{"id":2919,"date":"2023-02-16T14:46:46","date_gmt":"2023-02-16T14:46:46","guid":{"rendered":"https:\/\/ecokleanwater.com\/credito\/"},"modified":"2023-03-03T18:06:13","modified_gmt":"2023-03-03T18:06:13","slug":"credito","status":"publish","type":"page","link":"https:\/\/ecokleanwater.com\/en\/credito\/","title":{"rendered":"Cr\u00e9dito"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2919\" class=\"elementor elementor-2919 elementor-2344\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f870d6a elementor-section-full_width elementor-section-stretched elementor-hidden-tablet elementor-hidden-mobile elementor-section-height-default elementor-section-height-default\" data-id=\"f870d6a\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;gradient&quot;,&quot;shape_divider_bottom&quot;:&quot;waves&quot;}\">\n\t\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M421.9,6.5c22.6-2.5,51.5,0.4,75.5,5.3c23.6,4.9,70.9,23.5,100.5,35.7c75.8,32.2,133.7,44.5,192.6,49.7\n\tc23.6,2.1,48.7,3.5,103.4-2.5c54.7-6,106.2-25.6,106.2-25.6V0H0v30.3c0,0,72,32.6,158.4,30.5c39.2-0.7,92.8-6.7,134-22.4\n\tc21.2-8.1,52.2-18.2,79.7-24.2C399.3,7.9,411.6,7.5,421.9,6.5z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7f8f04b\" data-id=\"7f8f04b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1329e02 elementor-widget elementor-widget-heading\" data-id=\"1329e02\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.10.1 - 17-01-2023 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">Applicant for credit application<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-93fe8ab elementor-widget elementor-widget-shortcode\" data-id=\"93fe8ab\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><style type=\"text\/css\">#nex-forms{display:none;}<\/style>\r\n\r\n\t\t\t<style type=\"text\/css\">\r\n\r\n\t\t\t\t#nex-forms.formulario_para_credito .nf-loader-lds-spinner div:after {background: #40C4FF; }\r\n\t\t\t\t#nex-forms.formulario_para_credito .nf-loader-lds-grid div {background: #40C4FF; }\r\n\t\t\t\t#nex-forms.formulario_para_credito .nf-loader-lds-ellipsis div { background: #40C4FF;}\r\n\t\t\t\t#nex-forms.formulario_para_credito .nf-loader-lds-default div {background: #40C4FF;}\r\n\t\t\t\t#nex-forms.formulario_para_credito .nf-loader-lds-roller div:after {background: #40C4FF;}\r\n\t\t\t\t#nex-forms.formulario_para_credito .nf-loader-lds-heart div,\r\n\t\t\t\t#nex-forms.formulario_para_credito .nf-loader-lds-heart div:after,\r\n\t\t\t\t#nex-forms.formulario_para_credito .nf-loader-lds-heart div:before {background: #40C4FF;}\r\n\r\n\r\n\t\t\t\t#nex-forms.formulario_para_credito .nf-loader-lds-facebook div {background: #40C4FF;}\r\n\t\t\t\t#nex-forms.formulario_para_credito .nf-loader-lds-circle > div {background: #40C4FF;}\r\n\r\n\t\t\t\t#nex-forms.formulario_para_credito .nf-loader-lds-dual-ring:after {border: 6px solid #40C4FF;border-color: #40C4FF transparent #40C4FF transparent;}\r\n\t\t\t\t#nex-forms.formulario_para_credito .nf-loader-lds-ring div {border: 8px solid #40C4FF;border-color: #40C4FF transparent transparent transparent;}\r\n\t\t\t\t#nex-forms.formulario_para_credito .nf-loader-lds-hourglass:after {border: 32px solid #40C4FF;border-color: #40C4FF transparent #40C4FF transparent;}\r\n\t\t\t\t#nex-forms.formulario_para_credito .nf-loader-lds-ripple div {border: 4px solid #40C4FF;}\r\n\t\t\t<\/style>\r\n\r\n\r\n\t\t\t<div id=\"nex-forms\" data-loader=\"ellipsis\"data-msg-hide-form=\"yes\" data-msg-position=\"top\" data-msg-placement=\"outside\"  class=\"nex-forms formulario_para_credito  \"><div class=\"pre_fill_fields\"><input type=\"hidden\" name=\"woocommerce-login-nonce\"  data-original-value=\"\" value=\"\"><input type=\"hidden\" name=\"_wpnonce\"  data-original-value=\"\" value=\"\"><input type=\"hidden\" name=\"woocommerce-reset-password-nonce\"  data-original-value=\"\" value=\"\"><\/div><div class=\"set_form_theme theme-default\"><div class=\"nex_success_message msg_top msgv2 animated hidden\" style=\"display:none;\"><div class=\"nex_success_message_container\" style=\"background: #fff; box-shadow: #00000033 0px 7px 16px 0px; border-radius: 4px; padding: 30px; border-color:#ddd;\"><div class=\"msg_text\"><div class=\"form_field all_fields icon html_fields wow bounceInUp\" data-settings=\".s-icon\" data-settings-tabs=\"#input-settings, #animation-settings\" style=\"margin-bottom: 15px;\" id=\"_21501\" data-animation-name=\"bounceInUp\">\n\t\t\t\t\t\t\t  <div class=\"edit_mask\"><\/div>\n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t<div class=\"icon_container_wrapper icon_center\">\n\t\t\t\t\t\t\t\t  <div class=\"icon_container\" id=\"field_container\" style=\"border-width: 0px; background-color: transparent;\">\n\t\t\t\t\t\t\t\t\t<div class=\"\">\n\t\t\t\t\t\t\t\t\t  <div class=\"input_container\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"the_input_element icon_element\" style=\"font-size: 50px; color: #8bc34a;\"><span class=\"fas fa-check-circle\"><\/span><\/div>\n\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form_field all_fields html html_fields wow fadeInDown\" data-settings=\".s-html\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings, #math-settings\" style=\"margin-bottom: 15px;\" data-animation-name=\"fadeInDown\" data-wow-delay=\"0.5s\">\n\t\t\t\t\t\t\t  <div class=\"edit_mask\"><\/div>\n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t\t\t  <div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t\t\t\t  <div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"the_input_element align_center\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\">Thank you for connecting with us. We will respond to you shortly.