{"id":28893,"date":"2025-07-05T18:46:53","date_gmt":"2025-07-05T22:46:53","guid":{"rendered":"https:\/\/manoirkanisha.com\/?page_id=28893"},"modified":"2025-07-13T17:56:39","modified_gmt":"2025-07-13T21:56:39","slug":"import-pets-canada","status":"publish","type":"page","link":"https:\/\/manoirkanisha.com\/en\/import-pets-canada\/","title":{"rendered":"Questionnaire &#8211; Import your pets to Canada"},"content":{"rendered":"<div data-uniq='6a3ba1e66dd2b' class='uniq-6a3ba1e66dd2b formcraft-css form-live align-left'><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[19] = 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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-19\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=\"true\" data-thousand=\"\" data-decimal=\".\" data-delay=\"\" data-id=\"19\" class=\"fc-form fc-form-19 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: 1100px; color: #666666; font-size: 85%; 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: 14px;padding: 20px 0px 0px;color: #294a89;vertical-align: baseline;text-align: center\" >Estimate for Pet Relocation<\/h2><div ><h2 style=\"border: 0px;font-size: 18px;padding: 0px;color: #294a89;vertical-align: baseline;text-align: center\">IMPORT YOUR PET(S) TO CANADA<\/h2><h2 style=\"border: 0px;font-size: 24px;padding: 0px;color: #ff0000;vertical-align: baseline;text-align: center\">QUESTIONNAIRE<\/h2><h3 style=\"font-size: 13px;text-align: center\">Please fill out this import questionnaire to get an estimate from Manoir Kanisha<\/h3><div><h3 style=\"font-size: 13px;text-align: center\">for the costs and procedures to import pets to the Montreal airport.<\/h3><\/div><\/div><\/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=\"field217\" data-index=\"1\" style=\"width: 100%\" class=\" even form-element form-element-field217 options-false form-element-1 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: #e8e8e8\"><div class=\"full\" style=\"text-align: left\"><p style=\"border: 0px;padding: 0px;vertical-align: baseline\" ><b>INSTRUCTIONS FOR FILLING OUT QUESTIONNAIRE<\/b>:&nbsp;<\/p><ol ><li><span style=\"font-size: inherit;text-align: center\">Type your first name and then navigate from box to box with the TAB key.<\/span><\/li><li>All fields are obligatory. If you do not have an answer, type in 0 or N\/A.<\/li><li>If you click <b>GET AN ESTIMATE<\/b> (below) and do not see a Thank You Message on your screen,&nbsp;please review the Questionnaire to ensure all boxes are filled or marked with 0 or N\/A. Then&nbsp;click GET AN ESTIMATE firmly again or refresh your page.<\/li><li>You will get an email message in your mail inbox. If not, please check your junk mail.&nbsp;<\/li><\/ol><p ><\/p><\/div><input type=\"hidden\" name=\"field217\" data-field-id=\"field217\"><\/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=\"2\" style=\"width: 100%\" class=\" form-element form-element-field10 options-false form-element-2 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: 1.7000000000000002em; padding-top: 8px; padding-bottom: ; color: #ffffff\" class=\"bold-\"><span >CORRESPONDANT - Person filling this IMPORT questionnaire<\/span><\/div><input type=\"hidden\" data-field-id=\"field10\" name=\"field10[]\" value=\"CORRESPONDANT - Person filling this IMPORT 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=\"3\" style=\"width: 25%\" class=\" even form-element form-element-field3 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 >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: 32.5938px\"><\/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=\"4\" style=\"width: 25%\" class=\" form-element form-element-field13 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 >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: 32.5938px\"><\/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=\"5\" style=\"width: 25%\" class=\" even form-element form-element-field11 options-false form-element-5 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 >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: 32.5938px\"><\/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=\"6\" style=\"width: 25%\" class=\" form-element form-element-field31 options-false form-element-6 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 >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=\"7\" style=\"width: 25%\" class=\" even form-element form-element-field15 options-false form-element-7 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 >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: 32.5938px\"><\/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=\"8\" style=\"width: 25%\" class=\" form-element form-element-field60 options-false form-element-8 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 >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=\"9\" style=\"width: 25%\" class=\" even form-element form-element-field16 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 >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: 32.5938px\"><\/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=\"10\" style=\"width: 25%\" class=\" form-element form-element-field17 options-false form-element-10 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 >Postal Code - Required<\/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: 32.5938px\"><\/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=\"11\" style=\"width: 25%\" class=\" even form-element form-element-field4 options-false form-element-11 default-false form-element-type-email is-required-true -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=\"12\" style=\"width: 25%\" class=\" form-element form-element-field28 options-false form-element-12 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 >2nd Email (different)<\/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=\"13\" style=\"width: 