{"id":38942,"date":"2023-07-08T12:57:08","date_gmt":"2023-07-08T09:27:08","guid":{"rendered":"https:\/\/asmart.ir\/?page_id=38942"},"modified":"2023-11-29T16:11:03","modified_gmt":"2023-11-29T12:41:03","slug":"representation","status":"publish","type":"page","link":"https:\/\/asmart.ir\/representation\/","title":{"rendered":"\u062f\u0631\u062e\u0648\u0627\u0633\u062a \u0646\u0645\u0627\u06cc\u0646\u062f\u06af\u06cc"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"38942\" class=\"elementor elementor-38942\">\n\t\t\t\t\t\t\t\t\t<section class=\"wd-negative-gap elementor-section elementor-top-section elementor-element elementor-element-210cff1 elementor-section-boxed elementor-section-height-default elementor-section-height-default wd-section-disabled\" data-id=\"210cff1\" 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-04477ca\" data-id=\"04477ca\" 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-61dfa3d elementor-arrows-position-inside elementor-pagination-position-outside elementor-widget elementor-widget-image-carousel\" data-id=\"61dfa3d\" data-element_type=\"widget\" data-settings=\"{&quot;slides_to_show&quot;:&quot;1&quot;,&quot;navigation&quot;:&quot;both&quot;,&quot;autoplay&quot;:&quot;yes&quot;,&quot;pause_on_hover&quot;:&quot;yes&quot;,&quot;pause_on_interaction&quot;:&quot;yes&quot;,&quot;autoplay_speed&quot;:5000,&quot;infinite&quot;:&quot;yes&quot;,&quot;effect&quot;:&quot;slide&quot;,&quot;speed&quot;:500}\" data-widget_type=\"image-carousel.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-image-carousel-wrapper swiper-container\" dir=\"ltr\">\n\t\t\t<div class=\"elementor-image-carousel swiper-wrapper\" aria-live=\"off\">\n\t\t\t\t\t\t\t\t<div class=\"swiper-slide\" role=\"group\" aria-roledescription=\"slide\" aria-label=\"1 \u0627\u0632 1\"><figure class=\"swiper-slide-inner\"><img decoding=\"async\" class=\"swiper-slide-image\" src=\"https:\/\/asmart.ir\/wp-content\/uploads\/2023\/11\/\u0646\u0645\u0627\u06cc\u0646\u062f\u06af\u06cc.png\" alt=\"\u0646\u0645\u0627\u06cc\u0646\u062f\u06af\u06cc\" \/><\/figure><\/div>\t\t\t<\/div>\n\t\t\t\t\t<\/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=\"wd-negative-gap elementor-section elementor-top-section elementor-element elementor-element-f48749d elementor-section-boxed elementor-section-height-default elementor-section-height-default wd-section-disabled\" data-id=\"f48749d\" 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-6629976\" data-id=\"6629976\" 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-3416910 elementor-widget elementor-widget-shortcode\" data-id=\"3416910\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\n        <script type=\"text\/javascript\">\n\n            (function ($) {\n\n                window.gform_multi_page_navObj = function (args) {\n\n                    this.formId = args.formId;\n                    this.formElem = jQuery('form#gform_' + this.formId);\n                    this.currentPage = args.currentPage;\n                    this.lastPage = args.lastPage;\n                    this.activateOnLastPage = args.activateOnLastPage;\n\n                    this.init = function () {\n\n                        \/\/ if this form is ajax-enabled, we'll need to get the current page via JS\n                        if (this.isAjax())\n                            this.currentPage = this.getCurrentPage();\n\n                        if (!this.isLastPage() && !this.isLastPageReached())\n                            return;\n\n                        var gform_multi_page_nav = this;\n                        var steps = $('form#gform_' + this.formId + ' .gf_step');\n\n                        steps.each(function () {\n\n                            var stepNumber = parseInt($(this).find('span.gf_step_number').text());\n\n                            if (stepNumber != gform_multi_page_nav.currentPage) {\n                                $(this).html(gform_multi_page_nav.createPageLink(stepNumber, $(this).html()))\n                                    .addClass('gform_multi_page_nav-step-linked');\n                            } else {\n                                $(this).addClass('gform_multi_page_nav-step-current');\n                            }\n\n                        });\n\n                        $(document).on('click', '#gform_' + this.formId + ' a.gform_multi_page_nav-page-link', function (event) {\n                            event.preventDefault();\n\n                            var hrefArray = $(this).attr('href').split('#');\n                            if (hrefArray.length >= 2) {\n                                var pageNumber = hrefArray.pop();\n                                gform_multi_page_nav.postToPage(pageNumber, !