{"id":163,"date":"2023-06-22T12:25:21","date_gmt":"2023-06-22T16:25:21","guid":{"rendered":"https:\/\/manoirkanisha.com\/?page_id=163"},"modified":"2025-07-01T13:03:15","modified_gmt":"2025-07-01T17:03:15","slug":"estimate-for-relocation-questionnaire","status":"publish","type":"page","link":"https:\/\/manoirkanisha.com\/en\/pet-relocation\/estimate-for-relocation-questionnaire\/","title":{"rendered":"14. Estimate for Pet Relocation &#8211; QUESTIONNAIRE"},"content":{"rendered":"<h3 style=\"font-size: 18px; padding: 50px 20px 30px 20px; vertical-align: baseline; text-align: center;\">UPDATE ON RELOCATION: Without a building we will be unable to provide EXPORT services.<br \/>\nIf you require assistance with an export, please <a href=\"https:\/\/manoirkanisha.com\/en\/pet-relocators\/\">click here<\/a>.<\/h3>\n<p style=\"text-align: center;\"><div data-uniq='69e5c6105b753' class='uniq-69e5c6105b753 formcraft-css form-live align-center'><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[12] = 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.form-element .form-element-html .field-cover .is-read-only:focus {\n\t\t\t\tborder-color: #ccc;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-12\t\t\t{\n\t\t\t\tfont-family: Helvetica, Arial, sans-serif;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: #ededed;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"\" data-id=\"12\" class=\"fc-form fc-form-12 align- fc-temp-class dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-block field-border-visible frame-visible save-form-true field-alignment-left  \" style=\"width: 900px; color: #666666; font-size: 100%; background: #ededed\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field2\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field2 options-false form-element-0 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color: #ffffff\"><div class=\"full\" style=\"text-align: left\"><h2 style=\"border: 0px;font-size: 22px;padding: 20px 0px 0px;color: #294a89;vertical-align: baseline;text-align: center\" >Estimate for Pet Relocation \u2794 QUESTIONNAIRE<\/h2><p style=\"border: 0px;padding: 0px;vertical-align: baseline\" align=\"center\" ><span style=\"font-size: 14px\">Please fill out this questionnaire to get an estimate from Manoir Kanisha.<br><\/span><\/p><div style=\"font-size: 14px\" ><span style=\"font-size: 13px;text-align: left\"><\/span><div style=\"text-align: center\">Type your first name and then navigate from box to box with the TAB key.<\/div><p style=\"text-align: center\">If you do not have an answer, type in 0 or N\/A.<\/p><\/div><p ><\/p><p ><\/p><p style=\"border: 0px;font-size: 14px;padding: 0px;vertical-align: baseline\" align=\"center\" ><span style=\"text-align: left;font-size: 13px\"><br>If you click <b>GET AN ESTIMATE<\/b> (below) and do not see a Thank You Message on your screen,<br>please review the Questionnaire to ensure all boxes are filled or marked with 0 or N\/A. Then<br>click GET AN ESTIMATE firmly again or refresh your page.<br>You will get an email message in your mail inbox. If not, please check your junk mail.<br><\/span><\/p><p ><\/p><\/div><input type=\"hidden\" name=\"field2\" data-field-id=\"field2\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field10\" data-index=\"1\" style=\"width: 100%\" class=\" even form-element form-element-field10 options-false form-element-1 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color: #1e73be\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.5em; padding-top: 8px; padding-bottom: ; color: #ffffff\" class=\"bold-\"><span >CORRESPONDANT - Person filling this questionnaire<\/span><\/div><input type=\"hidden\" data-field-id=\"field10\" name=\"field10[]\" value=\"CORRESPONDANT - Person filling this questionnaire\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field3\" data-index=\"2\" style=\"width: 50%\" class=\" form-element form-element-field3 options-false form-element-2 default-false form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >First Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field3\" placeholder=\"\" class=\"validation-lenient\" name=\"field3\" value=\"\" rows=\"1\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 37.9844px\"><\/textarea><div class=\"count-false\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field13\" data-index=\"3\" style=\"width: 50%\" class=\" even form-element form-element-field13 options-false form-element-3 default-false form-element-type-textarea is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Last Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field13\" placeholder=\"\" class=\"validation-lenient\" name=\"field13\" value=\"\" rows=\"1\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 37.9844px\"><\/textarea><div class=\"count-false\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field11\" data-index=\"4\" style=\"width: 50%\" class=\" form-element form-element-field11 options-false form-element-4 default-false form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Address line #1<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field11\" placeholder=\"\" class=\"validation-lenient\" name=\"field11\" value=\"\" rows=\"1\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 37.9844px\"><\/textarea><div class=\"count-false\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field31\" data-index=\"5\" style=\"width: 50%\" class=\" even form-element form-element-field31 options-false form-element-5 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Address line #2<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"type 0 if not applicable\" make-read-only=\"false\" data-field-id=\"field31\" name=\"field31[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"type 0 if not applicable\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field15\" data-index=\"6\" style=\"width: 50%\" class=\" form-element form-element-field15 options-false form-element-6 default-false form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >City<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field15\" placeholder=\"\" class=\"validation-lenient\" name=\"field15\" value=\"\" rows=\"1\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 37.9844px\"><\/textarea><div class=\"count-false\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field60\" data-index=\"7\" style=\"width: 50%\" class=\" even form-element form-element-field60 options-false form-element-7 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Province \/ State<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"type 0 if not applicable\" make-read-only=\"false\" data-field-id=\"field60\" name=\"field60[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"type 0 if not applicable\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field16\" data-index=\"8\" style=\"width: 50%\" class=\" form-element form-element-field16 options-false form-element-8 default-false form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Country<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field16\" placeholder=\"\" class=\"validation-lenient\" name=\"field16\" value=\"\" rows=\"1\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 37.9844px\"><\/textarea><div class=\"count-false\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field17\" data-index=\"9\" style=\"width: 50%\" class=\" even form-element form-element-field17 options-false form-element-9 default-false form-element-type-textarea is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Postal Code - Required for calculating distances<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field17\" placeholder=\"\" class=\"validation-lenient\" name=\"field17\" value=\"\" rows=\"1\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 37.9844px\"><\/textarea><div class=\"count-false\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field4\" data-index=\"10\" style=\"width: 50%\" class=\" form-element form-element-field4 options-false form-element-10 default-false form-element-type-email is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >First E-mail<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"\" data-field-id=\"field4\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"true\" name=\"field4\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field28\" data-index=\"11\" style=\"width: 50%\" class=\" even form-element form-element-field28 options-false form-element-11 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Second Email (different than first email)<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"type 0 if not applicable\" make-read-only=\"false\" data-field-id=\"field28\" name=\"field28[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"type 0 if not applicable\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field5\" data-index=\"12\" style=\"width: 50%\" class=\" form-element form-element-field5 options-false form-element-12 default-false form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >First Telephone<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field5\" placeholder=\"\" class=\"validation-lenient\" name=\"field5\" value=\"\" rows=\"1\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 37.9844px\"><\/textarea><div class=\"count-false\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field32\" data-index=\"13\" style=\"width: 50%\" class=\" even form-element form-element-field32 options-false form-element-13 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Second telephone (different than first telephone)<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"type 0 if not applicable\" make-read-only=\"false\" data-field-id=\"field32\" name=\"field32[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"type 0 if not applicable\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field20\" data-index=\"14\" style=\"width: 100%\" class=\" form-element form-element-field20 options-false form-element-14 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color: #1e73be\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.5em; padding-top: 8px; padding-bottom: ; color: #ffffff\" class=\"bold-\"><span >TELL US ABOUT YOUR PET #1<\/span><\/div><input type=\"hidden\" data-field-id=\"field20\" name=\"field20[]\" value=\"TELL US ABOUT YOUR PET #1\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field34\" data-index=\"15\" style=\"width: 66%\" class=\" even form-element form-element-field34 options-false form-element-15 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >SPECIE OF PET #1<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field34\" type=\"radio\" data-is-required=\"true\" name=\"field34[]\" value=\"Dog\" class=\"validation-lenient\"><span><span >Dog<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field34\" type=\"radio\" data-is-required=\"true\" name=\"field34[]\" value=\"Cat\" class=\"validation-lenient\"><span><span >Cat<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field34\" type=\"radio\" data-is-required=\"true\" name=\"field34[]\" value=\"Rabbit\" class=\"validation-lenient\"><span><span >Rabbit<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field34\" type=\"radio\" data-is-required=\"true\" name=\"field34[]\" value=\"Rodent\" class=\"validation-lenient\"><span><span >Rodent<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field34\" type=\"radio\" data-is-required=\"true\" name=\"field34[]\" value=\"Bird\" class=\"validation-lenient\"><span><span >Bird<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field34\" type=\"radio\" data-is-required=\"true\" name=\"field34[]\" value=\"Other\" class=\"validation-lenient\"><span><span >Other<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field73\" data-index=\"16\" style=\"width: 33%\" class=\" form-element form-element-field73 options-false form-element-16 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Other animal - specify for Pet #1<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"type 0 if not applicable\" make-read-only=\"false\" data-field-id=\"field73\" name=\"field73[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"type 0 if not applicable\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field61\" data-index=\"17\" style=\"width: 33%\" class=\" even form-element form-element-field61 options-false form-element-17 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >NAME of your Pet #1<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field61\" name=\"field61[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field58\" data-index=\"18\" style=\"width: 33%\" class=\" form-element form-element-field58 options-false form-element-18 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >BREED of your Pet #1<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field58\" name=\"field58[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field39\" data-index=\"19\" style=\"width: 33%\" class=\" even form-element form-element-field39 options-false form-element-19 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >COLOR of your Pet #1<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field39\" name=\"field39[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field26\" data-index=\"20\" style=\"width: 100%\" class=\" form-element form-element-field26 options-false form-element-20 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >SEX of your Pet #1<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field26\" type=\"radio\" data-is-required=\"true\" name=\"field26[]\" value=\"Female (non sterilised)\" class=\"validation-lenient\"><span><span >Female (non sterilised)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field26\" type=\"radio\" data-is-required=\"true\" name=\"field26[]\" value=\"Female sterilised\" class=\"validation-lenient\"><span><span >Female sterilised<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field26\" type=\"radio\" data-is-required=\"true\" name=\"field26[]\" value=\"Male (non sterilised)\" class=\"validation-lenient\"><span><span >Male (non sterilised)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field26\" type=\"radio\" data-is-required=\"true\" name=\"field26[]\" value=\"Male sterilised\" class=\"validation-lenient\"><span><span >Male sterilised<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field85\" data-index=\"21\" style=\"width: 33%\" class=\" even form-element form-element-field85 options-false form-element-21 default-false form-element-type-datepicker is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >DATE of BIRTH of Pet #1<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field85\" placeholder=\"\" type=\"text\" class=\"validation-lenient   hasDatepicker ng-empty  \" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"fr\" name=\"field85\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field89\" data-index=\"22\" style=\"width: 33%\" class=\" form-element form-element-field89 options-false form-element-22 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >WEIGHT of Pet #1<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field89\" name=\"field89[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field40\" data-index=\"23\" style=\"width: 33%\" class=\" even form-element form-element-field40 options-false form-element-23 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >KILOS or POUNDS? Pet #1<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field40\" type=\"radio\" data-is-required=\"true\" name=\"field40[]\" value=\"Kilos (kgs)\" class=\"validation-lenient\"><span><span >Kilos (kgs)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field40\" type=\"radio\" data-is-required=\"true\" name=\"field40[]\" value=\"Pounds (lbs)\" class=\"validation-lenient\"><span><span >Pounds (lbs)<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field43\" data-index=\"24\" style=\"width: 33%\" class=\" form-element form-element-field43 options-false form-element-24 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Does Pet #1 have a MICROCHIP?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field43\" type=\"radio\" data-is-required=\"true\" name=\"field43[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field43\" type=\"radio\" data-is-required=\"true\" name=\"field43[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field46\" data-index=\"25\" style=\"width: 33%\" class=\" even form-element form-element-field46 options-false form-element-25 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Microchip NUMBER of Pet #1<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"type 0 if not applicable\" make-read-only=\"false\" data-field-id=\"field46\" name=\"field46[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"type 0 if not applicable\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field45\" data-index=\"26\" style=\"width: 33%\" class=\" form-element form-element-field45 options-false form-element-26 default-false form-element-type-datepicker is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >DATE of insertion of Microchip Pet #1<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field45\" placeholder=\"\" type=\"text\" class=\"validation-lenient   hasDatepicker ng-empty  \" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"fr\" name=\"field45\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field47\" data-index=\"27\" style=\"width: 35%\" class=\" even form-element form-element-field47 options-false form-element-27 default-false form-element-type-datepicker is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >DATE of last RABIES Vaccine for Pet #1<\/span><\/span><span class=\"sub-label\"><span >If not applicable - please select 01\/01\/2010<\/span><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field47\" placeholder=\"\" type=\"text\" class=\"validation-lenient   hasDatepicker ng-empty  \" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"fr\" name=\"field47\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field203\" data-index=\"28\" style=\"width: 100%\" class=\" odd form-element form-element-field203 options- form-element-28 default-false form-element-type- is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field202\" data-index=\"29\" style=\"width: 100%\" class=\" even form-element form-element-field202 options- form-element-29 default-false form-element-type- is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field113\" data-index=\"30\" style=\"width: 100%\" class=\" form-element form-element-field113 options-false form-element-30 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color: #dd3333\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.5em; padding-top: 8px; padding-bottom: ; color: #ffffff\" class=\"bold-\"><span >MEASUREMENTS of PET #1<\/span><small > (and Pet #2, #3, #4 and #5) - PLEASE READ CAREFULLY<\/small><\/div><input type=\"hidden\" data-field-id=\"field113\" name=\"field113[]\" value=\"MEASUREMENTS of PET #1&lt;small&gt; (and Pet #2, #3, #4 and #5) - PLEASE READ CAREFULLY&lt;\/small&gt;\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field118\" data-index=\"31\" style=\"width: 100%\" class=\" even form-element form-element-field118 options-false form-element-31 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color: #ededed\"><div class=\"full\" style=\"text-align: left\"><h2 style=\"text-align: center;padding: 20px 20px 0px 20px;font-size: 15px\" >Please provide accurate measurements of your PET(S)  in inches or centimeters. Measurements are important because they decide the size of IATA kennel required and therefore the airfreight.<\/h2><\/div><input type=\"hidden\" name=\"field118\" data-field-id=\"field118\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field122\" data-index=\"32\" style=\"width: 100%\" class=\" form-element form-element-field122 options-false form-element-32 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color: #ffffff\"><div class=\"full\" style=\"text-align: left\"><h2 style=\"text-align: center\" ><span style=\"color: #333399\">HOW TO MEASURE YOUR DOG, CAT OR RODENT<\/span><\/h2><p style=\"text-align: center;font-size: 1.2em\" >If possible, place your animal against a wall like a child, mark length and height with a pencil and measure the marks.