{"id":11689,"date":"2025-06-22T14:34:03","date_gmt":"2025-06-22T11:34:03","guid":{"rendered":"https:\/\/dorhaba.com\/%d7%98%d7%95%d7%a4%d7%a1-%d7%90%d7%99%d7%a9%d7%95%d7%a8-%d7%94%d7%95%d7%a8%d7%99%d7%9d-%d7%94%d7%93%d7%95%d7%a8-%d7%94%d7%91%d7%90-2025-2\/"},"modified":"2025-06-22T14:34:04","modified_gmt":"2025-06-22T11:34:04","slug":"%d7%98%d7%95%d7%a4%d7%a1-%d7%90%d7%99%d7%a9%d7%95%d7%a8-%d7%94%d7%95%d7%a8%d7%99%d7%9d-%d7%94%d7%93%d7%95%d7%a8-%d7%94%d7%91%d7%90-2025-2","status":"publish","type":"page","link":"https:\/\/dorhaba.com\/ar\/%d7%98%d7%95%d7%a4%d7%a1-%d7%90%d7%99%d7%a9%d7%95%d7%a8-%d7%94%d7%95%d7%a8%d7%99%d7%9d-%d7%94%d7%93%d7%95%d7%a8-%d7%94%d7%91%d7%90-2025-2\/","title":{"rendered":"\u0646\u0645\u0648\u0630\u062c \u0645\u0648\u0627\u0641\u0642\u0629 \u0627\u0644\u0623\u0647\u0644 \u0644\u0644\u062c\u064a\u0644 \u0627\u0644\u0635\u0627\u0639\u062f \u062f\u0648\u0631 \u0647\u0627\u0628\u0627 2025"},"content":{"rendered":"<script>\nvar 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\u0644\u0644\u062f\u0641\u0639 \u0627\u0644\u0645\u062d\u0648\u0633\u0628 \u0627\u0633\u0628\u0648\u0639 \u0642\u0628\u0644 \u0627\u0644\u0645\u0624\u062a\u0645\u0631.\r\n\r\n\u0627\u0644\u0646\u0645\u0648\u0630\u062c \u0627\u0644\u0645\u062d\u0648\u0633\u0628 \u064a\u062d\u062a\u0648\u064a \u0639\u0644\u0649:\r\n* \u062a\u0635\u0631\u064a\u062d \u0627\u0644\u0627\u0647\u0644 \u0648\u062a\u0648\u0642\u064a\u0639 \u0627\u0644\u0643\u062a\u0631\u0648\u0646\u064a\r\n* \u062a\u0635\u0631\u064a\u062d \u0637\u0628\u064a\r\n* \u0627\u0644\u0627\u0646\u0636\u0645\u0627\u0645 \u0627\u0644\u0649 \u0627\u0644\u0646\u0642\u0644\u064a\u0627\u062a<\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; \u062a\u062d\u062f\u062f \u0627\u0644\u062d\u0642\u0648\u0644 \u0627\u0644\u0645\u0637\u0644\u0648\u0628\u0629<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_75'  action='\/ar\/wp-json\/wp\/v2\/pages\/11689' data-formid='75' novalidate>\t\t\t\t\t<div style=\"display: none !important;\" class=\"akismet-fields-container gf_invisible\" data-prefix=\"ak_\">\n\t\t\t\t\t\t<label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label>\n\t\t\t\t\t\t<input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"22\" \/>\n\t\t\t\t\t\t<script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n\n\t\t\t\t\t<\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_75' class='gform_fields top_label form_sublabel_below description_above validation_below' data-column-layout='fill'><div id=\"field_75_342\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"df28caf9\" data-field-span=\"12\"><label id='gfield_label_75_342' class='gfield_label gform-field-label' for='input_75_342'><span class='gform-field-label__text'>\u0645\u0646 \u064a\u062f\u0641\u0639 \u0639\u0646 \u0627\u0628\u0646\u0643\/\u0627\u0628\u0646\u062a\u0643 (\u0627\u0648\u0644\u0627\u062f\u0643)\u061f<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_342'>\u0627\u0630\u0627 \u0643\u0627\u0646\u062a \u0627\u0644\u0643\u0646\u064a\u0633\u0629 \u0633\u062a\u063a\u0637\u0651\u064a \u062a\u0643\u0644\u0641\u0629 \u0627\u0634\u062a\u0631\u0627\u0643 \u0627\u0648\u0644\u0627\u062f\u0643\u060c \u0639\u0644\u064a\u0643 \u0627\u0646 \u062a\u0637\u0644\u0628 \u0645\u0646 \u0645\u0645\u062b\u0644 \u0627\u0644\u0643\u0646\u064a\u0633\u0629 \u0627\u0646 \u064a\u062a\u0648\u0627\u0635\u0644 \u0645\u0639\u0646\u0627 \u0639\u0644\u0649 \u0648\u0627\u062a\u0633\u0627\u0628 \u0631\u0642\u0645 0585830462. \u0641\u0642\u0637 *\u0628\u0639\u062f* \u0623\u0646 \u062a\u0642\u0648\u0645 \u0627\u0644\u0643\u0646\u064a\u0633\u0629 \u0628\u062a\u063a\u0637\u064a\u0629 \u0631\u0633\u0648\u0645 \u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0628\u0627\u0644\u0643\u0627\u0645\u0644\u060c \u0633\u062a\u062a\u0644\u0642\u0649 \u0644\u0643\u0644 \u0645\u0633\u062c\u0644 &#8220;\u0631\u0645\u0632 \u062f\u0641\u0639 \u0627\u0644\u0643\u0646\u064a\u0633\u0629&#8221; \u0627\u0644\u0630\u064a \u064a\u062c\u0628 \u0639\u0644\u064a\u0643 \u0627\u0644\u0625\u0634\u0627\u0631\u0629 \u0625\u0644\u064a\u0647 \u0641\u064a \u0647\u0630\u0627 \u0627\u0644\u0646\u0645\u0648\u0630\u062c \u0644\u0625\u0643\u0645\u0627\u0644 \u0627\u0644\u062a\u0633\u062c\u064a\u0644. <\/div><div class='ginput_container ginput_container_select'><select name='input_342' id='input_75_342' class='large gfield_select'  aria-describedby=\"gfield_description_75_342\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; \u0627\u062e\u062a\u0631 \u0645\u0646 \u0627\u0644\u0642\u0627\u0626\u0645\u0629 &#8211;<\/option><option value='\u0627\u0644\u0648\u0627\u0644\u062f\u064a\u0646' >\u0646\u062d\u0646 \u0627\u0644\u0648\u0627\u0644\u062f\u064a\u0646<\/option><option value='\u0627\u0644\u0643\u0646\u064a\u0633\u0629' >\u0627\u0644\u0643\u0646\u064a\u0633\u0629<\/option><\/select><\/div><\/div><div id=\"field_75_378\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"3a613c93\" data-field-span=\"12\"><label id='gfield_label_75_378' class='gfield_label gform-field-label' for='input_75_378'><span class='gform-field-label__text'>\u0631\u0645\u0632 \u0627\u0644\u062f\u0641\u0639 \u0645\u0646 \u0627\u0644\u0643\u0646\u064a\u0633\u0629<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_378' id='input_75_378' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_75_94\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"70889da5\" data-field-span=\"12\"><legend id='gfield_label_75_94' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u0639\u062f\u062f \u0623\u0628\u0646\u0627\u0626\u0643 \u0627\u0644\u0645\u0633\u062c\u0644\u064a\u0646 \u0641\u064a \u0645\u0624\u062a\u0645\u0631 \u0627\u0644\u062c\u064a\u0644 \u0627\u0644\u0635\u0627\u0639\u062f<\/span><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_75_94'>\n\t\t\t<div class='gchoice gchoice_75_94_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_94' type='radio' value='1'  id='choice_75_94_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_75_94_0 gfield_label_75_94\"   \/>\n\t\t\t\t\t<label for='choice_75_94_0' id='label_75_94_0' class='gform-field-label gform-field-label--type-inline'>\u0634\u0627\u0628\/\u0634\u0627\u0628\u0629 \u0648\u0627\u062d\u062f\/\u0629<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_94_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_94' type='radio' value='2'  id='choice_75_94_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_94_1' id='label_75_94_1' class='gform-field-label gform-field-label--type-inline'>\u0634\u0628\u0627\u0628 \u0627\u062b\u0646\u064a\u0646 \u0627\u0648 \u0634\u0627\u0628\u062a\u064a\u0646<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_94_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_94' type='radio' value='3'  id='choice_75_94_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_94_2' id='label_75_94_2' class='gform-field-label gform-field-label--type-inline'>\u062b\u0644\u0627\u062b\u0629 \u0623\u0648\u0644\u0627\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_94_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_94' type='radio' value='4'  id='choice_75_94_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_94_3' id='label_75_94_3' class='gform-field-label gform-field-label--type-inline'>\u0623\u0631\u0628\u0639\u0629 \u0623\u0648\u0644\u0627\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_94_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_94' type='radio' value='5'  id='choice_75_94_4' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_94_4' id='label_75_94_4' class='gform-field-label gform-field-label--type-inline'>\u062e\u0645\u0633\u0629 \u0623\u0648\u0644\u0627\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_75_185\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"77b53dc7\" data-field-span=\"12\"><legend id='gfield_label_75_185' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u0637\u0631\u064a\u0642\u0629 \u0645\u0641\u0636\u0644\u0629 \u0644\u0644\u0627\u062a\u0635\u0627\u0644 \u0648\u0627\u0633\u062a\u0644\u0627\u0645 \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0627\u0644\u0645\u0647\u0645\u0629<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_75_185'>\u0633\u0648\u0641 \u0646\u0641\u062a\u062d \u0645\u062c\u0645\u0648\u0639\u0629 \u0648\u0627\u062a\u0633\u0627\u0628 \u0644\u0623\u0648\u0644\u064a\u0627\u0621 \u0627\u0644\u0623\u0645\u0648\u0631 \u0648\u0646\u0648\u062f \u0623\u0646 \u062a\u0646\u0636\u0645\u0648\u0627 \u0625\u0644\u064a\u0647\u0627<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_75_185'>\n\t\t\t<div class='gchoice gchoice_75_185_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_185' type='radio' value='By phone through whatsapp'  id='choice_75_185_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_75_185\" aria-labelledby=\"label_75_185_0 gfield_label_75_185\"   \/>\n\t\t\t\t\t<label for='choice_75_185_0' id='label_75_185_0' class='gform-field-label gform-field-label--type-inline'>\u0639\u0644\u0649 \u0627\u0644\u0647\u0627\u062a\u0641 \u0627\u0644\u0645\u062d\u0645\u0648\u0644 \u0639\u0628\u0631 \u0627\u0644\u0648\u0627\u062a\u0633\u0627\u0628<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_185_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_185' type='radio' value='Over E-mail'  id='choice_75_185_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_185_1' id='label_75_185_1' class='gform-field-label gform-field-label--type-inline'>\u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u0628\u0631\u064a\u062f \u0627\u0644\u0625\u0644\u0643\u062a\u0631\u0648\u0646\u064a (\u0639\u0646\u0648\u0627\u0646 \u0627\u0644\u0628\u0631\u064a\u062f \u0627\u0644\u0625\u0644\u0643\u062a\u0631\u0648\u0646\u064a)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_75_187\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"a292465c\" data-field-span=\"12\"><label id='gfield_label_75_187' class='gfield_label gform-field-label' for='input_75_187'><span class='gform-field-label__text'>\u0627\u0644\u0647\u0627\u062a\u0641 \u0627\u0644\u0631\u0626\u064a\u0633\u064a<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_187'>\u0633\u064a\u062a\u0645 \u0625\u0636\u0627\u0641\u0629 \u0647\u0630\u0627 \u0627\u0644\u0631\u0642\u0645 \u0625\u0644\u0649 \u0645\u062c\u0645\u0648\u0639\u0629 \u0627\u0644\u0648\u0627\u062a\u0633\u0627\u0628 \u0644\u0644\u0627\u0647\u0627\u0644\u064a\u060c \u0648\u0627\u0644\u062a\u064a \u0633\u064a\u062a\u0645 \u0625\u0631\u0633\u0627\u0644 \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0627\u0644\u0647\u0627\u0645\u0629 \u0627\u0644\u0645\u062a\u0639\u0644\u0642\u0629 \u0628\u0627\u0644\u0645\u0624\u062a\u0645\u0631 \u0625\u0644\u064a\u0647\u0627<\/div><div class='ginput_container ginput_container_phone'><input name='input_187' id='input_75_187' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_75_187\"   \/><\/div><\/div><fieldset id=\"field_75_184\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"a9decb66\" data-field-span=\"12\"><legend id='gfield_label_75_184' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u0639\u0646\u0648\u0627\u0646 \u0627\u0644\u0628\u0631\u064a\u062f \u0627\u0644\u0627\u0643\u062a\u0631\u0648\u0646\u064a \u0627\u064a\u0645\u064a\u0644<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_75_184'>\u0647\u0630\u0627 \u0627\u0644\u0639\u0646\u0648\u0627\u0646 \u0633\u0648\u0641 \u064a\u0643\u0648\u0646 \u0645\u0634\u0645\u0648\u0644\u0627\u064b \u0641\u064a \u0642\u0627\u0626\u0645\u0629 \u0627\u0644\u062a\u0648\u0627\u0635\u0644 \u0644\u0644\u0645\u0624\u062a\u0645\u0631\u060c \u0648\u0647\u0646\u0627\u0643 \u0633\u0648\u0641 \u062a\u064f\u0631\u0633\u0644 \u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0647\u0627\u0645\u0651\u0629 \u0628\u0645\u0627 \u064a\u062e\u062a\u0635 \u0628\u0627\u0644\u0645\u0624\u062a\u0645\u0631.