{"id":730,"date":"2026-05-09T11:40:47","date_gmt":"2026-05-09T11:40:47","guid":{"rendered":"https:\/\/applensolutions.com\/fundraising\/?page_id=730"},"modified":"2026-05-09T13:08:02","modified_gmt":"2026-05-09T13:08:02","slug":"actor-donate","status":"publish","type":"page","link":"https:\/\/applensolutions.com\/fundraising\/actor-donate\/","title":{"rendered":"Actor Donate"},"content":{"rendered":"<!--themify_builder_content-->\n<div id=\"themify_builder_content-730\" data-postid=\"730\" class=\"themify_builder_content themify_builder_content-730 themify_builder tf_clear\">\n                    <div  data-lazy=\"1\" class=\"module_row themify_builder_row tb_yege008 tb_first tf_w\">\n                        <div class=\"row_inner col_align_top tb_col_count_1 tf_box tf_rel\">\n                        <div  data-lazy=\"1\" class=\"module_column tb-column col-full tb_pc5j706 first\">\n                    <!-- module plain text -->\n<div  class=\"module module-plain-text tb_qnbw477 \" 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#112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Actor Donation From<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/fundraising\/wp-json\/wp\/v2\/pages\/730' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_3_7\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div id=\"dynamic-actor-poster-container\" style=\"display:none; background-color: #143c1c; border-radius: 6px; max-width: 400px; margin: 0 auto; overflow: hidden; box-shadow: 0 15px 35px rgba(0,0,0,0.2); font-family: inherit; text-align: center; padding-bottom: 25px;\">\n    \n    <div style=\"padding: 25px 10px 15px;\">\n        <span id=\"dynamic-actor-movie\" style=\"background-color: #fde263; color: #111; padding: 6px 15px; border-radius: 20px; font-weight: 800; font-size: 14px; text-transform: uppercase; display: inline-block; box-shadow: 0 4px 10px rgba(0,0,0,0.1);\">\ud83c\udfac Loading...<\/span>\n    <\/div>\n    \n    <img decoding=\"async\" id=\"dynamic-actor-image\" src=\"\" style=\"width: 220px; height: 280px; object-fit: cover; border-radius: 12px; border: 3px solid #fde263; margin: 0 auto 15px auto; display: block;\" alt=\"Actor Photo\">\n    \n    <div style=\"padding: 0 20px; color: white;\">\n        <p style=\"font-size: 14px; opacity: 0.9; margin: 0 0 5px 0; font-weight: 600;\">You'll be proudly supporting<\/p>\n        <h3 id=\"dynamic-actor-name\" style=\"color: #fde263; margin: 0 0 10px 0; font-size: 26px; font-weight: 800;\">Loading Actor...<\/h3>\n        <p style=\"font-size: 13px; line-height: 1.5; opacity: 0.9; margin: 0;\">as they help raise vital funds for <br><strong style=\"font-size: 14px; color: #fde263;\">Rhode GAA & LGFA \ud83d\udc9a\ud83d\udc9b<\/strong><\/p>\n    <\/div>\n<\/div><\/div><fieldset id=\"field_3_3\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_3_3 gfield_product_3_3 gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Donation Amount<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_3'>\n\t\t\t<div class='gchoice gchoice_3_3_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='10|10'  id='choice_3_3_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_3_3\"   \/>\n\t\t\t\t\t<label for='choice_3_3_0' id='label_3_3_0' class='gform-field-label gform-field-label--type-inline'>\u20ac10<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_3_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='20|20'  id='choice_3_3_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_3_1' id='label_3_3_1' class='gform-field-label gform-field-label--type-inline'>\u20ac20<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_3_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='25|25'  id='choice_3_3_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_3_2' id='label_3_3_2' class='gform-field-label gform-field-label--type-inline'>\u20ac25<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_3_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='50|50'  id='choice_3_3_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_3_3' id='label_3_3_3' class='gform-field-label gform-field-label--type-inline'>\u20ac50<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_3_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='100|100'  id='choice_3_3_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_3_4' id='label_3_3_4' class='gform-field-label gform-field-label--type-inline'>\u20ac100<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_3_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='Other amount|0'  id='choice_3_3_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_3_5' id='label_3_3_5' class='gform-field-label gform-field-label--type-inline'>Other amount<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_3_3'>Choose how much you would like to donate.