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<div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_14' ><form method='post' enctype='multipart/form-data' id='gform_14' action='/category/employee-records/' novalidate>
<input type='hidden' class='gforms-pum' value='{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}' />
<div class='gform_body gform-body'><ul id='gform_fields_14' class='gform_fields top_label form_sublabel_below description_below'><li id="field_14_4" class="gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" ><label class='gfield_label' for='input_14_4' >Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'>
<input name='input_4' id='input_14_4' type='email' value='' class='large' placeholder='Email' aria-required="true" aria-invalid="false" />
</div></li><li id="field_14_1" class="gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" ><label class='gfield_label' for='input_14_1' >First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_14_1' type='text' value='' class='large' placeholder='First Name' aria-required="true" aria-invalid="false" /> </div></li><li id="field_14_2" class="gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" ><label class='gfield_label' for='input_14_2' >Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_14_2' type='text' value='' class='large' placeholder='Last Name' aria-required="true" aria-invalid="false" /> </div></li><li id="field_14_3" class="gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" ><label class='gfield_label' for='input_14_3' >Company<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_14_3' type='text' value='' class='large' placeholder='Company' aria-required="true" aria-invalid="false" /> </div></li><li id="field_14_23" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'></i><span>Hidden</span></div><label class='gfield_label' for='input_14_23' >Lead Source</label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_14_23' type='text' value='' class='medium' aria-invalid="false" /> </div></li><li id="field_14_11" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'></i><span>Hidden</span></div><label class='gfield_label' for='input_14_11' >Web Form Page</label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_14_11' type='text' value='' class='medium' aria-invalid="false" /> </div></li><li id="field_14_15" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'></i><span>Hidden</span></div><label class='gfield_label' for='input_14_15' >Web Source</label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_14_15' type='text' value='' class='medium' aria-invalid="false" /> </div></li><li id="field_14_14" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'></i><span>Hidden</span></div><label class='gfield_label' for='input_14_14' >Web Medium</label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_14_14' type='text' value='' class='medium' aria-invalid="false" /> </div></li><li id="field_14_13" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'></i><span>Hidden</span></div><label class='gfield_label' for='input_14_13' >Web Campaign</label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_14_13' type='text' value='' class='medium' aria-invalid="false" /> </div></li><li id="field_14_17" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'></i><span>Hidden</span></div><label class='gfield_label' for='input_14_17' >Web Term</label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_14_17' type='text' value='' class='medium' aria-invalid="false" /> </div></li><li id="field_14_12" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'></i><span>Hidden</span></div><label class='gfield_label' for='input_14_12' >Web Content</label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_14_12' type='text' value='' class='medium' aria-invalid="false" /> </div></li><li id="field_14_24" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_14_24' >Name</label><div class='ginput_container'><input name='input_24' id='input_14_24' type='text' value='' autocomplete='new-password'/></div><div class='gfield_description' id='gfield_description_14_24'>This field is for validation purposes and should be left unchanged.</div></li></ul></div>
<div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_14' class='gform_button button' value='Submit' onclick='if(window["gf_submitting_14"]){return false;} if( !jQuery("#gform_14")[0].checkValidity || jQuery("#gform_14")[0].checkValidity()){window["gf_submitting_14"]=true;} ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_14"]){return false;} if( !jQuery("#gform_14")[0].checkValidity || jQuery("#gform_14")[0].checkValidity()){window["gf_submitting_14"]=true;} jQuery("#gform_14").trigger("submit",[true]); }' />
<input type='hidden' class='gform_hidden' name='is_submit_14' value='1' />
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<input type='hidden' class='gform_hidden' name='gform_unique_id' value='' />
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<input type='hidden' name='gform_field_values' value='' />
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