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JotForm.clearFieldOnHide="disable"; JotForm.submitError="jumpToFirstError"; window.addEventListener('DOMContentLoaded',function(){window.brandingFooter.init({"formID":251466614269160,"campaign":"powered_by_jotform_le","isCardForm":false,"isLegacyForm":true,"formLanguage":"en"})}); JotForm.isFullSource = true; JotForm.init(function(){ /*INIT-START*/ JotForm.setPhoneMaskingValidator( 'input_13_full', '\u0028\u0023\u0023\u0023\u0029 \u0023\u0023\u0023\u002d\u0023\u0023\u0023\u0023' ); if (window.JotForm && JotForm.accessible) $('input_16').setAttribute('tabindex',0); JotForm.calendarMonths = ["January","February","March","April","May","June","July","August","September","October","November","December"]; JotForm.appointmentCalendarMonths = ["January","February","March","April","May","June","July","August","September","October","November","December"]; JotForm.appointmentCalendarDays = ["Monday","Tuesday","Wednesday","Thursday","Friday","Saturday","Sunday"]; JotForm.calendarOther = "Today"; window.initializeAppointment({"text":{"text":"Question","value":"Schedule appointment for me to call you"},"labelAlign":{"text":"Label Align","value":"Top","dropdown":[["Auto","Auto"],["Left","Left"],["Right","Right"],["Top","Top"]]},"required":{"text":"Required","value":"Yes","dropdown":[["No","No"],["Yes","Yes"]]},"description":{"text":"Hover Text","value":"","textarea":true},"slotDuration":{"text":"Slot Duration","value":"60","dropdown":[[15,"15 min"],[30,"30 min"],[45,"45 min"],[60,"60 min"],["custom","Custom min"]],"hint":"Select how long each slot will be."},"startDate":{"text":"Start Date","value":""},"endDate":{"text":"End Date","value":""},"intervals":{"text":"Intervals","value":[{"from":"09:00","to":"17:00","days":["Mon","Tue","Wed","Thu","Fri"]}],"hint":"The hours will be applied to the selected days and repeated."},"useBlockout":{"text":"Blockout Custom Dates","value":"No","dropdown":[["No","No"],["Yes","Yes"]],"hint":"Disable certain date(s) in the 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Days","value":"","toolbar":false},"prevMonthButtonText":{"text":"Previous month","value":""},"nextMonthButtonText":{"text":"Next month","value":""},"prevYearButtonText":{"text":"Previous year","value":""},"nextYearButtonText":{"text":"Next year","value":""},"prevDayButtonText":{"text":"Previous day","value":""},"nextDayButtonText":{"text":"Next day","value":""},"appointmentType":{"hidden":true,"value":"single"},"autoDetectTimezone":{"hidden":true,"value":"Yes"},"dateFormat":{"hidden":true,"value":"mm\u002Fdd\u002Fyyyy"},"maxAttendee":{"hidden":true,"value":"5"},"maxEvents":{"hidden":true,"value":""},"minScheduleNotice":{"hidden":true,"value":"3"},"name":{"hidden":true,"value":"appointment"},"order":{"hidden":true,"value":"9"},"qid":{"toolbar":false,"value":"input_23"},"reminderEmails":{"hidden":true,"value":{"schedule":[{"value":"1","unit":"day"},{"value":"2","unit":"hour"}],"emailSettings":{"PDFPassword":"","attachPDF":"false","updateEmail":"true","type":"APPOINTMENT_REMINDER","to":[{"id":"14","value":"{email}","name":"Email","text":"Email","isValid":"true","isQuestion":"true"}],"subject":"Reminder: Your appointment is on {appointment}","content":"\u003Ctable