$(this).hasClass('gform_multi_page_navmp-default'));\n                            }\n\n                        });\n\n                    };\n\n                    this.createPageLink = function (stepNumber, HTML) {\n                        return '<a href=\"#' + stepNumber + '\" class=\"gform_multi_page_nav-page-link gform_multi_page_nav-default\">' + HTML + '<\/a>';\n                    };\n\n                    this.postToPage = function (page) {\n                        this.formElem.append('<input type=\"hidden\" name=\"gform_multi_page_nav_page_change\" value=\"1\" \/>');\n                        this.formElem.find('input[name=\"gform_target_page_number_' + this.formId + '\"]').val(page);\n                        this.formElem.submit();\n                    };\n\n                    this.getCurrentPage = function () {\n                        return this.formElem.find('input#gform_source_page_number_' + this.formId).val();\n                    };\n\n                    this.isLastPage = function () {\n                        return this.currentPage >= this.lastPage;\n                    };\n\n                    this.isLastPageReached = function () {\n                        return this.formElem.find('input[name=\"gform_multi_page_nav_last_page_reached\"]').val() == true;\n                    };\n\n                    this.isAjax = function () {\n                        return this.formElem.attr('target') == 'gform_ajax_frame_' + this.formId;\n                    };\n\n                    this.init();\n\n                }\n\n            })(jQuery);\n\n        <\/script>\n\n\t\t        <style type=\"text\/css\">\r\n            \r\n\t\t\t\t\thtml[dir=\"rtl\"] #input_1_76_4_container{\r\n\t\t\t\t\t\tfloat: right !important;\r\n\t\t\t\t\t\tpadding-right: 0 !important;\r\n\t\t\t\t\t\tpadding-left: 16px !important;\r\n\t\t\t\t\t}\r\n\t\t\t\t\thtml[dir=\"rtl\"] #input_1_76_3_container{\r\n\t\t\t\t\t\tfloat: left !important;\r\n\t\t\t\t\t\tpadding-right: 0 !important;\r\n\t\t\t\t\t\tpadding-left: 0 !important;\r\n\t\t\t\t\t}        <\/style>\r\n\t\t            <script type=\"text\/javascript\">\r\n\t\t\t\t                function ir_national_id_66(_this) {\r\n\t\t\t\t\t                }\r\n            <\/script>\r\n\t\t\t\t\t<div class=\"elementor-shortcode\"><script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_1' ><div id='gf_1' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">\u062f\u0631\u062e\u0648\u0627\u0633\u062a \u0646\u0645\u0627\u06cc\u0646\u062f\u06af\u06cc<\/h2>\n                            <p class='gform_description'>\u0628\u0631\u0627\u06cc \u0627\u062e\u0630 \u0646\u0645\u0627\u06cc\u0646\u062f\u06af\u06cc \u0645\u062d\u0635\u0648\u0644\u0627\u062a \u0622\u062a\u06cc\u0647 \u0627\u0633\u0645\u0627\u0631\u062a (\u0622.\u0627\u0633\u0645\u0627\u0631\u062a) \u062f\u0631 \u0633\u0631\u0627\u0633\u0631 \u06a9\u0634\u0648\u0631\u060c \u0644\u0637\u0641\u0627 \u0641\u0631\u0645 \u0632\u06cc\u0631 \u0631\u0627 \u062a\u06a9\u0645\u06cc\u0644 \u0646\u0645\u0627\u0626\u06cc\u062f.<\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot;\u0641\u06cc\u0644\u062f\u0647\u0627\u06cc \u0636\u0631\u0648\u0631\u06cc \u0631\u0627 \u0646\u0634\u0627\u0646 \u0645\u06cc \u062f\u0647\u062f<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/wp-json\/wp\/v2\/pages\/38942#gf_1' data-formid='1' >\n        <div id='gf_progressbar_wrapper_1' class='gf_progressbar_wrapper'>\n        \t<p class=\"gf_progressbar_title\">\u0645\u0631\u062d\u0644\u0647 <span class='gf_step_current_page'>1<\/span> \u0627\u0632 <span class='gf_step_page_count'>2<\/span> - \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0634\u062e\u0635\u06cc\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_50' style='width:50%;'><span>50%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_1_1' class='gform_page ' >\n                                    <div class='gform_page_fields'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_above'><fieldset id=\"field_1_40\"  class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_40\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >\u0645\u0634\u062e\u0635\u0627\u062a \u0641\u0631\u062f\u06cc \u0645\u062a\u0642\u0627\u0636\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_1_40'>\n                            \n                            <span id='input_1_40_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_1_40_3' class='gform-field-label gform-field-label--type-sub '>\u0646\u0627\u0645:<\/label>\n                                                    <input type='text' name='input_40.3' id='input_1_40_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_1_40_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_1_40_6' class='gform-field-label gform-field-label--type-sub '>\u0646\u0627\u0645 \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u06cc:<\/label>\n                                                            <input type='text' name='input_40.6' id='input_1_40_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_1_43\"  class=\"gfield gfield--type-date gfield--input-type-datedropdown gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_43\"><legend class='gfield_label gform-field-label'  >\u062a\u0627\u0631\u06cc\u062e \u062a\u0648\u0644\u062f \u0645\u062a\u0642\u0627\u0636\u06cc:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div id='input_1_43' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_1_43_3_container'><select name='input_43[]' id='input_1_43_3'   aria-required='true'  ><option value=''>\u0633\u0627\u0644<\/option><option value='1424' >1424<\/option><option value='1423' >1423<\/option><option value='1422' >1422<\/option><option value='1421' >1421<\/option><option value='1420' >1420<\/option><option value='1419' >1419<\/option><option value='1418' >1418<\/option><option value='1417' >1417<\/option><option value='1416' >1416<\/option><option value='1415' >1415<\/option><option value='1414' >1414<\/option><option value='1413' >1413<\/option><option value='1412' >1412<\/option><option value='1411' >1411<\/option><option value='1410' >1410<\/option><option value='1409' >1409<\/option><option value='1408' >1408<\/option><option value='1407' >1407<\/option><option value='1406' >1406<\/option><option value='1405' >1405<\/option><option value='1404' >1404<\/option><option