<\/div>\n\t\t\t\t\t\t\t\t\t\t<div style=\"clear:both;\"><\/div>\n\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/div><div data-timer-start=\"1\" data-timer-end=\"0\" class=\"inner-canvas-container ui-nex-forms-container  bootstrap\" id=\"ui-nex-forms-container\"  ><div class=\"current_step\" style=\"display:none;\">1<\/div><div class=\"last_visited_step\" style=\"display:none;\">1<\/div><div id=\"the_plugin_url\" style=\"display:none;\">https:\/\/ecokleanwater.com\/wp-content\/plugins\/nex-forms<\/div><div id=\"nf_save_form_progress\" style=\"display:none;\">false<\/div><div id=\"confirmation_page\" class=\"confirmation_page\" style=\"display:none;\"><\/div><div id=\"on_form_submmision\" class=\"on_form_submmision\" style=\"display:none;\">message<\/div><div class=\"hidden\" id=\"nf_ajax_url\" style=\"display:none;\">https:\/\/ecokleanwater.com\/wp-admin\/admin-ajax.php<\/div><div class=\"hidden\" id=\"paypal_return_url\" style=\"display:none;\">https:\/\/ecokleanwater.com\/en\/wp-json\/wp\/v2\/pages\/2919\/<\/div><div class=\"v7_container form_type_normal   \" style=\"background: url(https:\/\/ecokleanwater.com\/wp-content\/uploads\/2021\/07\/Ecoklean-icono-gota.png) 50% 0% \/ contain no-repeat #ffffff; box-shadow: #00000033 0px 7px 16px 0px; border-radius: 4px; padding: 30px; border-color: #dddddd;\"><div class=\"current_field_on_focus\" style=\"display:none\">1<\/div><form id=\"nf_form_30675\" class=\"submit-nex-form\" name=\"nex_form\" action=\"https:\/\/ecokleanwater.com\/wp-admin\/admin-ajax.php\" method=\"post\" enctype=\"multipart\/form-data\"><div class=\"step_transition_in\" style=\"display:none;\">fadeIn<\/div><div class=\"step_transition_out\" style=\"display:none;\">fadeOut<\/div><input type=\"hidden\" name=\"paypal_invoice\" value=\"6251130\"><input type=\"hidden\" name=\"nex_forms_Id\" value=\"1\"><input type=\"hidden\" name=\"page\" value=\"\/en\/wp-json\/wp\/v2\/pages\/2919\"><input type=\"hidden\" name=\"ip\" value=\"216.73.216.88\"><input type=\"hidden\" name=\"nf_page_id\" value=\"2919\"><input type=\"hidden\" name=\"nf_page_title\" value=\"Cr\u00e9dito\"><input type=\"text\" name=\"company_url\" value=\"\" placeholder=\"enter company url\" class=\"form-control req\">\n\t\t\t\t\t\t\t<div class=\"form_field hidden\" id=\"_76517\" style=\"\">\n\t\t\t\t\t\t\t\t<input class=\"ms_current_step\" value=\"1\" name=\"ms_current_step\" type=\"hidden\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"custom-fields step is_expanded nf_multi_step_1 is_grid\" id=\"_58655\" data-step-num=\"1\" style=\"\" data-settings=\".s-step\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading html_fields\" data-settings=\".s-headings\" data-settings-tabs=\"#input-settings, #animation-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" id=\"_18874\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h1 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element style_italic align_center\">Aplicante 1\/8<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-4 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_83507\" style=\"position: relative; top: 0px;\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_83507  col-sm-3 grid-target-0\" data-grid-width=\"3\" data-grid-num=\"0\"><div class=\"form_field all_fields name preset_fields required is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" id=\"_83076\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Analist Name<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"analist_name\" class=\"error_message required form-control the_input_element aling_left align_left style_italic\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Nombre del Analista\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_83507  col-sm-3 grid-target-1\" data-grid-width=\"3\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields is_focused required\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_78369\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Last Name<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"last_name\" class=\"form-control error_message the_input_element aling_left align_left style_italic required\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Apellido\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_83507  col-sm-3 grid-target-2\" data-grid-width=\"3\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields is_focused required\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_34457\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*First Name<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"first_name\" class=\"form-control error_message the_input_element aling_left align_left style_italic required\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Nombre\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_83507  col-sm-3 grid-target-3\" data-grid-width=\"3\" data-grid-num=\"3\"><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_53490\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">MI:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"mi:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-4 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_6431\" style=\"position: relative; top: 0px;\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_6431  col-sm-3 grid-target-0\" data-grid-width=\"3\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields is_focused required\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_4838\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*SSNN\/ITIN:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"ssnnitin:\" class=\"form-control error_message the_input_element aling_left align_left style_italic required\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"SOCIAL\/ITIN\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" id=\"_42387\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Expiration Date<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"expiration_date\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"mmddyyyy\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_6431  col-sm-3 grid-target-1\" data-grid-width=\"3\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields is_focused required\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_47976\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Date of Birth<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"date_of_birth\" class=\"form-control error_message the_input_element aling_left align_left required style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"mmddyyyy\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields check-group common_fields selection_fields radio-group\" data-settings=\".s-checks, .s-v-multi-selections\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px; margin-top: 0px;\" id=\"_47871\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"padding-top: 25px;\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e; margin-bottom: 0px;\"><\/span><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Minimum of {x} selections required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline radio-inline\" for=\"undefined_undefine\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"undefined[]\" id=\"undefined_undefine\" value=\"Undefine\" style=\"display: none;\"><a class=\"ui-state-default\" style=\"background: #ffffff;\"><\/a><\/div><span