25%\" class=\" even form-element form-element-field5 options-false form-element-13 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 >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: 32.5938px\"><\/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=\"14\" style=\"width: 25%\" class=\" form-element form-element-field32 options-false form-element-14 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 >Second telephone (different)<\/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=\"field214\" data-index=\"15\" style=\"width: 100%\" class=\" even form-element form-element-field214 options-false form-element-15 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: #ffffff !important; background-color: #89aed3\"><div class=\"full\" style=\"text-align: left\"><h3 >TELL US ABOUT YOUR PET #1<\/h3><\/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=\"field61\" data-index=\"16\" style=\"width: 25%\" class=\" form-element form-element-field61 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 >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=\"field34\" data-index=\"17\" style=\"width: 50%\" class=\" even form-element form-element-field34 options-false form-element-17 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=\"18\" style=\"width: 25%\" class=\" form-element form-element-field73 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 >Other specie - 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=\"field218\" data-index=\"19\" style=\"width: 25%; position: relative; z-index: 101; left: 0px; top: 0px\" class=\" even form-element form-element-field218 form-element-19 default-false form-element-type-oneLineText is-required-true -handle options-false\">\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 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=\"field218\" name=\"field218[]\" 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=\"20\" style=\"width: 25%\" class=\" form-element form-element-field58 options-false form-element-20 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 >COUNTRY of Birth for 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=\"field85\" data-index=\"21\" style=\"width: 25%\" 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=\"field47\" data-index=\"22\" style=\"width: 25%\" class=\" form-element form-element-field47 options-false form-element-22 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 last RABIES Vaccine - Pet #1<\/span><\/span><span class=\"sub-label\"><\/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=\"field231\" data-index=\"23\" style=\"width: 25%\" class=\" even form-element form-element-field231 options-false form-element-23 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 >Height -  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=\"field231\" name=\"field231[]\" 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=\"field226\" data-index=\"24\" style=\"width: 25%\" class=\" form-element form-element-field226 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 >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=\"field226\" type=\"radio\" data-is-required=\"true\" name=\"field226[]\" value=\"Inches\" class=\"validation-lenient\"><span><span >Inches<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field226\" type=\"radio\" data-is-required=\"true\" name=\"field226[]\" 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=\"field26\" data-index=\"25\" style=\"width: 30%\" class=\" even form-element form-element-field26 options-false form-element-25 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 >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=\"field164\" data-index=\"26\" style=\"width: 100%\" class=\" form-element form-element-field164 options-false form-element-26 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=\"field238\" data-index=\"27\" style=\"width: 100%\" class=\" even form-element form-element-field238 options-false form-element-27 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: #89aed3\"><div class=\"full\" style=\"text-align: left\"><h3 >TELL US ABOUT YOUR PET #2<\/h3><\/div><input type=\"hidden\" name=\"field238\" data-field-id=\"field238\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field56\" data-index=\"28\" style=\"width: 25%\" class=\" form-element form-element-field56 options-false form-element-28 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=\"field49\" data-index=\"29\" style=\"width: 50%\" class=\" even form-element form-element-field49 options-false form-element-29 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 #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=\"30\" style=\"width: 25%\" class=\" form-element form-element-field72 options-false form-element-30 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 #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=\"field188\" data-index=\"31\" style=\"width: 25%; position: relative; z-index: 101; left: 0px; top: 0px\" class=\" even form-element form-element-field188 form-element-31 default-true form-element-type-oneLineText is-required-true -handle options-false\">\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 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=\"field220\" data-index=\"32\" style=\"width: 25%\" class=\" form-element form-element-field220 options-false form-element-32 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 >COUNTRY of Birth for 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=\"field220\" name=\"field220[]\" 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=\"field86\" data-index=\"33\" style=\"width: 25%\" class=\" even form-element form-element-field86 options-false form-element-33 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 BIRTH of Pet #2<\/span><\/span><span class=\"sub-label\"><span >If not applicable - click