<\/div><\/fieldset><div id=\"field_3_4\" class=\"gfield gfield--type-product gfield--input-type-price gfield--width-full gfield_price gfield_price_3_4 gfield_product_3_4 field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_4'>Other Amount<\/label><div class='ginput_container ginput_container_product_price'>\n\t\t\t\t\t<input name='input_4' id='input_3_4' type='text' value='' class='medium ginput_amount'    aria-invalid=\"false\"  \/>\n\t\t\t\t<\/div><\/div><fieldset id=\"field_3_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_3_1'>\n                            \n                            <span id='input_3_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_3_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_1.3' id='input_3_1_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            \n                            <span id='input_3_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_3_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_1.6' id='input_3_1_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_3_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_3_2_container'>\n                                <span id='input_3_2_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_3_2' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                    <input class='' type='email' name='input_2' id='input_3_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <span id='input_3_2_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_3_2_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                    <input class='' type='email' name='input_2_2' id='input_3_2_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><fieldset id=\"field_3_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How would you like us to display your name?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_3_9'><div style=\"width:100%; padding:26px 24px; border:2px solid #d4af37; border-radius: 6px; overflow: hidden; background-color: #215452; color:#fff; text-align:left; box-sizing:border-box;\">\n    \n    <div style=\"text-align:center; margin-bottom: 20px;\">\n        <div style=\"width:56px; height:56px; border-radius:50%; background:#d4af37; color:#1a1a1a; display:flex; align-items:center; justify-content:center; font-weight:700; font-size:22px; margin: 0 auto 10px auto;\">\ud83d\udcac<\/div>\n        <div style=\"font-size:20px; font-weight:700; text-transform:uppercase; color:#f7d774; margin-bottom:10px;\">How would you like your name to appear?<\/div>\n    <\/div>\n    \n    <div style=\"margin:15px 0; padding:14px; border:1px dashed rgba(212,175,55,.7); border-radius:12px; background:rgba(255,255,255,.06); font-size:14px; line-height:1.5;\">\n        We list donations on our website to recognise every contribution. Please choose one of the options below:\n        <ul style=\"margin: 10px 0 0 20px; padding: 0; list-style-type: disc;\">\n            <li style=\"margin-bottom: 5px;\">Full name<\/li>\n            <li style=\"margin-bottom: 5px;\">First name only<\/li>\n            <li style=\"margin-bottom: 5px;\">Anonymous (no name shown)<\/li>\n            <li style=\"margin-bottom: 0;\">Other \u2014 tell us how you\u2019d like it displayed<\/li>\n        <\/ul>\n    <\/div>\n    \n    <div style=\"font-size:13px; opacity:0.9; text-align:center; margin-top:15px; border-top: 1px solid rgba(255,255,255,0.1); padding-top: 10px;\">\n        <span style=\"font-size:16px;\">\u2764\ufe0f<\/span> We\u2019ll also send an email to <span class=\"live-target-name\" style=\"font-weight:bold; color:#f7d774;\">Loading...<\/span> letting them know you\u2019ve made a donation.\n    <\/div>\n<\/div><\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_9'>\n\t\t\t<div class='gchoice gchoice_3_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Full name'  id='choice_3_9_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_3_9\"   \/>\n\t\t\t\t\t<label for='choice_3_9_0' id='label_3_9_0' class='gform-field-label gform-field-label--type-inline'>Full name<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='First name only'  id='choice_3_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_9_1' id='label_3_9_1' class='gform-field-label gform-field-label--type-inline'>First name only<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_9_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Anonymous'  id='choice_3_9_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_9_2' id='label_3_9_2' class='gform-field-label gform-field-label--type-inline'>Anonymous<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_9_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='gf_other_choice'  id='choice_3_9_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_9_3' id='label_3_9_3' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_3_9_other' class='gchoice_other_control' name='input_9_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_8\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"live-name-preview\" style=\"font-size: 15px; margin: 15px 0; color: #444; font-family: Verdana, sans-serif;\">\n    Display my name as: <strong style=\"color: #0d3416;\">(Type your name above)<\/strong>\n<\/div><\/div><fieldset id=\"field_3_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Add a message to your donation?