<div class="et_pb_column et_pb_column_4_4 et_pb_column_12"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <div id="et_pb_contact_form_0" class="et_pb_module et_pb_contact_form_container clearfix et_pb_contact_form_0" data-form_unique_num="0"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <div class="et-pb-contact-message"></div><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <div class="et_pb_contact"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><style><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.form-container {<!-- [et_pb_line_break_holder] --> width: 100%;<!-- [et_pb_line_break_holder] --> max-width: 900px;<!-- [et_pb_line_break_holder] --> margin: 0 auto;<!-- [et_pb_line_break_holder] --> input[type=text], input[type=email], input[type=phone], input[type=number], textarea {<!-- [et_pb_line_break_holder] --> width: 90%;<!-- [et_pb_line_break_holder] --> margin: 20px auto;<!-- [et_pb_line_break_holder] --> border: 1px solid white;<!-- [et_pb_line_break_holder] --> box-shadow: 0 0 1px 1px white;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> textarea {<!-- [et_pb_line_break_holder] --> min-height: 150px;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> .panel {<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> .panel-heading {<!-- [et_pb_line_break_holder] --> margin-bottom: 20px;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> .btn-group {<!-- [et_pb_line_break_holder] --> width: 90%;<!-- [et_pb_line_break_holder] --> margin: 0 auto 10px auto;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> .back {<!-- [et_pb_line_break_holder] --> float: left;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> .continue {<!-- [et_pb_line_break_holder] --> float: right;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->/* Multi-Part CSS */<!-- [et_pb_line_break_holder] -->input[type=checkbox] {<!-- [et_pb_line_break_holder] --> position: absolute;<!-- [et_pb_line_break_holder] --> /* Position the checkbox in upper left corner */<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> opacity: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->/* Styling Parts */<!-- [et_pb_line_break_holder] -->#part1,<!-- [et_pb_line_break_holder] -->#part2,<!-- [et_pb_line_break_holder] -->#part3 {<!-- [et_pb_line_break_holder] --> z-index: 2;<!-- [et_pb_line_break_holder] --> display: block;<!-- [et_pb_line_break_holder] --> height: auto;<!-- [et_pb_line_break_holder] --> opacity: 1;<!-- [et_pb_line_break_holder] --> transition: opacity 1s ease-in-out;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->/* Hidden Parts */<!-- [et_pb_line_break_holder] -->#part2,<!-- [et_pb_line_break_holder] -->#part3 {<!-- [et_pb_line_break_holder] --> opacity: 0;<!-- [et_pb_line_break_holder] --> height: 0;<!-- [et_pb_line_break_holder] --> overflow: hidden;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->/* Show Step 2 & Hide Step 1 */<!-- [et_pb_line_break_holder] -->#step2:checked ~ #part2 {<!-- [et_pb_line_break_holder] --> opacity: 1;<!-- [et_pb_line_break_holder] --> height: auto;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->#step2:checked ~ #part1 {<!-- [et_pb_line_break_holder] --> opacity: 0;<!-- [et_pb_line_break_holder] --> height: 0;<!-- [et_pb_line_break_holder] --> display: none;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->/* Show Step 3 & Hide Step 2 */<!-- [et_pb_line_break_holder] -->#step3:checked ~ #part3 {<!-- [et_pb_line_break_holder] --> opacity: 1;<!-- [et_pb_line_break_holder] --> height: auto;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->#step3:checked ~ #part2 {<!-- [et_pb_line_break_holder] --> opacity: 0;<!-- [et_pb_line_break_holder] --> width: 0;<!-- [et_pb_line_break_holder] --> height: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --></style><!-- [et_pb_line_break_holder] --><h1 class="page-header" align="center">PARTNER INQUIRY FORM</h1><!-- [et_pb_line_break_holder] --><div class="form-container"><!-- [et_pb_line_break_holder] --><form class="et_pb_contact_form clearfix" method="post" action="http://basolutions.in/larry_new/partners-markets/"><!-- [et_pb_line_break_holder] --> <input id='step2' type='checkbox'><!-- [et_pb_line_break_holder] --> <input id='step3' type='checkbox'><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <div id="part1" class="form-group"><!-- [et_pb_line_break_holder] --> <div class="panel panel-primary"><!-- [et_pb_line_break_holder] --> <div class="panel-heading"><!-- [et_pb_line_break_holder] --> <h3 class="panel-title">Personal Details </h3><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <p class="et_pb_contact_field et_pb_contact_field_0 et_pb_contact_field_half"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_first name_1" class="et_pb_contact_form_label">First Name</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_first name_1" class="input" value="First Name" name="et_pb_contact_first name_1" data-required_mark="required" data-field_type="input" data-original_id="first name"><!