on year and select 2000<\/span><\/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=\"field123\" data-index=\"34\" style=\"width: 25%\" class=\" form-element form-element-field123 options-false form-element-34 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 - click on year and select 2000<\/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=\"field232\" data-index=\"35\" style=\"width: 25%\" class=\" even form-element form-element-field232 options-false form-element-35 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 >Height -  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=\"field232\" name=\"field232[]\" 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=\"36\" style=\"width: 25%\" class=\" form-element form-element-field160 options-false form-element-36 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=\"field78\" data-index=\"37\" style=\"width: 30%\" class=\" even form-element form-element-field78 options-false form-element-37 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=\"field165\" data-index=\"38\" style=\"width: 100%\" class=\" form-element form-element-field165 options-false form-element-38 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 #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=\"field237\" data-index=\"39\" style=\"width: 100%\" class=\" even form-element form-element-field237 options-false form-element-39 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: #89aed3\"><div class=\"full\" style=\"text-align: left\"><h3 >TELL US ABOUT YOUR PET #3<\/h3><\/div><input type=\"hidden\" name=\"field237\" data-field-id=\"field237\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field139\" data-index=\"40\" style=\"width: 25%\" class=\" form-element form-element-field139 options-false form-element-40 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 #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=\"field48\" data-index=\"41\" style=\"width: 50%\" class=\" even form-element form-element-field48 options-false form-element-41 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=\"42\" style=\"width: 25%\" class=\" form-element form-element-field71 options-false form-element-42 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=\"field55\" data-index=\"43\" style=\"width: 25%; position: relative; z-index: 101; left: 0px; top: 0px\" class=\" even form-element form-element-field55 form-element-43 default-true form-element-type-oneLineText is-required-true -handle options-false\">\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 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=\"44\" style=\"width: 25%\" class=\" form-element form-element-field63 options-false form-element-44 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 >COUNTRY of Birth for 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=\"field35\" data-index=\"45\" style=\"width: 25%\" class=\" even form-element form-element-field35 options-false form-element-45 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 BIRTH of Pet #3<\/span><\/span><span class=\"sub-label\"><span >If not applicable - click on year and select 2000<\/span><\/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=\"field110\" data-index=\"46\" style=\"width: 25%\" class=\" form-element form-element-field110 options-false form-element-46 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 #3<\/span><\/span><span class=\"sub-label\"><span >If not applicable - click on year and select 2000<\/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=\"field233\" data-index=\"47\" style=\"width: 25%\" class=\" even form-element form-element-field233 options-false form-element-47 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 >Height -  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=\"field233\" name=\"field233[]\" 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=\"field235\" data-index=\"48\" style=\"width: 25%\" class=\" form-element form-element-field235 options-false form-element-48 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=\"field235\" type=\"radio\" data-is-required=\"true\" name=\"field235[]\" value=\"Inches\" class=\"validation-lenient\"><span><span >Inches<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field235\" type=\"radio\" data-is-required=\"true\" name=\"field235[]\" 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=\"field79\" data-index=\"49\" style=\"width: 30%\" class=\" even form-element form-element-field79 options-false form-element-49 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 #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=\"field166\" data-index=\"50\" style=\"width: 100%\" class=\" form-element form-element-field166 options-false form-element-50 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=\"51\" style=\"width: 100%\" class=\" even form-element form-element-field201 options-false form-element-51 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: #89aed3\"><div class=\"full\" style=\"text-align: left\"><h3 >TELL US ABOUT YOUR PET #4<\/h3><\/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=\"field51\" data-index=\"52\" style=\"width: 25%\" class=\" form-element form-element-field51 options-false form-element-52 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=\"field50\" data-index=\"53\" style=\"width: 50%\" class=\" even form-element form-element-field50 options-false form-element-53 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 #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=\"54\" style=\"width: 25%\" class=\" form-element form-element-field74 options-false form-element-54 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 #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=\"field57\" data-index=\"55\" style=\"width: 25%\" class=\" even form-element form-element-field57 form-element-55 default-true