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<input name='input_1' id='input_3_1' type='text' value='' class='medium' aria-invalid="false" />
</div></li><li id='field_3_2' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' >Locations</label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_2'><li class='gchoice_3_2_1'>
<input name='input_2.1' type='checkbox' value='Fort Myers' id='choice_3_2_1' />
<label for='choice_3_2_1' id='label_3_2_1'>Fort Myers, Fort Myers Beach, Sanibel & Captiva</label>
</li><li class='gchoice_3_2_2'>
<input name='input_2.2' type='checkbox' value='Sarasota' id='choice_3_2_2' />
<label for='choice_3_2_2' id='label_3_2_2'>Sarasota, Siesta Key, Longboat, Lido, & Venice</label>
</li><li class='gchoice_3_2_3'>
<input name='input_2.3' type='checkbox' value='Naples' id='choice_3_2_3' />
<label for='choice_3_2_3' id='label_3_2_3'>Naples, Marco Island, Everglades</label>
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</form>
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<iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_3' id='gform_ajax_frame_3'>This iframe contains the logic required to handle Ajax powered Gravity Forms.</iframe>
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