{"id":2335,"date":"2021-12-21T22:33:58","date_gmt":"2021-12-21T14:33:58","guid":{"rendered":"https:\/\/legacygiving.caritas.org.hk\/?page_id=2335"},"modified":"2022-08-31T15:15:58","modified_gmt":"2022-08-31T07:15:58","slug":"will-giving","status":"publish","type":"page","link":"https:\/\/legacygiving.caritas.org.hk\/zh\/will-giving\/","title":{"rendered":"\u907a\u56d1\u994b\u8d08"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"2335\" class=\"elementor elementor-2335\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-442cf912 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default qodef-elementor-content-no\" data-id=\"442cf912\" data-element_type=\"section\" data-e-type=\"section\" 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field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_15\"><label class='gfield_label' for='input_2_15' >\u994b\u8d08\u985e\u578b<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_2_15' type='text' value='' class='large'  aria-describedby=\"gfield_description_2_15\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_2_15'>\u4f8b\u5982: \u80a1\u7968\u3001\u8b49\u5238\u3001\u7269\u696d\u7b49<\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_12' class='gform_previous_button button' value='\u4e0a\u4e00\u6b65'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"1\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"1\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_2_12' class='gform_next_button button' value='\u4e0b\u4e00\u6b65'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"3\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"3\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_3' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_3' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_2_17\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_17\"><h3 class=\"gsection_title\">\u6211\u5c1a\u672a\u8a02\u7acb\u907a\u56d1<\/h3><\/div><div id=\"field_2_16\"  class=\"gfield gsection .subQuestion field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_16\"><h3 class=\"gsection_title\">(a) \u95a3\u4e0b\u8a08\u5283\u994b\u8d08\u4e4b\u8cc7\u7522\uff08\u53ef\u9078\u591a\u9805\uff09<\/h3><\/div><fieldset id=\"field_2_18\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below hidden_label gfield_visibility_visible\"  data-js-reload=\"field_2_18\"><legend class='gfield_label gfield_label_before_complex'  >\u6240\u6709\u8cc7\u7522<\/legend><div class='ginput_container ginput_container_consent'><input name='input_18.1' id='input_2_18_1' type='checkbox' value='1'    aria-invalid=\"false\"   \/> <label class=\"gfield_consent_label\" for='input_2_18_1' >\u6211\u6b7b\u5f8c\u7684\u6240\u6709\u8ca1\u7522<\/label><input type='hidden' name='input_18.2' value='All my estate upon my death' class='gform_hidden' \/><input type='hidden' name='input_18.3' value='4' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_2_19\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_19\"><label class='gfield_label' for='input_2_19' >\u6211\u64c1\u6709\u7684\u8ca1\u7522\u7684\u4e00\u90e8\u5206<\/label><div class='ginput_container ginput_container_number'><input name='input_19' id='input_2_19' type='number' step='any' min='0' max='100' value='' class='large'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_2_19\" \/><div class='instruction' id='gfield_instruction_2_19'>Please enter a number from <strong>0<\/strong> to <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_2_20\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_20\"><label class='gfield_label' for='input_2_20' >\u6307\u5b9a\u91d1\u984d\uff08\u6e2f\u5e63$\uff09<\/label><div class='ginput_container ginput_container_number'><input name='input_20' id='input_2_20' type='text' step='any'   value='' class='large'      aria-invalid=\"false\" aria-describedby=\"gfield_description_2_20\" \/><\/div><div class='gfield_description' id='gfield_description_2_20'>\u4f8b\u5982\uff1a 1,000,000<\/div><\/div><div id=\"field_2_22\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_22\"><label class='gfield_label' for='input_2_22' >\u7279\u5b9a\u8cc7\u7522<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_2_22' type='text' value='' class='large'  aria-describedby=\"gfield_description_2_22\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_2_22'>\u4f8b\u5982: \u80a1\u7968\u3001\u8b49\u5238\u3001\u7269\u696d\u7b49<\/div><\/div><div id=\"field_2_25\"  class=\"gfield gsection subQuestion field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_25\"><h3 class=\"gsection_title\">(b) \u6cd5\u5f8b\u8aee\u8a62<\/h3><\/div><fieldset id=\"field_2_24\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_24\"><legend class='gfield_label'  >\u4f60\u6709\u4ee3\u8868\u5f8b\u5e2b\u55ce\uff1f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_24'>\n\t\t\t<div class='gchoice gchoice_2_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Yes'  id='choice_2_24_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_24_0' id='label_2_24_0'>\u662f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='No'  id='choice_2_24_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_24_1' id='label_2_24_1'>\u5426<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_26\"  class=\"gfield gfield--width-half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_26\"><label