\n\u0627\u0646\u062a\u0628\u0647\u0648\u0627\u060c \u064a\u0645\u0643\u0646 \u0627\u062d\u064a\u0627\u0646\u0627\u064b \u0627\u0646 \u064a\u062f\u062e\u0644 \u0627\u0644\u0628\u0631\u064a\u062f \u0627\u0644\u0627\u0644\u0643\u062a\u0631\u0648\u0646\u064a \u0645\u0628\u0627\u0634\u0631\u0629 \u0627\u0644\u0649 \u0633\u0644\u0651\u0629 \u0627\u0644\u0633\u067e\u0627\u0645 \u0627\u0648 \u0627\u0644\u062f\u0639\u0627\u064a\u0627\u062a<\/div><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_75_184_container'>\n                                <span id='input_75_184_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_184' id='input_75_184' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_75_184\" aria-labelledby=\"input_75_184_label gfield_label_75_184\" \/>\n                                    <label for='input_75_184' id='input_75_184_label' class='gform-field-label gform-field-label--type-sub '>\u0639\u0646\u0648\u0627\u0646 \u0627\u0644\u0628\u0631\u064a\u062f \u0627\u0644\u0627\u0643\u062a\u0631\u0648\u0646\u064a \u0627\u064a\u0645\u064a\u0644<\/label>\n                                <\/span>\n                                <span id='input_75_184_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_184_2' id='input_75_184_2' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_75_184\" \/>\n                                    <label for='input_75_184_2' id='input_75_184_2_label' class='gform-field-label gform-field-label--type-sub '>\u062a\u0623\u0643\u064a\u062f \u0639\u0646\u0648\u0627\u0646 \u0627\u0644\u0628\u0631\u064a\u062f \u0627\u0644\u0627\u0644\u0643\u062a\u0631\u0648\u0646\u064a<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_75_81\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"9ffe57ca\" data-field-span=\"12\"><h3 class=\"gsection_title\">\u0627\u0644\u062a\u0641\u0627\u0635\u064a\u0644 \u0627\u0644\u0635\u062d\u064a\u0629 &#8211; \u064a\u062a\u0645 \u062a\u0639\u0628\u0626\u062a\u0647\u0627 \u0645\u0646 \u0642\u0628\u0644 \u0623\u062d\u062f \u0627\u0644\u0648\u0627\u0644\u062f\u064a\u0646 \u0641\u0642\u0637!<\/h3><\/div><div id=\"field_75_80\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"0a19d07f\" data-field-span=\"12\"><label id='gfield_label_75_80' class='gfield_label gform-field-label' for='input_75_80'><span class='gform-field-label__text'>\u0627\u0633\u0645 \u0635\u0646\u062f\u0648\u0642 \u0627\u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u0625\u0633\u0631\u0627\u0626\u064a\u0644\u064a *\u0623\u0648* \u0627\u0633\u0645 \u0634\u0631\u0643\u0629 \u0627\u0644\u062a\u0623\u0645\u064a\u0646 \u0648\u0631\u0642\u0645 \u0627\u0644\u0628\u0648\u0644\u064a\u0635\u0629<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_80'>\u0625\u0630\u0627 \u0644\u0645 \u064a\u0643\u0646 \u0647\u0646\u0627\u0643 \u0623\u064a \u062a\u0623\u0645\u064a\u0646\u060c \u064a\u0631\u062c\u0649 \u0627\u0644\u062d\u0635\u0648\u0644 \u0639\u0644\u0649 \u062a\u0623\u0645\u064a\u0646 \u064a\u063a\u0637\u064a \u0625\u0642\u0627\u0645\u062a\u0647\u0645 \u0641\u064a \u0627\u0644\u0645\u0624\u062a\u0645\u0631. <\/div><div class='ginput_container ginput_container_select'><select name='input_80' id='input_75_80' class='large gfield_select'  aria-describedby=\"gfield_description_75_80\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; \u0646\u0631\u062c\u0648 \u0627\u0644\u0627\u062e\u062a\u064a\u0627\u0631 \u0645\u0646 \u0627\u0644\u0642\u0627\u0626\u0645\u0629 &#8211;<\/option><option value='\u0645\u0643\u0627\u0628\u064a' >\u0645\u0643\u0627\u0628\u064a<\/option><option value='\u0643\u0644\u0627\u0644\u064a\u062a' >\u0643\u0644\u0627\u0644\u064a\u062a<\/option><option value='\u0644\u064a\u0624\u0645\u064a\u062a' >\u0644\u064a\u0624\u0645\u064a\u062a<\/option><option value='\u0645\u0624\u0648\u062d\u064a\u062f\u062a' >\u0645\u0624\u0648\u062d\u064a\u062f\u062a<\/option><option value='Foreign\/Travel Insurance' >\u0628\u0648\u0644\u064a\u0635\u0629 \u062a\u0623\u0645\u064a\u0646 \u0645\u0646 \u0627\u0644\u062e\u0627\u0631\u062c<\/option><\/select><\/div><\/div><div id=\"field_75_82\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"5dc5eb97\" data-field-span=\"12\"><label id='gfield_label_75_82' class='gfield_label gform-field-label' for='input_75_82'><span class='gform-field-label__text'>\u064a\u0631\u062c\u0649 \u0627\u0644\u0625\u0634\u0627\u0631\u0629 \u0625\u0644\u0649 \u0627\u0633\u0645 \u0634\u0631\u0643\u0629 \u0627\u0644\u062a\u0623\u0645\u064a\u0646 \u0648\u0631\u0642\u0645 \u0627\u0644\u0628\u0648\u0644\u064a\u0635\u0629<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_82' id='input_75_82' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_75_164\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"321d6341\" data-field-span=\"12\"><legend id='gfield_label_75_164' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u062c\u0647\u0629 \u0627\u062a\u0635\u0627\u0644 \u0625\u0636\u0627\u0641\u064a\u0629 \u0641\u064a \u062d\u0627\u0644\u0627\u062a \u0627\u0644\u0637\u0648\u0627\u0631\u0626 (\u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0648\u0627\u0644\u062f \u0627\u0644\u0623\u0633\u0627\u0633\u064a \u063a\u064a\u0631 \u0645\u062a\u0648\u0641\u0631)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_75_164'>\u0644\u0643\u0644 \u0623\u0648\u0644\u0627\u062f\u0643 <\/div><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_75_164'>\n                            \n                            <span id='input_75_164_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_164.3' id='input_75_164_3' value=''   aria-required='true'     aria-describedby=\"gfield_description_75_164\" aria-labelledby=\"input_75_164_3_label gfield_label_75_164\"\/>\n                                                    <label for='input_75_164_3' id='input_75_164_3_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0627\u0633\u0645 \u0627\u0644\u0643\u0627\u0645\u0644<\/label>\n                                                <\/span>\n                            <span id='input_75_164_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_164.4' id='input_75_164_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_75_164_4' id='input_75_164_4_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0642\u0631\u0627\u0628\u0629 \u0645\u0646 \u0627\u0644\u0645\u0633\u062c\u0644\u064a\u0646<\/label>\n                                                <\/span>\n                            <span id='input_75_164_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_164.6' id='input_75_164_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_75_164_6' id='input_75_164_6_label' class='gform-field-label gform-field-label--type-sub '>\u0631\u0642\u0645 \u0627\u0644\u0647\u0627\u062a\u0641<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_75_96\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"a1a105fe\" data-field-span=\"12\"><legend id='gfield_label_75_96' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u062a\u0641\u0627\u0635\u064a\u0644 \u0627\u0644\u0645\u0633\u062c\u0644 \u0631\u0642\u0645 1<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_75_96'>\n                            \n                            <span id='input_75_96_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_96.3' id='input_75_96_3' value=''   aria-required='true'     aria-labelledby=\"input_75_96_3_label gfield_label_75_96\"\/>\n                                                    <label for='input_75_96_3' id='input_75_96_3_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0627\u0633\u0645 \u0627\u0644\u0643\u0627\u0645\u0644<\/label>\n                                                <\/span>\n                            \n                            <span id='input_75_96_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_96.6' id='input_75_96_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_75_96_6' id='input_75_96_6_label' class='gform-field-label gform-field-label--type-sub '>\u0631\u0642\u0645 \u0627\u0644\u0647\u0648\u064a\u0629<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_75_85\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"731d49c7\" data-field-span=\"12\"><label id='gfield_label_75_85' class='gfield_label gform-field-label' for='input_75_85'><span class='gform-field-label__text'>\u0647\u0644 \u064a\u062d\u062a\u0627\u062c \u0627\u0644\u0645\u0634\u0627\u0631\u0643 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u062f\u0648\u0627\u0621 \u0623\u062b\u0646\u0627\u0621 \u0627\u0644\u0645\u0624\u062a\u0645\u0631\u061f<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_85' id='input_75_85' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; \u0627\u062e\u062a\u0631 \u0645\u0646 \u0627\u0644\u0642\u0627\u0626\u0645\u0629 &#8211;<\/option><option value='\u0646\u0639\u0645' >\u0646\u0639\u0645<\/option><option value='\u0644\u0627' >\u0644\u0627<\/option><\/select><\/div><\/div><fieldset id=\"field_75_86\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"4184d2f5\" data-field-span=\"12\"><legend id='gfield_label_75_86' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0623\u0645\u0631 \u0643\u0630\u0644\u0643 \u060c \u0641\u0647\u0644 \u064a\u062c\u0628 \u0645\u0633\u0627\u0639\u062f\u062a\u0647 \u0639\u0644\u0649 \u0627\u0644\u0642\u064a\u0627\u0645 \u0628\u0630\u0644\u0643\u061f<\/span><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_75_86'>\n\t\t\t<div class='gchoice gchoice_75_86_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_86' type='radio' value='\u05d4\u05de\u05e9\u05ea\u05ea\u05e3\/\u05ea \u05d9\u05db\u05d5\u05dc \u05dc\u05e7\u05d7\u05ea \u05d0\u05ea \u05d4\u05ea\u05e8\u05d5\u05e4\u05d5\u05ea \u05d1\u05d0\u05d5\u05e4\u05df \u05e2\u05e6\u05de\u05d0\u05d9'  id='choice_75_86_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_75_86_0 gfield_label_75_86\"   \/>\n\t\t\t\t\t<label for='choice_75_86_0' id='label_75_86_0' class='gform-field-label gform-field-label--type-inline'>\u0644\u0627 \u062a\u0648\u062c\u062f \u062d\u0627\u062c\u0629 \u0644\u0644\u0645\u0633\u0627\u0639\u062f\u0629\/ \u0644\u0644\u062a\u0630\u0643\u064a\u0631\u060c \u0627\u0644\u0623\u062e\u0630 \u0647\u0648 \u0630\u0627\u062a\u064a<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_86_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_86' type='radio' value='\u05d4\u05de\u05e9\u05ea\u05ea\u05e3\/\u05ea \u05e6\u05e8\u05d9\u05da\/\u05d9 \u05ea\u05d6\u05db\u05d5\u05e8\u05ea \u05d0\u05d5 \u05e2\u05d6\u05e8\u05d4 \u05de\u05d4\u05e6\u05d5\u05d5\u05ea'  id='choice_75_86_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_86_1' id='label_75_86_1' class='gform-field-label gform-field-label--type-inline'>\u062a\u0648\u062c\u062f \u062d\u0627\u062c\u0629 \u0644\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \/ \u0644\u0644\u062a\u0630\u0643\u064a\u0631 \u0645\u0646 \u0623\u062d\u062f \u0623\u0641\u0631\u0627\u062f \u0627\u0644\u0637\u0627\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_75_350\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"5653a8f3\" data-field-span=\"12\"><label id='gfield_label_75_350' class='gfield_label gform-field-label' for='input_75_350'><span class='gform-field-label__text'>\u0647\u0644 \u0627\u0628\u0646\u0643\u0645\/ \u0627\u0628\u0646\u062a\u0643\u0645 \u064a\u062d\u062a\u0627\u062c \u0627\u0644\u0649 \u0627\u0644\u0627\u067e\u064a\u067e\u0646\u061f<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_350'>\u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0623\u0645\u0631 \u0643\u0630\u0644\u0643\u060c \u0641\u064a\u062c\u0628 \u0625\u062d\u0636\u0627\u0631\u0647 \u0625\u0644\u0649 \u0627\u0644\u0645\u0624\u062a\u0645\u0631 \u0648\u0627\u0644\u062a\u0623\u0643\u062f \u0645\u0646 \u0623\u0646\u0647 \u0628\u062d\u0648\u0632\u062a\u0647 \u0641\u064a \u062c\u0645\u064a\u0639 \u0627\u0644\u0623\u0648\u0642\u0627\u062a.<\/div><div class='ginput_container ginput_container_select'><select name='input_350' id='input_75_350' class='large gfield_select'  aria-describedby=\"gfield_description_75_350\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; \u0627\u062e\u062a\u0631 \u0645\u0646 \u0627\u0644\u0642\u0627\u0626\u0645\u0629 &#8211;<\/option><option value='\u0646\u0639\u0645' >\u0646\u0639\u0645<\/option><option value='\u0644\u0627' >\u0644\u0627<\/option><\/select><\/div><\/div><div id=\"field_75_110\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"b1ac220f\" data-field-span=\"12\"><label id='gfield_label_75_110' class='gfield_label gform-field-label' for='input_75_110'><span class='gform-field-label__text'>\u0647\u0644 \u0644\u062f\u0649 \u0627\u0644\u0648\u0644\u062f\/\u0627\u0644\u0628\u0646\u062a \u062d\u0633\u0627\u0633\u064a\u0629 \u0645\u0646 \u0623\u064a \u0634\u064a\u0621\u061f \u0631\u062c\u0627\u0621 \u062d\u062f\u062f<\/span><\/label><div class='gfield_description' id='gfield_description_75_110'>\u0627\u0644\u0631\u062c\u0627\u0621 \u0627\u0644\u0625\u062c\u0627\u0628\u0629 \u0628\u0646\u0639\u0645 \u0623\u0648 \u0644\u0627 \u060c \u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0623\u0645\u0631 \u0643\u0630\u0644\u0643 &#8211; \u0645\u0627 \u0647\u064a \u0627\u0644\u062d\u0633\u0627\u0633\u064a\u0629\u061f<\/div><div class='ginput_container ginput_container_text'><input name='input_110' id='input_75_110' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_110\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_88\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"efce5a85\" data-field-span=\"12\"><label id='gfield_label_75_88' class='gfield_label gform-field-label' for='input_75_88'><span class='gform-field-label__text'>\u0635\u0641 \u0631\u062f \u0641\u0639\u0644 \u0627\u0644\u062c\u0633\u0645 \u0644\u0644\u062d\u0633\u0627\u0633\u064a\u0629 \u0648\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0645\u0637\u0644\u0648\u0628<\/span><\/label><div class='gfield_description' id='gfield_description_75_88'>\u0633\u062a\u0633\u0627\u0639\u062f\u0646\u0627 \u0623\u0643\u0628\u0631 \u0642\u062f\u0631 \u0645\u0645\u0643\u0646 \u0645\u0646 \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0641\u064a \u0627\u0644\u062d\u0641\u0627\u0638 \u0639\u0644\u0649 \u0633\u0644\u0627\u0645\u0629 \u0648\u0644\u062f\u0643 \u0623\u062b\u0646\u0627\u0621 \u0627\u0644\u0645\u0624\u062a\u0645\u0631<\/div><div class='ginput_container ginput_container_text'><input name='input_88' id='input_75_88' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_88\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_87\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"2d4360bd\" data-field-span=\"12\"><label id='gfield_label_75_87' class='gfield_label gform-field-label' for='input_75_87'><span class='gform-field-label__text'>\u0623\u0645\u0631\u0627\u0636 \u0623\u0648 \u062a\u0642\u064a\u064a\u062f\u0627\u062a \u0623\u062e\u0631\u0649<\/span><\/label><div class='gfield_description' id='gfield_description_75_87'>\u064a\u0631\u062c\u0649 \u0625\u062f\u0631\u0627\u062c \u0648\u0634\u0631\u062d \u0623\u064a \u0645\u0631\u0636 \u0623\u0648 \u0642\u064a\u0648\u062f \u0637\u0628\u064a\u0629 \u0648\/\u0623\u0648 \u063a\u0630\u0627\u0626\u064a\u0629\u060c \u0625\u0646 \u0648\u062c\u062f\u062a.\n\u0639\u0644\u0649 \u0633\u0628\u064a\u0644 \u0627\u0644\u0645\u062b\u0627\u0644: \u0633\u0643\u0631\u064a\u060c \u0641\u0642\u0631 \u0627\u0644\u062f\u0645\u060c \u062d\u0633\u0627\u0633\u064a\u0629 \u0627\u0644\u063a\u0644\u0648\u062a\u064a\u0646\u060c \u0623\u0645\u0631\u0627\u0636 \u0627\u0644\u0627\u0636\u0637\u0631\u0627\u0628\u0627\u062a \u0627\u0644\u0647\u0636\u0645\u064a\u0629\u060c \u0627\u0644\u0644\u0627\u0643\u062a\u0648\u0632 \u0648\u063a\u064a\u0631\u0647\u0627.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_87' id='input_75_87' class='textarea large'  aria-describedby=\"gfield_description_75_87\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_75_130\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"2d9cd573\" data-field-span=\"12\"><label id='gfield_label_75_130' class='gfield_label gform-field-label' for='input_75_130'><span class='gform-field-label__text'>\u0647\u0644 \u0644\u062f\u0649 \u0627\u0644\u0648\u0644\u062f \u0623\u064a \u062a\u0634\u062e\u064a\u0635 \u0639\u0627\u0637\u0641\u064a \u0623\u0648 \u062a\u0631\u0628\u0648\u064a\u061f<\/span><\/label><div class='gfield_description' id='gfield_description_75_130'>\u0639\u0644\u0649 \u0633\u0628\u064a\u0644 \u0627\u0644\u0645\u062b\u0627\u0644: \u0641\u064a \u0637\u064a\u0641 \u0627\u0644\u062a\u0648\u062d\u062f\u060c \u062a\u0634\u062e\u064a\u0635 \u0635\u0639\u0648\u0628\u0629 \u0627\u0644\u062a\u0631\u0643\u064a\u0632 \u0648\u0627\u0644\u0625\u0635\u063a\u0627\u0621\u060c \u0646\u0648\u0628\u0627\u062a \u0627\u0644\u063a\u0636\u0628\u060c \u0627\u0644\u0627\u0643\u062a\u0626\u0627\u0628 \u0623\u0648 \u062d\u0627\u0644\u0629 \u0639\u0642\u0644\u064a\u0629 \u063a\u064a\u0631 \u0645\u0633\u062a\u0642\u0631\u0629\u060c \u0648\u0645\u0627 \u0625\u0644\u0649 \u0630\u0644\u0643. \u064a\u0631\u062c\u0649 \u062a\u0648\u0636\u064a\u062d \u0645\u0627 \u0625\u0630\u0627 \u0643\u0627\u0646\u062a \u0647\u0646\u0627\u0643 \u0627\u062d\u062a\u064a\u0627\u062c\u0627\u062a \u0645\u0639\u064a\u0646\u0629 \u0648\u0643\u064a\u0641 \u064a\u0645\u0643\u0646\u0646\u0627 \u0645\u0633\u0627\u0639\u062f\u0629 \u0627\u0644\u0648\u0644\u062f\/\u0627\u0644\u0628\u0646\u062a \u0641\u064a \u0623\u0648\u0642\u0627\u062a \u0627\u0644\u0635\u0639\u0648\u0628\u0629<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_130' id='input_75_130' class='textarea large'  aria-describedby=\"gfield_description_75_130\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_75_98\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"8e5847d0\" data-field-span=\"12\"><legend id='gfield_label_75_98' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u062a\u0641\u0627\u0635\u064a\u0644 \u0627\u0644\u0645\u0633\u062c\u0644 \u0631\u0642\u0645 2<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_75_98'>\n                            \n                            <span id='input_75_98_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_98.3' id='input_75_98_3' value=''   aria-required='false'     aria-labelledby=\"input_75_98_3_label gfield_label_75_98\"\/>\n                                                    <label for='input_75_98_3' id='input_75_98_3_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0627\u0633\u0645 \u0627\u0644\u0643\u0627\u0645\u0644<\/label>\n                                                <\/span>\n                            \n                            <span id='input_75_98_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_98.6' id='input_75_98_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_75_98_6' id='input_75_98_6_label' class='gform-field-label gform-field-label--type-sub '>\u0631\u0642\u0645 \u0627\u0644\u0647\u0648\u064a\u0629<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_75_165\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"ca090ede\" data-field-span=\"12\"><label id='gfield_label_75_165' class='gfield_label gform-field-label' for='input_75_165'><span class='gform-field-label__text'>\u0647\u0644 \u064a\u062d\u062a\u0627\u062c \u0627\u0644\u0645\u0634\u0627\u0631\u0643 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u062f\u0648\u0627\u0621 \u0623\u062b\u0646\u0627\u0621 \u0627\u0644\u0645\u0624\u062a\u0645\u0631\u061f<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_165' id='input_75_165' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; \u0627\u062e\u062a\u0631 \u0645\u0646 \u0627\u0644\u0642\u0627\u0626\u0645\u0629 &#8211;<\/option><option value='\u0646\u0639\u0645' >\u0646\u0639\u0645<\/option><option value='\u0644\u0627' >\u0644\u0627<\/option><\/select><\/div><\/div><fieldset id=\"field_75_108\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"13f02ddb\" data-field-span=\"12\"><legend