form-element-type-oneLineText is-required-true -handle options-false\">\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 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=\"field224\" data-index=\"56\" style=\"width: 25%\" class=\" form-element form-element-field224 options-false form-element-56 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 >COUNTRY of Birth for 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=\"field224\" name=\"field224[]\" 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=\"field87\" data-index=\"57\" style=\"width: 25%\" class=\" even form-element form-element-field87 options-false form-element-57 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 BIRTH of Pet #4<\/span><\/span><span class=\"sub-label\"><span >If not applicable - click on year and select 2000<\/span><\/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=\"field111\" data-index=\"58\" style=\"width: 25%\" class=\" form-element form-element-field111 options-false form-element-58 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 - click on year and select 2000<\/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=\"field234\" data-index=\"59\" style=\"width: 25%\" class=\" even form-element form-element-field234 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 >Height -  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=\"field234\" name=\"field234[]\" 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=\"field236\" data-index=\"60\" style=\"width: 25%\" class=\" form-element form-element-field236 options-false form-element-60 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=\"field236\" type=\"radio\" data-is-required=\"true\" name=\"field236[]\" value=\"Inches\" class=\"validation-lenient\"><span><span >Inches<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field236\" type=\"radio\" data-is-required=\"true\" name=\"field236[]\" 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=\"field80\" data-index=\"61\" style=\"width: 30%\" class=\" even form-element form-element-field80 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 #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=\"field168\" data-index=\"62\" style=\"width: 100%\" class=\" form-element form-element-field168 options-false form-element-62 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 #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=\"63\" style=\"width: 100%\" class=\" even form-element form-element-field200 options-false form-element-63 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: #89aed3\"><div class=\"full\" style=\"text-align: left\"><h3 >TELL US ABOUT YOUR PET #5<\/h3><\/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=\"field52\" data-index=\"64\" style=\"width: 25%\" class=\" form-element form-element-field52 options-false form-element-64 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 #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=\"field59\" data-index=\"65\" style=\"width: 50%\" class=\" even form-element form-element-field59 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 >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=\"66\" style=\"width: 25%\" class=\" form-element form-element-field27 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 >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=\"field29\" data-index=\"67\" style=\"width: 25%\" class=\" even form-element form-element-field29 form-element-67 default-true form-element-type-oneLineText is-required-true -handle options-false\">\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 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=\"field225\" data-index=\"68\" style=\"width: 25%\" class=\" form-element form-element-field225 options-false form-element-68 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 >COUNTRY of Birth for 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=\"field225\" name=\"field225[]\" 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=\"field88\" data-index=\"69\" style=\"width: 25%\" class=\" even form-element form-element-field88 options-false form-element-69 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 BIRTH of Pet #5<\/span><\/span><span class=\"sub-label\"><span >If not applicable - click on year and select 2000<\/span><\/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=\"field112\" data-index=\"70\" style=\"width: 25%\" class=\" form-element form-element-field112 options-false form-element-70 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 #5<\/span><\/span><span class=\"sub-label\"><span >If not applicable - click on year and select 2000<\/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=\"field146\" data-index=\"71\" style=\"width: 25%\" class=\" even form-element form-element-field146 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-false\"><span class=\"main-label\"><span >Height -  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=\"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=\"field230\" data-index=\"72\" style=\"width: 25%\" class=\" form-element form-element-field230 options-false form-element-72 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=\"field230\" type=\"radio\" data-is-required=\"true\" name=\"field230[]\" value=\"Inches\" class=\"validation-lenient\"><span><span >Inches<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field230\" type=\"radio\" data-is-required=\"true\" name=\"field230[]\" 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=\"field81\" data-index=\"73\" style=\"width: 30%\" class=\" even form-element form-element-field81 options-false form-element-73 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 #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=\"field19\" data-index=\"74\" style=\"width: 100%\" class=\" form-element form-element-field19 options-false