[gravityforms id=16 title=false description=false]
<script type="text/javascript">if(!gform){document.addEventListener("gform_main_scripts_loaded",function(){gform.scriptsLoaded=!0}),window.addEventListener("DOMContentLoaded",function(){gform.domLoaded=!0});var gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener("DOMContentLoaded",o):document.addEventListener("gform_main_scripts_loaded",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook("action",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook("filter",o,n,r,t)},doAction:function(o){gform.doHook("action",o,arguments)},applyFilters:function(o){return gform.doHook("filter",o,arguments)},removeAction:function(o,n){gform.removeHook("action",o,n)},removeFilter:function(o,n,r){gform.removeHook("filter",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+"_"+e.length),null==t&&(t=10),gform.hooks[o][n].push({tag:i,callable:r,priority:t})},doHook:function(o,n,r){if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[o][n]){var t,i=gform.hooks[o][n];i.sort(function(o,n){return o.priority-n.priority});for(var e=0;e<i.length;e++)"function"!=typeof(t=i[e].callable)&&(t=window[t]),"action"==o?t.apply(null,r):r[0]=t.apply(null,r)}if("filter"==o)return r[0]},removeHook:function(o,n,r,t){if(null!=gform.hooks[o][n])for(var i=gform.hooks[o][n],e=i.length-1;0<=e;e--)null!=t&&t!=i[e].tag||null!=r&&r!=i[e].priority||i.splice(e,1)}}}</script>
<div class='gf_browser_unknown gform_wrapper gravity-theme' id='gform_wrapper_16' ><form method='post' enctype='multipart/form-data' id='gform_16' action='/services/' >
<div class='gform_body gform-body'><div id='gform_fields_16' class='gform_fields top_label form_sublabel_below description_below'><fieldset id="field_16_1" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><legend class='gfield_label gfield_label_before_complex' >Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name' id='input_16_1'>
<span id='input_16_1_3_container' class='name_first' >
<input type='text' name='input_1.3' id='input_16_1_3' value='' aria-label='First name' aria-required='true' placeholder='First Name' />
<label for='input_16_1_3' >First</label>
</span>
</div></fieldset><div id="field_16_2" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_16_2' >Email<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label><div class='ginput_container ginput_container_email'>
<input name='input_2' id='input_16_2' type='text' value='' class='large' placeholder='Business email address' aria-required="true" aria-invalid="false" />
</div></div><fieldset id="field_16_3" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><legend class='gfield_label gfield_label_before_complex' >Consent<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_16_3'><div class='gchoice gchoice_16_3_1'>
<input class='gfield-choice-input' name='input_3.1' type='checkbox' value='I consent to the processing and sharing with partners of the personal data that I provide Packet 6 for this activity in accordance with and as described in the <a href="https://packet6.com/privacy-policy" target="_new">Privacy Policy</a>' id='choice_16_3_1' />
<label for='choice_16_3_1' id='label_16_3_1'>I consent to the processing and sharing with partners of the personal data that I provide Packet 6 for this activity in accordance with and as described in the <a href="https://packet6.com/privacy-policy" target="_new">Privacy Policy</a></label>
</div></div></div></fieldset><div id="field_16_4" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_16_4' >Comments</label><div class='ginput_container'><input name='input_4' id='input_16_4' type='text' value='' /></div><div class='gfield_description' id='gfield_description_16_4'>This field is for validation purposes and should be left unchanged.</div></div></div></div>
<div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_16' class='gform_button button' value='Get the report' onclick='if(window["gf_submitting_16"]){return false;} window["gf_submitting_16"]=true; ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_16"]){return false;} window["gf_submitting_16"]=true; jQuery("#gform_16").trigger("submit",[true]); }' />
<input type='hidden' class='gform_hidden' name='is_submit_16' value='1' />
<input type='hidden' class='gform_hidden' name='gform_submit' value='16' />
<input type='hidden' class='gform_hidden' name='gform_unique_id' value='' />
<input type='hidden' class='gform_hidden' name='state_16' value='WyJbXSIsImY4MGVlNTA5MGVjMWYzYzU5NzUyOGFhOWE3ZGFiMzRlIl0=' />
<input type='hidden' class='gform_hidden' name='gform_target_page_number_16' id='gform_target_page_number_16' value='0' />
<input type='hidden' class='gform_hidden' name='gform_source_page_number_16' id='gform_source_page_number_16' value='1' />
<input type='hidden' name='gform_field_values' value='' />
</div>
</form>
</div>
