<div class=\"form_field common-fields text ui-draggable ui-draggable-handle dropped required\" style=\"display: block;\" id=\"_6823\"><div class=\"draggable_object input-group-sm\" style=\"display: none;\"><div class=\"btn btn-info btn-sm form-control\"><i class=\" glyphicon glyphicon-minus\"></i>&nbsp;&nbsp;<span class=\"field_title\">Name:</span></div></div><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"input_holder no-pre-suffix\"><div class=\"row \"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-2 label_container\"><label id=\"nexf_title\" class=\"nexf_title ve_title\" style=\"outline-offset: 0px; outline-width: 1px;\"><span class=\"is_required glyphicon glyphicon-star btn-xs\" style=\"color: rgb(46, 111, 143);\"></span><span class=\"the_label style_bold\" style=\"color: rgb(46, 111, 143);\">Name:</span><br><small class=\"sub-text style_italic\" style=\"color: rgb(153, 153, 153);\"></small></label></div><div class=\"col-sm-10 input_container\"><div class=\"input-inner\" data-svg=\"demo-input-1\"><input id=\"ve_text\" name=\"name\" placeholder=\"Text Field\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" maxlength=\"200\" class=\"error_message svg_ready the_input_element text pre-format form-control required\" data-onfocus-color=\"#66afe9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Please enter a value\" data-secondary-message=\"\" title=\"\" style=\"color: rgb(51, 51, 51); border-color: rgb(221, 221, 221); outline-offset: 0px; outline-width: 1px; background: rgb(255, 255, 255);\" data-original-title=\"\" type=\"text\"><span class=\"help-block hidden\" style=\"color: rgb(115, 115, 115);\">Help text...</span></div></div></div></div><div class=\"field_settings bs-callout bs-callout-info\" style=\"display: none;\"><div class=\"btn btn-info btn-sm edit \" title=\"Edit Field Attributes\"><i class=\"glyphicon glyphicon-pencil\"></i></div><div class=\"btn btn-danger btn-sm delete \" title=\"Delete field\"><i class=\"glyphicon glyphicon-remove\"></i></div></div></div></div></div></div><div class=\"form_field common-fields text ui-draggable ui-draggable-handle dropped\" style=\"display: block;\" id=\"_74433\"><div class=\"draggable_object input-group-sm\" style=\"display: none;\"><div class=\"btn btn-info btn-sm form-control\"><i class=\" glyphicon glyphicon-minus\"></i>&nbsp;&nbsp;<span class=\"field_title\">Phone Number:</span></div></div><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"input_holder no-pre-suffix\"><div class=\"row \"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-2 label_container\"><label id=\"nexf_title\" class=\"nexf_title ve_title\" style=\"outline-offset: 0px; outline-width: 1px;\"><span class=\"is_required glyphicon glyphicon-star btn-xs hidden\" style=\"color: rgb(48, 111, 143);\"></span><span class=\"the_label style_bold\" style=\"color: rgb(48, 111, 143);\">Phone Number:</span><br><small class=\"sub-text style_italic\" style=\"color: rgb(153, 153, 153);\"></small></label></div><div class=\"col-sm-10 input_container\"><div class=\"input-inner\" data-svg=\"demo-input-1\"><input id=\"ve_text\" name=\"phone_number\" placeholder=\"Text Field\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" maxlength=\"200\" class=\"error_message svg_ready the_input_element text pre-format form-control\" data-onfocus-color=\"#66afe9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Please enter a value\" data-secondary-message=\"\" title=\"\" style=\"color: rgb(51, 51, 51); border-color: rgb(221, 221, 221); background: rgb(255, 255, 255);\" data-original-title=\"\" type=\"text\"><span class=\"help-block hidden\" style=\"color: rgb(115, 115, 115);\">Help text...</span></div></div></div></div><div class=\"field_settings bs-callout bs-callout-info\" style=\"display: none;\"><div class=\"btn btn-info btn-sm edit \" title=\"Edit Field Attributes\"><i class=\"glyphicon glyphicon-pencil\"></i></div><div class=\"btn btn-danger btn-sm delete \" title=\"Delete field\"><i class=\"glyphicon glyphicon-remove\"></i></div></div></div></div></div></div><div class=\"form_field common-fields text ui-draggable ui-draggable-handle dropped required\" style=\"display: block;\" id=\"_8276\"><div class=\"draggable_object input-group-sm\" style=\"display: none;\"><div class=\"btn btn-info btn-sm form-control\"><i class=\" glyphicon glyphicon-minus\"></i>&nbsp;&nbsp;<span class=\"field_title\">Email:</span></div></div><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"input_holder no-pre-suffix\"><div class=\"row \"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-2 label_container\"><label id=\"nexf_title\" class=\"nexf_title ve_title\" style=\"outline-offset: 0px; outline-width: 1px;\"><span class=\"is_required glyphicon glyphicon-star