form-element-74 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 MORE ABOUT YOUR IMPORTATION PROJECT<\/span><\/div><input type=\"hidden\" data-field-id=\"field19\" name=\"field19[]\" value=\"TELL US MORE ABOUT YOUR IMPORTATION 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=\"75\" style=\"width: 25%\" class=\" even form-element form-element-field173 options-false form-element-75 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 >Expected DATE of your PET(s) IMPORT TO CANADA 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=\"76\" style=\"width: 25%\" class=\" form-element form-element-field175 options-false form-element-76 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 >PLACE and COUNTRY OF 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: 94.4688px\"><\/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=\"77\" style=\"width: 25%\" class=\" even form-element form-element-field177 options-false form-element-77 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: 94.4688px\"><\/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=\"78\" style=\"width: 25%\" class=\" form-element form-element-field176 options-false form-element-78 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 IN CANADA: 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: 94.4688px\"><\/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=\"79\" style=\"width: 25%\" class=\" even form-element form-element-field178 options-false form-element-79 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 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: 94.4688px\"><\/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=\"80\" style=\"width: 25%\" class=\" form-element form-element-field179 options-false form-element-80 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) to Canada?<\/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: 94.4688px\"><\/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=\"81\" style=\"width: 50%\" class=\" even form-element form-element-field184 options-false form-element-81 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 >Instructions, requests or comments<\/span><\/span><span class=\"sub-label\"><span >type 0 if you have none<\/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: 94.4688px\"><\/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=\"field186\" data-index=\"82\" style=\"width: 100%\" class=\" form-element form-element-field186 options-false form-element-82 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=\"field190\" data-index=\"83\" style=\"width: 100%\" class=\" even form-element form-element-field190 options-false form-element-83 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: #ffffff !important; background-color: #4588ee\"><div class=\"full\" style=\"text-align: left\"><h3 >UPLOAD YOUR DOCUMENTS<\/h3><\/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=\"field219\" data-index=\"84\" style=\"width: 100%\" class=\" form-element form-element-field219 options-false form-element-84 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\"><h3 style=\"font-size: 16px\" >In order to process your request for an estimate for your pet relocation, please provide the following documents:<\/h3><ol ><li><span style=\"font-size: 11pt\">VACCINATION CERTIFICATE for each pet.<\/span><\/li><li><span style=\"font-size: 11pt\">IMPORTER\u2019s PASSPORT photo and signature pages<\/span><\/li><li><span style=\"font-size: 11pt\">IMPORTER\u2019s VISA or WORK PERMIT<\/span><\/li><\/ol><p >Please click the blue buttons below and upload your documents.<\/p><p >We accept most file types (jpg,jpeg,png,gif,pdf,heic).<\/p><p ><\/p><p ><\/p><\/div><input type=\"hidden\" name=\"field219\" data-field-id=\"field219\"><\/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=\"85\" style=\"width: 100%\" class=\" even form-element form-element-field204 options-false form-element-85 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><span class=\"sub-label\"><\/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 >1. Upload VACCINATION CERTIFICATE(s)<\/span><input type=\"file\" data-name-list=\"field204\" name=\"files\" multiple=\"multiple\" data-allow-extensions=\"\" 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=\"86\" style=\"width: 100%\" class=\" form-element form-element-field213 options-false form-element-86 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><span class=\"sub-label\"><\/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 >2. Upload IMPORTER'S PASSPORT photo and signature pages<\/span><input type=\"file\" data-name-list=\"field213\" name=\"files\" multiple=\"multiple\" data-allow-extensions=\"\" 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=\"87\" style=\"width: 100%\" class=\" even form-element form-element-field205 options-false form-element-87 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><span class=\"sub-label\"><\/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 >3. Upload IMPORTER's VISA OR WORK PERMIT<\/span><input type=\"file\" data-name-list=\"field205\" name=\"files\" multiple=\"multiple\" data-allow-extensions=\"\" 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=\"field206\" data-index=\"88\" style=\"width: 100%\" class=\" form-element form-element-field206 options-false form-element-88 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:\"><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\"><b>Instructions, requests or comments<\/b><\/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=\"89\" style=\"width: 100%\" class=\" even form-element form-element-field9 options-false form-element-89 default-false form-element-type-submit is-required-false -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>\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: 1100px; 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