id='gfield_label_75_108' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0623\u0645\u0631 \u0643\u0630\u0644\u0643 \u060c \u0641\u0647\u0644 \u064a\u062c\u0628 \u0645\u0633\u0627\u0639\u062f\u062a\u0647 \u0639\u0644\u0649 \u0627\u0644\u0642\u064a\u0627\u0645 \u0628\u0630\u0644\u0643\u061f<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_75_108'>\n\t\t\t<div class='gchoice gchoice_75_108_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_108' type='radio' value='No, he\/she can take their medication without help'  id='choice_75_108_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_75_108_0 gfield_label_75_108\"   \/>\n\t\t\t\t\t<label for='choice_75_108_0' id='label_75_108_0' class='gform-field-label gform-field-label--type-inline'>\u0644\u0627 \u062a\u0648\u062c\u062f \u062d\u0627\u062c\u0629 \u0644\u0644\u0645\u0633\u0627\u0639\u062f\u0629\/ \u0644\u0644\u062a\u0630\u0643\u064a\u0631\u060c \u0627\u0644\u0623\u062e\u0630 \u0647\u0648 \u0630\u0627\u062a\u064a<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_108_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_108' type='radio' value='Yes, he\/she needs help and reminders from the staff'  id='choice_75_108_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_108_1' id='label_75_108_1' class='gform-field-label gform-field-label--type-inline'>\u062a\u0648\u062c\u062f \u062d\u0627\u062c\u0629 \u0644\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \/ \u0644\u0644\u062a\u0630\u0643\u064a\u0631 \u0645\u0646 \u0623\u062d\u062f \u0623\u0641\u0631\u0627\u062f \u0627\u0644\u0637\u0627\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_75_356\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"545a0daa\" data-field-span=\"12\"><label id='gfield_label_75_356' class='gfield_label gform-field-label' for='input_75_356'><span class='gform-field-label__text'>\u0647\u0644 \u0627\u0628\u0646\u0643\u0645\/ \u0627\u0628\u0646\u062a\u0643\u0645 \u064a\u062d\u062a\u0627\u062c \u0627\u0644\u0649 \u0627\u0644\u0627\u067e\u064a\u067e\u0646\u061f<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_356'>\u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0623\u0645\u0631 \u0643\u0630\u0644\u0643\u060c \u0641\u064a\u062c\u0628 \u0625\u062d\u0636\u0627\u0631\u0647 \u0625\u0644\u0649 \u0627\u0644\u0645\u0624\u062a\u0645\u0631 \u0648\u0627\u0644\u062a\u0623\u0643\u062f \u0645\u0646 \u0623\u0646\u0647 \u0628\u062d\u0648\u0632\u062a\u0647 \u0641\u064a \u062c\u0645\u064a\u0639 \u0627\u0644\u0623\u0648\u0642\u0627\u062a.<\/div><div class='ginput_container ginput_container_select'><select name='input_356' id='input_75_356' class='large gfield_select'  aria-describedby=\"gfield_description_75_356\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; \u0627\u062e\u062a\u0631 \u0645\u0646 \u0627\u0644\u0642\u0627\u0626\u0645\u0629 &#8211;<\/option><option value='\u0646\u0639\u0645' >\u0646\u0639\u0645<\/option><option value='\u0644\u0627' >\u0644\u0627<\/option><\/select><\/div><\/div><div id=\"field_75_109\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"70b2f63f\" data-field-span=\"12\"><label id='gfield_label_75_109' class='gfield_label gform-field-label' for='input_75_109'><span class='gform-field-label__text'>\u0647\u0644 \u0644\u062f\u0649 \u0627\u0644\u0648\u0644\u062f\/\u0627\u0644\u0628\u0646\u062a \u062d\u0633\u0627\u0633\u064a\u0629 \u0645\u0646 \u0623\u064a \u0634\u064a\u0621\u061f \u0631\u062c\u0627\u0621 \u062d\u062f\u062f<\/span><\/label><div class='gfield_description' id='gfield_description_75_109'>\u0627\u0644\u0631\u062c\u0627\u0621 \u0627\u0644\u0625\u062c\u0627\u0628\u0629 \u0628\u0646\u0639\u0645 \u0623\u0648 \u0644\u0627 \u060c \u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0623\u0645\u0631 \u0643\u0630\u0644\u0643 &#8211; \u0645\u0627 \u0647\u064a \u0627\u0644\u062d\u0633\u0627\u0633\u064a\u0629\u061f<\/div><div class='ginput_container ginput_container_text'><input name='input_109' id='input_75_109' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_109\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_111\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"23b75f31\" data-field-span=\"12\"><label id='gfield_label_75_111' class='gfield_label gform-field-label' for='input_75_111'><span class='gform-field-label__text'>\u0635\u0641 \u0631\u062f \u0641\u0639\u0644 \u0627\u0644\u062c\u0633\u0645 \u0644\u0644\u062d\u0633\u0627\u0633\u064a\u0629 \u0648\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0645\u0637\u0644\u0648\u0628<\/span><\/label><div class='gfield_description' id='gfield_description_75_111'>\u0633\u062a\u0633\u0627\u0639\u062f\u0646\u0627 \u0623\u0643\u0628\u0631 \u0642\u062f\u0631 \u0645\u0645\u0643\u0646 \u0645\u0646 \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0641\u064a \u0627\u0644\u062d\u0641\u0627\u0638 \u0639\u0644\u0649 \u0633\u0644\u0627\u0645\u0629 \u0648\u0644\u062f\u0643 \u0623\u062b\u0646\u0627\u0621 \u0627\u0644\u0645\u0624\u062a\u0645\u0631<\/div><div class='ginput_container ginput_container_text'><input name='input_111' id='input_75_111' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_111\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_112\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"c4daf2a5\" data-field-span=\"12\"><label id='gfield_label_75_112' class='gfield_label gform-field-label' for='input_75_112'><span class='gform-field-label__text'>\u0623\u0645\u0631\u0627\u0636 \u0623\u0648 \u062a\u0642\u064a\u064a\u062f\u0627\u062a \u0623\u062e\u0631\u0649<\/span><\/label><div class='gfield_description' id='gfield_description_75_112'>\u0646\u0631\u062c\u0648 \u062a\u062f\u0648\u064a\u0646 \u0648\u0634\u0631\u062d \u0639\u0646 \u0643\u0644 \u0645\u0631\u0636 \u0627\u0648 \u0645\u062d\u062f\u0648\u062f\u064a\u0629 \u0637\u0628\u064a\u0651\u0629 \u0648\/\u0627\u0648 \u063a\u0630\u0627\u0626\u064a\u0629\u060c \u0625\u0646 \u0648\u064f\u062c\u062f\u062a:\n\u0645\u062b\u0644\u0627\u064b: \u0633\u0643\u0631\u064a\u060c \u0641\u0642\u0631 \u0627\u0644\u062f\u0645 (\u0627\u0646\u064a\u0645\u064a\u0627)\u060c \u062d\u0633\u0627\u0633\u064a\u0629 \u0644\u0644\u0686\u0644\u0648\u062a\u064a\u0646\u060c \u0627\u0636\u0637\u0631\u0627\u0628 \u0647\u0636\u0645\u064a\u060c \u0644\u0644\u0651\u0643\u062a\u0648\u0632 \u2026 \u0627\u0648 \u063a\u064a\u0631\u0647<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_112' id='input_75_112' class='textarea large'  aria-describedby=\"gfield_description_75_112\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_75_154\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"9549dd3a\" data-field-span=\"12\"><label id='gfield_label_75_154' class='gfield_label gform-field-label' for='input_75_154'><span class='gform-field-label__text'>\u0647\u0644 \u0644\u062f\u0649 \u0627\u0644\u0648\u0644\u062f \u0623\u064a \u062a\u0634\u062e\u064a\u0635 \u0639\u0627\u0637\u0641\u064a \u0623\u0648 \u062a\u0631\u0628\u0648\u064a\u061f<\/span><\/label><div class='gfield_description' id='gfield_description_75_154'>\u0639\u0644\u0649 \u0633\u0628\u064a\u0644 \u0627\u0644\u0645\u062b\u0627\u0644: \u0641\u064a \u0637\u064a\u0641 \u0627\u0644\u062a\u0648\u062d\u062f\u060c \u062a\u0634\u062e\u064a\u0635 \u0635\u0639\u0648\u0628\u0629 \u0627\u0644\u062a\u0631\u0643\u064a\u0632 \u0648\u0627\u0644\u0625\u0635\u063a\u0627\u0621\u060c \u0646\u0648\u0628\u0627\u062a \u0627\u0644\u063a\u0636\u0628\u060c \u0627\u0644\u0627\u0643\u062a\u0626\u0627\u0628 \u0623\u0648 \u062d\u0627\u0644\u0629 \u0639\u0642\u0644\u064a\u0629 \u063a\u064a\u0631 \u0645\u0633\u062a\u0642\u0631\u0629\u060c \u0648\u0645\u0627 \u0625\u0644\u0649 \u0630\u0644\u0643. \u064a\u0631\u062c\u0649 \u062a\u0648\u0636\u064a\u062d \u0645\u0627 \u0625\u0630\u0627 \u0643\u0627\u0646 \u0644\u062f\u064a\u0647 \/ \u0644\u062f\u064a\u0647\u0627 \u0623\u064a \u0627\u062d\u062a\u064a\u0627\u062c\u0627\u062a \u062e\u0627\u0635\u0629 \u0648\u0643\u064a\u0641 \u064a\u0645\u0643\u0646\u0646\u0627 \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \u062e\u0644\u0627\u0644 \u0647\u0630\u0627 \u0627\u0644\u0648\u0642\u062a \u0627\u0644\u0635\u0639\u0628<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_154' id='input_75_154' class='textarea large'  aria-describedby=\"gfield_description_75_154\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_75_99\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"1279fff5\" data-field-span=\"12\"><legend id='gfield_label_75_99' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u062a\u0641\u0627\u0635\u064a\u0644 \u0627\u0644\u0645\u0633\u062c\u0644 \u0631\u0642\u0645 3<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_75_99'>\n                            \n                            <span id='input_75_99_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_99.3' id='input_75_99_3' value=''   aria-required='false'     aria-labelledby=\"input_75_99_3_label gfield_label_75_99\"\/>\n                                                    <label for='input_75_99_3' id='input_75_99_3_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0627\u0633\u0645 \u0627\u0644\u0643\u0627\u0645\u0644<\/label>\n                                                <\/span>\n                            \n                            <span id='input_75_99_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_99.6' id='input_75_99_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_75_99_6' id='input_75_99_6_label' class='gform-field-label gform-field-label--type-sub '>\u0631\u0642\u0645 \u0627\u0644\u0647\u0648\u064a\u0629<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_75_166\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"daa04a7c\" data-field-span=\"12\"><label id='gfield_label_75_166' class='gfield_label gform-field-label' for='input_75_166'><span class='gform-field-label__text'>\u0647\u0644 \u064a\u062d\u062a\u0627\u062c \u0627\u0644\u0645\u0634\u0627\u0631\u0643 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u062f\u0648\u0627\u0621 \u0623\u062b\u0646\u0627\u0621 \u0627\u0644\u0645\u0624\u062a\u0645\u0631\u061f<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_166' id='input_75_166' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; \u0627\u062e\u062a\u0631 \u0645\u0646 \u0627\u0644\u0642\u0627\u0626\u0645\u0629 &#8211;<\/option><option value='\u0646\u0639\u0645' >\u0646\u0639\u0645<\/option><option value='\u0644\u0627' >\u0644\u0627<\/option><\/select><\/div><\/div><fieldset id=\"field_75_115\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"60a9ff36\" data-field-span=\"12\"><legend