15t24-12l16-128h220l16 128q13 5 24.5 12t22.5 15l119-50 110 190-103 78q1 7 1 13.5v27q0 6.5-2 13.5l103 78-110 190-118-50q-11 8-23 15t-24 12L590-80H370Zm70-80h79l14-106q31-8 57.5-23.5T639-327l99 41 39-68-86-65q5-14 7-29.5t2-31.5q0-16-2-31.5t-7-29.5l86-65-39-68-99 42q-22-23-48.5-38.5T533-694l-13-106h-79l-14 106q-31 8-57.5 23.5T321-633l-99-41-39 68 86 64q-5 15-7 30t-2 32q0 16 2 31t7 30l-86 65 39 68 99-42q22 23 48.5 38.5T427-266l13 106Zm42-180q58 0 99-41t41-99q0-58-41-99t-99-41q-59 0-99.5 41T342-480q0 58 40.5 99t99.5 41Zm-2-140Z" /></svg>'
7826    };
7827
7828    var SIZES = {
7829      small: 40, '0.5x': 40,
7830      medium: 50, '1x': 50, default: 50,
7831      large: 60, '1.5x': 60,
7832      extraLarge: 75, '2x': 75
7833    };
7834
7835    function buildIconFromSettings() {
7836      var s = window.accessProWidgetSettings || {};
7837      var style = s.icon_style || 'thick';
7838      var square = s.icon_shape === 'square';
7839      // Defaults must match mergeSettings() in main.js and DEFAULT_SETTINGS in
7840      // app/constants/settings.js — both use #23185c for stroke AND fill — so a
7841      // metafield missing these keys renders identically on either path.
7842      var stroke = s.icon_color_stroke || '#23185c';
7843      var fill = s.icon_color_fill || '#23185c';
7844      var px = SIZES[s.icon_size] || 50;
7845      var solid = style === 'solid';
7846      var thin = style === 'thin';
7847      var shapes = '';
7848
7849      if (square) {
7850        var sizes = [
7851          [solid ? 100 : 98, stroke, 12],
7852          [solid ? 0 : thin ? 86 : 82, '#ffffff', 10],
7853          [solid || thin ? 80 : 70, fill, 8]
7854        ];
7855        sizes.forEach(function (d) {
7856          if (!d[0]) return;
7857          var off = (100 - d[0]) / 2;
7858          shapes += '<rect x="' + off + '" y="' + off + '" width="' + d[0] + '" height="' + d[0] +
7859            '" rx="' + d[2] + '" ry="' + d[2] + '" fill="' + d[1] + '" />';
7860        });
7861      } else {
7862        [
7863          [solid ? 50 : 49, stroke],
7864          [solid ? 0 : thin ? 43 : 41, '#ffffff'],
7865          [solid || thin ? 40 : 35, fill]
7866        ].forEach(function (d) {
7867          shapes += '<circle cx="50" cy="50" r="' + d[0] + '" fill="' + d[1] + '" />';
7868        });
7869      }
7870
7871      var name = GLYPHS[s.icon] ? s.icon : 'default';
7872      var box = document.createElement('div');
7873      box.className = 'asw-menu-btn-container';
7874      box.setAttribute('style', 'position:relative;width:' + px + 'px;height:' + px + 'px;');
7875      // The widget stylesheet may not be loaded when render() never ran, so
7876      // every layout-critical rule is inlined rather than left to the classes.
7877      box.innerHTML =
7878        '<span class="asw-menu-btn' + (square ? ' asw-menu-btn--square' : '') + '" aria-hidden="true"' +
7879        ' style="position:relative;display:flex;align-items:center;justify-content:center;' +
7880        'width:100%;height:100%;background:transparent;border:none;padding:0;margin:0;' +
7881        'border-radius:' + (square ? '12%' : '50%') + ';">' +
7882        '<svg class="asw-outer-svg" viewBox="0 0 100 100" aria-hidden="true" focusable="false"' +
7883        ' style="width:100%;height:100%;display:block;">' + shapes + '</svg>' +
7884        GLYPHS[name] + '</span>';
7885
7886      var glyph = box.querySelector('.asw-main-icon');
7887      if (glyph) {
7888        // .asw-main-icon sizes to 50% via CSS; the default glyph overrides to 45% inline.