class='gfield_label' for='input_2_26' >\u5f8b\u5e2b\u59d3\u540d<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_2_26' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_2_27\"  class=\"gfield gfield--width-half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_27\"><label class='gfield_label' for='input_2_27' >\u5f8b\u5e2b\u806f\u7d61\u96fb\u8a71<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_27' id='input_2_27' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_41' class='gform_previous_button button' value='\u4e0a\u4e00\u6b65'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_2_41' class='gform_next_button button' value='\u4e0b\u4e00\u6b65'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"4\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"4\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_4' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_4' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_2_28\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_28\"><h3 class=\"gsection_title\">\u500b\u4eba\u8cc7\u6599<\/h3><\/div><div id=\"field_2_31\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_31\"><label class='gfield_label' for='input_2_31' >\u7a31\u8b02<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_31' id='input_2_31' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>\u6211\u5011\u61c9\u5982\u4f55\u7a31\u547c\u95a3\u4e0b<\/option><option value='Prof.' >\u6559\u6388<\/option><option value='Dr.' >\u535a\u58eb<\/option><option value='Mr.' >\u5148\u751f<\/option><option value='Mrs' >\u592a\u592a<\/option><option value='Ms.' >\u5973\u58eb<\/option><option value='Miss' >\u5c0f\u59d0<\/option><\/select><\/div><\/div><fieldset id=\"field_2_29\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_29\"><legend class='gfield_label gfield_label_before_complex'  >\u82f1\u6587\u59d3\u540d<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name' id='input_2_29'>\n                            \n                            <span id='input_2_29_3_container' class='name_first' >\n                                                    <input type='text' name='input_29.3' id='input_2_29_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_2_29_3' >\u540d<\/label>\n                                                <\/span>\n                            <span id='input_2_29_4_container' class='name_middle' >\n                                                    <input type='text' name='input_29.4' id='input_2_29_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_2_29_4' >\u4e2d\u9593\u540d<\/label>\n                                                <\/span>\n                            <span id='input_2_29_6_container' class='name_last' >\n                                                    <input type='text' name='input_29.6' id='input_2_29_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_2_29_6' >\u59d3<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_2_30\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_30\"><legend class='gfield_label gfield_label_before_complex'  >\u4e2d\u6587\u59d3\u540d<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_2_30'>\n                            \n                            <span id='input_2_30_3_container' class='name_first' >\n                                                    <input type='text' name='input_30.3' id='input_2_30_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_2_30_3' >\u540d<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_30_6_container' class='name_last' >\n                                                    <input type='text' name='input_30.6' id='input_2_30_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_2_30_6' >\u59d3<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_2_34\"  class=\"gfield gfield--width-half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_34\"><label class='gfield_label' for='input_2_34' >\u806f\u7d61\u96fb\u8a71<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_34' id='input_2_34' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_33\"  class=\"gfield gfield--width-half field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_33\"><label class='gfield_label' for='input_2_33' >\u8eab\u4efd\u8b49\u865f\u78bc\/\u8b77\u7167\u865f\u78bc<\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_2_33' type='text' value='' class='large'  aria-describedby=\"gfield_description_2_33\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_2_33'>\u9078\u586b<\/div><\/div><fieldset id=\"field_2_35\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_2_35\"><legend class='gfield_label gfield_label_before_complex'  >\u96fb\u90f5<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_2_35'>\u8acb\u63d0\u4f9b\u4e00\u500b\u6709\u6548\u7684\u96fb\u90f5\u5730\u5740\u3002\u78ba\u8a8d\u548c\u6350\u8d08\u96fb\u5b50\u6536\u64da\uff08\u5982\u9069\u7528\uff09\u5c07\u767c\u9001\u81f3\u6b64\u96fb\u90f5\u5730\u5740\u3002<\/div><div class='ginput_complex ginput_container ginput_container_email' id='input_2_35_container'>\n                                <span id='input_2_35_1_container' class='ginput_left'>\n                                    <input class='' type='email' name='input_35' id='input_2_35' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_2_35\" \/>\n                                    <label for='input_2_35' >Enter