{"id":103,"date":"2016-09-14T12:41:22","date_gmt":"2016-09-14T11:41:22","guid":{"rendered":"https:\/\/digitalmosaics.co.uk\/?page_id=103"},"modified":"2016-11-01T01:30:39","modified_gmt":"2016-11-01T01:30:39","slug":"order","status":"publish","type":"page","link":"https:\/\/digitalmosaics.co.uk\/order\/","title":{"rendered":"Mosaic Order Form"},"content":{"rendered":"<p><div class=\"frm_forms \" id=\"frm_form_15_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form uk-form ss-form frm_ajax_submit  frm_pro_form \" id=\"form_9kl332\"  >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_hidden\">Order Form v4<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"15\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_15\" id=\"frm_hide_fields_15\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"9kl332\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_15\" name=\"frm_submit_entry_15\" value=\"056b8cdbde\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/103\" \/><input type=\"hidden\" name=\"item_meta[180]\" id=\"field_br7cl2\" value=\"10000005\"  data-frmval=\"10000005\" data-invmsg=\"Order Number is invalid\"   \/>\n<hr class=\"uk-align-center uk-width-medium-2-3\" \/>\r\n<div class=\"uk-width-medium-3-4 uk-flex uk-flex-middle uk-align-center uk-margin-bottom-large\">\r\n\t<div class=\"uk-panel\">\r\n\t\t<h2 class=\"uk-panel-title uk-text-center\">Need more?<\/h2>\r\n\t\t<div class=\"uk-text-center\">\r\n\t\t\tIf you'd like to order more mosaics with a different source \/ different size then please simply click on the 'Add' Button below and we'll add a whole new configuration to your order!\r\n\t\t<\/div>\r\n\t<\/div>\r\n<\/div>\r\n\r\n<div id=\"frm_field_181_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_third\">\r\n    <label for=\"field_fpja72\" class=\"frm_primary_label\">Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_fpja72\" name=\"item_meta[181]\" value=\"\"  data-reqmsg=\"Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_182_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_ptb492\" class=\"frm_primary_label\">Email Address\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_ptb492\" name=\"item_meta[182]\" value=\"\"  data-reqmsg=\"Email Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email Address is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_183_container\" class=\"frm_form_field form-field  frm_top_container frm_third uk-margin-bottom-large\">\r\n    <label for=\"field_voucher\" class=\"frm_primary_label\">Voucher Code\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_voucher\" name=\"item_meta[183]\" value=\"\"  data-invmsg=\"Voucher Code is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_voucher\"\/>\r\n    <div id=\"frm_desc_field_voucher\" class=\"frm_description\"><a class=\"update\">Refresh Total<\/a><\/div>\r\n    \r\n<\/div>\n<input type=\"hidden\" name=\"item_meta[200]\" id=\"field_discount\" value=\"0\"  data-frmval=\"0\" data-invmsg=\"Discount is invalid\"   \/>\n<div id=\"frm_field_184_container\" class=\"frm_form_field frm_section_heading form-field  frm_hide_section\">\r\n<h3 class=\"frm_pos_none frm_section_spacing uk-hidden\">Mosaic Option<\/h3>\r\n\r\n<input type=\"hidden\" name=\"item_meta[184][form]\" value=\"16\" class=\"frm_dnc\" \/>\n\t\t\t<div id=\"frm_section_184-0\" class=\"frm_repeat_sec frm_repeat_184 frm_first_repeat frm_grid_container\">\n<input type=\"hidden\" name=\"item_meta[184][row_ids][]\" value=\"0\" \/><input type=\"hidden\" name=\"item_meta[184][0][0]\" value=\"\" \/><div class=\"uk-width-1-1\">&nbsp;<\/div>\r\n<div id=\"frm_field_187-184-0_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_field_187_container uk-grid\" data-uk-grid-margin