<br><\/p><\/div><input type=\"hidden\" name=\"field122\" data-field-id=\"field122\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field121\" data-index=\"33\" style=\"width: 100%\" class=\" even form-element form-element-field121 options-false form-element-33 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color: #ffffff\"><div class=\"full\" style=\"text-align: left\"><p style=\"text-align: center\" ><img decoding=\"async\" style=\"height: 300px;width: 750px\" src=\"https:\/\/manoirkanisha.com\/wp-content\/uploads\/measurement-dog-manoir-kanisha.png\">\u200b<\/p><\/div><input type=\"hidden\" name=\"field121\" data-field-id=\"field121\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field119\" data-index=\"34\" style=\"width: 100%\" class=\" form-element form-element-field119 options-false form-element-34 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color: #ffffff\"><div class=\"full\" style=\"text-align: left\"><h2 style=\"text-align: center\" ><span style=\"color: #333399\">HOW TO MEASURE YOUR BIRD<\/span><\/h2><\/div><input type=\"hidden\" name=\"field119\" data-field-id=\"field119\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field120\" data-index=\"35\" style=\"width: 100%\" class=\" even form-element form-element-field120 options-false form-element-35 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color: #ffffff\"><div class=\"full\" style=\"text-align: left\"><p style=\"text-align: center\" ><img decoding=\"async\" style=\"height: 300px;width: 750px\" src=\"https:\/\/manoirkanisha.com\/wp-content\/uploads\/measurement-bird-manoir-kanisha.png\">\u200b<\/p><\/div><input type=\"hidden\" name=\"field120\" data-field-id=\"field120\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field143\" data-index=\"36\" style=\"width: 20%\" class=\" form-element form-element-field143 options-false form-element-36 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >A = Pet #1<\/span><\/span><span class=\"sub-label\"><span >DOG+ - Length<\/span><br ><span >BIRD - Height<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field143\" name=\"field143[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field144\" data-index=\"37\" style=\"width: 20%\" class=\" even form-element form-element-field144 options-false form-element-37 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >B = Pet #1<\/span><\/span><span class=\"sub-label\"><span >DOG+ - Height <\/span><br ><span >BIRD - Length<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field144\" name=\"field144[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field146\" data-index=\"38\" style=\"width: 20%\" class=\" form-element form-element-field146 options-false form-element-38 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >C = Pet #1<\/span><\/span><span class=\"sub-label\"><span >DOG+ = Width<\/span><br ><span > BIRD = Diameter<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field146\" name=\"field146[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field145\" data-index=\"39\" style=\"width: 20%\" class=\" even form-element form-element-field145 options-false form-element-39 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >D = Pet #1<\/span><\/span><span class=\"sub-label\"><span >DOG+ = Height<\/span><br ><span >BIRD = Type N\/A<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field145\" name=\"field145[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field159\" data-index=\"40\" style=\"width: 20%\" class=\" form-element form-element-field159 options-false form-element-40 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Inches or Centimetres?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field159\" type=\"radio\" data-is-required=\"true\" name=\"field159[]\" value=\"Inches\" class=\"validation-lenient\"><span><span >Inches<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field159\" type=\"radio\" data-is-required=\"true\" name=\"field159[]\" value=\"Centimetres\" class=\"validation-lenient\"><span><span >Centimetres<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field19\" data-index=\"41\" style=\"width: 100%\" class=\" even form-element form-element-field19 options-false form-element-41 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color: #1e73be\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.5em; padding-top: 8px; padding-bottom: ; color: #ffffff\" class=\"bold-\"><span >TELL US MORE ABOUT YOUR RELOCATION PROJECT<\/span><\/div><input type=\"hidden\" data-field-id=\"field19\" name=\"field19[]\" value=\"TELL US MORE ABOUT YOUR RELOCATION PROJECT\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field173\" data-index=\"42\" style=\"width: 50%\" class=\" form-element form-element-field173 options-false form-element-42 default-false form-element-type-datepicker is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Expected DATE of your PET(s) Relocation project<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field173\" placeholder=\"\" type=\"text\" class=\"validation-lenient   hasDatepicker ng-empty  \" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"en\" name=\"field173\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field175\" data-index=\"43\" style=\"width: 50%\" class=\" even form-element form-element-field175 options-false form-element-43 default-false form-element-type-textarea is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >DEPARTURE: Name, Address, Email and Telephone of the person at the animal\u2019s place of DEPARTURE<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field175\" placeholder=\"\" class=\"validation-lenient\" name=\"field175\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.734px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field176\" data-index=\"44\" style=\"width: 50%\" class=\" form-element form-element-field176 options-false form-element-44 default-false form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >FINAL DESTINATION: Name, Address, Email and Telephone of the person receiving the animal at the DESTINATION<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field176\" placeholder=\"\" class=\"validation-lenient\" name=\"field176\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.734px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field177\" data-index=\"45\" style=\"width: 50%\" class=\" even form-element form-element-field177 options-false form-element-45 default-false form-element-type-textarea is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >PRINCIPAL: Name, Address, Email and Telephone of the person\/company PAYING for the relocation of the animal<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field177\" placeholder=\"\" class=\"validation-lenient\" name=\"field177\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.734px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field178\" data-index=\"46\" style=\"width: 50%\" class=\" form-element form-element-field178 options-false form-element-46 default-false form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you plan to relocate your pet(s) separately (as MANIFEST CARGO) or with you on the same plane (as EXCESS LUGGAGE)?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field178\" placeholder=\"\" class=\"validation-lenient\" name=\"field178\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.734px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field179\" data-index=\"47\" style=\"width: 50%\" class=\" even form-element form-element-field179 options-false form-element-47 default-false form-element-type-textarea is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Do you have a suitable FLIGHT CONTAINER (crate) for each PET? If YES, please provide the dimensions (Length X Width X Height) specify if in inches or centimeters. What is the name of each crate manufacturer?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field179\" placeholder=\"\" class=\"validation-lenient\" name=\"field179\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.734px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field183\" data-index=\"48\" style=\"width: 50%\" class=\" form-element form-element-field183 options-false form-element-48 default-false form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >What is the reason why you need to relocate your PET(S)?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field183\" placeholder=\"\" class=\"validation-lenient\" name=\"field183\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.734px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field184\" data-index=\"49\" style=\"width: 50%\" class=\" even form-element form-element-field184 options-false form-element-49 default-false form-element-type-textarea is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Any special instructions or comments?<\/span><\/span><span class=\"sub-label\"><span >type 0 if not applicable<\/span><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field184\" placeholder=\"\" class=\"validation-lenient\" name=\"field184\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.734px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field190\" data-index=\"50\" style=\"width: 100%\" class=\" form-element form-element-field190 options-false form-element-50 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #ffffff !important; background-color: #1e73be\"><div class=\"full\" style=\"text-align: left\"><p style=\"font-size: 20px\" >UPLOAD YOUR DOCUMENTS<\/p><\/div><input type=\"hidden\" name=\"field190\" data-field-id=\"field190\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field204\" data-index=\"51\" style=\"width: 100%\" class=\" even form-element form-element-field204 options-false form-element-51 default-false form-element-type-fileupload is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"wide- fileupload-cover field-cover\"><span class=\"sub-label-\"><span class=\"main-label\"><span >IMPORTANT: Upload ONE photo of each PET<\/span><\/span><span class=\"sub-label\"><span >jpg,jpeg,png,pdf<\/span><\/span><\/span><div><span class=\"error\"><\/span><div class=\"button button-file fileupload-button\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><i class=\"icon-upload-cloud formcraft-icon\">cloud_upload<\/i><span >PET - Upload 1 photo of each PET<\/span><input type=\"file\" data-name-list=\"field204\" name=\"files\" multiple=\"multiple\" data-allow-extensions=\"jpg,jpeg,png,pdf\" data-min-files=\"\" data-max-files=\"\" data-max-size=\"\"><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field205\" data-index=\"52\" style=\"width: 100%\" class=\" form-element form-element-field205 options-false form-element-52 default-false form-element-type-fileupload is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"wide- fileupload-cover field-cover\"><span class=\"sub-label-\"><span class=\"main-label\"><span >IMPORTANT: Upload ONE photo of each CRATE<\/span><\/span><span class=\"sub-label\"><span >jpg,jpeg,png,pdf<\/span><\/span><\/span><div><span class=\"error\"><\/span><div class=\"button button-file fileupload-button\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><i class=\"icon-upload-cloud formcraft-icon\">cloud_upload<\/i><span >CRATE - Upload 1 photo of each crate<\/span><input type=\"file\" data-name-list=\"field205\" name=\"files\" multiple=\"multiple\" data-allow-extensions=\"jpg,jpeg,png,pdf\" data-min-files=\"\" data-max-files=\"\" data-max-size=\"\"><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field213\" data-index=\"53\" style=\"width: 100%\" class=\" even form-element form-element-field213 options-false form-element-53 default-false form-element-type-fileupload is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"wide- fileupload-cover field-cover\"><span class=\"sub-label-\"><span class=\"main-label\"><span >IMPORTANT: Upload copy of RABIES Vaccination Certificate for each Pet<\/span><\/span><span class=\"sub-label\"><span >jpg,jpeg,png,pdf<\/span><\/span><\/span><div><span class=\"error\"><\/span><div class=\"button button-file fileupload-button\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><i class=\"icon-upload-cloud formcraft-icon\">cloud_upload<\/i><span >CERTIFICATE - Upload Vaccination Certificate for Rabies<\/span><input type=\"file\" data-name-list=\"field213\" name=\"files\" multiple=\"multiple\" data-allow-extensions=\"pdf\" data-min-files=\"\" data-max-files=\"\" data-max-size=\"\"><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field164\" data-index=\"54\" style=\"width: 100%\" class=\" form-element form-element-field164 options-false form-element-54 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><h2 >Do you have PET #2?