value='1403' >1403<\/option><option value='1402' >1402<\/option><option value='1401' >1401<\/option><option value='1400' >1400<\/option><option value='1399' >1399<\/option><option value='1398' >1398<\/option><option value='1397' >1397<\/option><option value='1396' >1396<\/option><option value='1395' >1395<\/option><option value='1394' >1394<\/option><option value='1393' >1393<\/option><option value='1392' >1392<\/option><option value='1391' >1391<\/option><option value='1390' >1390<\/option><option value='1389' >1389<\/option><option value='1388' >1388<\/option><option value='1387' >1387<\/option><option value='1386' >1386<\/option><option value='1385' >1385<\/option><option value='1384' >1384<\/option><option value='1383' >1383<\/option><option value='1382' >1382<\/option><option value='1381' >1381<\/option><option value='1380' >1380<\/option><option value='1379' >1379<\/option><option value='1378' >1378<\/option><option value='1377' >1377<\/option><option value='1376' >1376<\/option><option value='1375' >1375<\/option><option value='1374' >1374<\/option><option value='1373' >1373<\/option><option value='1372' >1372<\/option><option value='1371' >1371<\/option><option value='1370' >1370<\/option><option value='1369' >1369<\/option><option value='1368' >1368<\/option><option value='1367' >1367<\/option><option value='1366' >1366<\/option><option value='1365' >1365<\/option><option value='1364' >1364<\/option><option value='1363' >1363<\/option><option value='1362' >1362<\/option><option value='1361' >1361<\/option><option value='1360' >1360<\/option><option value='1359' >1359<\/option><option value='1358' >1358<\/option><option value='1357' >1357<\/option><option value='1356' >1356<\/option><option value='1355' >1355<\/option><option value='1354' >1354<\/option><option value='1353' >1353<\/option><option value='1352' >1352<\/option><option value='1351' >1351<\/option><option value='1350' >1350<\/option><option value='1349' >1349<\/option><option value='1348' >1348<\/option><option value='1347' >1347<\/option><option value='1346' >1346<\/option><option value='1345' >1345<\/option><option value='1344' >1344<\/option><option value='1343' >1343<\/option><option value='1342' >1342<\/option><option value='1341' >1341<\/option><option value='1340' >1340<\/option><option value='1339' >1339<\/option><option value='1338' >1338<\/option><option value='1337' >1337<\/option><option value='1336' >1336<\/option><option value='1335' >1335<\/option><option value='1334' >1334<\/option><option value='1333' >1333<\/option><option value='1332' >1332<\/option><option value='1331' >1331<\/option><option value='1330' >1330<\/option><option value='1329' >1329<\/option><option value='1328' >1328<\/option><option value='1327' >1327<\/option><option value='1326' >1326<\/option><option value='1325' >1325<\/option><option value='1324' >1324<\/option><option value='1323' >1323<\/option><option value='1322' >1322<\/option><option value='1321' >1321<\/option><option value='1320' >1320<\/option><option value='1319' >1319<\/option><option value='1318' >1318<\/option><option value='1317' >1317<\/option><option value='1316' >1316<\/option><option value='1315' >1315<\/option><option value='1314' >1314<\/option><option value='1313' >1313<\/option><option value='1312' >1312<\/option><option value='1311' >1311<\/option><option value='1310' >1310<\/option><option value='1309' >1309<\/option><option value='1308' >1308<\/option><option value='1307' >1307<\/option><option value='1306' >1306<\/option><option value='1305' >1305<\/option><option value='1304' >1304<\/option><option value='1303' >1303<\/option><option value='1302' >1302<\/option><option value='1301' >1301<\/option><option value='1300' >1300<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_1_43_1_container'><select name='input_43[]' id='input_1_43_1'   aria-required='true'  ><option value=''>\u0645\u0627\u0647<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_1_43_2_container'><select name='input_43[]' id='input_1_43_2'   aria-required='true'  ><option value=''>\u0631\u0648\u0632<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><\/div><\/fieldset><div id=\"field_1_66\"  class=\"gfield gfield--type-ir_national_id gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible gform_ir_national_id\"  data-field-class=\"gform_ir_national_id\" data-js-reload=\"field_1_66\"><label class='gfield_label gform-field-label' for='input_1_66' >\u06a9\u062f \u0645\u0644\u06cc \u0645\u062a\u0642\u0627\u0636\u06cc:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_text ginput_container_ir_national_id\"><input onblur=\"ir_national_id_66(this);\" name=\"input_66\" id=\"input_1_66\" type=\"text\" value=\"\" class=\"ir_national_id large\"     aria-required=\"true\" aria-invalid=\"false\" maxlength='10'  \/><\/div><span class=\"ir_national_id_location\" id=\"ir_national_id_location_66\"><\/span><\/div><div id=\"field_1_10\"  class=\"gfield gfield--type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_10\"><label class='gfield_label gform-field-label' for='input_1_10' >\u0622\u062e\u0631\u06cc\u0646 \u0645\u062f\u0631\u06a9 \u062a\u062d\u0635\u06cc\u0644\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_1_10' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='\u062f\u06cc\u067e\u0644\u0645' >\u062f\u06cc\u067e\u0644\u0645<\/option><option value='\u06a9\u0627\u0631\u062f\u0627\u0646\u06cc' >\u06a9\u0627\u0631\u062f\u0627\u0646\u06cc<\/option><option value='\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc' >\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc<\/option><option