data-uk-grid-match=\"{target:'.uk-panel'}\">\r\n\t<div class=\"uk-width-medium-1-4 uk-flex uk-flex-center uk-flex-middle\">\r\n\t\t<div class=\"uk-panel\">\r\n\t\t\t<img decoding=\"async\" class=\"uk-border-circle\" src=\"\/wp-content\/uploads\/family-with-cat-Mosaic-200x200.jpg\" alt=\"Digital Mosaic Source\" \/>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\t<div class=\"uk-width-medium-1-2 uk-flex uk-flex-middle\">\r\n\t\t<div class=\"uk-panel\">\r\n\t\t\t<h2 class=\"uk-panel-title\">Image Source<\/h2>\r\n\t\t\t<div class=\"uk-text-justify\">\r\n\t\t\t\tWhat images would you like your mosaic to be made out of? We can source thousands of images for you, using your specific keywords such as \u2018cars\u2019 or \u2018sunset\u2019 or we can take the screenshots of your favourite movie, maybe you\u2019re an x-men fan?\r\n\r\n\t\t\t\tOf course you can also supply your own images!\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\t<div class=\"uk-width-medium-1-4 uk-flex uk-flex-center uk-flex-middle\">\r\n\t\t<div class=\"uk-panel\">\r\n\t\t\t<div>\r\n\t\t\t\t<label for=\"field_gj5k12-0\" class=\"frm_primary_label\">Image Source\r\n\t\t\t\t\t<span class=\"frm_required\">*<\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\t\t\t<select name=\"item_meta[184][0][187]\" id=\"field_gj5k12-0\"  data-sectionid=\"184\" data-frmval=\"I&#039;d like you to source my images\" data-reqmsg=\"Image Source cannot be blank.\" aria-required=\"true\" data-invmsg=\"Image Source is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"I&#039;d like you to source my images\" selected='selected'>I&#039;d like you to source my images<\/option><option  value=\"I&#039;d like to supply my own images\">I&#039;d like to supply my own images<\/option><option  value=\"I&#039;d like you to use frames from a movie\">I&#039;d like you to use frames from a movie<\/option>\t<\/select>\n\t\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n<\/div>\n<div id=\"frm_field_198-184-0_container\" class=\"frm_form_field form-field  frm_html_container frm_field_198_container uk-grid\" data-uk-grid-margin data-uk-grid-match=\"{target:'.uk-panel'}\">\n<div class=\"uk-width-medium-1-4 uk-flex uk-flex-center uk-flex-middle uk-hidden\">\n<div class=\"uk-panel\"><\/div>\n<\/p><\/div>\n<div class=\"uk-width-medium-3-4 uk-flex uk-flex-middle\">\n<div class=\"uk-panel\">\n<h2 class=\"uk-panel-title uk-text-right\">Submit Your Images<\/h2>\n<div class=\"uk-text-justify\">\n\t\t\t\tWe'll send you more detailed instructions via email but images can be provided in several methods. You can upload your photos via our online upload portal or you can post your images to us on DVD or usb memory stick.\n\t\t\t<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"uk-width-medium-1-4 uk-flex uk-flex-center uk-flex-middle\">\n<div class=\"uk-panel\">\n\t\t\t<img decoding=\"async\" class=\"uk-border-circle\" src=\"\/wp-content\/uploads\/family-holiday-Mosaic-200x200.jpg\" alt=\"How to submit your images\" \/>\n\t\t<\/div>\n<\/p><\/div>\n<\/div>\n<div id=\"frm_field_197-184-0_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_field_197_container uk-grid\" data-uk-grid-margin data-uk-grid-match=\"{target:'.uk-panel'}\">\r\n\t<div class=\"uk-width-medium-1-4 uk-flex uk-flex-center uk-flex-middle\">\r\n\t\t<div class=\"uk-panel\">\r\n\t\t\t<div>\r\n\t\t\t\t<label for=\"field_f5e9e-0\" class=\"frm_primary_label\">Movie Title\r\n\t\t\t\t\t<span class=\"frm_required\">*<\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\t<input type=\"text\" id=\"field_f5e9e-0\" name=\"item_meta[184][0][197]\" value=\"\"  data-sectionid=\"184\" placeholder=\"e.g. The Avengers\" data-reqmsg=\"Movie Title cannot be blank.