id='gfield_label_75_115' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0623\u0645\u0631 \u0643\u0630\u0644\u0643 \u060c \u0641\u0647\u0644 \u064a\u062c\u0628 \u0645\u0633\u0627\u0639\u062f\u062a\u0647 \u0639\u0644\u0649 \u0627\u0644\u0642\u064a\u0627\u0645 \u0628\u0630\u0644\u0643\u061f<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_75_115'>\n\t\t\t<div class='gchoice gchoice_75_115_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_115' type='radio' value='\u0644\u0627 \u062a\u0648\u062c\u062f \u062d\u0627\u062c\u0629 \u0644\u0644\u0645\u0633\u0627\u0639\u062f\u0629\/ \u0644\u0644\u062a\u0630\u0643\u064a\u0631\u060c \u0627\u0644\u0623\u062e\u0630 \u0647\u0648 \u0630\u0627\u062a\u064a'  id='choice_75_115_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_75_115_0 gfield_label_75_115\"   \/>\n\t\t\t\t\t<label for='choice_75_115_0' id='label_75_115_0' class='gform-field-label gform-field-label--type-inline'>\u0644\u0627 \u062a\u0648\u062c\u062f \u062d\u0627\u062c\u0629 \u0644\u0644\u0645\u0633\u0627\u0639\u062f\u0629\/ \u0644\u0644\u062a\u0630\u0643\u064a\u0631\u060c \u0627\u0644\u0623\u062e\u0630 \u0647\u0648 \u0630\u0627\u062a\u064a<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_115_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_115' type='radio' value='\u062a\u0648\u062c\u062f \u062d\u0627\u062c\u0629 \u0644\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \/ \u0644\u0644\u062a\u0630\u0643\u064a\u0631 \u0645\u0646 \u0623\u062d\u062f \u0623\u0641\u0631\u0627\u062f \u0627\u0644\u0637\u0627\u0642\u0645'  id='choice_75_115_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_115_1' id='label_75_115_1' class='gform-field-label gform-field-label--type-inline'>\u062a\u0648\u062c\u062f \u062d\u0627\u062c\u0629 \u0644\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \/ \u0644\u0644\u062a\u0630\u0643\u064a\u0631 \u0645\u0646 \u0623\u062d\u062f \u0623\u0641\u0631\u0627\u062f \u0627\u0644\u0637\u0627\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_75_355\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"75a55f2a\" data-field-span=\"12\"><label id='gfield_label_75_355' class='gfield_label gform-field-label' for='input_75_355'><span class='gform-field-label__text'>\u0647\u0644 \u0627\u0628\u0646\u0643\u0645\/ \u0627\u0628\u0646\u062a\u0643\u0645 \u064a\u062d\u062a\u0627\u062c \u0627\u0644\u0649 \u0627\u0644\u0627\u067e\u064a\u067e\u0646\u061f<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_355'>\u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0623\u0645\u0631 \u0643\u0630\u0644\u0643\u060c \u0641\u064a\u062c\u0628 \u0625\u062d\u0636\u0627\u0631\u0647 \u0625\u0644\u0649 \u0627\u0644\u0645\u0624\u062a\u0645\u0631 \u0648\u0627\u0644\u062a\u0623\u0643\u062f \u0645\u0646 \u0623\u0646\u0647 \u0628\u062d\u0648\u0632\u062a\u0647 \u0641\u064a \u062c\u0645\u064a\u0639 \u0627\u0644\u0623\u0648\u0642\u0627\u062a.<\/div><div class='ginput_container ginput_container_select'><select name='input_355' id='input_75_355' class='large gfield_select'  aria-describedby=\"gfield_description_75_355\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; \u0627\u062e\u062a\u0631 \u0645\u0646 \u0627\u0644\u0642\u0627\u0626\u0645\u0629 &#8211;<\/option><option value='\u0646\u0639\u0645' >\u0646\u0639\u0645<\/option><option value='\u0644\u0627' >\u0644\u0627<\/option><\/select><\/div><\/div><div id=\"field_75_116\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"245371d4\" data-field-span=\"12\"><label id='gfield_label_75_116' class='gfield_label gform-field-label' for='input_75_116'><span class='gform-field-label__text'>\u0647\u0644 \u0644\u062f\u0649 \u0627\u0644\u0648\u0644\u062f\/\u0627\u0644\u0628\u0646\u062a \u062d\u0633\u0627\u0633\u064a\u0629 \u0645\u0646 \u0623\u064a \u0634\u064a\u0621\u061f \u0631\u062c\u0627\u0621 \u062d\u062f\u062f<\/span><\/label><div class='gfield_description' id='gfield_description_75_116'>\u0627\u0644\u0631\u062c\u0627\u0621 \u0627\u0644\u0625\u062c\u0627\u0628\u0629 \u0628\u0646\u0639\u0645 \u0623\u0648 \u0644\u0627 \u060c \u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0623\u0645\u0631 \u0643\u0630\u0644\u0643 &#8211; \u0645\u0627 \u0647\u064a \u0627\u0644\u062d\u0633\u0627\u0633\u064a\u0629\u061f<\/div><div class='ginput_container ginput_container_text'><input name='input_116' id='input_75_116' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_116\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_117\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"097a70a1\" data-field-span=\"12\"><label id='gfield_label_75_117' class='gfield_label gform-field-label' for='input_75_117'><span class='gform-field-label__text'>\u0635\u0641 \u0631\u062f \u0641\u0639\u0644 \u0627\u0644\u062c\u0633\u0645 \u0644\u0644\u062d\u0633\u0627\u0633\u064a\u0629 \u0648\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0645\u0637\u0644\u0648\u0628<\/span><\/label><div class='gfield_description' id='gfield_description_75_117'>\u0633\u062a\u0633\u0627\u0639\u062f\u0646\u0627 \u0623\u0643\u0628\u0631 \u0642\u062f\u0631 \u0645\u0645\u0643\u0646 \u0645\u0646 \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0641\u064a \u0627\u0644\u062d\u0641\u0627\u0638 \u0639\u0644\u0649 \u0633\u0644\u0627\u0645\u0629 \u0648\u0644\u062f\u0643 \u0623\u062b\u0646\u0627\u0621 \u0627\u0644\u0645\u0624\u062a\u0645\u0631<\/div><div class='ginput_container ginput_container_text'><input name='input_117' id='input_75_117' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_117\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_118\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"316fb018\" data-field-span=\"12\"><label id='gfield_label_75_118' class='gfield_label gform-field-label' for='input_75_118'><span class='gform-field-label__text'>\u0623\u0645\u0631\u0627\u0636 \u0623\u0648 \u062a\u0642\u064a\u064a\u062f\u0627\u062a \u0623\u062e\u0631\u0649<\/span><\/label><div class='gfield_description' id='gfield_description_75_118'>\u0646\u0631\u062c\u0648 \u062a\u062f\u0648\u064a\u0646 \u0648\u0634\u0631\u062d \u0639\u0646 \u0643\u0644 \u0645\u0631\u0636 \u0627\u0648 \u0645\u062d\u062f\u0648\u062f\u064a\u0629 \u0637\u0628\u064a\u0651\u0629 \u0648\/\u0627\u0648 \u063a\u0630\u0627\u0626\u064a\u0629\u060c \u0625\u0646 \u0648\u064f\u062c\u062f\u062a:\n\u0645\u062b\u0644\u0627\u064b: \u0633\u0643\u0631\u064a\u060c \u0641\u0642\u0631 \u0627\u0644\u062f\u0645 (\u0627\u0646\u064a\u0645\u064a\u0627)\u060c \u062d\u0633\u0627\u0633\u064a\u0629 \u0644\u0644\u0686\u0644\u0648\u062a\u064a\u0646\u060c \u0627\u0636\u0637\u0631\u0627\u0628 \u0647\u0636\u0645\u064a\u060c \u0644\u0644\u0651\u0643\u062a\u0648\u0632 \u2026 \u0627\u0648 \u063a\u064a\u0631\u0647<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_118' id='input_75_118' class='textarea large'  aria-describedby=\"gfield_description_75_118\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_75_132\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"4d25f7f2\" data-field-span=\"12\"><label id='gfield_label_75_132' class='gfield_label gform-field-label' for='input_75_132'><span class='gform-field-label__text'>\u0647\u0644 \u0644\u062f\u0649 \u0627\u0644\u0648\u0644\u062f \u0623\u064a \u062a\u0634\u062e\u064a\u0635 \u0639\u0627\u0637\u0641\u064a \u0623\u0648 \u062a\u0631\u0628\u0648\u064a\u061f<\/span><\/label><div class='gfield_description' id='gfield_description_75_132'>\u0639\u0644\u0649 \u0633\u0628\u064a\u0644 \u0627\u0644\u0645\u062b\u0627\u0644: \u0641\u064a \u0637\u064a\u0641 \u0627\u0644\u062a\u0648\u062d\u062f\u060c \u062a\u0634\u062e\u064a\u0635 \u0635\u0639\u0648\u0628\u0629 \u0627\u0644\u062a\u0631\u0643\u064a\u0632 \u0648\u0627\u0644\u0625\u0635\u063a\u0627\u0621\u060c \u0646\u0648\u0628\u0627\u062a \u0627\u0644\u063a\u0636\u0628\u060c \u0627\u0644\u0627\u0643\u062a\u0626\u0627\u0628 \u0623\u0648 \u062d\u0627\u0644\u0629 \u0639\u0642\u0644\u064a\u0629 \u063a\u064a\u0631 \u0645\u0633\u062a\u0642\u0631\u0629\u060c \u0648\u0645\u0627 \u0625\u0644\u0649 \u0630\u0644\u0643. \u064a\u0631\u062c\u0649 \u062a\u0648\u0636\u064a\u062d \u0645\u0627 \u0625\u0630\u0627 \u0643\u0627\u0646 \u0644\u062f\u064a\u0647 \/ \u0644\u062f\u064a\u0647\u0627 \u0623\u064a \u0627\u062d\u062a\u064a\u0627\u062c\u0627\u062a \u062e\u0627\u0635\u0629 \u0648\u0643\u064a\u0641 \u064a\u0645\u0643\u0646\u0646\u0627 \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \u062e\u0644\u0627\u0644 \u0647\u0630\u0627 \u0627\u0644\u0648\u0642\u062a \u0627\u0644\u0635\u0639\u0628<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_132' id='input_75_132' class='textarea large'  aria-describedby=\"gfield_description_75_132\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_75_100\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"9b6e5d93\" data-field-span=\"12\"><legend id='gfield_label_75_100' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u062a\u0641\u0627\u0635\u064a\u0644 \u0627\u0644\u0645\u0633\u062c\u0644 \u0631\u0642\u0645 4<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_75_100'>\n                            \n                            <span id='input_75_100_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_100.3' id='input_75_100_3' value=''   aria-required='false'     aria-labelledby=\"input_75_100_3_label gfield_label_75_100\"\/>\n                                                    <label for='input_75_100_3' id='input_75_100_3_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0627\u0633\u0645 \u0627\u0644\u0643\u0627\u0645\u0644<\/label>\n                                                <\/span>\n                            \n                            <span id='input_75_100_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_100.6' id='input_75_100_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_75_100_6' id='input_75_100_6_label' class='gform-field-label gform-field-label--type-sub '>\u0631\u0642\u0645 \u0627\u0644\u0647\u0648\u064a\u0629<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_75_167\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"2df6e96d\" data-field-span=\"12\"><label id='gfield_label_75_167' class='gfield_label gform-field-label' for='input_75_167'><span class='gform-field-label__text'>\u0647\u0644 \u064a\u062d\u062a\u0627\u062c \u0627\u0644\u0645\u0634\u0627\u0631\u0643 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u062f\u0648\u0627\u0621 \u0623\u062b\u0646\u0627\u0621 \u0627\u0644\u0645\u0624\u062a\u0645\u0631\u061f<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_167' id='input_75_167' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; \u0627\u062e\u062a\u0631 \u0645\u0646 \u0627\u0644\u0642\u0627\u0626\u0645\u0629 &#8211;<\/option><option value='\u0646\u0639\u0645' >\u0646\u0639\u0645<\/option><option value='\u0644\u0627' >\u0644\u0627<\/option><\/select><\/div><\/div><fieldset id=\"field_75_121\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"3eb78e4a\" data-field-span=\"12\"><legend id='gfield_label_75_121' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0623\u0645\u0631 \u0643\u0630\u0644\u0643 \u060c \u0641\u0647\u0644 \u064a\u062c\u0628 \u0645\u0633\u0627\u0639\u062f\u062a\u0647 \u0639\u0644\u0649 \u0627\u0644\u0642\u064a\u0627\u0645 \u0628\u0630\u0644\u0643\u061f<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_75_121'>\n\t\t\t<div class='gchoice gchoice_75_121_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_121' type='radio' value='\u0644\u0627 \u062a\u0648\u062c\u062f \u062d\u0627\u062c\u0629 \u0644\u0644\u0645\u0633\u0627\u0639\u062f\u0629\/ \u0644\u0644\u062a\u0630\u0643\u064a\u0631\u060c \u0627\u0644\u0623\u062e\u0630 \u0647\u0648 \u0630\u0627\u062a\u064a'  id='choice_75_121_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_75_121_0 gfield_label_75_121\"   \/>\n\t\t\t\t\t<label for='choice_75_121_0' id='label_75_121_0' class='gform-field-label gform-field-label--type-inline'>\u0644\u0627 \u062a\u0648\u062c\u062f \u062d\u0627\u062c\u0629 \u0644\u0644\u0645\u0633\u0627\u0639\u062f\u0629\/ \u0644\u0644\u062a\u0630\u0643\u064a\u0631\u060c \u0627\u0644\u0623\u062e\u0630 \u0647\u0648 \u0630\u0627\u062a\u064a<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_121_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_121' type='radio' value='\u062a\u0648\u062c\u062f \u062d\u0627\u062c\u0629 \u0644\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \/ \u0644\u0644\u062a\u0630\u0643\u064a\u0631 \u0645\u0646 \u0623\u062d\u062f \u0623\u0641\u0631\u0627\u062f \u0627\u0644\u0637\u0627\u0642\u0645'  id='choice_75_121_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_121_1' id='label_75_121_1' class='gform-field-label gform-field-label--type-inline'>\u062a\u0648\u062c\u062f \u062d\u0627\u062c\u0629 \u0644\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \/ \u0644\u0644\u062a\u0630\u0643\u064a\u0631 \u0645\u0646 \u0623\u062d\u062f \u0623\u0641\u0631\u0627\u062f \u0627\u0644\u0637\u0627\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_75_357\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"7e998d4e\" data-field-span=\"12\"><label id='gfield_label_75_357' class='gfield_label gform-field-label' for='input_75_357'><span class='gform-field-label__text'>\u0647\u0644 \u0627\u0628\u0646\u0643\u0645\/ \u0627\u0628\u0646\u062a\u0643\u0645 \u064a\u062d\u062a\u0627\u062c \u0627\u0644\u0649 \u0627\u0644\u0627\u067e\u064a\u067e\u0646\u061f<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_357'>\u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0623\u0645\u0631 \u0643\u0630\u0644\u0643\u060c \u0641\u064a\u062c\u0628 \u0625\u062d\u0636\u0627\u0631\u0647 \u0625\u0644\u0649 \u0627\u0644\u0645\u0624\u062a\u0645\u0631 \u0648\u0627\u0644\u062a\u0623\u0643\u062f \u0645\u0646 \u0623\u0646\u0647 \u0628\u062d\u0648\u0632\u062a\u0647 \u0641\u064a \u062c\u0645\u064a\u0639 \u0627\u0644\u0623\u0648\u0642\u0627\u062a.<\/div><div class='ginput_container ginput_container_select'><select name='input_357' id='input_75_357' class='large gfield_select'  aria-describedby=\"gfield_description_75_357\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; \u0627\u062e\u062a\u0631 \u0645\u0646 \u0627\u0644\u0642\u0627\u0626\u0645\u0629 &#8211;<\/option><option value='\u0646\u0639\u0645' >\u0646\u0639\u0645<\/option><option value='\u0644\u0627' >\u0644\u0627<\/option><\/select><\/div><\/div><div id=\"field_75_122\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"697ee55b\" data-field-span=\"12\"><label id='gfield_label_75_122' class='gfield_label gform-field-label' for='input_75_122'><span class='gform-field-label__text'>\u0647\u0644 \u0644\u062f\u0649 \u0627\u0644\u0648\u0644\u062f\/\u0627\u0644\u0628\u0646\u062a \u062d\u0633\u0627\u0633\u064a\u0629 \u0645\u0646 \u0623\u064a \u0634\u064a\u0621\u061f \u0631\u062c\u0627\u0621 \u062d\u062f\u062f<\/span><\/label><div class='gfield_description' id='gfield_description_75_122'>\u0627\u0644\u0631\u062c\u0627\u0621 \u0627\u0644\u0625\u062c\u0627\u0628\u0629 \u0628\u0646\u0639\u0645 \u0623\u0648 \u0644\u0627 \u060c \u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0623\u0645\u0631 \u0643\u0630\u0644\u0643 &#8211; \u0645\u0627 \u0647\u064a \u0627\u0644\u062d\u0633\u0627\u0633\u064a\u0629\u061f<\/div><div class='ginput_container ginput_container_text'><input name='input_122' id='input_75_122' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_122\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_123\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"e22a713e\" data-field-span=\"12\"><label id='gfield_label_75_123' class='gfield_label gform-field-label' for='input_75_123'><span class='gform-field-label__text'>\u0635\u0641 \u0631\u062f \u0641\u0639\u0644 \u0627\u0644\u062c\u0633\u0645 \u0644\u0644\u062d\u0633\u0627\u0633\u064a\u0629 \u0648\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0645\u0637\u0644\u0648\u0628<\/span><\/label><div class='gfield_description' id='gfield_description_75_123'>\u0633\u062a\u0633\u0627\u0639\u062f\u0646\u0627 \u0623\u0643\u0628\u0631 \u0642\u062f\u0631 \u0645\u0645\u0643\u0646 \u0645\u0646 \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0641\u064a \u0627\u0644\u062d\u0641\u0627\u0638 \u0639\u0644\u0649 \u0633\u0644\u0627\u0645\u0629 \u0648\u0644\u062f\u0643 \u0623\u062b\u0646\u0627\u0621 \u0627\u0644\u0645\u0624\u062a\u0645\u0631<\/div><div class='ginput_container ginput_container_text'><input name='input_123' id='input_75_123' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_123\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_124\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"9fefe552\" data-field-span=\"12\"><label id='gfield_label_75_124' class='gfield_label gform-field-label' for='input_75_124'><span class='gform-field-label__text'>\u0623\u0645\u0631\u0627\u0636 \u0623\u0648 \u062a\u0642\u064a\u064a\u062f\u0627\u062a \u0623\u062e\u0631\u0649<\/span><\/label><div class='gfield_description' id='gfield_description_75_124'>\u0646\u0631\u062c\u0648 \u062a\u062f\u0648\u064a\u0646 \u0648\u0634\u0631\u062d \u0639\u0646 \u0643\u0644 \u0645\u0631\u0636 \u0627\u0648 \u0645\u062d\u062f\u0648\u062f\u064a\u0629 \u0637\u0628\u064a\u0651\u0629 \u0648\/\u0627\u0648 \u063a\u0630\u0627\u0626\u064a\u0629\u060c \u0625\u0646 \u0648\u064f\u062c\u062f\u062a:\n\u0645\u062b\u0644\u0627\u064b: \u0633\u0643\u0631\u064a\u060c \u0641\u0642\u0631 \u0627\u0644\u062f\u0645 (\u0627\u0646\u064a\u0645\u064a\u0627)\u060c \u062d\u0633\u0627\u0633\u064a\u0629 \u0644\u0644\u0686\u0644\u0648\u062a\u064a\u0646\u060c \u0627\u0636\u0637\u0631\u0627\u0628 \u0647\u0636\u0645\u064a\u060c \u0644\u0644\u0651\u0643\u062a\u0648\u0632 \u2026 \u0627\u0648 \u063a\u064a\u0631\u0647<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_124' id='input_75_124' class='textarea large'  aria-describedby=\"gfield_description_75_124\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_75_153\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"7812b363\" data-field-span=\"12\"><label id='gfield_label_75_153' class='gfield_label gform-field-label' for='input_75_153'><span class='gform-field-label__text'>\u0647\u0644 \u0644\u062f\u0649 \u0627\u0644\u0648\u0644\u062f \u0623\u064a \u062a\u0634\u062e\u064a\u0635 \u0639\u0627\u0637\u0641\u064a \u0623\u0648 \u062a\u0631\u0628\u0648\u064a\u061f<\/span><\/label><div class='gfield_description' id='gfield_description_75_153'>\u0639\u0644\u0649 \u0633\u0628\u064a\u0644 \u0627\u0644\u0645\u062b\u0627\u0644: \u0641\u064a \u0637\u064a\u0641 \u0627\u0644\u062a\u0648\u062d\u062f\u060c \u062a\u0634\u062e\u064a\u0635 \u0635\u0639\u0648\u0628\u0629 \u0627\u0644\u062a\u0631\u0643\u064a\u0632 \u0648\u0627\u0644\u0625\u0635\u063a\u0627\u0621\u060c \u0646\u0648\u0628\u0627\u062a \u0627\u0644\u063a\u0636\u0628\u060c \u0627\u0644\u0627\u0643\u062a\u0626\u0627\u0628 \u0623\u0648 \u062d\u0627\u0644\u0629 \u0639\u0642\u0644\u064a\u0629 \u063a\u064a\u0631 \u0645\u0633\u062a\u0642\u0631\u0629\u060c \u0648\u0645\u0627 \u0625\u0644\u0649 \u0630\u0644\u0643. \u064a\u0631\u062c\u0649 \u062a\u0648\u0636\u064a\u062d \u0645\u0627 \u0625\u0630\u0627 \u0643\u0627\u0646 \u0644\u062f\u064a\u0647 \/ \u0644\u062f\u064a\u0647\u0627 \u0623\u064a \u0627\u062d\u062a\u064a\u0627\u062c\u0627\u062a \u062e\u0627\u0635\u0629 \u0648\u0643\u064a\u0641 \u064a\u0645\u0643\u0646\u0646\u0627 \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \u062e\u0644\u0627\u0644 \u0647\u0630\u0627 \u0627\u0644\u0648\u0642\u062a \u0627\u0644\u0635\u0639\u0628<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_153' id='input_75_153' class='textarea large'  aria-describedby=\"gfield_description_75_153\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_75_101\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"fe4dda37\" data-field-span=\"12\"><legend id='gfield_label_75_101' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u062a\u0641\u0627\u0635\u064a\u0644 \u0627\u0644\u0645\u0633\u062c\u0644 \u0631\u0642\u0645 5<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_75_101'>\n                            \n                            <span id='input_75_101_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_101.3' id='input_75_101_3' value=''   aria-required='false'     aria-labelledby=\"input_75_101_3_label gfield_label_75_101\"\/>\n                                                    <label for='input_75_101_3' id='input_75_101_3_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0627\u0633\u0645 \u0627\u0644\u0643\u0627\u0645\u0644<\/label>\n                                                <\/span>\n                            \n                            <span id='input_75_101_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_101.6' id='input_75_101_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_75_101_6' id='input_75_101_6_label' class='gform-field-label gform-field-label--type-sub '>\u0631\u0642\u0645 \u0627\u0644\u0647\u0648\u064a\u0629<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_75_168\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"d3198e2f\" data-field-span=\"12\"><label id='gfield_label_75_168' class='gfield_label gform-field-label' for='input_75_168'><span class='gform-field-label__text'>\u0647\u0644 \u064a\u062d\u062a\u0627\u062c \u0627\u0644\u0645\u0634\u0627\u0631\u0643 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u062f\u0648\u0627\u0621 \u0623\u062b\u0646\u0627\u0621 \u0627\u0644\u0645\u0624\u062a\u0645\u0631\u061f<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_168' id='input_75_168' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; \u0627\u062e\u062a\u0631 \u0645\u0646 \u0627\u0644\u0642\u0627\u0626\u0645\u0629 &#8211;<\/option><option value='\u0646\u0639\u0645' >\u0646\u0639\u0645<\/option><option value='\u0644\u0627' >\u0644\u0627<\/option><\/select><\/div><\/div><fieldset id=\"field_75_163\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"6d4f0888\" data-field-span=\"12\"><legend id='gfield_label_75_163' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0623\u0645\u0631 \u0643\u0630\u0644\u0643 \u060c \u0641\u0647\u0644 \u064a\u062c\u0628 \u0645\u0633\u0627\u0639\u062f\u062a\u0647 \u0639\u0644\u0649 \u0627\u0644\u0642\u064a\u0627\u0645 \u0628\u0630\u0644\u0643\u061f<\/span><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_75_163'>\n\t\t\t<div class='gchoice gchoice_75_163_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_163' type='radio' value='\u0644\u0627 \u062a\u0648\u062c\u062f \u062d\u0627\u062c\u0629 \u0644\u0644\u0645\u0633\u0627\u0639\u062f\u0629\/ \u0644\u0644\u062a\u0630\u0643\u064a\u0631\u060c \u0627\u0644\u0623\u062e\u0630 \u0647\u0648 \u0630\u0627\u062a\u064a'  id='choice_75_163_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_75_163_0 gfield_label_75_163\"   \/>\n\t\t\t\t\t<label for='choice_75_163_0' id='label_75_163_0' class='gform-field-label gform-field-label--type-inline'>\u0644\u0627 \u062a\u0648\u062c\u062f \u062d\u0627\u062c\u0629 \u0644\u0644\u0645\u0633\u0627\u0639\u062f\u0629\/ \u0644\u0644\u062a\u0630\u0643\u064a\u0631\u060c \u0627\u0644\u0623\u062e\u0630 \u0647\u0648 \u0630\u0627\u062a\u064a<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_163_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_163' type='radio' value='\u062a\u0648\u062c\u062f \u062d\u0627\u062c\u0629 \u0644\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \/ \u0644\u0644\u062a\u0630\u0643\u064a\u0631 \u0645\u0646 \u0623\u062d\u062f \u0623\u0641\u0631\u0627\u062f \u0627\u0644\u0637\u0627\u0642\u0645'  id='choice_75_163_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_163_1' id='label_75_163_1' class='gform-field-label gform-field-label--type-inline'>\u062a\u0648\u062c\u062f \u062d\u0627\u062c\u0629 \u0644\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \/ \u0644\u0644\u062a\u0630\u0643\u064a\u0631 \u0645\u0646 \u0623\u062d\u062f \u0623\u0641\u0631\u0627\u062f \u0627\u0644\u0637\u0627\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_75_358\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"047726ca\" data-field-span=\"12\"><label id='gfield_label_75_358' class='gfield_label gform-field-label' for='input_75_358'><span class='gform-field-label__text'>\u0647\u0644 \u0627\u0628\u0646\u0643\u0645\/ \u0627\u0628\u0646\u062a\u0643\u0645 \u064a\u062d\u062a\u0627\u062c \u0627\u0644\u0649 \u0627\u0644\u0627\u067e\u064a\u067e\u0646\u061f<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_358'>\u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0623\u0645\u0631 \u0643\u0630\u0644\u0643\u060c \u0641\u064a\u062c\u0628 \u0625\u062d\u0636\u0627\u0631\u0647 \u0625\u0644\u0649 \u0627\u0644\u0645\u0624\u062a\u0645\u0631 \u0648\u0627\u0644\u062a\u0623\u0643\u062f \u0645\u0646 \u0623\u0646\u0647 \u0628\u062d\u0648\u0632\u062a\u0647 \u0641\u064a \u062c\u0645\u064a\u0639 \u0627\u0644\u0623\u0648\u0642\u0627\u062a.<\/div><div class='ginput_container ginput_container_select'><select name='input_358' id='input_75_358' class='large gfield_select'  aria-describedby=\"gfield_description_75_358\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; \u0627\u062e\u062a\u0631 \u0645\u0646 \u0627\u0644\u0642\u0627\u0626\u0645\u0629 &#8211;<\/option><option value='\u0646\u0639\u0645' >\u0646\u0639\u0645<\/option><option value='\u0644\u0627' >\u0644\u0627<\/option><\/select><\/div><\/div><div id=\"field_75_127\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"4eb1195a\" data-field-span=\"12\"><label id='gfield_label_75_127' class='gfield_label gform-field-label' for='input_75_127'><span class='gform-field-label__text'>\u0647\u0644 \u0644\u062f\u0649 \u0627\u0644\u0648\u0644\u062f\/\u0627\u0644\u0628\u0646\u062a \u062d\u0633\u0627\u0633\u064a\u0629 \u0645\u0646 \u0623\u064a \u0634\u064a\u0621\u061f \u0631\u062c\u0627\u0621 \u062d\u062f\u062f<\/span><\/label><div class='gfield_description' id='gfield_description_75_127'>\u0627\u0644\u0631\u062c\u0627\u0621 \u0627\u0644\u0625\u062c\u0627\u0628\u0629 \u0628\u0646\u0639\u0645 \u0623\u0648 \u0644\u0627 \u060c \u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0623\u0645\u0631 \u0643\u0630\u0644\u0643 &#8211; \u0645\u0627 \u0647\u064a \u0627\u0644\u062d\u0633\u0627\u0633\u064a\u0629\u061f<\/div><div class='ginput_container ginput_container_text'><input name='input_127' id='input_75_127' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_127\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_128\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"6ba4270a\" data-field-span=\"12\"><label id='gfield_label_75_128' class='gfield_label gform-field-label' for='input_75_128'><span class='gform-field-label__text'>\u0635\u0641 \u0631\u062f \u0641\u0639\u0644 \u0627\u0644\u062c\u0633\u0645 \u0644\u0644\u062d\u0633\u0627\u0633\u064a\u0629 \u0648\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0645\u0637\u0644\u0648\u0628<\/span><\/label><div class='gfield_description' id='gfield_description_75_128'>\u0633\u062a\u0633\u0627\u0639\u062f\u0646\u0627 \u0623\u0643\u0628\u0631 \u0642\u062f\u0631 \u0645\u0645\u0643\u0646 \u0645\u0646 \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0641\u064a \u0627\u0644\u062d\u0641\u0627\u0638 \u0639\u0644\u0649 \u0633\u0644\u0627\u0645\u0629 \u0648\u0644\u062f\u0643 \u0623\u062b\u0646\u0627\u0621 \u0627\u0644\u0645\u0624\u062a\u0645\u0631<\/div><div class='ginput_container ginput_container_text'><input name='input_128' id='input_75_128' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_128\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_129\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"24c96e3e\" data-field-span=\"12\"><label id='gfield_label_75_129' class='gfield_label gform-field-label' for='input_75_129'><span class='gform-field-label__text'>\u0623\u0645\u0631\u0627\u0636 \u0623\u0648 \u062a\u0642\u064a\u064a\u062f\u0627\u062a \u0623\u062e\u0631\u0649<\/span><\/label><div class='gfield_description' id='gfield_description_75_129'>\u0646\u0631\u062c\u0648 \u062a\u062f\u0648\u064a\u0646 \u0648\u0634\u0631\u062d \u0639\u0646 \u0643\u0644 \u0645\u0631\u0636 \u0627\u0648 \u0645\u062d\u062f\u0648\u062f\u064a\u0629 \u0637\u0628\u064a\u0651\u0629 \u0648\/\u0627\u0648 \u063a\u0630\u0627\u0626\u064a\u0629\u060c \u0625\u0646 \u0648\u064f\u062c\u062f\u062a:\n\u0645\u062b\u0644\u0627\u064b: \u0633\u0643\u0631\u064a\u060c \u0641\u0642\u0631 \u0627\u0644\u062f\u0645 (\u0627\u0646\u064a\u0645\u064a\u0627)\u060c \u062d\u0633\u0627\u0633\u064a\u0629 \u0644\u0644\u0686\u0644\u0648\u062a\u064a\u0646\u060c \u0627\u0636\u0637\u0631\u0627\u0628 \u0647\u0636\u0645\u064a\u060c \u0644\u0644\u0651\u0643\u062a\u0648\u0632 \u2026 \u0627\u0648 \u063a\u064a\u0631\u0647<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_129' id='input_75_129' class='textarea large'  aria-describedby=\"gfield_description_75_129\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_75_131\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"f55d5edc\" data-field-span=\"12\"><label id='gfield_label_75_131' class='gfield_label gform-field-label' for='input_75_131'><span class='gform-field-label__text'>\u0647\u0644 \u0644\u062f\u0649 \u0627\u0644\u0648\u0644\u062f \u0623\u064a \u062a\u0634\u062e\u064a\u0635 \u0639\u0627\u0637\u0641\u064a \u0623\u0648 \u062a\u0631\u0628\u0648\u064a\u061f<\/span><\/label><div class='gfield_description' id='gfield_description_75_131'>\u0639\u0644\u0649 \u0633\u0628\u064a\u0644 \u0627\u0644\u0645\u062b\u0627\u0644: \u0641\u064a \u0637\u064a\u0641 \u0627\u0644\u062a\u0648\u062d\u062f\u060c \u062a\u0634\u062e\u064a\u0635 \u0635\u0639\u0648\u0628\u0629 \u0627\u0644\u062a\u0631\u0643\u064a\u0632 \u0648\u0627\u0644\u0625\u0635\u063a\u0627\u0621\u060c \u0646\u0648\u0628\u0627\u062a \u0627\u0644\u063a\u0636\u0628\u060c \u0627\u0644\u0627\u0643\u062a\u0626\u0627\u0628 \u0623\u0648 \u062d\u0627\u0644\u0629 \u0639\u0642\u0644\u064a\u0629 \u063a\u064a\u0631 \u0645\u0633\u062a\u0642\u0631\u0629\u060c \u0648\u0645\u0627 \u0625\u0644\u0649 \u0630\u0644\u0643. \u064a\u0631\u062c\u0649 \u062a\u0648\u0636\u064a\u062d \u0645\u0627 \u0625\u0630\u0627 \u0643\u0627\u0646 \u0644\u062f\u064a\u0647 \/ \u0644\u062f\u064a\u0647\u0627 \u0623\u064a \u0627\u062d\u062a\u064a\u0627\u062c\u0627\u062a \u062e\u0627\u0635\u0629 \u0648\u0643\u064a\u0641 \u064a\u0645\u0643\u0646\u0646\u0627 \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \u062e\u0644\u0627\u0644 \u0647\u0630\u0627 \u0627\u0644\u0648\u0642\u062a \u0627\u0644\u0635\u0639\u0628<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_131' id='input_75_131' class='textarea large'  aria-describedby=\"gfield_description_75_131\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_75_141\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"df4fbf79\" data-field-span=\"12\"><h3 class=\"gsection_title\">\u0642\u0648\u0627\u0646\u064a\u0646 \u0648\u0627\u0646\u0638\u0645\u0629 \u0627\u0644\u0633\u0644\u0648\u0643 \u0641\u064a \u0627\u0644\u0645\u0624\u062a\u0645\u0631<\/h3><\/div><fieldset id=\"field_75_145\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"2e87b4d0\" data-field-span=\"12\"><legend id='gfield_label_75_145' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u0642\u0648\u0627\u0646\u064a\u0646 \u0627\u0644\u0633\u0644\u0648\u0643<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_75_145'>\u064a\u062c\u0628 \u0642\u0631\u0627\u0621\u0629 \u0642\u0648\u0627\u0646\u064a\u0646 \u0627\u0644\u0633\u0644\u0648\u0643 \u0644\u0644\u0645\u0624\u062a\u0645\u0631\u0645\u0639 \u0627\u0628\u0646\u0643\u0645\/\u0627\u0628\u0646\u062a\u0643\u0645\n\u0643\u0644 \u0645\u0634\u062a\u0631\u0643 \u0644\u0627 \u064a\u062d\u062a\u0631\u0645 \u0642\u0648\u0627\u0646\u064a\u0646 \u0627\u0644\u0633\u0644\u0648\u0643 \u0627\u0644\u062e\u0627\u0635\u0629 \u0628\u0627\u0644\u0645\u0624\u062a\u0645\u0631 \u0633\u0648\u0641 \u064a\u064f\u0633\u062a\u062f\u0639\u0649 \u0644\u0645\u062d\u0627\u062f\u062b\u0629 \u0645\u0646 \u0645\u0631\u0634\u062f\u064a\u0646 \u0627\u062b\u0646\u064a\u0646.