class=\"input-label check-label\">Undefine<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_6431  col-sm-3 grid-target-2\" data-grid-width=\"3\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_62289\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">DL:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"dl:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Licencia\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_6431  col-sm-3 grid-target-3\" data-grid-width=\"3\" data-grid-num=\"3\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_57549\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Expedition Date<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"expedition_date\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"mmddyyyy\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-4 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_63461\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_63461  col-sm-3 grid-target-0\" data-grid-width=\"3\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields required is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_13791\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Address<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"address\" class=\"form-control error_message the_input_element aling_left align_left required style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Buscar Direccion\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields email email preset_fields required\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_77977\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Email<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"email\" class=\"error_message required email form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid email address\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_63461  col-sm-3 grid-target-1\" data-grid-width=\"3\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields is_focused required\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_93806\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*City<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"city\" class=\"form-control error_message the_input_element aling_left align_left required style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Ciudad\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields check-group common_fields selection_fields radio-group\" data-settings=\".s-checks, .s-v-multi-selections\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px; margin-top: 0px;\" id=\"_24149\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"padding-top: 25px;\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e; margin-bottom: 0px;\"><\/span><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Minimum of {x} selections required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline radio-inline\" for=\"undefined_cash\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"undefined[]\" id=\"undefined_cash\" value=\"CASH\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">CASH<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_63461  col-sm-3 grid-target-2\" data-grid-width=\"3\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields is_focused required\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_45880\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Zip<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"zip\" class=\"form-control error_message the_input_element aling_left align_left required style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Zip\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_63461  col-sm-3 grid-target-3\" data-grid-width=\"3\" data-grid-num=\"3\"><div class=\"form_field all_fields text common_fields is_focused required\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; left: 0px; top: 0px;\" id=\"_25424\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*State<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"state\" class=\"form-control error_message the_input_element aling_left align_left required style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Estado\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_59032\" style=\"position: relative; top: 0px;\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_59032  col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"form_field all_fields phone_number phone_number preset_fields is_focused\" data-settings=\".s-text,s-phone, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_37314\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Cell Phone<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"cell_phone\" class=\"error_message phone_number form-control the_input_element aling_left align_left style_italic\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Movil\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_59032  col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"form_field all_fields phone_number phone_number preset_fields is_focused\" data-settings=\".s-text,s-phone, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_72456\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Phone<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"phone\" class=\"error_message phone_number form-control the_input_element aling_left align_left style_italic\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Telefono Casa\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_20525\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_20525  col-xs-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" id=\"_36075\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"prev-step svg_ready the_input_element btn btn-default\" data-ga=\"\">Back<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_20525  col-xs-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; left: 0px; top: 0px; margin-bottom: 15px;\" id=\"_27482\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"nex-step svg_ready the_input_element btn btn-default\" data-ga=\"\">Proximo<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step nf_multi_step_2 is_grid\" id=\"_39582\" data-step-num=\"2\" style=\"position: relative; left: 0px; top: 0px; display: none;\" data-settings=\".s-step\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading html_fields\" data-settings=\".s-headings\" data-settings-tabs=\"#input-settings, #animation-settings\" style=\"margin-bottom: 15px;\" id=\"_49598\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h1 class=\"the_input_element align_center