value='\u0627\u0631\u0634\u062f \u0628\u0647 \u0628\u0627\u0644\u0627' >\u0627\u0631\u0634\u062f \u0628\u0647 \u0628\u0627\u0644\u0627<\/option><\/select><\/div><\/div><div id=\"field_1_11\"  class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_11\"><label class='gfield_label gform-field-label' for='input_1_11' >\u0631\u0634\u062a\u0647 \u062a\u062d\u0635\u06cc\u0644\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_1_11' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_1_67\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_67\"><legend class='gfield_label gform-field-label'  >\u0648\u0636\u0639\u06cc\u062a \u062a\u0627\u0647\u0644<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_67'>\n\t\t\t<div class='gchoice gchoice_1_67_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='\u0645\u062a\u0627\u0647\u0644'  id='choice_1_67_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_67_0' id='label_1_67_0' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0627\u0647\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_67_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='\u0645\u062c\u0631\u062f'  id='choice_1_67_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_67_1' id='label_1_67_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062c\u0631\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_70\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_70\"><h3 class=\"gsection_title\">\u0627\u0637\u0644\u0627\u0639\u0627\u062a \u062a\u0645\u0627\u0633 \u0645\u062a\u0642\u0627\u0636\u06cc<\/h3><div class='gsection_description' id='gfield_description_1_70'>\u0644\u0637\u0641\u0627 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u062a\u0645\u0627\u0633 \u062e\u0648\u0627\u0633\u062a\u0647 \u0634\u062f\u0647 \u062f\u0631 \u06a9\u0627\u062f\u0631\u0647\u0627\u06cc \u0632\u06cc\u0631 \u0631\u0627 \u062a\u06a9\u0645\u06cc\u0644 \u0646\u0645\u0627\u06cc\u06cc\u062f.<\/div><\/div><div id=\"field_1_72\"  class=\"gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_72\"><label class='gfield_label gform-field-label' for='input_1_72' >\u0634\u0645\u0627\u0631\u0647 \u0647\u0645\u0631\u0627\u0647 \u0645\u062a\u0642\u0627\u0636\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_72' id='input_1_72' type='text' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_73\"  class=\"gfield gfield--type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_73\"><label class='gfield_label gform-field-label' for='input_1_73' >\u062a\u0644\u0641\u0646 \u0645\u0646\u0632\u0644<\/label><div class='ginput_container ginput_container_phone'><input name='input_73' id='input_1_73' type='text' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_71\"  class=\"gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_71\"><label class='gfield_label gform-field-label' for='input_1_71' >\u0622\u062f\u0631\u0633 \u0627\u06cc\u0645\u06cc\u0644<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_71' id='input_1_71' type='text' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div class=\"spacer gfield\" style=\"grid-column: span 6;\"><\/div><div id=\"field_1_69\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_69\"><h3 class=\"gsection_title\">\u0622\u062f\u0631\u0633<\/h3><div class='gsection_description' id='gfield_description_1_69'>\u0644\u0637\u0641\u0627 \u062a\u0648\u0636\u06cc\u062d\u0627\u062a \u062e\u0648\u0627\u0633\u062a\u0647 \u0634\u062f\u0647 \u062f\u0631 \u06a9\u0627\u0631\u062f\u0631\u0647\u0627\u06cc \u0627\u06cc\u0646 \u0628\u062e\u0634 \u0631\u0627 \u062a\u06a9\u0645\u06cc\u0644 \u0646\u0645\u0627\u06cc\u06cc\u062f.<\/div><\/div><fieldset id=\"field_1_76\"  class=\"gfield gfield--type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_76\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >\u0622\u062f\u0631\u0633 \u0645\u062d\u0644 \u0633\u06a9\u0648\u0646\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state ginput_container_address gform-grid-row' id='input_1_76' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_1_76_1_container' >\n                                        <label for='input_1_76_1' id='input_1_76_1_label' class='gform-field-label gform-field-label--type-sub '>\u0622\u062f\u0631\u0633 \u062e\u06cc\u0627\u0628\u0627\u0646<\/label>\n                                        <input type='text' name='input_76.1' id='input_1_76_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_1_76_3_container' >\n                                    <label for='input_1_76_3' id='input_1_76_3_label' class='gform-field-label gform-field-label--type-sub '>\u0634\u0647\u0631<\/label>\n                                    <select name='input_76.3' id='input_1_76_3' data-selected=''    aria-required='true'><option value='' selected='selected'>&nbsp;&nbsp;<\/option><\/select>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_1_76_4_container' >\n                                        <label for='input_1_76_4' id='input_1_76_4_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0633\u062a\u0627\u0646<\/label>\n                                        <select name='input_76.4' id='input_1_76_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='\u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u0634\u0631\u0642\u06cc' >\u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u0634\u0631\u0642\u06cc<\/option><option value='\u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u063a\u0631\u0628\u06cc' >\u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u063a\u0631\u0628\u06cc<\/option><option