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> <p class="et_pb_contact_field et_pb_contact_field_1 et_pb_contact_field_half et_pb_contact_field_last"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_last name_1" class="et_pb_contact_form_label">Last Name</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_last name_1" class="input" value="Last Name" name="et_pb_contact_last name_1" data-required_mark="required" data-field_type="input" data-original_id="last name"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_2 et_pb_contact_field_half"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_company_1" class="et_pb_contact_form_label">Company</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_company_1" class="input" value="Company" name="et_pb_contact_company_1" data-required_mark="required" data-field_type="input" data-original_id="company"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_3 et_pb_contact_field_half et_pb_contact_field_last"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_title_1" class="et_pb_contact_form_label">Title</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_title_1" class="input" value="Title" name="et_pb_contact_title_1" data-required_mark="required" data-field_type="input" data-original_id="title"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_4 et_pb_contact_field_last"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_address_1" class="et_pb_contact_form_label">Address</label><!-- [et_pb_line_break_holder] --> <textarea name="et_pb_contact_address_1" id="et_pb_contact_address_1" class="et_pb_contact_message input" data-required_mark="required" data-field_type="text" data-original_id="address">Address</textarea><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_5 et_pb_contact_field_half"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_city_1" class="et_pb_contact_form_label">City</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_city_1" class="input" value="City" name="et_pb_contact_city_1" data-required_mark="required" data-field_type="input" data-original_id="city"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_6 et_pb_contact_field_half et_pb_contact_field_last"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_state_1" class="et_pb_contact_form_label">State</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_state_1" class="input" value="State" name="et_pb_contact_state_1" data-required_mark="required" data-field_type="input" data-original_id="state"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_7 et_pb_contact_field_half"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_zip_1" class="et_pb_contact_form_label">Zip</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_zip_1" class="input" value="Zip" name="et_pb_contact_zip_1" data-required_mark="required" data-field_type="input" data-original_id="zip"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_8 et_pb_contact_field_last"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_email_1" class="et_pb_contact_form_label">Email Address</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_email_1" class="input" value="Email Address" name="et_pb_contact_email_1" data-required_mark="required" data-field_type="email" data-original_id="email"><!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <div class="btn-group btn-group-lg" role="group" aria-label="..."><!-- [et_pb_line_break_holder] --> <label for='step2' id="continue-step2" class="continue"><!-- [et_pb_line_break_holder] --> <div class="btn btn-default btn-success btn-lg et_pb_contact_submit et_pb_button">Continue</div><!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <div id="part2" class="form-group"><!-- [et_pb_line_break_holder] --> <div class="panel panel-primary"><!-- [et_pb_line_break_holder] --> <div class="panel-heading"><!-- [et_pb_line_break_holder] --> <h3 class="panel-title">Part 2</h3><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><p class="et_pb_contact_field et_pb_contact_field_9 et_pb_contact_field_half"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_assistant’s name_1" class="et_pb_contact_form_label">Assistant’s Name</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_assistant’s name_1" class="input" value="Assistant’s Name" name="et_pb_contact_assistant’s name_1" data-required_mark="required" data-field_type="input" data-original_id="assistant’s name"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_10 et_pb_contact_field_half et_pb_contact_field_last"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_assistant’s email_1" class="et_pb_contact_form_label">Assistant’s Email</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_assistant’s email_1" class="input" value="Assistant’s Email" name="et_pb_contact_assistant’s email_1" data-required_mark="required" data-field_type="input" data-original_id="assistant’s email"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_11 et_pb_contact_field_half"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_assistant’s phone (if different)_1" class="et_pb_contact_form_label">Assistant’s Phone (if different)</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_assistant’s phone (if different)_1" class="input" value="Assistant’s Phone (if different)" name="et_pb_contact_assistant’s phone (if different)_1" data-required_mark="required" data-field_type="input" data-original_id="assistant’s phone (if different)"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_12 et_pb_contact_field_last"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_description of company/business_1" class="et_pb_contact_form_label">Description of Company/Business</label><!