btn-xs\" style=\"color: rgb(48, 111, 143);\"></span><span class=\"the_label style_bold\" style=\"color: rgb(48, 111, 143);\">Email:</span><br><small class=\"sub-text style_italic\" style=\"color: rgb(153, 153, 153);\"></small></label></div><div class=\"col-sm-10 input_container\"><div class=\"input-inner\" data-svg=\"demo-input-1\"><input id=\"ve_text\" name=\"email\" placeholder=\"Text Field\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" maxlength=\"200\" class=\"error_message svg_ready the_input_element text pre-format form-control required\" data-onfocus-color=\"#66afe9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Please enter a value\" data-secondary-message=\"\" title=\"\" style=\"color: rgb(51, 51, 51); border-color: rgb(221, 221, 221); background: rgb(255, 255, 255);\" data-original-title=\"\" type=\"text\"><span class=\"help-block hidden\" style=\"color: rgb(115, 115, 115);\">Help text...</span></div></div></div></div><div class=\"field_settings bs-callout bs-callout-info\" style=\"display: none;\"><div class=\"btn btn-info btn-sm edit \" title=\"Edit Field Attributes\"><i class=\"glyphicon glyphicon-pencil\"></i></div><div class=\"btn btn-danger btn-sm delete \" title=\"Delete field\"><i class=\"glyphicon glyphicon-remove\"></i></div></div></div></div></div></div><div class=\"form_field common-fields textarea ui-draggable ui-draggable-handle dropped required\" style=\"display: block;\" id=\"_69457\"><div class=\"draggable_object input-group-sm\" style=\"display: none;\"><div class=\"btn  btn-info btn-sm form-control\"><i class=\" glyphicon glyphicon-align-justify\"></i>&nbsp;&nbsp;<span class=\"field_title\">Message Us:</span></div></div><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"input_holder no-pre-suffix\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-2 label_container\"><label id=\"nexf_title\" class=\"nexf_title ve_title\" style=\"outline-offset: 0px; outline-width: 1px;\"><span class=\"is_required glyphicon glyphicon-star btn-xs\" style=\"color: rgb(48, 111, 143);\"></span><span class=\"the_label style_bold\" style=\"color: rgb(48, 111, 143);\">Message Us:</span><br><small class=\"sub-text style_italic\" style=\"color: rgb(153, 153, 153);\"></small></label></div><div class=\"col-sm-10 input_container\"><div class=\"input-inner\" data-svg=\"demo-input-1\"><textarea name=\"message_us\" id=\"textarea\" placeholder=\"Text Area\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message svg_ready the_input_element textarea pre-format form-control required\" data-onfocus-color=\"#66afe9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Please enter a value\" title=\"\" style=\"color: rgb(85, 85, 85); border-color: rgb(204, 204, 204); background: rgb(255, 255, 255);\" data-original-title=\"\"></textarea><span class=\"help-block hidden\" style=\"color: rgb(115, 115, 115);\">Help text...</span></div></div></div></div><div class=\"field_settings bs-callout bs-callout-info\" style=\"display: none;\"><div class=\"btn btn-info btn-sm edit \" title=\"Edit Field Attributes\"><i class=\"glyphicon glyphicon-pencil\"></i></div><div class=\"btn btn-danger btn-sm delete \" title=\"Delete field\"><i class=\"glyphicon glyphicon-remove\"></i></div></div></div></div></div></div><div id=\"_92427\" class=\"form_field custom-fields submit-button ui-draggable ui-draggable-handle dropped\" style=\"display: block; z-index: 100;\"><div style=\"display: none;\" class=\"draggable_object input-group-sm \"><div class=\"btn btn-warning btn-sm form-control\"><i class=\" glyphicon glyphicon glyphicon-send\"></i>&nbsp;&nbsp;<span class=\"field_title\">Submit Button</span></div></div><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"input_holder no-pre-suffix\"><div class=\"row \"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12\"><div class=\"input-inner\" data-svg=\"demo-input-1\"><button data-onfocus-color=\"#000000\" style=\"outline-offset: 0px; outline-width: 1px; color: rgb(255, 255, 255); background: none repeat scroll 0% 0% rgb(66, 139, 202); border-color: rgb(53, 126, 189);\" class=\"nex-submit svg_ready the_input_element btn btn-primary\">Submit</button></div><br>
																		<small class=\"svg_ready\"><a href=\"http://codecanyon.net/user/Basix/portfolio?ref=Basix\" target=\"_blank\"></a></small></div></div></div><div class=\"field_settings bs-callout bs-callout-info\" style=\"display: none;\"><div style=\"outline-offset: 0px; outline-width: 1px;\" class=\"btn btn-info btn-sm edit  editing-field\" title=\"Edit Field Attributes\"><i class=\"glyphicon glyphicon-pencil\"></i></div><div class=\"btn btn-danger btn-sm delete \" title=\"Delete field\"><i class=\"glyphicon glyphicon-remove\"></i></div></div></div></div></div></div>