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id='choice_1_7_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_7_4' id='label_1_7_4' class='gform-field-label gform-field-label--type-inline'>\u0641\u0648\u0642 \u0644\u06cc\u0633\u0627\u0646\u0633<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_7_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='\u062f\u06a9\u062a\u0631\u0627'  id='choice_1_7_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_7_5' id='label_1_7_5' class='gform-field-label gform-field-label--type-inline'>\u062f\u06a9\u062a\u0631\u0627<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_17\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_17'>\u0634\u063a\u0644<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0636\u0631\u0648\u0631\u06cc)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_1_17' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='\u0646\u06af\u0647\u0628\u0627\u0646' >\u0646\u06af\u0647\u0628\u0627\u0646<\/option><option value='\u0645\u0647\u0646\u062f\u0633 \u0627\u062c\u0631\u0627\u06cc\u06cc' >\u0645\u0647\u0646\u062f\u0633 \u0627\u062c\u0631\u0627\u06cc\u06cc<\/option><option value='\u062f\u0641\u062a\u0631 \u0641\u0646\u06cc' >\u062f\u0641\u062a\u0631 \u0641\u0646\u06cc<\/option><option value='\u06a9\u0646\u062a\u0631\u0644 \u0686\u06cc' >\u06a9\u0646\u062a\u0631\u0644 \u0686\u06cc<\/option><option value='\u0646\u0642\u0634\u0647 \u0628\u0631\u062f\u0627\u0631' >\u0646\u0642\u0634\u0647 \u0628\u0631\u062f\u0627\u0631<\/option><option value='\u0631\u06cc\u06cc\u0633 \u06a9\u0627\u0631\u06af\u0627\u0647' >\u0631\u06cc\u06cc\u0633 \u06a9\u0627\u0631\u06af\u0627\u0647<\/option><option value='\u062d\u0633\u0627\u0628\u062f\u0627\u0631' >\u062d\u0633\u0627\u0628\u062f\u0627\u0631<\/option><option value='\u0631\u0627\u0646\u0646\u062f\u0647 \u06a9\u0627\u0645\u06cc\u0648\u0646' >\u0631\u0627\u0646\u0646\u062f\u0647 \u06a9\u0627\u0645\u06cc\u0648\u0646<\/option><option value='\u0631\u0627\u0646\u0646\u062f\u0647 \u0628\u06cc\u0644' >\u0631\u0627\u0646\u0646\u062f\u0647 \u0628\u06cc\u0644<\/option><option value='\u0631\u0627\u0646\u0646\u062f\u0647 \u0644\u0648\u062f\u0631' >\u0631\u0627\u0646\u0646\u062f\u0647 \u0644\u0648\u062f\u0631<\/option><option value='\u0631\u0627\u0646\u0646\u062f\u0647 \u06af\u0631\u06cc\u062f\u0631' >\u0631\u0627\u0646\u0646\u062f\u0647 \u06af\u0631\u06cc\u062f\u0631<\/option><option value='\u0633\u0627\u06cc\u0631 \u0631\u0627\u0646\u0646\u062f\u0647' >\u0633\u0627\u06cc\u0631 \u0631\u0627\u0646\u0646\u062f\u0647<\/option><option value='\u0631\u0627\u0646\u0646\u062f\u0647 \u0628\u0644\u062f\u0648\u0632\u0631' >\u0631\u0627\u0646\u0646\u062f\u0647 \u0628\u0644\u062f\u0648\u0632\u0631<\/option><option value='\u0645\u062f\u06cc\u0631 \u0645\u0627\u0644\u06cc \u0648 \u0627\u062f\u0627\u0631\u06cc' >\u0645\u062f\u06cc\u0631 \u0645\u0627\u0644\u06cc \u0648 \u0627\u062f\u0627\u0631\u06cc<\/option><option value='\u0631\u0627\u0646\u0646\u062f\u0647 \u062a\u0631\u0627\u06a9 \u0645\u06cc\u06a9\u0633\u0631' >\u0631\u0627\u0646\u0646\u062f\u0647 \u062a\u0631\u0627\u06a9 \u0645\u06cc\u06a9\u0633\u0631<\/option><option value='\u0627\u067e\u0631\u0627\u062a\u0648\u0631 \u0628\u0686\u06cc\u0646\u06af' >\u0627\u067e\u0631\u0627\u062a\u0648\u0631 \u0628\u0686\u06cc\u0646\u06af<\/option><option value='\u0645\u0646\u0634\u06cc' >\u0645\u0646\u0634\u06cc<\/option><option