-- [et_pb_line_break_holder] --> <textarea name="et_pb_contact_description of company/business_1" id="et_pb_contact_description of company/business_1" class="et_pb_contact_message input" data-required_mark="required" data-field_type="text" data-original_id="description of company/business">Description of Company/Business</textarea><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_13 et_pb_contact_field_half"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_main goal of partnership_1" class="et_pb_contact_form_label">Main Goal of Partnership</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_main goal of partnership_1" class="input" value="Main Goal of Partnership" name="et_pb_contact_main goal of partnership_1" data-required_mark="required" data-field_type="input" data-original_id="main goal of partnership"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_14 et_pb_contact_field_half et_pb_contact_field_last"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_time frame desired_1" class="et_pb_contact_form_label">Time Frame Desired</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_time frame desired_1" class="input" value="Time Frame Desired" name="et_pb_contact_time frame desired_1" data-required_mark="required" data-field_type="input" data-original_id="time frame desired"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_15 et_pb_contact_field_half"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_website_1" class="et_pb_contact_form_label">Website</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_website_1" class="input" value="Website" name="et_pb_contact_website_1" data-required_mark="required" data-field_type="input" data-original_id="website"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_16 et_pb_contact_field_half et_pb_contact_field_last"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_do you have a rewards program now_1" class="et_pb_contact_form_label">Do you have a rewards program now</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_do you have a rewards program now_1" class="input" value="Do you have a rewards program now" name="et_pb_contact_do you have a rewards program now_1" data-required_mark="required" data-field_type="input" data-original_id="do you have a rewards program now"><!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> <div class="btn-group btn-group-lg btn-group-justified" role="group" aria-label="..."><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <label for='step2' id="back-step2" class="back"><!-- [et_pb_line_break_holder] --> <div class="btn btn-default btn-primary btn-lg et_pb_contact_submit et_pb_button" role="button">Back</div><!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <label for='step3' id="continue-step3" class="continue"><!-- [et_pb_line_break_holder] --> <div class="btn btn-default btn-success btn-lg et_pb_contact_submit et_pb_button" role="button">Continue</div><!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <div id="part3" class="form-group"><!-- [et_pb_line_break_holder] --> <div class="panel panel-primary"><!-- [et_pb_line_break_holder] --> <div class="panel-heading"><!-- [et_pb_line_break_holder] --> <h3 class="panel-title">Part 3</h3><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <p class="et_pb_contact_field et_pb_contact_field_17 et_pb_contact_field_last"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_if so, please describe_1" class="et_pb_contact_form_label">If so, please describe</label><!-- [et_pb_line_break_holder] --> <textarea name="et_pb_contact_if so, please describe_1" id="et_pb_contact_if so, please describe_1" class="et_pb_contact_message input" data-required_mark="required" data-field_type="text" data-original_id="if so, please describe">If so, please describe</textarea><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_18 et_pb_contact_field_half"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_approximate number of participants_1" class="et_pb_contact_form_label">Approximate Number of Participants</label><!-- [et_pb_line_break_holder] --> <!--<input type="text" id="et_pb_contact_approximate number of participants_1" value="Approximate Number of Participants" name="et_pb_contact_approximate number of participants_1" data-required_mark="required" data-field_type="input" data-original_id="approximate number of participants"> --><!-- [et_pb_line_break_holder] --> <select style="width: 100%;<!-- [et_pb_line_break_holder] --> padding: 16px;<!-- [et_pb_line_break_holder] --> border: none;<!-- [et_pb_line_break_holder] --> -webkit-border-radius: 0;<!-- [et_pb_line_break_holder] --> -moz-border-radius: 0;<!-- [et_pb_line_break_holder] --> border-radius: 0;<!-- [et_pb_line_break_holder] --> color: #999;<!-- [et_pb_line_break_holder] --> background-color: #eee;<!-- [et_pb_line_break_holder] --> font-size: 14px;"><!-- [et_pb_line_break_holder] --> <option disabled>Select</option><!-- [et_pb_line_break_holder] --> <option>1,000 to 2,500 </option><!-- [et_pb_line_break_holder] --><option>2,500 to 5,000 </option><!-- [et_pb_line_break_holder] --><option>5,000 to 10,000 </option><!-- [et_pb_line_break_holder] --><option>10,000 to 25,000 </option><!-- [et_pb_line_break_holder] --><option>25,000 to 50,000 </option><!-- [et_pb_line_break_holder] --><option>50,000 to 100,000 </option><!