\" aria-required=\"true\" data-invmsg=\"Movie Title is invalid\" aria-invalid=\"false\"  \/>\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\t<div class=\"uk-width-medium-1-2 uk-flex uk-flex-middle\">\r\n\t\t<div class=\"uk-panel\">\r\n\t\t\t<h2 class=\"uk-panel-title uk-text-right\">Movie Title<\/h2>\r\n\t\t\t<div class=\"uk-text-justify\">\r\n\t\t\t\tYou\u2019ve chosen for us to use frames from your favourite movie for your mosaic so please write your movie title here. For copywrite purposes choosing this option declares that you have a copy of the movie.\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\t<div class=\"uk-width-medium-1-4 uk-flex uk-flex-center uk-flex-middle\">\r\n\t\t<div class=\"uk-panel\">\r\n\t\t\t<img decoding=\"async\" class=\"uk-border-circle\" src=\"\/wp-content\/uploads\/x-men-200x200.jpg\" alt=\"Enter your movie title\" \/>\r\n\t\t<\/div>\r\n\t<\/div>\r\n<\/div>\n<div id=\"frm_field_188-184-0_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_field_188_container uk-grid\" data-uk-grid-margin data-uk-grid-match=\"{target:'.uk-panel'}\">\r\n\t<div class=\"uk-width-medium-1-4 uk-flex uk-flex-center uk-flex-middle\">\r\n\t\t<div class=\"uk-panel\">\r\n\t\t\t<div>\r\n\t\t\t\t<label for=\"field_l50hd2-0\" class=\"frm_primary_label\">Keywords\r\n\t\t\t\t\t<span class=\"frm_required\">*<\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\t<input type=\"text\" id=\"field_l50hd2-0\" name=\"item_meta[184][0][188]\" value=\"\"  data-sectionid=\"184\" placeholder=\"e.g. Art, Sports Cars, Puppys\" data-reqmsg=\"Keywords cannot be blank.\" aria-required=\"true\" data-invmsg=\"Keywords is invalid\" aria-invalid=\"false\"  \/>\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\t<div class=\"uk-width-medium-1-2 uk-flex uk-flex-middle\">\r\n\t\t<div class=\"uk-panel\">\r\n\t\t\t<h2 class=\"uk-panel-title uk-text-right\">Source Keywords<\/h2>\r\n\t\t\t<div class=\"uk-text-justify\">\r\n\t\t\t\tYou\u2019ve chosen for us to source images for your mosaic so please write your keywords here. We\u2019ll send our minions out into the ether to source tens of thousands of images just for you and turn them into beautiful artwork just for you!\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\t<div class=\"uk-width-medium-1-4 uk-flex uk-flex-center uk-flex-middle\">\r\n\t\t<div class=\"uk-panel\">\r\n\t\t\t<img decoding=\"async\" class=\"uk-border-circle\" src=\"\/wp-content\/uploads\/02A10WRY-Mosaic-200x200.jpg\" alt=\"Submit your source keywords\" \/>\r\n\t\t<\/div>\r\n\t<\/div>\r\n<\/div>\n<div id=\"frm_field_185-184-0_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_field_185_container uk-grid\" data-uk-grid-margin data-uk-grid-match=\"{target:'.uk-panel'}\">\r\n\t<div class=\"uk-width-medium-1-4 uk-flex uk-flex-center uk-flex-middle\">\r\n\t\t<div class=\"uk-panel\">\r\n\t\t\t<img decoding=\"async\" class=\"uk-border-circle\" src=\"\/wp-content\/uploads\/beach-family-Mosaic-200x200.jpg\" alt=\"Digital Mosaic Source\" \/>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\t<div class=\"uk-width-medium-1-2 uk-flex uk-flex-middle\">\r\n\t\t<div class=\"uk-panel\">\r\n\t\t\t<h2 class=\"uk-panel-title\">Image Size<\/h2>\r\n\t\t\t<div class=\"uk-text-justify\">\r\n\t\t\t\tHow big would you like your mosaic\u2019s to be? The larger the image size the larger you will be able to print your mosaic. For post-cards all the way up to A4 we recommend Full HD but for posters or the background of a 4k TV you might want to go larger!