value='\u0645\u0628\u0627\u0634\u0631 \u0639\u0645\u0644\u06cc\u0627\u062a \u062e\u0627\u06a9\u06cc' >\u0645\u0628\u0627\u0634\u0631 \u0639\u0645\u0644\u06cc\u0627\u062a \u062e\u0627\u06a9\u06cc<\/option><option value='\u0628\u0646\u0627' >\u0628\u0646\u0627<\/option><\/select><\/div><\/div><div id=\"field_1_10\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_10'>\u0627\u0633\u062a\u0627\u0646<\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_1_10' class='large gfield_select'     aria-invalid=\"false\" ><option value='\u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u0634\u0631\u0642\u06cc' >\u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u0634\u0631\u0642\u06cc<\/option><option value='\u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u063a\u0631\u0628\u06cc' >\u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u063a\u0631\u0628\u06cc<\/option><option value='\u0627\u0631\u062f\u0628\u06cc\u0644' >\u0627\u0631\u062f\u0628\u06cc\u0644<\/option><option value='\u0627\u0635\u0641\u0647\u0627\u0646' >\u0627\u0635\u0641\u0647\u0627\u0646<\/option><option value='\u0627\u0644\u0628\u0631\u0632' >\u0627\u0644\u0628\u0631\u0632<\/option><option value='\u0627\u06cc\u0644\u0627\u0645' >\u0627\u06cc\u0644\u0627\u0645<\/option><option value='\u0628\u0648\u0634\u0647\u0631' >\u0628\u0648\u0634\u0647\u0631<\/option><option value='\u062a\u0647\u0631\u0627\u0646' >\u062a\u0647\u0631\u0627\u0646<\/option><option value='\u0686\u0647\u0627\u0631\u0645\u062d\u0627\u0644 \u0648 \u0628\u062e\u062a\u06cc\u0627\u0631\u06cc' >\u0686\u0647\u0627\u0631\u0645\u062d\u0627\u0644 \u0648 \u0628\u062e\u062a\u06cc\u0627\u0631\u06cc<\/option><option value='\u062e\u0631\u0627\u0633\u0627\u0646 \u062c\u0646\u0648\u0628\u06cc' >\u062e\u0631\u0627\u0633\u0627\u0646 \u062c\u0646\u0648\u0628\u06cc<\/option><option value='\u062e\u0631\u0627\u0633\u0627\u0646 \u0631\u0636\u0648\u06cc' >\u062e\u0631\u0627\u0633\u0627\u0646 \u0631\u0636\u0648\u06cc<\/option><option value='\u062e\u0631\u0627\u0633\u0627\u0646 \u0634\u0645\u0627\u0644\u06cc' >\u062e\u0631\u0627\u0633\u0627\u0646 \u0634\u0645\u0627\u0644\u06cc<\/option><option value='\u062e\u0648\u0632\u0633\u062a\u0627\u0646' >\u062e\u0648\u0632\u0633\u062a\u0627\u0646<\/option><option value='\u0632\u0646\u062c\u0627\u0646' >\u0632\u0646\u062c\u0627\u0646<\/option><option value='\u0633\u0645\u0646\u0627\u0646' >\u0633\u0645\u0646\u0627\u0646<\/option><option value='\u0633\u06cc\u0633\u062a\u0627\u0646 \u0648 \u0628\u0644\u0648\u0686\u0633\u062a\u0627\u0646' >\u0633\u06cc\u0633\u062a\u0627\u0646 \u0648 \u0628\u0644\u0648\u0686\u0633\u062a\u0627\u0646<\/option><option value='\u0641\u0627\u0631\u0633' >\u0641\u0627\u0631\u0633<\/option><option value='\u0642\u0632\u0648\u06cc\u0646' >\u0642\u0632\u0648\u06cc\u0646<\/option><option value='\u0642\u0645' >\u0642\u0645<\/option><option value='\u06a9\u0631\u062f\u0633\u062a\u0627\u0646' >\u06a9\u0631\u062f\u0633\u062a\u0627\u0646<\/option><option value='\u06a9\u0631\u0645\u0627\u0646' >\u06a9\u0631\u0645\u0627\u0646<\/option><option value='\u06a9\u0631\u0645\u0627\u0646\u0634\u0627\u0647' >\u06a9\u0631\u0645\u0627\u0646\u0634\u0627\u0647<\/option><option value='\u06a9\u0647\u06af\u06cc\u0644\u0648\u06cc\u0647 \u0648 \u0628\u0648\u06cc\u0631\u0627\u062d\u0645\u062f' >\u06a9\u0647\u06af\u06cc\u0644\u0648\u06cc\u0647 \u0648 \u0628\u0648\u06cc\u0631\u0627\u062d\u0645\u062f<\/option><option