-- [et_pb_line_break_holder] --><option>100,000 to 250,000 </option><!-- [et_pb_line_break_holder] --><option>250,000 to 500,000 </option><!-- [et_pb_line_break_holder] --><option>500,000 to 1,000,000 </option><!-- [et_pb_line_break_holder] --><option>1,000,000 to 5,000,000 </option><!-- [et_pb_line_break_holder] --><option>5,000,000 to 10,000,000 </option><!-- [et_pb_line_break_holder] --><option>10,000,000 to 25,000,000 </option><!-- [et_pb_line_break_holder] --><option>25,000,000 to 50,000,000 </option><!-- [et_pb_line_break_holder] --><option>50,000,000 to 100,000,000 </option><!-- [et_pb_line_break_holder] --><option>100,000,000+ </option><!-- [et_pb_line_break_holder] --> </select><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_19 et_pb_contact_field_half et_pb_contact_field_last"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_interested in employee benefit? _1" class="et_pb_contact_form_label">Interested in Employee Benefit? </label><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <select style="width: 100%;<!-- [et_pb_line_break_holder] --> padding: 16px;<!-- [et_pb_line_break_holder] --> border: none;<!-- [et_pb_line_break_holder] --> -webkit-border-radius: 0;<!-- [et_pb_line_break_holder] --> -moz-border-radius: 0;<!-- [et_pb_line_break_holder] --> border-radius: 0;<!-- [et_pb_line_break_holder] --> color: #999;<!-- [et_pb_line_break_holder] --> background-color: #eee;<!-- [et_pb_line_break_holder] --> font-size: 14px;"><!-- [et_pb_line_break_holder] --> <option>yes </option><!-- [et_pb_line_break_holder] --><option>NO </option><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> </select><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_20 et_pb_contact_field_half"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_if so, number of employees_1" class="et_pb_contact_form_label">If so, number of employees</label><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <select style="width: 100%;<!-- [et_pb_line_break_holder] --> padding: 16px;<!-- [et_pb_line_break_holder] --> border: none;<!-- [et_pb_line_break_holder] --> -webkit-border-radius: 0;<!-- [et_pb_line_break_holder] --> -moz-border-radius: 0;<!-- [et_pb_line_break_holder] --> border-radius: 0;<!-- [et_pb_line_break_holder] --> color: #999;<!-- [et_pb_line_break_holder] --> background-color: #eee;<!-- [et_pb_line_break_holder] --> font-size: 14px;"><!-- [et_pb_line_break_holder] --> <option>Under 100 </option><!-- [et_pb_line_break_holder] --><option>100 to 250 </option><!-- [et_pb_line_break_holder] --><option> 50 to 500 </option><!-- [et_pb_line_break_holder] --><option> 500 to 1,000 </option><!-- [et_pb_line_break_holder] --><option> 1,000 to 2,500 </option><!-- [et_pb_line_break_holder] --><option> 2,500 to 5,000 </option><!-- [et_pb_line_break_holder] --><option> 5,000 to 10,000 </option><!-- [et_pb_line_break_holder] --><option> 10,000 to 25,000 </option><!-- [et_pb_line_break_holder] --><option>25,000 to 50,000 </option><!-- [et_pb_line_break_holder] --><option> 50,000 to 100,000 </option><!-- [et_pb_line_break_holder] --><option> 100,000 to 250,000 </option><!-- [et_pb_line_break_holder] --><option> 250,000 to 500,000 </option><!-- [et_pb_line_break_holder] --><option> 500,000+</option><!-- [et_pb_line_break_holder] --> </select><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_21 et_pb_contact_field_half et_pb_contact_field_last"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_corporate decision-making process_1" class="et_pb_contact_form_label">Corporate decision-making process</label><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <select style="width: 100%;<!-- [et_pb_line_break_holder] --> padding: 16px;<!-- [et_pb_line_break_holder] --> border: none;<!-- [et_pb_line_break_holder] --> -webkit-border-radius: 0;<!-- [et_pb_line_break_holder] --> -moz-border-radius: 0;<!-- [et_pb_line_break_holder] --> border-radius: 0;<!-- [et_pb_line_break_holder] --> color: #999;<!-- [et_pb_line_break_holder] --> background-color: #eee;<!-- [et_pb_line_break_holder] --> font-size: 14px;"><!-- [et_pb_line_break_holder] --> <option> I am the sole decision-maker. </option><!-- [et_pb_line_break_holder] --><option> The decision is made by a committee based on my recommendation. </option><!-- [et_pb_line_break_holder] --><option> The decision is made by may superior after my recommendation. </option><!-- [et_pb_line_break_holder] --><option> I am not involved in the decision-making process </option><!-- [et_pb_line_break_holder] --><option> I am not sure of the decision-making process </option><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> </select><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> <div class="btn-group btn-group-lg" role="group" aria-label="..."><!-- [et_pb_line_break_holder] --> <label for='step3' id="back-step3" class="back"><!-- [et_pb_line_break_holder] --> <div class="btn btn-default btn-primary btn-lg et_pb_contact_submit et_pb_button">Back</div><!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <label class="continue"><!-- [et_pb_line_break_holder] --> <button type="submit" class="btn btn-default btn-success btn-lg et_pb_contact_submit et_pb_button">Submit</button><!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </form><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->