\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\t<div class=\"uk-width-medium-1-4 uk-flex uk-flex-center uk-flex-middle\">\r\n\t\t<div class=\"uk-panel\">\r\n\t\t\t<div>\r\n\t\t\t\t<label for=\"field_fba482-0\" class=\"frm_primary_label\">Select Size\r\n\t\t\t\t\t<span class=\"frm_required\">*<\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\t\t\t<select name=\"item_meta[184][0][185]\" id=\"field_fba482-0\"  data-sectionid=\"184\" data-frmval=\"A4 - \u00a325\" data-reqmsg=\"Select Size cannot be blank.\" aria-required=\"true\" data-invmsg=\"Select Size is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"A4 - \u00a325\" selected='selected'>A4 | Full HD | 1920x1080<\/option><option  value=\"A3 - \u00a335\">A3 | 4K | 3840x2160<\/option><option  value=\"A1 - \u00a340\">A1 | 8k | 7680x4320<\/option><option  value=\"A0 - \u00a345\">A0 | 14043x9933<\/option>\t<\/select>\n\t\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n<\/div>\n<div id=\"frm_field_186-184-0_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_field_186_container uk-grid\" data-uk-grid-margin data-uk-grid-match=\"{target:'.uk-panel'}\">\r\n\t<div class=\"uk-width-medium-1-4 uk-flex uk-flex-center uk-flex-middle\">\r\n\t\t<div class=\"uk-panel\">\r\n\t\t\t<div>\r\n\t\t\t\t<label for=\"field_sfn102-0\" class=\"frm_primary_label\">How Many?\r\n\t\t\t\t\t<span class=\"frm_required\">*<\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\t\t\t<select name=\"item_meta[184][0][186]\" id=\"field_sfn102-0\"  data-sectionid=\"184\" data-frmval=\"1\" data-reqmsg=\"How Many? cannot be blank.\" aria-required=\"true\" data-invmsg=\"How Many? is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"1\" selected='selected'>1<\/option><option  value=\"2\">2<\/option><option  value=\"5\">5<\/option><option  value=\"10\">10<\/option>\t<\/select>\n\t\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\t<div class=\"uk-width-medium-1-2 uk-flex uk-flex-middle\">\r\n\t\t<div class=\"uk-panel\">\r\n\t\t\t<h2 class=\"uk-panel-title uk-text-right\">How Many Mosaics?<\/h2>\r\n\t\t\t<div class=\"uk-text-justify\">\r\n\t\t\t\tThe more mosaics you choose from the same source, the cheaper it will be. We spend time filtering out the thousands of photos we use to create your mosaic so once that is complete, we can off you two, five or even ten mosaics at a cheaper price.\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\t<div class=\"uk-width-medium-1-4 uk-flex uk-flex-center uk-flex-middle\">\r\n\t\t<div class=\"uk-panel\">\r\n\t\t\t<img decoding=\"async\" class=\"uk-border-circle\" src=\"\/wp-content\/uploads\/03C78916-Mosaic-200x200.jpg\" alt=\"How many mosaics would you like?\" \/>\r\n\t\t<\/div>\r\n\t<\/div>\r\n<\/div>\n<div id=\"frm_field_199-184-0_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_field_199_container uk-grid\" data-uk-grid-margin data-uk-grid-match=\"{target:'.uk-panel'}\">\r\n\t<div class=\"uk-width-medium-1-4 uk-flex uk-flex-center uk-flex-middle\">\r\n\t\t<div class=\"uk-panel\">\r\n\t\t\t<a href=\"#silhouette\" data-uk-modal=\"{center:true}\">\r\n\t\t\t\t<figure class=\"uk-overlay uk-overlay-hover\">\r\n\t\t\t\t\t<img decoding=\"async\" class=\"uk-border-circle\" src=\"\/wp-content\/uploads\/digital-mosaic-silhouette-200x200.jpg\" alt=\"Digital Mosaic Source\" \/>\r\n\t\t\t\t\t<div class=\"uk-overlay-panel uk-overlay-icon uk-overlay-background uk-border-circle\"><\/div>\r\n\t\t\t\t<\/figure>\r\n\t\t\t<\/a>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\t<div class=\"uk-width-medium-1-2 uk-flex uk-flex-middle\">\r\n\t\t<div class=\"uk-panel\">\r\n\t\t\t<h2 class=\"uk-panel-title\">Stunning Silhouettes<\/h2>\r\n\t\t\t<div class=\"uk-text-justify\">\r\n\t\t\t\t<p>We can make your subject stand out by lifting them from the background creating a truly spectacular mosaic! Click on the example <a href=\"#silhouette\" data-uk-modal=\"{center:true}\"><strong>here<\/strong><\/a>.