<\/h2><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field164\" type=\"radio\" data-is-required=\"true\" name=\"field164[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field164\" type=\"radio\" data-is-required=\"true\" name=\"field164[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field214\" data-index=\"55\" style=\"width: 100%\" class=\" even form-element form-element-field214 options-false form-element-55 default-true form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #ffffff !important; background-color: #1e73be\"><div class=\"full\" style=\"text-align: left\"><p style=\"font-size: 20px\" >TELL US ABOUT YOUR PET #2<\/p><\/div><input type=\"hidden\" name=\"field214\" data-field-id=\"field214\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field49\" data-index=\"56\" style=\"width: 66%\" class=\" form-element form-element-field49 options-false form-element-56 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >SPECIE of PET #2<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field49\" type=\"radio\" data-is-required=\"true\" name=\"field49[]\" value=\"Dog\" class=\"validation-lenient\"><span><span >Dog<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field49\" type=\"radio\" data-is-required=\"true\" name=\"field49[]\" value=\"Cat\" class=\"validation-lenient\"><span><span >Cat<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field49\" type=\"radio\" data-is-required=\"true\" name=\"field49[]\" value=\"Rabbit\" class=\"validation-lenient\"><span><span >Rabbit<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field49\" type=\"radio\" data-is-required=\"true\" name=\"field49[]\" value=\"Rodent\" class=\"validation-lenient\"><span><span >Rodent<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field49\" type=\"radio\" data-is-required=\"true\" name=\"field49[]\" value=\"Bird\" class=\"validation-lenient\"><span><span >Bird<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field49\" type=\"radio\" data-is-required=\"true\" name=\"field49[]\" value=\"Other\" class=\"validation-lenient\"><span><span >Other<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field72\" data-index=\"57\" style=\"width: 33%\" class=\" even form-element form-element-field72 options-false form-element-57 default-true form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Other specie - Pet #2<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"type 0 if not applicable\" make-read-only=\"false\" data-field-id=\"field72\" name=\"field72[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"type 0 if not applicable\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field56\" data-index=\"58\" style=\"width: 33%\" class=\" form-element form-element-field56 options-false form-element-58 default-true form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >NAME of your Pet #2<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field56\" name=\"field56[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field188\" data-index=\"59\" style=\"width: 33%\" class=\" even form-element form-element-field188 options-false form-element-59 default-true form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >BREED of your Pet #2<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field188\" name=\"field188[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field64\" data-index=\"60\" style=\"width: 33%\" class=\" form-element form-element-field64 options-false form-element-60 default-true form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >COLOR of your Pet #2<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field64\" name=\"field64[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field78\" data-index=\"61\" style=\"width: 100%\" class=\" even form-element form-element-field78 options-false form-element-61 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >SEX of your Pet #2<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field78\" type=\"radio\" data-is-required=\"true\" name=\"field78[]\" value=\"Female (non sterilised)\" class=\"validation-lenient\"><span><span >Female (non sterilised)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field78\" type=\"radio\" data-is-required=\"true\" name=\"field78[]\" value=\"Female sterilised\" class=\"validation-lenient\"><span><span >Female sterilised<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field78\" type=\"radio\" data-is-required=\"true\" name=\"field78[]\" value=\"Male (non sterilised)\" class=\"validation-lenient\"><span><span >Male (non sterilised)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field78\" type=\"radio\" data-is-required=\"true\" name=\"field78[]\" value=\"Male sterilised\" class=\"validation-lenient\"><span><span >Male sterilised<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field86\" data-index=\"62\" style=\"width: 33%\" class=\" form-element form-element-field86 options-false form-element-62 default-true form-element-type-datepicker is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >DATE of BIRTH of Pet #2<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field86\" placeholder=\"\" type=\"text\" class=\"validation-lenient   hasDatepicker ng-empty  \" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"en-GB\" name=\"field86\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field33\" data-index=\"63\" style=\"width: 33%\" class=\" even form-element form-element-field33 options-false form-element-63 default-true form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >WEIGHT of Pet #2<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field33\" name=\"field33[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field93\" data-index=\"64\" style=\"width: 33%\" class=\" form-element form-element-field93 options-false form-element-64 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >KILOS or POUNDS? Pet #2<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field93\" type=\"radio\" data-is-required=\"true\" name=\"field93[]\" value=\"Kilos (kgs)\" class=\"validation-lenient\"><span><span >Kilos (kgs)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field93\" type=\"radio\" data-is-required=\"true\" name=\"field93[]\" value=\"Pounds (lbs)\" class=\"validation-lenient\"><span><span >Pounds (lbs)<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field97\" data-index=\"65\" style=\"width: 33%\" class=\" even form-element form-element-field97 options-false form-element-65 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Does Pet #2 have a MICROCHIP?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field97\" type=\"radio\" data-is-required=\"true\" name=\"field97[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field97\" type=\"radio\" data-is-required=\"true\" name=\"field97[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field101\" data-index=\"66\" style=\"width: 33%\" class=\" form-element form-element-field101 options-false form-element-66 default-true form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Microchip NUMBER of Pet #2<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"type 0 if not applicable\" make-read-only=\"false\" data-field-id=\"field101\" name=\"field101[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"type 0 if not applicable\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field105\" data-index=\"67\" style=\"width: 33%\" class=\" even form-element form-element-field105 options-false form-element-67 default-true form-element-type-datepicker is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >DATE of insertion of Microchip Pet #2<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field105\" placeholder=\"\" type=\"text\" class=\"validation-lenient   hasDatepicker ng-empty  \" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"en-GB\" name=\"field105\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field123\" data-index=\"68\" style=\"width: 33%\" class=\" form-element form-element-field123 options-false form-element-68 default-true form-element-type-datepicker is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >DATE of last RABIES Vaccine for Pet #2<\/span><\/span><span class=\"sub-label\"><span >If not applicable - please select 01\/01\/2010<\/span><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field123\" placeholder=\"\" type=\"text\" class=\"validation-lenient   hasDatepicker ng-empty  \" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"en-GB\" name=\"field123\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field195\" data-index=\"69\" style=\"width: 100%\" class=\" even form-element form-element-field195 options-false form-element-69 default-true form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #1e73be !important; background-color: #ffffff\"><div class=\"full\" style=\"text-align: left\"><p ><\/p><p style=\"font-size: 20px\" >MEASUREMENTS of PET #2<\/p><p ><\/p><\/div><input type=\"hidden\" name=\"field195\" data-field-id=\"field195\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field147\" data-index=\"70\" style=\"width: 20%\" class=\" form-element form-element-field147 options-false form-element-70 default-true form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >A = Pet #2<\/span><\/span><span class=\"sub-label\"><span >DOG+ - Length<\/span><br ><span >BIRD - Height<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field147\" name=\"field147[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field152\" data-index=\"71\" style=\"width: 20%\" class=\" even form-element form-element-field152 options-false form-element-71 default-true form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >B = Pet #2<\/span><\/span><span class=\"sub-label\"><span >DOG+ - Height <\/span><br ><span >BIRD - Length<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field152\" name=\"field152[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field157\" data-index=\"72\" style=\"width: 20%\" class=\" form-element form-element-field157 options-false form-element-72 default-true form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >C = Pet #2<\/span><\/span><span class=\"sub-label\"><span >DOG+ = Width<\/span><br ><span > BIRD = Diameter<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field157\" name=\"field157[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field150\" data-index=\"73\" style=\"width: 20%\" class=\" even form-element form-element-field150 options-false form-element-73 default-true form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >D = Pet #2<\/span><\/span><span class=\"sub-label\"><span >DOG+ = Height<\/span><br ><span >BIRD = Type N\/A<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field150\" name=\"field150[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field160\" data-index=\"74\" style=\"width: 20%\" class=\" form-element form-element-field160 options-false form-element-74 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Inches or Centimeters?