7889        var pct = name === 'default' ? '45%' : '50%';
7890        glyph.setAttribute(
7891          'style',
7892          'position:absolute;top:50%;left:50%;transform:translate(-50%,-50%);' +
7893          'width:' + pct + ';height:' + pct + ';fill:#ffffff;z-index:100;'
7894        );
7895      }
7896      return box;
7897    }
7898
7899    /* Name from the host only. Text inside aria-hidden (the cloned icon) does not count. */
7900    function triggerNeedsName(el) {
7901      if ((el.getAttribute('aria-label') || '').trim()) return false;
7902      if ((el.getAttribute('aria-labelledby') || '').trim()) return false;
7903      if ((el.getAttribute('title') || '').trim()) return false;
7904      var node = el.firstChild;
7905      while (node) {
7906        if (node.nodeType === 3) {
7907          if (node.textContent.trim()) return false;
7908        } else if (node.nodeType === 1 && node.getAttribute('aria-hidden') !== 'true') {
7909          if (!triggerNeedsName(node)) return false;
7910        }
7911        node = node.nextSibling;
7912      }
7913      return true;
7914    }
7915
7916    function ensureTriggerName(el) {
7917      if (triggerNeedsName(el)) {
7918        el.setAttribute('aria-label', 'Open Accessibility Menu');
7919      }
7920    }
7921
7922    /* ---- wire one element ----------------------------------------------- */
7923    function bind(el) {
7924      if (el.dataset[BOUND]) return;
7925      el.dataset[BOUND] = '1';
7926
7927      el.addEventListener('click', openWidget);
7928      el.addEventListener('keydown', function (event) {
7929        if (event.key === 'Enter' || event.key === ' ') openWidget(event);
7930      });
7931
7932      // A non-anchor host (div/span) needs explicit button semantics.
7933      var tag = el.tagName.toLowerCase();
7934      if (tag !== 'a' && tag !== 'button') {
7935        if (!el.hasAttribute('role')) el.setAttribute('role', 'button');
7936        if (!el.hasAttribute('tabindex')) el.setAttribute('tabindex', '0');
7937      }
7938
7939      if (el.textContent.trim()) el.classList.add('acp-trigger--has-text');
7940      ensureTriggerName(el);
7941    }
7942
7943    function fillIcon(el, allowFallback) {
7944      if (el.dataset[FILLED]) return true;
7945      if (el.getAttribute('icon') !== 'true') return true;
7946
7947      // Prefer cloning the live icon; fall back to rebuilding from settings.
7948      var icon = buildIcon();
7949      if (!icon && (allowFallback || inlineMode)) icon = buildIconFromSettings();
7950      if (!icon) return false;
7951
7952      // The clone's size lives only in the container's inline style. If the
7953      // widget rendered without one, size it from settings so it cannot
7954      // collapse to zero height inside the merchant's layout.
7955      if (!/\bheight\s*:/.test(icon.getAttribute('style') || '')) {
7956        var px = SIZES[(window.accessProWidgetSettings || {}).icon_size] || 50;
7957        icon.style.position = 'relative';
7958        icon.style.width = px + 'px';
7959        icon.style.height = px + 'px';
7960      }
7961
7962      el.insertBefore(icon, el.firstChild);
7963      el.dataset[FILLED] = '1';
7964      ensureTriggerName(el);
7965      return true;
7966    }
7967
7968    /* ---- scan ------------------------------------------------------------ */
7969    /* Clicks are wired immediately so the trigger works before the icon
7970       renders; icons are filled in once the floating icon exists. */
7971    var pendingIcons = false;
7972
7973    function scan(allowFallback) {
7974      pendingIcons = false;
7975      document.querySelectorAll(SELECTOR).forEach(function (el) {
7976        bind(el);
7977        if (!fillIcon(el, allowFallback)) pendingIcons = true;
7978      });
7979    }
7980
7981    function start() {
7982      scan(inlineMode);
7983
7984      // Inline mode hides the floating icon, so build from settings immediately.
7985      if (inlineMode) {
7986        // console.log('[AccessPro] Inline triggers — using widget settings for icons');
7987      }
7988
7989      // The floating icon only renders after the settings request resolves and
7990      // the widget chunk loads, so poll until it appears. If it never does,
7991      // stop waiting and build the icon from settings instead.
7992      var FALLBACK_AFTER = 2500;
7993      var waited = 0;
7994      var timer = setInterval(function () {
7995        if (!pendingIcons) {
7996          clearInterval(timer);
7997          return;
7998        }
7999        waited += 200;
8000        if (waited < FALLBACK_AFTER) {
8001          scan(false);
8002          return;
8003        }
8004        fallbackReady = true;
8005        clearInterval(timer);
8006        scan(true);
8007        if (pendingIcons) {
8008          console.warn('[AccessPro] Could not render inline icons.');
8009        }
8010      }, 200);
8011
8012      // Catch triggers added later (theme editor re-renders, dynamic sections).
8013      // Debounced: the widget itself mutates the DOM heavily as it renders.
8014      if (window.MutationObserver) {
8015        var queued = false;
8016        new window.MutationObserver(function () {
8017          if (queued) return;
8018          queued = true;
8019          requestAnimationFrame(function () {
8020            queued = false;
8021            scan(fallbackReady || inlineMode);
8022          });
8023        }).observe(document.body, { childList: true, subtree: true });
8024      }
8025    }
8026
8027    if (document.readyState === 'loading') {
8028      document.addEventListener('DOMContentLoaded', start);
8029    } else {
8030      start();
8031    }
8032  })();
8033</script>
8033
8034
8035
8036</div>
8036<script src="https://cdn.shopify.com/storefront/standard-actions.js" type="module" data-source-attribution="shopify.standard_actions"></script>
8036
8037</body>
8038</html>

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