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_10'>\n\t\t\t<div class='gchoice gchoice_3_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Yes'  id='choice_3_10_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_10_0' id='label_3_10_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='No'  id='choice_3_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_10_1' id='label_3_10_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_11\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div style=\"font-family: inherit; background-color: #ffffff; border: 1px solid #e0e0e0; border-left: 5px solid #28a745; border-radius: 6px; padding: 18px 20px; color: #333333; max-width: 100%; box-shadow: 0 2px 8px rgba(0,0,0,0.05); margin: 15px 0;\">\n  \n  <div style=\"margin: 0 0 12px 0; font-size: 16px; font-weight: 700; color: #2c3e50; line-height: 1.4;\">\n    We'll display the following on our website after you complete the form\n  <\/div>\n  \n  <div style=\"font-size: 15px; line-height: 1.6;\">\n    <strong style=\"color: #0d3416;\"><span class=\"live-name-tag\">Your Name<\/span><\/strong> \n    just sponsored \n    <strong style=\"color: #0d3416;\"><span class=\"live-movie-tag\">Selected Movie<\/span><\/strong><br>\n    \n    <div style=\"margin-top: 8px; font-weight: 700; color: #444444;\">\n      Message: <span style=\"font-weight: 400; color: #333333;\" class=\"live-message-tag\"><\/span>\n    <\/div>\n  <\/div>\n\n<\/div><\/div><div id=\"field_3_12\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_12'>Your Good Luck Message<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_3_12'><div style=\"width:100%; padding:26px 24px; border:2px solid #d4af37; border-radius: 6px; overflow: hidden; background-color: #215452; color:#fff; text-align:center; box-sizing:border-box;\">\n    <div style=\"display:flex; flex-direction:column; align-items:center; gap:8px;\">\n        <div style=\"width:56px; height:56px; border-radius:50%; background:#d4af37; color:#1a1a1a; display:flex; align-items:center; justify-content:center; font-weight:700; font-size:22px;\">\ud83c\udfac<\/div>\n        <div style=\"font-size:22px; font-weight:700;\">Add a good luck message for <span class=\"live-target-name\" style=\"color:#f7d774;\">Loading...<\/span><\/div>\n        <div style=\"font-size:14px; opacity:.9;\">Make it short, friendly, and encouraging.<\/div>\n    <\/div>\n    \n    <div style=\"margin:15px auto; padding:14px; border:1px dashed rgba(212,175,55,.7); border-radius:12px; background:rgba(255,255,255,.06);\">\n        \"Best of luck, <span class=\"live-target-name\" style=\"color:#f7d774;\">Loading...<\/span> - you've got this! \ud83d\udc9a\ud83d\udc9b\"\n    <\/div>\n    \n    <div style=\"max-width:800px; margin:0 auto; padding:12px 14px; border-radius:10px; background:rgba(0,0,0,0.35); display:flex; align-items:center; justify-content:center; gap:8px;\">\n        <span style=\"font-size:16px;\">\ud83d\udce3<\/span>\n        <span style=\"font-size:14px;\">Please note <strong>all messages are public<\/strong>.<\/span>\n    <\/div>\n<\/div><\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_12' id='input_3_12' class='textarea large'  aria-describedby=\"gfield_description_3_12\"  placeholder='Add a good luck message' aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_3_5\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_3_ gfield_total gfield_total_3_ field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_3_5'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_5' id='input_3_5' value='0.00 &#8364;' class='gform-text-input-reset ginput_total ginput_total_3' \/>\n\t\t\t\t\t\t<\/div><\/div><div id=\"field_3_13\" class=\"gfield gfield--type-stripe_creditcard gfield--input-type-stripe_creditcard gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--type-stripe_creditcard-payment-element\"  ><label class='gfield_label gfield_label_before_complex gform-field-label' for='input_3_13_1'>Credit Card<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_creditcard ginput_stripe_creditcard gform-grid-row' id='input_3_13'><div class='ginput_full gform-grid-col' id='input_3_13_1_container' data-payment-element='true'><div id='input_3_13_1' class='StripeElement--payment-element'><\/div><\/div><!-- .ginput_full --><\/div><!-- .ginput_container -->\r\n\t\t\t<style type=\"text\/css\">\r\n\t\t\t\t:root {\r\n  \t\t\t\t\t--link-login-string: \"Link login\"\r\n\t\t\t\t}\r\n\t\t\t<\/style><\/div><div id=\"field_3_15\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_15' id='input_3_15' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_3_14\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_14' id='input_3_14' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_3_16\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_16' id='input_3_16' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input 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