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field160\" type=\"radio\" data-is-required=\"true\" name=\"field160[]\" value=\"Inches\" class=\"validation-lenient\"><span><span >Inches<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field160\" type=\"radio\" data-is-required=\"true\" name=\"field160[]\" value=\"Centimeters\" class=\"validation-lenient\"><span><span >Centimeters<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field165\" data-index=\"75\" style=\"width: 33%\" class=\" even form-element form-element-field165 options-false form-element-75 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><h2 >Do you have PET #3?<\/h2><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field165\" type=\"radio\" data-is-required=\"true\" name=\"field165[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field165\" type=\"radio\" data-is-required=\"true\" name=\"field165[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field191\" data-index=\"76\" style=\"width: 100%\" class=\" form-element form-element-field191 options-false form-element-76 default-true form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #ffffff !important; background-color: #1e73be\"><div class=\"full\" style=\"text-align: left\"><p style=\"font-size: 20px\" >TELL US ABOUT YOUR PET #3<\/p><\/div><input type=\"hidden\" name=\"field191\" data-field-id=\"field191\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field48\" data-index=\"77\" style=\"width: 66%\" class=\" even form-element form-element-field48 options-false form-element-77 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >SPECIE of PET #3<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field48\" type=\"radio\" data-is-required=\"true\" name=\"field48[]\" value=\"Dog\" class=\"validation-lenient\"><span><span >Dog<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field48\" type=\"radio\" data-is-required=\"true\" name=\"field48[]\" value=\"Cat\" class=\"validation-lenient\"><span><span >Cat<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field48\" type=\"radio\" data-is-required=\"true\" name=\"field48[]\" value=\"Rabbit\" class=\"validation-lenient\"><span><span >Rabbit<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field48\" type=\"radio\" data-is-required=\"true\" name=\"field48[]\" value=\"Rodent\" class=\"validation-lenient\"><span><span >Rodent<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field48\" type=\"radio\" data-is-required=\"true\" name=\"field48[]\" value=\"Bird\" class=\"validation-lenient\"><span><span >Bird<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field48\" type=\"radio\" data-is-required=\"true\" name=\"field48[]\" value=\"Other\" class=\"validation-lenient\"><span><span >Other<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field71\" data-index=\"78\" style=\"width: 33%\" class=\" form-element form-element-field71 options-false form-element-78 default-true form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Other specie - Pet #3<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"type 0 if not applicable\" make-read-only=\"false\" data-field-id=\"field71\" name=\"field71[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"type 0 if not applicable\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field139\" data-index=\"79\" style=\"width: 33%\" class=\" even form-element form-element-field139 options-false form-element-79 default-true form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >NAME of your Pet #3<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field139\" name=\"field139[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field55\" data-index=\"80\" style=\"width: 33%\" class=\" form-element form-element-field55 options-false form-element-80 default-true form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >BREED of your Pet #3<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field55\" name=\"field55[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field63\" data-index=\"81\" style=\"width: 33%\" class=\" even form-element form-element-field63 options-false form-element-81 default-true form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >COLOR of your Pet #3<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field63\" name=\"field63[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field79\" data-index=\"82\" style=\"width: 100%\" class=\" form-element form-element-field79 options-false form-element-82 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >SEX of your Pet #3<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field79\" type=\"radio\" data-is-required=\"true\" name=\"field79[]\" value=\"Female (non sterilised)\" class=\"validation-lenient\"><span><span >Female (non sterilised)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field79\" type=\"radio\" data-is-required=\"true\" name=\"field79[]\" value=\"Female sterilised\" class=\"validation-lenient\"><span><span >Female sterilised<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field79\" type=\"radio\" data-is-required=\"true\" name=\"field79[]\" value=\"Male (non sterilised)\" class=\"validation-lenient\"><span><span >Male (non sterilised)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field79\" type=\"radio\" data-is-required=\"true\" name=\"field79[]\" value=\"Male sterilised\" class=\"validation-lenient\"><span><span >Male sterilised<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field35\" data-index=\"83\" style=\"width: 33%\" class=\" even form-element form-element-field35 options-false form-element-83 default-true form-element-type-datepicker is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >DATE of BIRTH of Pet #3<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field35\" placeholder=\"\" type=\"text\" class=\"validation-lenient   hasDatepicker ng-empty  \" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"fr\" name=\"field35\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field91\" data-index=\"84\" style=\"width: 33%\" class=\" form-element form-element-field91 options-false form-element-84 default-true form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >WEIGHT of Pet #2<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field91\" name=\"field91[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field95\" data-index=\"85\" style=\"width: 33%\" class=\" even form-element form-element-field95 options-false form-element-85 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >KILOS or POUNDS? Pet #3<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field95\" type=\"radio\" data-is-required=\"true\" name=\"field95[]\" value=\"Kilos (kgs)\" class=\"validation-lenient\"><span><span >Kilos (kgs)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field95\" type=\"radio\" data-is-required=\"true\" name=\"field95[]\" value=\"Pounds (lbs)\" class=\"validation-lenient\"><span><span >Pounds (lbs)<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field99\" data-index=\"86\" style=\"width: 33%\" class=\" form-element form-element-field99 options-false form-element-86 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Does Pet #3 have a MICROCHIP?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field99\" type=\"radio\" data-is-required=\"true\" name=\"field99[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field99\" type=\"radio\" data-is-required=\"true\" name=\"field99[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field102\" data-index=\"87\" style=\"width: 33%\" class=\" even form-element form-element-field102 options-false form-element-87 default-true form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Microchip NUMBER of Pet #3<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"type 0 if not applicable\" make-read-only=\"false\" data-field-id=\"field102\" name=\"field102[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"type 0 if not applicable\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field106\" data-index=\"88\" style=\"width: 33%\" class=\" form-element form-element-field106 options-false form-element-88 default-true form-element-type-datepicker is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >DATE of insertion of Microchip Pet #3<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field106\" placeholder=\"\" type=\"text\" class=\"validation-lenient   hasDatepicker ng-empty  \" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"en-GB\" name=\"field106\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field110\" data-index=\"89\" style=\"width: 33%\" class=\" even form-element form-element-field110 options-false form-element-89 default-true form-element-type-datepicker is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >DATE of last RABIES Vaccine for Pet #3<\/span><\/span><span class=\"sub-label\"><span >If not applicable - please select 01\/01\/2010<\/span><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field110\" placeholder=\"\" type=\"text\" class=\"validation-lenient   hasDatepicker ng-empty  \" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"en-GB\" name=\"field110\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field198\" data-index=\"90\" style=\"width: 100%\" class=\" form-element form-element-field198 options-false form-element-90 default-true form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #1e73be !important; background-color: #ffffff\"><div class=\"full\" style=\"text-align: left\"><p ><\/p><p style=\"font-size: 20px\" >MEASUREMENTS of PET #3<\/p><p ><\/p><\/div><input type=\"hidden\" name=\"field198\" data-field-id=\"field198\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field148\" data-index=\"91\" style=\"width: 20%\" class=\" even form-element form-element-field148 options-false form-element-91 default-true form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >A = Pet #3<\/span><\/span><span class=\"sub-label\"><span >DOG+ - Length<\/span><br ><span >BIRD - Height<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field148\" name=\"field148[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field153\" data-index=\"92\" style=\"width: 20%\" class=\" form-element form-element-field153 options-false form-element-92 default-true form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >B = Pet #3<\/span><\/span><span class=\"sub-label\"><span >DOG+ - Height <\/span><br ><span >BIRD - Length<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field153\" name=\"field153[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field141\" data-index=\"93\" style=\"width: 20%\" class=\" even form-element form-element-field141 options-false form-element-93 default-true form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >C = Pet #3<\/span><\/span><span class=\"sub-label\"><span >DOG+ = Width<\/span><br ><span > BIRD = Diameter<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field141\" name=\"field141[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field140\" data-index=\"94\" style=\"width: 20%\" class=\" form-element form-element-field140 options-false form-element-94 default-true form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >D = Pet #3<\/span><\/span><span class=\"sub-label\"><span >DOG+ = Height<\/span><br ><span >BIRD = Type N\/A<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field140\" name=\"field140[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field162\" data-index=\"95\" style=\"width: 20%\" class=\" even form-element form-element-field162 options-false form-element-95 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Inches or Centimeters?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field162\" type=\"radio\" data-is-required=\"true\" name=\"field162[]\" value=\"Inches\" class=\"validation-lenient\"><span><span >Inches<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field162\" type=\"radio\" data-is-required=\"true\" name=\"field162[]\" value=\"Centimeters\" class=\"validation-lenient\"><span><span >Centimeters<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field166\" data-index=\"96\" style=\"width: 50%\" class=\" form-element form-element-field166 options-false form-element-96 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><h2 >Do you have PET #4?<\/h2><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field166\" type=\"radio\" data-is-required=\"true\" name=\"field166[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field166\" type=\"radio\" data-is-required=\"true\" name=\"field166[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field201\" data-index=\"97\" style=\"width: 100%\" class=\" even form-element form-element-field201 options-false form-element-97 default-true form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #ffffff !important; background-color: #1e73be\"><div class=\"full\" style=\"text-align: left\"><p style=\"font-size: 20px\" >TELL US ABOUT YOUR PET #4<\/p><\/div><input type=\"hidden\" name=\"field201\" data-field-id=\"field201\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field50\" data-index=\"98\" style=\"width: 66%\" class=\" form-element form-element-field50 options-false form-element-98 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >SPECIE of PET #4<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field50\" type=\"radio\" data-is-required=\"true\" name=\"field50[]\" value=\"Dog\" class=\"validation-lenient\"><span><span >Dog<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field50\" type=\"radio\" data-is-required=\"true\" name=\"field50[]\" value=\"Cat\" class=\"validation-lenient\"><span><span >Cat<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field50\" type=\"radio\" data-is-required=\"true\" name=\"field50[]\" value=\"Rabbit\" class=\"validation-lenient\"><span><span >Rabbit<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field50\" type=\"radio\" data-is-required=\"true\" name=\"field50[]\" value=\"Rodent\" class=\"validation-lenient\"><span><span >Rodent<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field50\" type=\"radio\" data-is-required=\"true\" name=\"field50[]\" value=\"Bird\" class=\"validation-lenient\"><span><span >Bird<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field50\" type=\"radio\" data-is-required=\"true\" name=\"field50[]\" value=\"Other\" class=\"validation-lenient\"><span><span >Other<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field74\" data-index=\"99\" style=\"width: 33%\" class=\" even form-element form-element-field74 options-false form-element-99 default-true form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Other specie - Pet #4<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"type 0 if not applicable\" make-read-only=\"false\" data-field-id=\"field74\" name=\"field74[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"type 0 if not applicable\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field51\" data-index=\"100\" style=\"width: 33%\" class=\" form-element form-element-field51 options-false form-element-100 default-true form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >NAME of your Pet #4<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field51\" name=\"field51[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field57\" data-index=\"101\" style=\"width: 33%\" class=\" even form-element form-element-field57 options-false form-element-101 default-true form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >BREED of your Pet #4<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field57\" name=\"field57[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field62\" data-index=\"102\" style=\"width: 33%\" class=\" form-element form-element-field62 options-false form-element-102 default-true form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >COLOR of your Pet #4<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field62\" name=\"field62[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field80\" data-index=\"103\" style=\"width: 100%\" class=\" even form-element form-element-field80 options-false form-element-103 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >SEX of your Pet #4<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field80\" type=\"radio\" data-is-required=\"true\" name=\"field80[]\" value=\"Female (non sterilised)\" class=\"validation-lenient\"><span><span >Female (non sterilised)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field80\" type=\"radio\" data-is-required=\"true\" name=\"field80[]\" value=\"Female sterilised\" class=\"validation-lenient\"><span><span >Female sterilised<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field80\" type=\"radio\" data-is-required=\"true\" name=\"field80[]\" value=\"Male (non sterilised)\" class=\"validation-lenient\"><span><span >Male (non sterilised)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field80\" type=\"radio\" data-is-required=\"true\" name=\"field80[]\" value=\"Male sterilised\" class=\"validation-lenient\"><span><span >Male sterilised<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field87\" data-index=\"104\" style=\"width: 33%\" class=\" form-element form-element-field87 options-false form-element-104 default-true form-element-type-datepicker is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >DATE of BIRTH of Pet #4<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field87\" placeholder=\"\" type=\"text\" class=\"validation-lenient   hasDatepicker ng-empty  \" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"fr\" name=\"field87\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field90\" data-index=\"105\" style=\"width: 33%\" class=\" even form-element form-element-field90 options-false form-element-105 default-true form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >WEIGHT of Pet #4<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field90\" name=\"field90[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field94\" data-index=\"106\" style=\"width: 33%\" class=\" form-element form-element-field94 options-false form-element-106 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >KILOS or POUNDS? Pet #4<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field94\" type=\"radio\" data-is-required=\"true\" name=\"field94[]\" value=\"Kilos (kgs)\" class=\"validation-lenient\"><span><span >Kilos (kgs)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field94\" type=\"radio\" data-is-required=\"true\" name=\"field94[]\" value=\"Pounds (lbs)\" class=\"validation-lenient\"><span><span >Pounds (lbs)<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field98\" data-index=\"107\" style=\"width: 33%\" class=\" even form-element form-element-field98 options-false form-element-107 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Does Pet #4 have a MICROCHIP?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field98\" type=\"radio\" data-is-required=\"true\" name=\"field98[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field98\" type=\"radio\" data-is-required=\"true\" name=\"field98[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field103\" data-index=\"108\" style=\"width: 33%\" class=\" form-element form-element-field103 options-false form-element-108 default-true form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Microchip NUMBER of Pet #4<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"tapez 0 si non applicable\" make-read-only=\"false\" data-field-id=\"field103\" name=\"field103[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"tapez 0 si non applicable\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field108\" data-index=\"109\" style=\"width: 33%\" class=\" even form-element form-element-field108 options-false form-element-109 default-true form-element-type-datepicker is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >DATE of insertion of Microchip Pet #4<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field108\" placeholder=\"\" type=\"text\" class=\"validation-lenient   hasDatepicker ng-empty  \" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"fr\" name=\"field108\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field111\" data-index=\"110\" style=\"width: 33%\" class=\" form-element form-element-field111 options-false form-element-110 default-true form-element-type-datepicker is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >DATE of last RABIES Vaccine for Pet #4<\/span><\/span><span class=\"sub-label\"><span >If not applicable - please select 01\/01\/2010<\/span><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field111\" placeholder=\"\" type=\"text\" class=\"validation-lenient   hasDatepicker ng-empty  \" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"fr\" name=\"field111\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field196\" data-index=\"111\" style=\"width: 100%\" class=\" even form-element form-element-field196 options-false form-element-111 default-true form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #1e73be !important; background-color: #ffffff\"><div class=\"full\" style=\"text-align: left\"><p ><\/p><p style=\"font-size: 20px\" >MEASUREMENTS of PET #4<\/p><p ><\/p><\/div><input type=\"hidden\" name=\"field196\" data-field-id=\"field196\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field54\" data-index=\"112\" style=\"width: 20%\" class=\" form-element form-element-field54 options-false form-element-112 default-true form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >A = Pet #4<\/span><\/span><span class=\"sub-label\"><span >DOG+ - Length<\/span><br ><span >BIRD - Height<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field54\" name=\"field54[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field142\" data-index=\"113\" style=\"width: 20%\" class=\" even form-element form-element-field142 options-false form-element-113 default-true form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >B = Pet #4<\/span><\/span><span class=\"sub-label\"><span >DOG+ - Height <\/span><br ><span >BIRD - Length<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field142\" name=\"field142[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field156\" data-index=\"114\" style=\"width: 20%\" class=\" form-element form-element-field156 options-false form-element-114 default-true form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >C = Pet #4<\/span><\/span><span class=\"sub-label\"><span >DOG+ = Width<\/span><br ><span > BIRD = Diameter<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field156\" name=\"field156[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field207\" data-index=\"115\" style=\"width: 20%\" class=\" even form-element form-element-field207 options-false form-element-115 default-true form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >D = Pet #4<\/span><\/span><span class=\"sub-label\"><span >DOG+ = Height<\/span><br ><span >BIRD = Type N\/A<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field207\" name=\"field207[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field161\" data-index=\"116\" style=\"width: 20%\" class=\" form-element form-element-field161 options-false form-element-116 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Inches or Centimeters?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field161\" type=\"radio\" data-is-required=\"true\" name=\"field161[]\" value=\"Inches\" class=\"validation-lenient\"><span><span >Inches<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field161\" type=\"radio\" data-is-required=\"true\" name=\"field161[]\" value=\"Centimeters\" class=\"validation-lenient\"><span><span >Centimeters<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field168\" data-index=\"117\" style=\"width: 50%\" class=\" even form-element form-element-field168 options-false form-element-117 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><h2 >Do you have PET #5?<\/h2><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field168\" type=\"radio\" data-is-required=\"true\" name=\"field168[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field168\" type=\"radio\" data-is-required=\"true\" name=\"field168[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field200\" data-index=\"118\" style=\"width: 100%\" class=\" form-element form-element-field200 options-false form-element-118 default-true form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #ffffff !important; background-color: #1e73be\"><div class=\"full\" style=\"text-align: left\"><p style=\"font-size: 20px\" >TELL US ABOUT YOUR PET #5<\/p><\/div><input type=\"hidden\" name=\"field200\" data-field-id=\"field200\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field59\" data-index=\"119\" style=\"width: 66%\" class=\" even form-element form-element-field59 options-false form-element-119 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >SPECIE of PET #5<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field59\" type=\"radio\" data-is-required=\"true\" name=\"field59[]\" value=\"Dog\" class=\"validation-lenient\"><span><span >Dog<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field59\" type=\"radio\" data-is-required=\"true\" name=\"field59[]\" value=\"Cat\" class=\"validation-lenient\"><span><span >Cat<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field59\" type=\"radio\" data-is-required=\"true\" name=\"field59[]\" value=\"Rabbit\" class=\"validation-lenient\"><span><span >Rabbit<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field59\" type=\"radio\" data-is-required=\"true\" name=\"field59[]\" value=\"Rodent\" class=\"validation-lenient\"><span><span >Rodent<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field59\" type=\"radio\" data-is-required=\"true\" name=\"field59[]\" value=\"Bird\" class=\"validation-lenient\"><span><span >Bird<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field59\" type=\"radio\" data-is-required=\"true\" name=\"field59[]\" value=\"Other\" class=\"validation-lenient\"><span><span >Other<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field27\" data-index=\"120\" style=\"width: 33%\" class=\" form-element form-element-field27 options-false form-element-120 default-true form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Other specie - Pet #5<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"type 0 if not applicable\" make-read-only=\"false\" data-field-id=\"field27\" name=\"field27[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"type 0 if not applicable\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field52\" data-index=\"121\" style=\"width: 33%\" class=\" even form-element form-element-field52 options-false form-element-121 default-true form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >NAME of your Pet #5<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field52\" name=\"field52[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field29\" data-index=\"122\" style=\"width: 33%\" class=\" form-element form-element-field29 options-false form-element-122 default-true form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >BREED of your Pet #5<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field29\" name=\"field29[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field65\" data-index=\"123\" style=\"width: 34%\" class=\" even form-element form-element-field65 options-false form-element-123 default-true form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >COLOR of your Pet #5<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field65\" name=\"field65[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field81\" data-index=\"124\" style=\"width: 100%\" class=\" form-element form-element-field81 options-false form-element-124 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >SEX of your Pet #5<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field81\" type=\"radio\" data-is-required=\"true\" name=\"field81[]\" value=\"Female (non sterilised)\" class=\"validation-lenient\"><span><span >Female (non sterilised)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field81\" type=\"radio\" data-is-required=\"true\" name=\"field81[]\" value=\"Female sterilised\" class=\"validation-lenient\"><span><span >Female sterilised<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field81\" type=\"radio\" data-is-required=\"true\" name=\"field81[]\" value=\"Male (non sterilised)\" class=\"validation-lenient\"><span><span >Male (non sterilised)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field81\" type=\"radio\" data-is-required=\"true\" name=\"field81[]\" value=\"Male sterilised\" class=\"validation-lenient\"><span><span >Male sterilised<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field88\" data-index=\"125\" style=\"width: 33%\" class=\" even form-element form-element-field88 options-false form-element-125 default-true form-element-type-datepicker is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >DATE of BIRTH of Pet #5<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field88\" placeholder=\"\" type=\"text\" class=\"validation-lenient   hasDatepicker ng-empty  \" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"fr\" name=\"field88\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field92\" data-index=\"126\" style=\"width: 33%\" class=\" form-element form-element-field92 options-false form-element-126 default-true form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >WEIGHT of Pet #5<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field92\" name=\"field92[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field96\" data-index=\"127\" style=\"width: 33%\" class=\" even form-element form-element-field96 options-false form-element-127 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >KILOS or POUNDS? Pet #5<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field96\" type=\"radio\" data-is-required=\"true\" name=\"field96[]\" value=\"Kilos (kgs)\" class=\"validation-lenient\"><span><span >Kilos (kgs)<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field96\" type=\"radio\" data-is-required=\"true\" name=\"field96[]\" value=\"Pounds (lbs)\" class=\"validation-lenient\"><span><span >Pounds (lbs)<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field100\" data-index=\"128\" style=\"width: 33%\" class=\" form-element form-element-field100 options-false form-element-128 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Does Pet #5 have a MICROCHIP?