value='\u0627\u0631\u062f\u0628\u06cc\u0644' >\u0627\u0631\u062f\u0628\u06cc\u0644<\/option><option value='\u0627\u0635\u0641\u0647\u0627\u0646' >\u0627\u0635\u0641\u0647\u0627\u0646<\/option><option value='\u0627\u0644\u0628\u0631\u0632' >\u0627\u0644\u0628\u0631\u0632<\/option><option value='\u0627\u06cc\u0644\u0627\u0645' >\u0627\u06cc\u0644\u0627\u0645<\/option><option value='\u0628\u0648\u0634\u0647\u0631' >\u0628\u0648\u0634\u0647\u0631<\/option><option value='\u062a\u0647\u0631\u0627\u0646' >\u062a\u0647\u0631\u0627\u0646<\/option><option value='\u0686\u0647\u0627\u0631\u0645\u062d\u0627\u0644 \u0648 \u0628\u062e\u062a\u06cc\u0627\u0631\u06cc' >\u0686\u0647\u0627\u0631\u0645\u062d\u0627\u0644 \u0648 \u0628\u062e\u062a\u06cc\u0627\u0631\u06cc<\/option><option value='\u062e\u0631\u0627\u0633\u0627\u0646 \u062c\u0646\u0648\u0628\u06cc' >\u062e\u0631\u0627\u0633\u0627\u0646 \u062c\u0646\u0648\u0628\u06cc<\/option><option value='\u062e\u0631\u0627\u0633\u0627\u0646 \u0631\u0636\u0648\u06cc' >\u062e\u0631\u0627\u0633\u0627\u0646 \u0631\u0636\u0648\u06cc<\/option><option value='\u062e\u0631\u0627\u0633\u0627\u0646 \u0634\u0645\u0627\u0644\u06cc' >\u062e\u0631\u0627\u0633\u0627\u0646 \u0634\u0645\u0627\u0644\u06cc<\/option><option value='\u062e\u0648\u0632\u0633\u062a\u0627\u0646' >\u062e\u0648\u0632\u0633\u062a\u0627\u0646<\/option><option value='\u0632\u0646\u062c\u0627\u0646' >\u0632\u0646\u062c\u0627\u0646<\/option><option value='\u0633\u0645\u0646\u0627\u0646' >\u0633\u0645\u0646\u0627\u0646<\/option><option value='\u0633\u06cc\u0633\u062a\u0627\u0646 \u0648 \u0628\u0644\u0648\u0686\u0633\u062a\u0627\u0646' >\u0633\u06cc\u0633\u062a\u0627\u0646 \u0648 \u0628\u0644\u0648\u0686\u0633\u062a\u0627\u0646<\/option><option value='\u0641\u0627\u0631\u0633' >\u0641\u0627\u0631\u0633<\/option><option value='\u0642\u0632\u0648\u06cc\u0646' >\u0642\u0632\u0648\u06cc\u0646<\/option><option value='\u0642\u0645' >\u0642\u0645<\/option><option value='\u06a9\u0631\u062f\u0633\u062a\u0627\u0646' >\u06a9\u0631\u062f\u0633\u062a\u0627\u0646<\/option><option value='\u06a9\u0631\u0645\u0627\u0646' >\u06a9\u0631\u0645\u0627\u0646<\/option><option value='\u06a9\u0631\u0645\u0627\u0646\u0634\u0627\u0647' >\u06a9\u0631\u0645\u0627\u0646\u0634\u0627\u0647<\/option><option value='\u06a9\u0647\u06af\u06cc\u0644\u0648\u06cc\u0647 \u0648 \u0628\u0648\u06cc\u0631\u0627\u062d\u0645\u062f' >\u06a9\u0647\u06af\u06cc\u0644\u0648\u06cc\u0647 \u0648 \u0628\u0648\u06cc\u0631\u0627\u062d\u0645\u062f<\/option><option value='\u06af\u0644\u0633\u062a\u0627\u0646' >\u06af\u0644\u0633\u062a\u0627\u0646<\/option><option value='\u06af\u06cc\u0644\u0627\u0646' >\u06af\u06cc\u0644\u0627\u0646<\/option><option value='\u0644\u0631\u0633\u062a\u0627\u0646' >\u0644\u0631\u0633\u062a\u0627\u0646<\/option><option value='\u0645\u0627\u0632\u0646\u062f\u0631\u0627\u0646' >\u0645\u0627\u0632\u0646\u062f\u0631\u0627\u0646<\/option><option value='\u0645\u0631\u06a9\u0632\u06cc' >\u0645\u0631\u06a9\u0632\u06cc<\/option><option value='\u0647\u0631\u0645\u0632\u06af\u0627\u0646' >\u0647\u0631\u0645\u0632\u06af\u0627\u0646<\/option><option value='\u0647\u0645\u062f\u0627\u0646' >\u0647\u0645\u062f\u0627\u0646<\/option><option value='\u06cc\u0632\u062f' >\u06cc\u0632\u062f<\/option><\/select>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_76.6' id='input_1_76_6' value='\u0627\u06cc\u0631\u0627\u0646' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_1_18' class='gform_next_button gform-theme-button button' value='\u0628\u0639\u062f\u06cc'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_2' class='gform_fields top_label form_sublabel_below description_above'><div id=\"field_1_45\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_45\"><label class='gfield_label gform-field-label' for='input_1_45' >\u0646\u0627\u0645 \u0641\u0631\u0648\u0634\u06af\u0627\u0647:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_1_45' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_1_47\"  class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_47\"><label class='gfield_label gform-field-label' for='input_1_47' >\u0632\u0645\u06cc\u0646\u0647 \u0641\u0639\u0627\u0644\u06cc\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_47' id='input_1_47' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_1_46\"  class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_46\"><label class='gfield_label gform-field-label' for='input_1_46' >\u0645\u062f\u062a \u0632\u0645\u0627\u0646 \u0641\u0639\u0627\u0644\u06cc\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_46' id='input_1_46' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_1_48\"  class=\"gfield gfield--type-text gfield--width-five-twelfths gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_48\"><label class='gfield_label gform-field-label' for='input_1_48' >\u062a\u0639\u062f\u0627\u062f \u067e\u0631\u0633\u0646\u0644<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_48' id='input_1_48' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div class=\"spacer gfield\" style=\"grid-column: span 7;\"><\/div><div id=\"field_1_74\"  class=\"gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_74\"><label class='gfield_label gform-field-label' for='input_1_74' >\u062a\u0644\u0641\u0646 \u062f\u0641\u062a\u0631\/\u0641\u0631\u0648\u0634\u06af\u0627\u0647<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_74' id='input_1_74' type='text' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_49\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_49\"><label