width=\"100%\" bgcolor=\"#ecedf2\" cellSpacing=\"0\" cellPadding=\"0\"\u003E\u003Ctbody\u003E\u003Ctr\u003E\u003Ctd width=\"32\" style=\"width:32px;min-width:32px\"\u003E \u003C\u002Ftd\u003E\u003Ctd\u003E\u003Ctable class=\"jmTable-wrapper\" style=\"width:100%\" cellSpacing=\"0\" cellPadding=\"0\"\u003E\u003Ctbody\u003E\u003Ctr\u003E\u003Ctd height=\"36\" style=\"min-height:36px\"\u003E \u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr\u003E\u003Ctd align=\"center\"\u003E\u003Ctable class=\"jmTable\" style=\"min-width:480px;max-width:720px;width:100%;background-color:transparent;text-align:center\" cellSpacing=\"0\" cellPadding=\"0\" width=\"100%\" id=\"jmLogo-container\"\u003E\u003Ctbody\u003E\u003Ctr\u003E\u003Ctd style=\"width:100%;max-width:100%;min-width:100%\"\u003E\u003Cimg src=\"https:\u002F\u002Fcdn.jotfor.ms\u002Fassets\u002Fimg\u002Flogo2021\u002Fjotform-logo.png\" height=\"40\" alt=\"Jotform Logo\"\u002F\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003C\u002Ftbody\u003E\u003C\u002Ftable\u003E\u003Cbr\u002F\u003E\u003Ctable class=\"jmTable\" style=\"min-width:480px;max-width:720px;width:100%;background-color:transparent\" cellSpacing=\"0\" cellPadding=\"0\" width=\"100%\" id=\"jmOutcome-container\"\u003E\u003Ctbody\u003E\u003Ctr\u003E\u003Ctd style=\"width:100%;max-width:100%;min-width:100%\"\u003E\u003Ctable cellPadding=\"0\" cellSpacing=\"0\" width=\"100%\"\u003E\u003Ctbody\u003E\u003Ctr height=\"26\" style=\"min-height:26px;background-color:#fff\"\u003E\u003Ctd colSpan=\"3\"\u003E \u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr style=\"background-color:#fff\"\u003E\u003Ctd width=\"40\" style=\"min-width:40px\"\u003E\u003C\u002Ftd\u003E\u003Ctd id=\"jmButton-container\"\u003E\u003Cspan id=\"jmOutcomeHeader-container\" style=\"font-size:17px;font-weight:500\"\u003E\u003Ctable class=\"jmTable\" style=\"min-width:480px;max-width:720px;width:100%;background-color:#fff;font-weight:300\" cellSpacing=\"0\" cellPadding=\"0\" width=\"100%\"\u003E\u003Ctbody\u003E\u003Ctr\u003E\u003Ctd style=\"width:100%;max-width:100%;min-width:100%\"\u003E\u003Ctable width=\"100%\" cellPadding=\"0\" cellSpacing=\"0\"\u003E\u003Ctbody\u003E\u003Ctr\u003E\u003Ctd\u003E\u003Ctable class=\"jmTable\" style=\"min-width:480px;max-width:720px;width:100%;background-color:#fff;text-align:left;color:#0A1551;font-size:18px;font-weight:700;line-height:28px\" cellSpacing=\"0\" cellPadding=\"0\" width=\"100%\"\u003E\u003Ctbody\u003E\u003Ctr\u003E\u003Ctd style=\"width:100%;max-width:100%;min-width:100%\"\u003EHere is a friendly reminder email of your appointment\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003C\u002Ftbody\u003E\u003C\u002Ftable\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr\u003E\u003Ctd height=\"18\"\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr\u003E\u003Ctd\u003E\u003Ctable class=\"jmTable\" style=\"min-width:100%;max-width:100%;width:100%;background-color:rgba(233, 236, 249, 0.4);text-align:center;border-radius:4px;overflow:hidden\" cellSpacing=\"0\" cellPadding=\"0\" width=\"100%\"\u003E\u003Ctbody\u003E\u003Ctr\u003E\u003Ctd style=\"width:100%;max-width:100%;min-width:100%\"\u003E\u003Ccenter\u003E\u003Ctable cellPadding=\"0\" cellSpacing=\"0\" style=\"width:auto;max-width:100%;padding:15px 0\"\u003E\u003Ctbody\u003E\u003Ctr