value='\u06af\u0644\u0633\u062a\u0627\u0646' >\u06af\u0644\u0633\u062a\u0627\u0646<\/option><option value='\u06af\u06cc\u0644\u0627\u0646' >\u06af\u06cc\u0644\u0627\u0646<\/option><option value='\u0644\u0631\u0633\u062a\u0627\u0646' >\u0644\u0631\u0633\u062a\u0627\u0646<\/option><option value='\u0645\u0627\u0632\u0646\u062f\u0631\u0627\u0646' >\u0645\u0627\u0632\u0646\u062f\u0631\u0627\u0646<\/option><option value='\u0645\u0631\u06a9\u0632\u06cc' >\u0645\u0631\u06a9\u0632\u06cc<\/option><option value='\u0647\u0631\u0645\u0632\u06af\u0627\u0646' >\u0647\u0631\u0645\u0632\u06af\u0627\u0646<\/option><option value='\u0647\u0645\u062f\u0627\u0646' >\u0647\u0645\u062f\u0627\u0646<\/option><option value='\u06cc\u0632\u062f' >\u06cc\u0632\u062f<\/option><\/select><\/div><\/div><div id=\"field_1_12\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_12'>\u062a\u0627\u0631\u06cc\u062e \u062a\u0648\u0644\u062f<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_12' id='input_1_12' type='text' value='' class='datepicker gform-datepicker ymd_slash datepicker_no_icon gdatepicker-no-icon'   placeholder='\u0631\u0648\u0632\/\u0645\u0627\u0647\/\u0633\u0627\u0644' aria-describedby=\"input_1_12_date_format gfield_description_1_12\" aria-invalid=\"false\" \/>\n                            <span id='input_1_12_date_format' class='screen-reader-text'>YYYY slash MM slash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_12' class='gform_hidden' value='https:\/\/tanidehrahsaz.ir\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><div class='gfield_description' id='gfield_description_1_12'>\u0627\u0648\u0644 \u0633\u0627\u0644 \u0648 \u0628\u0639\u062f \u0645\u0627\u0647 \u0648 \u0628\u0639\u062f \u0631\u0648\u0632<\/div><\/div><div id=\"field_1_13\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_13'>\u0622\u062f\u0631\u0633(\u0646\u0634\u0627\u0646\u06cc)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_1_13' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_1_14\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_14'>\u0631\u0632\u0648\u0645\u0647<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0636\u0631\u0648\u0631\u06cc)<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='10485760' \/><input name='input_14' id='input_1_14' type='file' class='large' aria-describedby=\"gfield_upload_rules_1_14\" onchange='javascript:gformValidateFileSize( this, 10485760 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_1_14'>\u0627\u0646\u0648\u0627\u0639 \u0641\u0627\u06cc\u0644 \u0647\u0627\u06cc \u0645\u062c\u0627\u0632 : pdf, jpg, png, \u062d\u062f\u0627\u06a9\u062b\u0631 \u0627\u0646\u062f\u0627\u0632\u0647 \u0641\u0627\u06cc\u0644: 10 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_1_14'><\/div> <\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_1' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='\u0627\u0631\u0633\u0627\u0644'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_1' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_1' id='gform_theme_1' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_1' id='gform_style_settings_1' value='' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='1V4r7xlPjFZPPObcRm0EcAcvgVtOXI4JQMoYJ9YWznrEckl1gJ+He9ModJJuSyUn3ZqqlugqUyiJaX5\/8oL7tKwjtLpnZytQ\/ziTSy\/K2fMCIns=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' 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