style_italic\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\">Aplicante Informacion Sobre su Casa 2\/8<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" id=\"_66518\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_center\"><label class=\"nf_title \"><span class=\"the_label style_bold align_center\" style=\"font-size: 13px; color: #9e9e9e;\"><\/span><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline radio_selected\" for=\"undefined_mortage\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"undefined\" id=\"undefined_mortage\" value=\"Mortage\" style=\"display: none;\"><a class=\"checked ui-state-active ui-state-default\" style=\"background: #8bc34a;\"><\/a><span style=\"color:#ffffff;\" class=\"check-icon checked fa fa-circle\"><\/span><\/div><span class=\"input-label radio-label\">Mortage<\/span><\/span><\/label><label class=\"radio-inline\" for=\"undefined_paidpagada\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"undefined\" id=\"undefined_paidpagada\" value=\"Paid\/Pagada\" style=\"display: none;\"><a class=\"ui-state-default\" style=\"background: #ffffff;\"><\/a><\/div><span class=\"input-label radio-label\">Paid\/Pagada<\/span><\/span><\/label><label class=\"radio-inline \" for=\"undefined_rentrenta\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"undefined\" id=\"undefined_rentrenta\" value=\"Rent\/Renta\" style=\"display: none;\"><a class=\"fa ui-state-default\" style=\"background: #ffffff;\"><\/a><\/div><span class=\"input-label radio-label\">Rent\/Renta<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid-system-4 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_35010\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_35010  col-sm-3 grid-target-0\" data-grid-width=\"3\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_36305\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Mortage Company<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"mortage_company\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_35010  col-sm-3 grid-target-1\" data-grid-width=\"3\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_49149\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Payment $<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"payment_\" class=\"form-control error_message the_input_element aling_left align_right style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"0\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_35010  col-sm-3 grid-target-2\" data-grid-width=\"3\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_76820\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Year<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"year\" class=\"form-control error_message the_input_element aling_left align_right style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"0\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_35010  col-sm-3 grid-target-3\" data-grid-width=\"3\" data-grid-num=\"3\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_17738\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Month<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"month\" class=\"form-control error_message the_input_element aling_left align_right style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"0\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_47007\" style=\"position: relative; top: 0px;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_47007  col-xs-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" id=\"_63130\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"prev-step svg_ready the_input_element btn btn-default\" data-ga=\"\">Anterior<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_47007  col-xs-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; left: 0px; top: 0px; margin-bottom: 15px;\" id=\"_88108\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"nex-step svg_ready the_input_element btn btn-default\" data-ga=\"\">Proximo<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step nf_multi_step_3 is_grid\" id=\"_46140\" data-step-num=\"3\" style=\"display: none;\" data-settings=\".s-step\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading html_fields\" data-settings=\".s-headings\" data-settings-tabs=\"#input-settings, #animation-settings\" style=\"margin-bottom: 15px;\" id=\"_14414\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h1 class=\"the_input_element align_center style_italic\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\">Aplicante Ingresos 3\/8<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-4 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_3660\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_3660  col-sm-3 grid-target-0\" data-grid-width=\"3\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields is_focused required\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_63400\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Applicant Employer<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"applicant_employer\" class=\"form-control error_message the_input_element aling_left align_left required style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Empleador\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields check-group common_fields selection_fields radio-group\" data-settings=\".s-checks, .s-v-multi-selections\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_52159\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\"><\/span><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Minimum of {x} selections required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline radio-inline\" for=\"check_boxes_self_employer\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"check_boxes[]\" id=\"check_boxes_self_employer\" value=\"Self Employer\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">Self Employer<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_3660  col-sm-3 grid-target-1\" data-grid-width=\"3\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields required is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_86173\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Years<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"years\" class=\"form-control error_message the_input_element aling_left required align_right style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"0\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_3660  col-sm-3 grid-target-2\" data-grid-width=\"3\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_74917\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Months<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"months\" class=\"form-control