style=\"vertical-align:text-top\"\u003E\u003Ctd\u003E\u003Cimg src=\"https:\u002F\u002Femails.jotform.com\u002Fimg\u002Fappointment\u002Fdate.png?v=1.0\" alt=\"appointment icon\" width=\"14\" style=\"margin-right:5px\"\u002F\u003E\u003C\u002Ftd\u003E\u003Ctd\u003E\u003Ctable\u003E\u003Ctbody\u003E\u003Ctr\u003E\u003Ctd\u003E\u003Cspan style=\"color:#A5A8B3;font-size:12px;font-weight:400;line-height:20px\"\u003EAppointment\u003C\u002Fspan\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr\u003E\u003Ctd\u003E\u003Cspan style=\"color:#2B3245;font-size:14px;font-weight:400;line-height:20px\"\u003E{appointment:date}\u003C\u002Fspan\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003C\u002Ftbody\u003E\u003C\u002Ftable\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr style=\"vertical-align:text-top\"\u003E\u003Ctd\u003E\u003Cimg src=\"https:\u002F\u002Femails.jotform.com\u002Fimg\u002Fappointment\u002Fduration.png?v=1.0\" alt=\"appointment icon\" width=\"14\" style=\"margin-right:5px\"\u002F\u003E\u003C\u002Ftd\u003E\u003Ctd\u003E\u003Ctable\u003E\u003Ctbody\u003E\u003Ctr\u003E\u003Ctd\u003E\u003Cspan style=\"color:#A5A8B3;font-size:12px;font-weight:400;line-height:20px\"\u003EDuration\u003C\u002Fspan\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr\u003E\u003Ctd\u003E\u003Cspan style=\"color:#2B3245;font-size:14px;font-weight:400;line-height:20px\"\u003E{appointment:duration}\u003C\u002Fspan\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003C\u002Ftbody\u003E\u003C\u002Ftable\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr style=\"vertical-align:text-top\"\u003E\u003Ctd\u003E\u003Cimg src=\"https:\u002F\u002Femails.jotform.com\u002Fimg\u002Fappointment\u002Ftimezone.png?v=1.0\" alt=\"appointment icon\" width=\"14\" style=\"margin-right:5px\"\u002F\u003E\u003C\u002Ftd\u003E\u003Ctd\u003E\u003Ctable\u003E\u003Ctbody\u003E\u003Ctr\u003E\u003Ctd\u003E\u003Cspan style=\"color:#A5A8B3;font-size:12px;font-weight:400;line-height:20px\"\u003ETimezone\u003C\u002Fspan\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr\u003E\u003Ctd\u003E\u003Cspan style=\"color:#2B3245;font-size:14px;font-weight:400;line-height:20px\"\u003E{appointment:timezone}\u003C\u002Fspan\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003C\u002Ftbody\u003E\u003C\u002Ftable\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003C\u002Ftbody\u003E\u003C\u002Ftable\u003E\u003C\u002Fcenter\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003C\u002Ftbody\u003E\u003C\u002Ftable\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr\u003E\u003Ctd height=\"18\"\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr\u003E\u003Ctd\u003E\u003Ctable class=\"jmTable\" style=\"min-width:480px;max-width:720px;width:100%;background-color:#fff;text-align:center;font-size:14px;line-height:16px\" cellSpacing=\"0\" cellPadding=\"0\" width=\"100%\"\u003E\u003Ctbody\u003E\u003Ctr\u003E\u003Ctd style=\"width:100%;max-width:100%;min-width:100%\"\u003E\r\n Add to \r\n \u003Ca style={{ textDecoration: 'none', color: '#0A1551' }} href=\"{googleCalendarLink:appointment}\"\u003EGoogle\u003C\u002Fa\u003E\r\n  • \r\n \u003Ca style={{ textDecoration: 'none', color: '#0A1551' }} href=\"{outlookLink:appointment}\"\u003EOutlook\u003C\u002Fa\u003E\r\n  • \r\n \u003Ca