Email<\/label>\n                                <\/span>\n                                <span id='input_2_35_2_container' class='ginput_right'>\n                                    <input class='' type='email' name='input_35_2' id='input_2_35_2' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_2_35\" \/>\n                                    <label for='input_2_35_2' >Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><fieldset id=\"field_2_46\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_46\"><legend class='gfield_label gfield_label_before_complex'  >\u5730\u5740<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 ginput_container_address' id='input_2_46' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_2_46_1_container' >\n                                        <input type='text' name='input_46.1' id='input_2_46_1' value=''    aria-required='false'    \/>\n                                        <label for='input_2_46_1' id='input_2_46_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2' id='input_2_46_2_container' >\n                                        <input type='text' name='input_46.2' id='input_2_46_2' value=''     aria-required='false'   \/>\n                                        <label for='input_2_46_2' id='input_2_46_2_label' >Address Line 2<\/label>\n                                    <\/span><input type='hidden' class='gform_hidden' name='input_46.4' id='input_2_46_4' value=''\/><input type='hidden' class='gform_hidden' name='input_46.6' id='input_2_46_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_2_43\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_43\"><legend class='gfield_label gfield_label_before_complex'  >\u6211\u5e0c\u671b\u88ab\u4ee5\u4e0b\u65b9\u5f0f\u806f\u7d61<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_2_43'><div class='gchoice gchoice_2_43_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_43.1' type='checkbox'  value='Phone'  id='choice_2_43_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_43_1' id='label_2_43_1'>\u96fb\u8a71<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_43_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_43.2' type='checkbox'  value='Email'  id='choice_2_43_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_43_2' id='label_2_43_2'>\u96fb\u90f5<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_43_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_43.3' type='checkbox'  value='Whatsapp'  id='choice_2_43_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_43_3' id='label_2_43_3'>Whatsapp<\/label>\n\t\t\t\t\t\t\t<\/div><button type=\"button\" id=\"button_43_select_all\" onclick=\"gformToggleCheckboxes( this )\" data-checked=\"0\" data-label-select=\"Select All\" data-label-deselect=\"Deselect All\">Select All<\/button><\/div><\/div><\/fieldset><fieldset id=\"field_2_48\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_48\"><legend class='gfield_label gfield_label_before_complex'  >\u79c1\u96b1\u653f\u7b56<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_48.1' id='input_2_48_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_2_48\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gfield_consent_label\" for='input_2_48_1' >\u6211\u540c\u610f\u79c1\u96b1\u653f\u7b56\u3002<\/label><input type='hidden' name='input_48.2' value='I agree to the privacy policy.' class='gform_hidden' \/><input type='hidden' name='input_48.3' value='4' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_2_48'>*\u6240\u6709\u6536\u96c6\u5230\u7684\u500b\u4eba\u8cc7\u6599\u5c07\u56b4\u683c\u4fdd\u5bc6\uff0c\u4e26\u7531\u9999\u6e2f\u660e\u611b\u53ca\u5176\u670d\u52d9\u4f9b\u61c9\u5546\u4f5c\u994b\u8d08\u7ba1\u7406\u3001\u51fa\u5177\u6536\u64da\u53ca\u76f8\u95dc\u901a\u8a0a\u4e4b\u7528\u3002<\/div><\/fieldset><div id=\"field_2_52\"  class=\"gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_52\"><label class='gfield_label' for='input_2_52' >\u59d3\u540d<\/label><div class='ginput_container'><input name='input_52' id='input_2_52' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_2_52'>This field is for validation purposes and should be left unchanged.<\/div><\/div><\/div><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_2' class='gform_previous_button button' value='\u4e0a\u4e00\u6b65'  onclick='if(window[\"gf_submitting_2\"]){return false;}  if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_2\"]){return false;} if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;}  jQuery(\"#gform_2\").trigger(\"submit\",[true]); }' \/> <input type='submit' id='gform_submit_button_2' class='gform_button button' value='\u63d0\u4ea4'  onclick='if(window[\"gf_submitting_2\"]){return false;}  if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_2\"]){return false;} if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;}  jQuery(\"#gform_2\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_2' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='2' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_2' value='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' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_2' id='gform_target_page_number_2' value='2' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_2' id='gform_source_page_number_2' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' 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