class='gfield_label gform-field-label' for='input_1_49' >\u0634\u0645\u0627\u0631\u0647 \u0641\u06a9\u0633<\/label><div class='ginput_container ginput_container_text'><input name='input_49' id='input_1_49' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div class=\"spacer gfield\" style=\"grid-column: span 7;\"><\/div><div id=\"field_1_59\"  class=\"gfield gfield--type-website gfield--width-half field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_59\"><label class='gfield_label gform-field-label' for='input_1_59' >\u0648\u0628 \u0633\u0627\u06cc\u062a<\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_59' id='input_1_59' type='text' value='' class='large'    placeholder='https:\/\/'  aria-invalid=\"false\"\/>\n                <\/div><\/div><div class=\"spacer gfield\" style=\"grid-column: span 6;\"><\/div><div id=\"field_1_53\"  class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_53\"><label class='gfield_label gform-field-label' for='input_1_53' >\u0645\u062a\u0631\u0627\u0698 \u062a\u062c\u0627\u0631\u06cc\/\u0627\u062f\u0627\u0631\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_53'>\u0628\u0631 \u062d\u0633\u0628 \u0645\u062a\u0631 \u0645\u0631\u0628\u0639<\/div><div class='ginput_container ginput_container_text'><input name='input_53' id='input_1_53' type='text' value='' class='large'  aria-describedby=\"gfield_description_1_53\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_1_54\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_54\"><legend class='gfield_label gform-field-label'  >\u0646\u0648\u0639 \u0645\u0627\u0644\u06a9\u06cc\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_54'>\n\t\t\t<div class='gchoice gchoice_1_54_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='\u0645\u0627\u0644\u06a9'  id='choice_1_54_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_54_0' id='label_1_54_0' class='gform-field-label gform-field-label--type-inline'>\u0645\u0627\u0644\u06a9<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_54_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='\u0627\u062c\u0627\u0631\u0647'  id='choice_1_54_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_54_1' id='label_1_54_1' class='gform-field-label gform-field-label--type-inline'>\u0627\u062c\u0627\u0631\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_55\"  class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_55\"><label class='gfield_label gform-field-label' for='input_1_55' >\u0645\u0633\u0627\u062d\u062a \u0641\u0636\u0627\u06cc \u0627\u0646\u0628\u0627\u0631<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_55' id='input_1_55' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_1_56\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_56\"><legend class='gfield_label gform-field-label'  >\u0646\u0648\u0639 \u0645\u0627\u0644\u06a9\u06cc\u062a \u0627\u0646\u0628\u0627\u0631<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_56'>\n\t\t\t<div class='gchoice gchoice_1_56_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='\u0645\u0627\u0644\u06a9'  id='choice_1_56_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_56_0' id='label_1_56_0' class='gform-field-label gform-field-label--type-inline'>\u0645\u0627\u0644\u06a9<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_56_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='\u0627\u062c\u0627\u0631\u0647'  id='choice_1_56_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_56_1' id='label_1_56_1' class='gform-field-label gform-field-label--type-inline'>\u0627\u062c\u0627\u0631\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_75\"  class=\"gfield gfield--type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_75\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >\u0622\u062f\u0631\u0633 \u0627\u0646\u0628\u0627\u0631:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_1_75' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_1_75_1_container' >\n                                        <label for='input_1_75_1' id='input_1_75_1_label' class='gform-field-label gform-field-label--type-sub '>\u062e\u06cc\u0627\u0628\u0627\u0646 \u0627\u0635\u0644\u06cc\/\u062e\u06cc\u0627\u0628\u0627\u0646 \u0641\u0631\u0639\u06cc\/\u067e\u0644\u0627\u06a9<\/label>\n                                        <input type='text' name='input_75.1' id='input_1_75_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_1_75_3_container' >\n                                    <label for='input_1_75_3' id='input_1_75_3_label' class='gform-field-label gform-field-label--type-sub '>\u0634\u0647\u0631<\/label>\n                                    <input type='text' name='input_75.3' id='input_1_75_3' value=''    aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_1_75_4_container' >\n                                        <label for='input_1_75_4' id='input_1_75_4_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0633\u062a\u0627\u0646\/\u0634\u0647\u0631\u0633\u062a\u0627\u0646<\/label>\n                                        <select name='input_75.4' id='input_1_75_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='\u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u0634\u0631\u0642\u06cc' >\u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u0634\u0631\u0642\u06cc<\/option><option value='\u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u063a\u0631\u0628\u06cc' >\u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u063a\u0631\u0628\u06cc<\/option><option