style={{ textDecoration: 'none', color: '#0A1551' }} href=\"{icalLink:appointment}\"\u003EiCal\u003C\u002Fa\u003E\r\n \u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003C\u002Ftbody\u003E\u003C\u002Ftable\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr\u003E\u003Ctd height=\"18\"\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr\u003E\u003Ctd\u003E\u003Ctable class=\"jmTable\" style=\"min-width:480px;max-width:720px;width:100%;background-color:#fff;text-align:center\" cellSpacing=\"0\" cellPadding=\"0\" width=\"100%\"\u003E\u003Ctbody\u003E\u003Ctr\u003E\u003Ctd style=\"width:100%;max-width:100%;min-width:100%\"\u003E\r\n \u003Ca style=\"min-width: 64px; background-color: #FF6100; color: #fff; border-radius: 4px; font-size: 20px; font-weight: bold; line-height: 23px; text-align: center; padding: 16px 26px; display: inline-block; text-decoration: none; margin-top: 8px;\" href=\"{edit_link_v2}\"\u003E Reschedule or Cancel Appointment \u003C\u002Fa\u003E\r\n \u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003C\u002Ftbody\u003E\u003C\u002Ftable\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003C\u002Ftbody\u003E\u003C\u002Ftable\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003C\u002Ftbody\u003E\u003C\u002Ftable\u003E\u003C\u002Fspan\u003E\u003C\u002Ftd\u003E\u003Ctd width=\"40\" style=\"min-width:40px\"\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr height=\"26\" style=\"min-height:26px;background-color:#fff\"\u003E\u003Ctd colSpan=\"3\"\u003E \u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003C\u002Ftbody\u003E\u003C\u002Ftable\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003C\u002Ftbody\u003E\u003C\u002Ftable\u003E\u003Cbr\u002F\u003E\u003Ctable class=\"jmTable-wrapper\" style=\"width:100%\" cellSpacing=\"0\" cellPadding=\"0\"\u003E\u003Ctbody\u003E\u003Ctr style=\"display:none\"\u003E\u003Ctd height=\"64\" style=\"min-height:64px\"\u003E \u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr\u003E\u003Ctd align=\"center\"\u003E\u003Ctable width=\"100%\" cellPadding=\"0\" cellSpacing=\"0\" style=\"max-width:720px\"\u003E\u003Ctbody\u003E\u003Ctr\u003E\u003Ctd height=\"8\" bgcolor=\"#FF6100\" style=\"line-height:0;font-size:0;border-radius:4px 4px 0 0\"\u003E \u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003C\u002Ftbody\u003E\u003C\u002Ftable\u003E\u003Ctable class=\"jmTable\" style=\"min-width:480px;max-width:720px;width:100%;background-color:#fff\" cellSpacing=\"0\" cellPadding=\"0\" width=\"100%\"\u003E\u003Ctbody\u003E\u003Ctr\u003E\u003Ctd style=\"width:100%;max-width:100%;min-width:100%\"\u003E\u003Ctable width=\"100%\" cellPadding=\"0\" cellSpacing=\"0\"\u003E\u003Ctbody\u003E\u003Ctr height=\"24\" style=\"min-height:24px\"\u003E\u003Ctd colSpan=\"3\"\u003E \u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr\u003E\u003Ctd width=\"40\" style=\"min-width:40px\"\u003E\u003C\u002Ftd\u003E\u003Ctd\u003E\u003Cspan style=\"font-size:18px;font-weight:700;color:#0A1551\" id=\"jmTitle-container\"\u003E{form_title}\u003C\u002Fspan\u003E\u003C\u002Ftd\u003E\u003Ctd width=\"40\" style=\"min-width:40px\"\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr height=\"16\" style=\"min-height:16px\"\u003E\u003Ctd width=\"40\" style=\"min-width:40px\"\u003E\u003C\u002Ftd\u003E\u003Ctd