error_message the_input_element aling_left align_right style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"0\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_3660  col-sm-3 grid-target-3\" data-grid-width=\"3\" data-grid-num=\"3\"><div class=\"form_field all_fields text common_fields is_focused required\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_58088\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Salary<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"salary\" class=\"form-control error_message the_input_element aling_left required align_right style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"0\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_72452\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_72452  col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_45350\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Occupation<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"occupation\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Ocupacion\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_72452  col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_15028\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Phone<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"phone\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Telefono\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_22540\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_22540  col-xs-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" id=\"_57121\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"prev-step svg_ready the_input_element btn btn-default\" data-ga=\"\">Anterior<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_22540  col-xs-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; left: 0px; top: 0px; margin-bottom: 15px;\" id=\"_50877\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"nex-step svg_ready the_input_element btn btn-default\" data-ga=\"\">Proximo<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step nf_multi_step_4 is_grid\" id=\"_85413\" data-step-num=\"4\" style=\"display: none;\" data-settings=\".s-step\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading html_fields\" data-settings=\".s-headings\" data-settings-tabs=\"#input-settings, #animation-settings\" style=\"margin-bottom: 15px;\" id=\"_40200\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h1 class=\"the_input_element style_italic align_center\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\">Aplicante Otros Ingresos 4\/8<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_72780\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_72780  col-sm-4 grid-target-0\" data-grid-width=\"4\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" id=\"_45767\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Previous Employer:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"previous_employer:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Empleador Anterior\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_72780  col-sm-4 grid-target-1\" data-grid-width=\"4\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" id=\"_14251\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Source of Other Income:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"source_of_other_income:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Origen Otros Ingresos\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_72780  col-sm-4 grid-target-2\" data-grid-width=\"4\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_87875\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Additional Income:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"additional_income:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Ingresos Adicionales\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_39172\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_39172  col-xs-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" id=\"_13127\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"prev-step svg_ready the_input_element btn btn-default\" data-ga=\"\">Anterior<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_39172  col-xs-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; left: 0px; top: 0px; margin-bottom: 15px;\" id=\"_49872\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"nex-step svg_ready the_input_element btn btn-default\" data-ga=\"\">Proximo<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step nf_multi_step_5 is_grid\" id=\"_44884\" data-step-num=\"5\" style=\"display: none;\" data-settings=\".s-step\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading html_fields\" data-settings=\".s-headings\" data-settings-tabs=\"#input-settings, #animation-settings\" style=\"margin-bottom: 15px;\" id=\"_18488\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h1 class=\"the_input_element align_center style_italic\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\">Referencias Personales 5\/8<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_83869\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_83869  col-sm-4 grid-target-0\" data-grid-width=\"4\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_41711\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Name Reference 1:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"name_reference_1:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Nombre\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_83869  col-sm-4 grid-target-1\" data-grid-width=\"4\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_29476\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Relationship:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"relationship:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Relacion\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_83869  col-sm-4 grid-target-2\" data-grid-width=\"4\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_57383\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Phone:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"phone:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Telefono\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_69930\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_69930  col-sm-4 grid-target-0\" data-grid-width=\"4\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_66355\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Name Reference 2:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"name_reference_2:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Nombre\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_69930  col-sm-4 grid-target-1\" data-grid-width=\"4\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_91090\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Relationship:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"relationship:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Relacion\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_69930  col-sm-4 grid-target-2\" data-grid-width=\"4\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_4700\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Phone:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"phone:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Telefono\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_84140\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_84140  col-sm-4 grid-target-0\" data-grid-width=\"4\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_97242\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Name Reference 3:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"name_reference_3:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Nombre\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_84140  col-sm-4 grid-target-1\" data-grid-width=\"4\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_86017\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Relationship:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"relationship:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Relacion\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_84140  col-sm-4 grid-target-2\" data-grid-width=\"4\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_37224\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Phone:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"phone:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Telefono\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_6570\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_6570  col-xs-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" id=\"_57356\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"prev-step svg_ready the_input_element btn btn-default\" data-ga=\"\">Anterior<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_6570  col-xs-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; left: 0px; top: 0px; margin-bottom: 15px;\" id=\"_54272\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"nex-step svg_ready the_input_element btn btn-default\" data-ga=\"\">Proximo<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step nf_multi_step_6 is_grid\" id=\"_82658\" data-step-num=\"6\" style=\"display: none;\" data-settings=\".s-step\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading html_fields\" data-settings=\".s-headings\" data-settings-tabs=\"#input-settings, #animation-settings\" style=\"margin-bottom: 15px;\" id=\"_55685\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h1 class=\"the_input_element align_center style_italic\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\">Co Aplicante Address 7\/8<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_77465\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_77465  col-sm-4 grid-target-0\" data-grid-width=\"4\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_34296\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\"><\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"text_field\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Direccion\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_77465  col-sm-4 grid-target-1\" data-grid-width=\"4\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_94856\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\"><\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"ciudad\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Ciudad\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_77465  col-sm-4 grid-target-2\" data-grid-width=\"4\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_98083\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\"><\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"text_field\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Zip\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_25399\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_25399  col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_85975\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Email:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"email:\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_25399  col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"panel-default\"><div class=\"panel-body\" style=\"\"><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_88362\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_88362  col-xs-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" id=\"_58973\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"prev-step svg_ready the_input_element btn btn-default\" data-ga=\"\">Anterior<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_88362  col-xs-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; left: 0px; top: 0px; margin-bottom: 15px;\" id=\"_6748\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"nex-step svg_ready the_input_element btn btn-default\" data-ga=\"\">Proximo<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step nf_multi_step_7 is_grid\" id=\"_51430\" data-step-num=\"7\" style=\"position: relative; top: 0px; display: none;\" data-settings=\".s-step\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid-system-3 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_16787\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_16787  col-sm-4 grid-target-0\" data-grid-width=\"4\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_16764\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Last Name:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"last_name:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Apellido\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_16787  col-sm-4 grid-target-1\" data-grid-width=\"4\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_22974\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">First Name:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"first_name:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Nombre\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_16787  col-sm-4 