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field100\" type=\"radio\" data-is-required=\"true\" name=\"field100[]\" value=\"Yes\" class=\"validation-lenient\"><span><span >Yes<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field100\" type=\"radio\" data-is-required=\"true\" name=\"field100[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field104\" data-index=\"129\" style=\"width: 33%\" class=\" even form-element form-element-field104 options-false form-element-129 default-true form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Microchip NUMBER of Pet #5<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"type 0 if not applicable\" make-read-only=\"false\" data-field-id=\"field104\" name=\"field104[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"type 0 if not applicable\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field107\" data-index=\"130\" style=\"width: 33%\" class=\" form-element form-element-field107 options-false form-element-130 default-true form-element-type-datepicker is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >DATE of insertion of Microchip Pet #5<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field107\" placeholder=\"\" type=\"text\" class=\"validation-lenient   hasDatepicker ng-empty  \" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"fr\" name=\"field107\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field112\" data-index=\"131\" style=\"width: 33%\" class=\" even form-element form-element-field112 options-false form-element-131 default-true form-element-type-datepicker is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >DATE of last RABIES Vaccine for Pet #5<\/span><\/span><span class=\"sub-label\"><span >If not applicable - please select 01\/01\/2010<\/span><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field112\" placeholder=\"\" type=\"text\" class=\"validation-lenient   hasDatepicker ng-empty  \" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"fr\" name=\"field112\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field199\" data-index=\"132\" style=\"width: 100%\" class=\" form-element form-element-field199 options-false form-element-132 default-true form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #1e73be !important; background-color: #ffffff\"><div class=\"full\" style=\"text-align: left\"><p ><\/p><p style=\"font-size: 20px\" >MEASUREMENTS of PET #5<\/p><p ><\/p><\/div><input type=\"hidden\" name=\"field199\" data-field-id=\"field199\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field208\" data-index=\"133\" style=\"width: 20%\" class=\" even form-element form-element-field208 options-false form-element-133 default-true form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >A = Pet #5<\/span><\/span><span class=\"sub-label\"><span >DOG+ - Length<\/span><br ><span >BIRD - Height<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field208\" name=\"field208[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field210\" data-index=\"134\" style=\"width: 20%\" class=\" form-element form-element-field210 options-false form-element-134 default-true form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >B = Pet #5<\/span><\/span><span class=\"sub-label\"><span >DOG+ - Height <\/span><br ><span >BIRD - Length<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field210\" name=\"field210[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field211\" data-index=\"135\" style=\"width: 20%\" class=\" even form-element form-element-field211 options-false form-element-135 default-true form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >C = Pet #5<\/span><\/span><span class=\"sub-label\"><span >DOG+ = Width<\/span><br ><span > BIRD = Diameter<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field211\" name=\"field211[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field212\" data-index=\"136\" style=\"width: 20%\" class=\" form-element form-element-field212 options-false form-element-136 default-true form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >D = Pet #5<\/span><\/span><span class=\"sub-label\"><span >DOG+ = Height<\/span><br ><span >BIRD = Type N\/A<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field212\" name=\"field212[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field163\" data-index=\"137\" style=\"width: 20%\" class=\" even form-element form-element-field163 options-false form-element-137 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Inches or Centimeters?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field163\" type=\"radio\" data-is-required=\"true\" name=\"field163[]\" value=\"Inches\" class=\"validation-lenient\"><span><span >Inches<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field163\" type=\"radio\" data-is-required=\"true\" name=\"field163[]\" value=\"Centimeters\" class=\"validation-lenient\"><span><span >Centimeters<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field186\" data-index=\"138\" style=\"width: 100%\" class=\" form-element form-element-field186 options-false form-element-138 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.5em; padding-top: ; padding-bottom: ; color:\" class=\"bold-\"><\/div><input type=\"hidden\" data-field-id=\"field186\" name=\"field186[]\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field206\" data-index=\"139\" style=\"width: 100%\" class=\" even form-element form-element-field206 options-false form-element-139 default-true form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #1e73be !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p style=\"font-size: 13px\" ><\/p><div style=\"text-align: center;font-size: 13px\" ><span style=\"font-size: 15.5px\">If you have more than 5 pets, please add the information fo<\/span><span style=\"font-size: 15.5px\">r additional pets in the question \"<\/span><i style=\"font-size: 15.5px\"><br>Any special instructions or comments?<\/i><span style=\"font-size: 15.5px\">\" above. Thank you.<\/span><\/div><p style=\"font-size: 13px\" ><\/p><\/div><input type=\"hidden\" name=\"field206\" data-field-id=\"field206\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"140\" style=\"width: 100%\" class=\" form-element form-element-field9 options-false form-element-140 default-false form-element-type-submit is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-center wide-false submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">GET AN ESTIMATE<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field8\" data-index=\"141\" style=\"width: 100%\" class=\" even form-element form-element-field8 options-false form-element-141 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: 70PX;right: ;bottom: ;color: #666666 !important; background-color: #ffffff\"><div class=\"full\" style=\"text-align: left\"><\/div><input type=\"hidden\" name=\"field8\" data-field-id=\"field8\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 900px; color: #666666; font-size: 100%; background: #ededed\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div><\/p>\n<p style=\"border: 0px; font-size: 14px; padding: 0px; vertical-align: baseline; text-align: center;\"><span style=\"border: 0px; font-size: 13.3333px; padding: 0px; vertical-align: baseline;\">You will receive an automated confirmation email with the information provided. Check your email and spam boxes.<\/span><b style=\"border: 0px; font-size: 14px; padding: 0px; vertical-align: baseline;\"><\/b><\/p>\n<p style=\"border: 0px; font-size: 14px; padding: 0px; vertical-align: baseline; text-align: center;\"><b style=\"border: 0px; font-size: 14px; padding: 0px; vertical-align: baseline;\"><b style=\"font-size: 14px;\">LINK FOR THIS QUESTIONNAIRE<\/b>:<\/b><\/p>\n<p style=\"border: 0px; font-size: 14px; padding: 0px; vertical-align: baseline; text-align: center;\"><a style=\"font-size: 14px; text-align: center; padding: 0px; vertical-align: baseline;\" href=\"https:\/\/manoirkanisha.com\/en\/pet-relocation\/estimate-for-relocation-questionnaire\/\" rel=\"noopener\">https:\/\/manoirkanisha.com\/en\/pet-relocation\/estimate-for-relocation-questionnaire\/<\/a><\/p>\n<p style=\"border: 0px; font-size: 14px; padding: 0px; vertical-align: baseline; text-align: center;\"><b style=\"border: 0px; font-size: 14px; padding: 0px; vertical-align: baseline;\"><em style=\"font-size: 14px;\">FRENCH QUESTIONNAIRE:<\/em><\/b><\/p>\n<p style=\"border: 0px; font-size: 14px; padding: 0px; vertical-align: baseline; text-align: center;\"><a style=\"font-size: 14px; text-align: center; padding: 0px; vertical-align: baseline;\" href=\"https:\/\/manoirkanisha.com\/en\/pet-relocation\/estimate-for-relocation-questionnaire\/\" target=\"\" rel=\"noopener\">https:\/\/manoirkanisha.com\/relocalisation-animaux\/estime-des-couts-questionnaire\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>UPDATE ON RELOCATION: Without a building we will be unable to provide EXPORT services. If you require assistance with an export, please click here. You will receive an automated confirmation email with the information provided. Check your email and spam<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/manoirkanisha.com\/en\/pet-relocation\/estimate-for-relocation-questionnaire\/\">Read more &#8250;<\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":2,"featured_media":702,"parent":147,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"full-width-page.php","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"<h3 style=\"font-size: 18px; padding: 50px 20px 30px 20px; vertical-align: baseline; text-align: center;\">UPDATE ON RELOCATION: Without a building we will be unable to provide EXPORT services.\nIf you require assistance with an export, please <a href=\"https:\/\/manoirkanisha.com\/en\/pet-relocators\/\">click here<\/a>.<\/h3>\n<p style=\"text-align: center;\">[fc id='12' align='center'][\/fc]<\/p>\n<p style=\"border: 0px; font-size: 14px; padding: 0px; vertical-align: baseline; text-align: center;\"><span style=\"border: 0px; font-size: 13.3333px; padding: 0px; vertical-align: baseline;\">You will receive an automated confirmation email with the information provided. Check your email and spam boxes.<\/span><b style=\"border: 0px; font-size: 14px; padding: 0px; vertical-align: baseline;\"><\/b><\/p>\n<p style=\"border: 0px; font-size: 14px; padding: 0px; vertical-align: baseline; text-align: center;\"><b style=\"border: 0px; font-size: 14px; padding: 0px; vertical-align: baseline;\"><b style=\"font-size: 14px;\">LINK FOR THIS QUESTIONNAIRE<\/b>:<\/b><\/p>\n<p style=\"border: 0px; font-size: 14px; padding: 0px; vertical-align: baseline; text-align: center;\"><a style=\"font-size: 14px; text-align: center; padding: 0px; vertical-align: baseline;\" href=\"https:\/\/manoirkanisha.com\/en\/pet-relocation\/estimate-for-relocation-questionnaire\/\" rel=\"noopener\">https:\/\/manoirkanisha.com\/en\/pet-relocation\/estimate-for-relocation-questionnaire\/<\/a><\/p>\n<p style=\"border: 0px; font-size: 14px; padding: 0px; vertical-align: baseline; text-align: center;\"><b style=\"border: 0px; font-size: 14px; padding: 0px; vertical-align: baseline;\"><em style=\"font-size: 14px;\">FRENCH QUESTIONNAIRE:<\/em><\/b><\/p>\n<p style=\"border: 0px; font-size: 14px; padding: 0px; vertical-align: baseline; text-align: center;\"><a style=\"font-size: 14px; text-align: center; padding: 0px; vertical-align: baseline;\" href=\"https:\/\/manoirkanisha.com\/relocalisation-animaux\/estime-des-couts-questionnaire\/\" target=\"\" rel=\"noopener\">https:\/\/manoirkanisha.com\/relocalisation-animaux\/estime-des-couts-questionnaire\/<\/a><\/p>","_et_gb_content_width":"","footnotes":""},"class_list":["post-163","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>14. 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