style=\"border-bottom:1px solid #ECEDF2\"\u003E\u003C\u002Ftd\u003E\u003Ctd width=\"40\" style=\"min-width:40px\"\u003E\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr\u003E\u003Ctd colSpan=\"3\"\u003E\u003Ctable class=\"jmSubmissionTable\" style=\"width:100%\" cellPadding=\"24\" cellSpacing=\"0\" id=\"jmSubmission-container\"\u003E\u003Ctbody id=\"emailFieldsTableBody\"\u003E\u003Ctr\u003E\u003Ctd\u003E\u003Ctable class=\"emailFieldsInnerTable\" width=\"100%\" cellPadding=\"12\" cellSpacing=\"0\" id=\"jmSubmission-container\"\u003E\u003Ctbody id=\"emailFieldsTableInnerBody\"\u003E\u003Ctr id=\"row_12\" class=\"questionRow\"\u003E\u003Ctd width=\"40%\" bgcolor=\"transparent\" id=\"question_12\" class=\"questionColumn\" style=\"color:#6f76a7;font-size:14px\"\u003EName\u003C\u002Ftd\u003E\u003Ctd width=\"60%\" bgcolor=\"transparent\" id=\"value_12\" class=\"valueColumn\" style=\"color:#0a1551;font-size:14px\"\u003E{name}\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr id=\"row_13\" class=\"questionRow\"\u003E\u003Ctd width=\"40%\" bgcolor=\"transparent\" id=\"question_13\" class=\"questionColumn\" style=\"color:#6f76a7;font-size:14px\"\u003EPhone Number\u003C\u002Ftd\u003E\u003Ctd width=\"60%\" bgcolor=\"transparent\" id=\"value_13\" class=\"valueColumn\" style=\"color:#0a1551;font-size:14px\"\u003E{phoneNumber}\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr id=\"row_14\" class=\"questionRow\"\u003E\u003Ctd width=\"40%\" bgcolor=\"transparent\" id=\"question_14\" class=\"questionColumn\" style=\"color:#6f76a7;font-size:14px\"\u003EEmail\u003C\u002Ftd\u003E\u003Ctd width=\"60%\" bgcolor=\"transparent\" id=\"value_14\" class=\"valueColumn\" style=\"color:#0a1551;font-size:14px\"\u003E{email}\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr id=\"row_15\" class=\"questionRow\"\u003E\u003Ctd width=\"40%\" bgcolor=\"transparent\" id=\"question_15\" class=\"questionColumn\" style=\"color:#6f76a7;font-size:14px\"\u003EAddress\u003C\u002Ftd\u003E\u003Ctd width=\"60%\" bgcolor=\"transparent\" id=\"value_15\" class=\"valueColumn\" style=\"color:#0a1551;font-size:14px\"\u003E{address}\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr id=\"row_16\" class=\"questionRow\"\u003E\u003Ctd width=\"40%\" bgcolor=\"transparent\" id=\"question_16\" class=\"questionColumn\" style=\"color:#6f76a7;font-size:14px\"\u003EPlease enter details of requested work and\u002For description of problem\u003C\u002Ftd\u003E\u003Ctd width=\"60%\" bgcolor=\"transparent\" id=\"value_16\" class=\"valueColumn\" style=\"color:#0a1551;font-size:14px\"\u003E{pleaseEnter}\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr id=\"row_17\" class=\"questionRow\"\u003E\u003Ctd width=\"40%\" bgcolor=\"transparent\" id=\"question_17\" class=\"questionColumn\" style=\"color:#6f76a7;font-size:14px\"\u003EPicture (if any)\u003C\u002Ftd\u003E\u003Ctd width=\"60%\" bgcolor=\"transparent\" id=\"value_17\" class=\"valueColumn\" style=\"color:#0a1551;font-size:14px\"\u003E{pictureif}\u003C\u002Ftd\u003E\u003C\u002Ftr\u003E\u003Ctr id=\"row_23\" class=\"questionRow\"\u003E\u003Ctd width=\"40%\" bgcolor=\"transparent\" id=\"question_23\" class=\"questionColumn\" style=\"color:#6f76a7;font-size:14px\"\u003ESchedule appointment for me to call you\u003C\u0