grid-target-2\" data-grid-width=\"4\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_83129\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Mi:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"mi:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Inicial\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_56621\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_56621  col-sm-4 grid-target-0\" data-grid-width=\"4\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" id=\"_68826\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">SSN\/ITIN:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"ssnitin:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Social\/Itin\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_56621  col-sm-4 grid-target-1\" data-grid-width=\"4\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_40001\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Date of Birth\/Fec. Nacimiento<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"date_of_birthfec_nacimiento\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"mmddyyyy\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_56621  col-sm-4 grid-target-2\" data-grid-width=\"4\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_27536\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Relationship\/Parentesco<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"relationshipparentesco\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-6 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_12902\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_12902  col-sm-2 grid-target-0\" data-grid-width=\"2\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" id=\"_384\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Text DL:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"text_dl:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Licencia\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_12902  col-sm-2 grid-target-1\" data-grid-width=\"2\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_227\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Expedition\/Fec Expedicion<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"expeditionfec_expedicion\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"mmddyyyy\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_12902  col-sm-2 grid-target-2\" data-grid-width=\"2\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_70822\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Expiration\/Fec. Expiracion<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"expirationfec_expiracion\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"mmddyyyy\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_12902  col-sm-2 grid-target-3\" data-grid-width=\"2\" data-grid-num=\"3\"><div class=\"form_field all_fields check-group common_fields selection_fields radio-group\" data-settings=\".s-checks, .s-v-multi-selections\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_95519\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Cell Phone:<\/span><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Minimum of {x} selections required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline radio-inline\" for=\"cell_phone:_undefine\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"cell_phone:[]\" id=\"cell_phone:_undefine\" value=\"Undefine\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">Undefine<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_12902  col-sm-2 grid-target-4\" data-grid-width=\"2\" data-grid-num=\"4\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_83348\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Cell Phone:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"cell_phone:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Movil\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_12902  col-sm-2 grid-target-5\" data-grid-width=\"2\" data-grid-num=\"5\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_21009\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Home Phone:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"home_phone:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Telefono\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_20016\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_20016  col-xs-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" id=\"_41659\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"prev-step svg_ready the_input_element btn btn-default\" data-ga=\"\">Back<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_20016  col-xs-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; left: 0px; top: 0px; margin-bottom: 15px;\" id=\"_47159\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"nex-step svg_ready the_input_element btn btn-default\" data-ga=\"\">Next<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step nf_multi_step_8 is_grid\" id=\"_94739\" data-step-num=\"8\" style=\"display: none;\" data-settings=\".s-step\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading html_fields\" data-settings=\".s-headings\" data-settings-tabs=\"#input-settings, #animation-settings\" style=\"margin-bottom: 15px;\" id=\"_34961\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h1 class=\"the_input_element align_center style_italic\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\">Co Aplicante Employer 8\/8<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-6 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_58232\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_58232  col-sm-2 grid-target-0\" data-grid-width=\"2\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_95110\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Coa Employer:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"coa_employer:\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Empleador\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields check-group common_fields selection_fields radio-group\" data-settings=\".s-checks, .s-v-multi-selections\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_87213\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\"><\/span><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Minimum of {x} selections required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline radio-inline\" for=\"check_boxes_self_employer\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"check_boxes[]\" id=\"check_boxes_self_employer\" value=\"Self Employer\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">Self Employer<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_58232  