value='\u0627\u0631\u062f\u0628\u06cc\u0644' >\u0627\u0631\u062f\u0628\u06cc\u0644<\/option><option value='\u0627\u0635\u0641\u0647\u0627\u0646' >\u0627\u0635\u0641\u0647\u0627\u0646<\/option><option value='\u0627\u0644\u0628\u0631\u0632' >\u0627\u0644\u0628\u0631\u0632<\/option><option value='\u0627\u06cc\u0644\u0627\u0645' >\u0627\u06cc\u0644\u0627\u0645<\/option><option value='\u0628\u0648\u0634\u0647\u0631' >\u0628\u0648\u0634\u0647\u0631<\/option><option value='\u062a\u0647\u0631\u0627\u0646' >\u062a\u0647\u0631\u0627\u0646<\/option><option value='\u0686\u0647\u0627\u0631\u0645\u062d\u0627\u0644 \u0648 \u0628\u062e\u062a\u06cc\u0627\u0631\u06cc' >\u0686\u0647\u0627\u0631\u0645\u062d\u0627\u0644 \u0648 \u0628\u062e\u062a\u06cc\u0627\u0631\u06cc<\/option><option value='\u062e\u0631\u0627\u0633\u0627\u0646 \u062c\u0646\u0648\u0628\u06cc' >\u062e\u0631\u0627\u0633\u0627\u0646 \u062c\u0646\u0648\u0628\u06cc<\/option><option value='\u062e\u0631\u0627\u0633\u0627\u0646 \u0631\u0636\u0648\u06cc' >\u062e\u0631\u0627\u0633\u0627\u0646 \u0631\u0636\u0648\u06cc<\/option><option value='\u062e\u0631\u0627\u0633\u0627\u0646 \u0634\u0645\u0627\u0644\u06cc' >\u062e\u0631\u0627\u0633\u0627\u0646 \u0634\u0645\u0627\u0644\u06cc<\/option><option value='\u062e\u0648\u0632\u0633\u062a\u0627\u0646' >\u062e\u0648\u0632\u0633\u062a\u0627\u0646<\/option><option value='\u0632\u0646\u062c\u0627\u0646' >\u0632\u0646\u062c\u0627\u0646<\/option><option value='\u0633\u0645\u0646\u0627\u0646' >\u0633\u0645\u0646\u0627\u0646<\/option><option value='\u0633\u06cc\u0633\u062a\u0627\u0646 \u0648 \u0628\u0644\u0648\u0686\u0633\u062a\u0627\u0646' >\u0633\u06cc\u0633\u062a\u0627\u0646 \u0648 \u0628\u0644\u0648\u0686\u0633\u062a\u0627\u0646<\/option><option value='\u0641\u0627\u0631\u0633' >\u0641\u0627\u0631\u0633<\/option><option value='\u0642\u0632\u0648\u06cc\u0646' >\u0642\u0632\u0648\u06cc\u0646<\/option><option value='\u0642\u0645' >\u0642\u0645<\/option><option value='\u06a9\u0631\u062f\u0633\u062a\u0627\u0646' >\u06a9\u0631\u062f\u0633\u062a\u0627\u0646<\/option><option value='\u06a9\u0631\u0645\u0627\u0646' >\u06a9\u0631\u0645\u0627\u0646<\/option><option value='\u06a9\u0631\u0645\u0627\u0646\u0634\u0627\u0647' >\u06a9\u0631\u0645\u0627\u0646\u0634\u0627\u0647<\/option><option value='\u06a9\u0647\u06af\u06cc\u0644\u0648\u06cc\u0647 \u0648 \u0628\u0648\u06cc\u0631\u0627\u062d\u0645\u062f' >\u06a9\u0647\u06af\u06cc\u0644\u0648\u06cc\u0647 \u0648 \u0628\u0648\u06cc\u0631\u0627\u062d\u0645\u062f<\/option><option value='\u06af\u0644\u0633\u062a\u0627\u0646' >\u06af\u0644\u0633\u062a\u0627\u0646<\/option><option value='\u06af\u06cc\u0644\u0627\u0646' >\u06af\u06cc\u0644\u0627\u0646<\/option><option value='\u0644\u0631\u0633\u062a\u0627\u0646' >\u0644\u0631\u0633\u062a\u0627\u0646<\/option><option value='\u0645\u0627\u0632\u0646\u062f\u0631\u0627\u0646' >\u0645\u0627\u0632\u0646\u062f\u0631\u0627\u0646<\/option><option value='\u0645\u0631\u06a9\u0632\u06cc' >\u0645\u0631\u06a9\u0632\u06cc<\/option><option value='\u0647\u0631\u0645\u0632\u06af\u0627\u0646' >\u0647\u0631\u0645\u0632\u06af\u0627\u0646<\/option><option value='\u0647\u0645\u062f\u0627\u0646' >\u0647\u0645\u062f\u0627\u0646<\/option><option value='\u06cc\u0632\u062f' >\u06cc\u0632\u062f<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_1_75_5_container' >\n                                    <label for='input_1_75_5' id='input_1_75_5_label' class='gform-field-label gform-field-label--type-sub '>\u06a9\u062f\u067e\u0633\u062a\u06cc<\/label>\n                                    <input type='text' name='input_75.5' id='input_1_75_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_75.6' id='input_1_75_6' value='\u0627\u06cc\u0631\u0627\u0646' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_1_60\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_60\"><label class='gfield_label gform-field-label' for='input_1_60' >\u0633\u0648\u0627\u0628\u0642 \u06a9\u0627\u0631\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_60' id='input_1_60' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_1_61\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_61\"><label class='gfield_label gform-field-label' for='input_1_61' >\u0628\u0631\u0646\u062f\u0647\u0627\u06cc \u0645\u0648\u062c\u0648\u062f \u062f\u0631 \u0641\u0631\u0648\u0634\u06af\u0627\u0647<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_61' id='input_1_61' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_1_62\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_62\"><label class='gfield_label gform-field-label' for='input_1_62' >\u0628\u0627 \u06a9\u062f\u0627\u0645 \u0634\u0647\u0631\u0647\u0627 \u0647\u0645\u06a9\u0627\u0631\u06cc \u062f\u0627\u0631\u06cc\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_62' id='input_1_62' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_1_65\"  class=\"gfield gfield--type-fileupload gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_65\"><label class='gfield_label gform-field-label' for='gform_browse_button_1_65' >\u0628\u0627\u0631\u06af\u0632\u0627\u0631\u06cc \u0641\u0627\u06cc\u0644 \u062a\u0635\u0627\u0648\u06cc\u0631 \u0641\u0631\u0648\u0634\u06af\u0627\u0647 \u0648 \u0627\u0646\u0628\u0627\u0631<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_65'>\u062d\u062f\u0627\u0642\u0644 \u06cc\u06a9 \u0639\u06a9\u0633 \u0627\u0632 \u0641\u0631\u0648\u0634\u06af\u0627\u0647 \u0648 \u062d\u062f\u0627\u0642\u0644 \u06cc\u06a9 \u0639\u06a9\u0633 \u0627\u0632 \u0627\u0646\u0628\u0627\u0631 \u062e\u0648\u062f \u062f\u0631 \u0627\u06cc\u0646\u062c\u0627 \u0628\u0627\u0631\u06af\u0632\u0627\u0631\u06cc \u0646\u0645\u0627\u06cc\u06cc\u062f.