<\/p>\r\n\t\t\t\t<p>Sillouettes take time so there is an extra \u00a320 charge for each one, but we think it's worth it!<\/p>\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\t<div class=\"uk-width-medium-1-4 uk-flex uk-flex-center uk-flex-middle\">\r\n\t\t<div class=\"uk-panel\">\r\n\t\t\t<div>\r\n\t\t\t\t<label for=\"field_1tua1-0\" class=\"frm_primary_label\">How Many Silouettes?\r\n\t\t\t\t\t<span class=\"frm_required\">*<\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\t\t\t<select name=\"item_meta[184][0][199]\" id=\"field_1tua1-0\"  data-sectionid=\"184\" data-frmval=\"0\" data-reqmsg=\"How Many Silouettes? cannot be blank.\" aria-required=\"true\" data-invmsg=\"How Many Silouettes? is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"0\" selected='selected'>0<\/option><option  value=\"1\">1<\/option><option  value=\"2\">2<\/option><option  value=\"3\">3<\/option><option  value=\"4\">4<\/option><option  value=\"5\">5<\/option><option  value=\"6\">6<\/option><option  value=\"7\">7<\/option><option  value=\"8\">8<\/option><option  value=\"9\">9<\/option><option  value=\"10\">10<\/option>\t<\/select>\n\t\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n<\/div>\r\n\r\n<!-- This is the modal -->\r\n<div id=\"silhouette\" class=\"uk-modal\">\r\n    <div class=\"uk-modal-dialog uk-modal-dialog-lightbox\">\r\n        <a class=\"uk-modal-close uk-close\"><\/a>\r\n\t\t<img decoding=\"async\" src=\"\/wp-content\/uploads\/digital-mosaic-silhouette.jpg\" alt=\"Digital Mosaics Silhouette\" \/>\r\n    <\/div>\r\n<\/div>\n<div id=\"frm_field_190-184-0_container\" class=\"frm_form_field form-field  frm_left_container frm_total frm_field_190_container uk-grid\" data-uk-grid-margin data-uk-grid-match=\"{target:'.uk-panel'}\">\r\n\t<div class=\"uk-width-medium-1-4 uk-flex uk-flex-center uk-flex-middle uk-hidden\">\r\n\t\t<div class=\"uk-panel\">\r\n\t\t\t<img decoding=\"async\" class=\"uk-border-circle\" src=\"\/wp-content\/uploads\/Pulp-Fiction-cover-200x200.jpg\" alt=\"Order more mosaics\" \/>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\t<div class=\"uk-width-medium-1-4 uk-flex uk-flex-center uk-flex-middle uk-hidden\">\r\n\t\t<div class=\"uk-panel\">\r\n\t\t\t<div>\r\n\t\t\t\t<label for=\"field_lyagd2-0\" class=\"frm_primary_label\">Line Total\r\n\t\t\t\t\t<span class=\"frm_required\"><\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\t<input type=\"text\" id=\"field_lyagd2-0\" name=\"item_meta[184][0][190]\" value=\"\"  data-sectionid=\"184\" data-invmsg=\"Line Total is invalid\" aria-invalid=\"false\"  \/>\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n<\/div>\r\n<hr class=\"uk-align-center uk-width-medium-2-3 uk-margin-bottom-large\" \/>\n<div class=\"frm_form_field frm_hidden_container frm_repeat_buttons \"><a href=\"#\" class=\"frm_add_form_row frm_button\" data-parent=\"184\" aria-label=\"Add\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>plus1<\/title>\n\t<path d=\"M11 5H9v4H5v2h4v4h2v-4h4V9h-4V5zm-1-5a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Add<\/a>\n<a href=\"#\" class=\"frm_remove_form_row frm_button\" data-key=\"0\" data-parent=\"184\" aria-label=\"Remove\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>minus1<\/title>\n\t<path d=\"M5 9v2h10V9H5zm5-9a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Remove<\/a> <\/div><\/div>\n\r\n<\/div>\n<div id=\"frm_field_193_container\" class=\"frm_form_field form-field  frm_left_container frm_total ss-form-total uk-border-circle uk-flex uk-flex-center uk-flex-middle uk-text-center uk-align-center uk-h3\">\r\n    <label for=\"field_p0qre2\" class=\"frm_primary_label\">\u00a3\r\n        <span 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