col-sm-2 grid-target-1\" data-grid-width=\"2\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_81366\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Years<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"years\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_58232  col-sm-2 grid-target-2\" data-grid-width=\"2\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_15378\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Months<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"months\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_58232  col-sm-2 grid-target-3\" data-grid-width=\"2\" data-grid-num=\"3\"><div class=\"form_field all_fields text common_fields\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_43487\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Salary:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"salary:\" class=\"form-control error_message the_input_element aling_left align_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_58232  col-sm-2 grid-target-4\" data-grid-width=\"2\" data-grid-num=\"4\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_32245\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Occupation<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"occupation\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Ocupacion\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_58232  col-sm-2 grid-target-5\" data-grid-width=\"2\" data-grid-num=\"5\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_88561\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Phone<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"phone\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Telefono\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_58758\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_58758  col-sm-4 grid-target-0\" data-grid-width=\"4\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_67271\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Previous Employer:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"previous_employer:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Empleo Anterior\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_58758  col-sm-4 grid-target-1\" data-grid-width=\"4\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_82729\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Source of Other Income:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"source_of_other_income:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Origen Otros Ingresos\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_58758  col-sm-4 grid-target-2\" data-grid-width=\"4\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields is_focused\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_2243\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Additional Income:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"additional_income:\" class=\"form-control error_message the_input_element aling_left align_left style_italic\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" placeholder=\"Ingresos Adicionales\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_61385\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_61385  col-xs-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" id=\"_73002\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"prev-step svg_ready the_input_element btn btn-default\" data-ga=\"\">Anterior<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_61385  col-xs-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_69205\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container align_right\"><button class=\"nex-submit svg_ready the_input_element btn btn-default\" data-ga=\"\">Finalizar<\/button><\/div><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div style=\"clear:both;\"><\/div><\/form><\/div><\/div><\/div><\/div><style type=\"text\/css\" class=\"nex-forms-custom-css\"><\/style><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ab1f131 elementor-hidden-desktop elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ab1f131\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-711b7ff\" data-id=\"711b7ff\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-db165f8 elementor-widget elementor-widget-heading\" data-id=\"db165f8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Por seguridad es indispensable realizar este cuestionario desde un ordenador.<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cdfbd4d elementor-widget elementor-widget-image\" data-id=\"cdfbd4d\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.10.1 - 17-01-2023 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"512\" height=\"512\" src=\"https:\/\/ecokleanwater.com\/wp-content\/uploads\/2023\/02\/no-phone.png\" class=\"attachment-large size-large wp-image-2381\" alt=\"\" srcset=\"https:\/\/ecokleanwater.com\/wp-content\/uploads\/2023\/02\/no-phone.png 512w, https:\/\/ecokleanwater.com\/wp-content\/uploads\/2023\/02\/no-phone-300x300.png 300w, https:\/\/ecokleanwater.com\/wp-content\/uploads\/2023\/02\/no-phone-150x150.png 150w, https:\/\/ecokleanwater.com\/wp-content\/uploads\/2023\/02\/no-phone-370x370.png 370w, https:\/\/ecokleanwater.com\/wp-content\/uploads\/2023\/02\/no-phone-500x500.png 500w, https:\/\/ecokleanwater.com\/wp-content\/uploads\/2023\/02\/no-phone-120x120.png 120w, https:\/\/ecokleanwater.com\/wp-content\/uploads\/2023\/02\/no-phone-400x400.png 400w\" sizes=\"auto, (max-width: 512px) 100vw, 512px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Applicant for credit application Por seguridad es indispensable realizar este cuestionario desde un ordenador.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2919","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ecokleanwater.com\/en\/wp-json\/wp\/v2\/pages\/2919","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ecokleanwater.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ecokleanwater.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ecokleanwater.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ecokleanwater.com\/en\/wp-json\/wp\/v2\/comments?post=2919"}],"version-history":[{"count":4,"href":"https:\/\/ecokleanwater.com\/en\/wp-json\/wp\/v2\/pages\/2919\/revisions"}],"predecessor-version":[{"id":3046,"href":"https:\/\/ecokleanwater.com\/en\/wp-json\/wp\/v2\/pages\/2919\/revisions\/3046"}],"wp:attachment":[{"href":"https:\/\/ecokleanwater.com\/en\/wp-json\/wp\/v2\/media?parent=2919"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}