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_65' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_65&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_65&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_65&quot;,&quot;filelist&quot;:&quot;gform_preview_1_65&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/asmart.ir\\\/?gf_page=1ae9ebfe3d917e7&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/asmart.ir\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/asmart.ir\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;\\u0641\\u0627\\u06cc\\u0644\\u200c\\u0647\\u0627\\u06cc \\u0645\\u062c\\u0627\\u0632&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;15728640b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:65},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_65&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_65' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>\u0641\u0627\u06cc\u0644 \u0647\u0627 \u0631\u0627 \u0628\u0647 \u0627\u06cc\u0646\u062c\u0627 \u0628\u06a9\u0634\u06cc\u062f <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_1_65' class='button gform_button_select_files' aria-describedby=\"gfield_upload_rules_1_65 gfield_description_1_65\"  >\u0627\u0646\u062a\u062e\u0627\u0628 \u0641\u0627\u06cc\u0644\u200c\u0647\u0627<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_1_65'>\u062d\u062f\u0627\u06a9\u062b\u0631 \u0627\u0646\u062f\u0627\u0632\u0647 \u0641\u0627\u06cc\u0644: 15 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_1_65'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_1_65' class='ginput_preview_list'><\/div><\/div><div class=\"spacer gfield\" style=\"grid-column: span 6;\"><\/div><div id=\"field_1_34\"  class=\"gfield gfield--type-multiselect gfield--width-five-twelfths field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_34\"><label class='gfield_label gform-field-label' for='input_1_34' >\u062e\u062f\u0645\u0627\u062a \u062c\u0627\u0646\u0628\u06cc<\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_34[]' id='input_1_34' class='large gfield_select'   aria-invalid=\"false\"  ><option value='\u0641\u0631\u0648\u0634 \u0627\u06cc\u0646\u062a\u0631\u0646\u062a\u06cc' >\u0641\u0631\u0648\u0634 \u0627\u06cc\u0646\u062a\u0631\u0646\u062a\u06cc<\/option><option value='\u0641\u0631\u0648\u0634 \u062a\u0644\u0641\u0646\u06cc' >\u0641\u0631\u0648\u0634 \u062a\u0644\u0641\u0646\u06cc<\/option><option value='\u067e\u06cc\u062c \u0627\u06cc\u0646\u0633\u062a\u0627\u06af\u0631\u0627\u0645' >\u067e\u06cc\u062c \u0627\u06cc\u0646\u0633\u062a\u0627\u06af\u0631\u0627\u0645<\/option><option value='\u0627\u0631\u0633\u0627\u0644 \u0631\u0627\u06cc\u06af\u0627\u0646' >\u0627\u0631\u0633\u0627\u0644 \u0631\u0627\u06cc\u06af\u0627\u0646<\/option><option value='\u0633\u0627\u06cc\u0631 \u0645\u0648\u0627\u0631\u062f' >\u0633\u0627\u06cc\u0631 \u0645\u0648\u0627\u0631\u062f<\/option><\/select><\/div><\/div><div class=\"spacer gfield\" style=\"grid-column: span 7;\"><\/div><div id=\"field_1_77\"  class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_1_77\"><label class='gfield_label gform-field-label' for='input_1_77' >Name<\/label><div class='gfield_description' id='gfield_description_1_77'>\u0627\u06cc\u0646 \u0641\u06cc\u0644\u062f \u0628\u0631\u0627\u06cc \u0647\u062f\u0641 \u0627\u0639\u062a\u0628\u0627\u0631 \u0633\u0646\u062c\u06cc \u0627\u0633\u062a \u0648 \u0628\u0627\u06cc\u062f \u0628\u062f\u0648\u0646 \u062a\u063a\u06cc\u06cc\u0631 \u0628\u0627\u0642\u06cc \u0628\u0645\u0627\u0646\u062f .<\/div><div class='ginput_container'><input name='input_77' id='input_1_77' type='text' value='' \/><\/div><\/div><\/div><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_1' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='\u0642\u0628\u0644\u06cc'  onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true;  jQuery(\"#gform_1\").trigger(\"submit\",[true]); }' \/> <input type='submit' id='gform_submit_button_1' class='gform_button button' value='\u0627\u0631\u0633\u0627\u0644'  onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true;  jQuery(\"#gform_1\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' value='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' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_1' id='gform_target_page_number_1' value='2' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_1' id='gform_source_page_number_1' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            <input type='hidden' name='gform_uploaded_files' id='gform_uploaded_files_1' value='' \/>\n        <\/div>\n                        <\/div><\/div>\n                        <p style=\"display: none !important;\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"41\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 1, 'https:\/\/asmart.ir\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_1').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_1');var 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class=\"wd-negative-gap elementor-section elementor-top-section elementor-element elementor-element-f43946f elementor-section-boxed elementor-section-height-default elementor-section-height-default wd-section-disabled\" data-id=\"f43946f\" 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-0b436da\" data-id=\"0b436da\" data-element_type=\"column\">\n\t\t\t<div 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