\n\u0627\u0630\u0627 \u0644\u0645 \u064a\u062a\u062d\u0633\u0651\u0646 \u0627\u0644\u0648\u0636\u0639 \u0628\u0639\u062f \u0630\u0644\u0643\u060c \u064a\u064f\u0633\u062a\u062f\u0639\u0649 \u0627\u0644\u0645\u0634\u062a\u0631\u0643 \u0644\u0645\u062d\u0627\u062f\u062b\u0629 \u0645\u0639 \u0645\u062f\u0631\u0627\u0621 \u0627\u0644\u0645\u0624\u062a\u0645\u0631.\n\u0627\u0630\u0627 \u0628\u0639\u062f \u0647\u0630\u0627 \u0644\u0645 \u064a\u062a\u062d\u0633\u0651\u0646 \u0627\u0644\u0648\u0636\u0639 \u0648\u0627\u0644\u0627\u0645\u0648 \u0631 \u062a\u062a\u0643\u0631\u0651\u0631\u060c \u064a\u064f\u0631\u0633\u0644 \u0627\u0644\u0645\u0634\u062a\u0631\u0643 \u0627\u0644\u0649 \u0628\u064a\u062a\u0647\/\u0647\u0627\u060c \u0628\u0627\u0644\u062a\u0646\u0633\u064a\u0642 \u0645\u0639 \u0627\u0644\u0627\u0647\u0644\u060c \u0648\u0639\u0644\u0649 \u062d\u0633\u0627\u0628\u0647\u0645 \u0648\u0628\u062f\u0648\u0646 \u062a\u0631\u062c\u064a\u0639 \u0645\u0627\u0644\u064a \u0644\u062a\u0643\u0627\u0644\u064a\u0641 \u0627\u0644\u062a\u0633\u062c\u064a\u0644.\n\u0627\u0646\u062a\u0628\u0647\u0648\u0627\u060c \u0645\u062e\u0627\u0644\u0641\u0629 \u0648\u0627\u062d\u062f \u0645\u0646 \u0627\u0644\u0642\u0627\u0646\u0648\u0646\u064a\u0646 \u0627\u0644\u0631\u0626\u064a\u0633\u064a\u0627\u0646 \u0627\u0644\u0627\u0648\u0627\u0626\u0644 \u064a\u0646\u062a\u062c \u0639\u0646\u0647 \u0625\u0631\u0633\u0627\u0644 \u0627\u0644\u0645\u0634\u062a\u0631\u0643 \u0627\u0644\u0649 \u0627\u0644\u0628\u064a\u062a \u062d\u0627\u0644\u0627\u064b\u060c \u0628\u062f\u0648\u0646 \u0645\u0641\u0627\u0648\u0636\u0627\u062a! \u0628\u0627\u0644\u062a\u0646\u0633\u064a\u0642 \u0645\u0639 \u0627\u0644\u0627\u0647\u0644\u060c \u0639\u0644\u0649 \u062d\u0633\u0627\u0628\u0647\u0645 \u0648\u0628\u062f\u0648\u0646 \u062a\u0631\u062c\u064a\u0639 \u0645\u0627\u0644\u064a \u0644\u0631\u0633\u0648\u0645 \u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0644\u0644\u0645\u0624\u062a\u0645\u0631.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_75_145'><div class='gchoice gchoice_75_145_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.1' type='checkbox'  value='No alcohol or drug-use is allowed anywhere on the conference grounds or in the surrounding area. The consequence for breaking this rule is to be sent home from Dor Haba immediately with no second chances.'  id='choice_75_145_1'   aria-describedby=\"gfield_description_75_145\" aria-labelledby=\"label_75_145_1 gfield_label_75_145\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_1' id='label_75_145_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u0645\u0646\u0648\u0639 \u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0627\u0644\u0645\u062e\u062f\u0631\u0627\u062a \u0623\u0648 \u0627\u0644\u0643\u062d\u0648\u0644 \u0641\u064a \u0643\u0644\u0651 \u0645\u0646\u0637\u0642\u0629 \u0627\u0644\u0645\u0624\u062a\u0645\u0631 \u0648\u0627\u0644\u0645\u0646\u0627\u0637\u0642 \u0627\u0644\u0645\u062d\u064a\u0637\u0629 \u0628\u0647 &#8211; \u0627\u0646\u062a\u0647\u0627\u0643 \u0647\u0630\u0627 \u0627\u0644\u0642\u0627\u0646\u0648\u0646 \u0633\u064a\u0624\u062f\u064a \u0625\u0644\u0649 \u0627\u0631\u0633\u0627\u0644\u0643 \u0641\u0648\u0631\u064b\u0627 \u0627\u0644\u0649 \u0627\u0644\u0645\u0646\u0632\u0644.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.2' type='checkbox'  value='No girls are to enter the boys\u2019 bedrooms or vice versa. A girl and boy are not allowed to be alone in any of the classrooms with the door closed or in any other outside, isolated, hidden place or any situation where sexual activity is suspected. The consequence for breaking this rule is to be sent home from Dor Haba immediately with no second chances.'  id='choice_75_145_2'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_2' id='label_75_145_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0645\u0646\u0648\u0639 \u062f\u062e\u0648\u0644 \u0627\u0644\u0628\u0646\u0627\u062a \u0625\u0644\u0649 \u063a\u0631\u0641 \u0627\u0644\u0628\u0646\u064a\u0646\u060c \u0648\u0644\u0627 \u064a\u062f\u062e\u0644 \u0627\u0644\u0628\u0646\u064a\u0646 \u0625\u0644\u0649 \u063a\u0631\u0641 \u0627\u0644\u0628\u0646\u0627\u062a. \u062a\u0623\u0643\u062f \u0645\u0646 \u0639\u062f\u0645 \u0648\u062c\u0648\u062f \u0634\u0627\u0628\u0629 \u0648\u0634\u0627\u0628 \u0645\u0639\u064b\u0627 \u0641\u064a \u063a\u0631\u0641\u0629 \u0623\u0648 \u0635\u0641 \u0623\u0648 \u0623\u064a \u0645\u0646\u0637\u0642\u0629 \u0623\u062e\u0631\u0649 \u0645\u0639\u0632\u0648\u0644\u0629 \u0648\u0645\u062e\u0641\u064a\u0629 \u0623\u0648 \u0623\u064a \u0627\u0646\u0637\u0628\u0627\u0639 \u064a\u0645\u0643\u0646 \u0627\u0639\u062a\u0628\u0627\u0631\u0647 \u0623\u064a \u0646\u0634\u0627\u0637 \u062c\u0646\u0633\u064a \u0623\u062b\u0646\u0627\u0621 \u0627\u0644\u0645\u0624\u062a\u0645\u0631 &#8211; \u0633\u064a\u0624\u062f\u064a \u0627\u0646\u062a\u0647\u0627\u0643 \u0647\u0630\u0627 \u0627\u0644\u0642\u0627\u0646\u0648\u0646 \u0625\u0644\u0649 \u0625\u0639\u0627\u062f\u062a\u0643 \u0625\u0644\u0649 \u0627\u0644\u0645\u0646\u0632\u0644 \u0639\u0644\u0649 \u0627\u0644\u0641\u0648\u0631.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.3' type='checkbox'  value='Everyone must talk respectfully to their leaders and to the other people attending Dor Haba. No dirty language, cursing, cyber-bullying or bullying of any kind allowed.'  id='choice_75_145_3'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_3' id='label_75_145_3' class='gform-field-label gform-field-label--type-inline'>\u064a\u062c\u0628 \u0639\u0644\u0649 \u0627\u0644\u062c\u0645\u064a\u0639 \u0627\u0644\u062a\u062d\u062f\u062b \u0628\u0627\u062d\u062a\u0631\u0627\u0645 \u0645\u0639 \u0627\u0644\u0642\u0627\u062f\u0629 \u0648\u0627\u0644\u0645\u0631\u0634\u062f\u064a\u0646 \u0648\u0627\u0644\u0645\u0634\u0627\u0631\u0643\u064a\u0646 \u0627\u0644\u0622\u062e\u0631\u064a\u0646 \u0641\u064a \u0627\u0644\u0645\u0624\u062a\u0645\u0631. \u0639\u062f\u0645 \u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0644\u063a\u0629 \u0628\u0630\u064a\u0626\u0629 \u0623\u0648 \u0634\u062a\u0645 \u0623\u0648 \u062a\u0646\u0645\u0651\u0631 \u0645\u0646 \u0623\u064a \u0646\u0648\u0639 \u0623\u062b\u0646\u0627\u0621 \u0627\u0644\u0645\u0624\u062a\u0645\u0631.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.4' type='checkbox'  value='Dress code: For girls: No strapless shirts, no shirts that show any part of the bra, no belly shirts, or low cut shirts showing cleavage. No shorts or skirts shorter than your fingertips as they rest at your sides. Spandex shorts need to be worn under skirts.  Bikinis worn at the pool need to have a tank top over them. Underwear and bras may not be worn as a swimsuit. For guys: No walking around without a shirt unless you are in the pool area, no low-riding pants or shorts lower than the waist of your underwear in or out of the pool area. Underwear may not be worn as a swimsuit.'  id='choice_75_145_4'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_4' id='label_75_145_4' class='gform-field-label gform-field-label--type-inline'>\u0627\u0646\u0638\u0645\u0629 \u0627\u0644\u0644\u0628\u0627\u0633 &#8211; \u0644\u0644\u0641\u062a\u064a\u0627\u062a: \u0645\u0645\u0646\u0648\u0639 \u0628\u0644\u0648\u0632\u0627\u062a \u0628\u062f\u0648\u0646 \u0634\u064a\u0651\u0627\u0644\u0627\u062a\u060c \u0648\u0644\u0627 \u0634\u064a\u0651\u0627\u0644 \u0635\u062f\u0631\u064a\u0629 \u0628\u0627\u0631\u0632\u060c \u0648\u0644\u0627 \u0642\u0645\u0635\u0627\u0646 \u0642\u0635\u064a\u0631\u0629 \u062a\u0638\u0647\u0631 \u0627\u0644\u0628\u0637\u0646 \u0623\u0648 \u062a\u0644\u0643 \u0630\u0627\u062a \u062e\u0637 \u0639\u0646\u0642 \u0648\u0627\u0637\u064a. \u0628\u0646\u0627\u0637\u064a\u0644 \u0642\u0635\u064a\u0631\u0629 \u0648\u062a\u0646\u0627\u0646\u064a\u0631 \u0642\u0635\u064a\u0631\u0629 \u064a\u062c\u0628 \u0623\u0646 \u0644\u0627 \u064a\u0643\u0648\u0646\u0648\u0627 \u0623\u0642\u0635\u0631 \u0645\u0646 \u0627\u0637\u0631\u0627\u0641 \u0627\u0644\u0623\u0635\u0627\u0628\u0639 \u062d\u0628\u0646 \u062a\u0643\u0648\u0646 \u0627\u0644\u064a\u062f\u064a\u0646 \u0645\u0648\u0636\u0648\u0639\u062a\u064a\u0646 \u0639\u0644\u0649 \u062c\u0627\u0646\u0628\u064a \u0627\u0644\u062c\u0633\u0645. \u064a\u062c\u0628 \u0644\u064a\u0633 \u0628\u0646\u0637\u0644\u0648\u0646 \u062e\u0627\u0635 \u062a\u062d\u062a \u0627\u0644\u062a\u0646\u0648\u0631\u0629.    \u0627\u0644\u0623\u0648\u0644\u0627\u062f: \u0644\u0627 \u062a\u062e\u0631\u062c\u0648\u0627 \u0628\u062f\u0648\u0646 \u0642\u0645\u064a\u0635 \u062e\u0627\u0631\u062c \u0645\u0646\u0637\u0642\u0629 \u062d\u0645\u0627\u0645 \u0627\u0644\u0633\u0628\u0627\u062d\u0629 \u0648\u0644\u0627 \u062a\u0631\u062a\u062f\u064a\u0648\u0627 \u0627\u0644\u0633\u0631\u0627\u0648\u064a\u0644 \u0630\u0627\u062a \u0627\u0644\u0642\u0635\u0629 \u0627\u0644\u0645\u0646\u062e\u0641\u0636\u0629 \u062a\u062d\u062a \u062e\u0637 \u0627\u0644\u0645\u0644\u0627\u0628\u0633 \u0627\u0644\u062f\u0627\u062e\u0644\u064a\u0629 \u0641\u064a \u0623\u064a \u0648\u0642\u062a. \u0645\u0645\u0646\u0648\u0639 \u0644\u0628\u0633 \u0627\u0644\u0645\u0644\u0627\u0628\u0633 \u0627\u0644\u062f\u0627\u062e\u0644\u064a\u0629 \u0648\u0643\u0623\u0646\u0647\u0627 \u0645\u0644\u0627\u0628\u0633 \u0633\u0628\u0627\u062d\u0629.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.5' type='checkbox'  value='If your boyfriend or girlfriend is also at the conference, please note that no public or private displays of affection are allowed during Dor Haba (example: kissing, long hugs, holding hands).'  id='choice_75_145_5'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_5' id='label_75_145_5' class='gform-field-label gform-field-label--type-inline'>\u0625\u0630\u0627 \u0643\u0627\u0646 \u0634\u0631\u064a\u0643 \u062d\u064a\u0627\u062a\u0643 \u062d\u0627\u0636\u0631\u0627\u064b \u0641\u064a \u0627\u0644\u0645\u0624\u062a\u0645\u0631\u060c \u0641\u0627\u0639\u0644\u0645 \u0623\u0646 \u0627\u0644\u062a\u0639\u0628\u064a\u0631 \u0639\u0646 \u0627\u0644\u0645\u0648\u062f\u0629 \u0623\u062b\u0646\u0627\u0621 \u0627\u0644\u0645\u0624\u062a\u0645\u0631 \u0645\u0645\u0646\u0648\u0639. \u064a\u0631\u062c\u0649 \u0627\u0644\u062d\u0641\u0627\u0638 \u0639\u0644\u0649 \u0639\u0644\u0627\u0642\u0627\u062a\u0643\u0645 \u0627\u0644\u0649 \u0645\u0627 \u0628\u0639\u062f \u0627\u0644\u0645\u0624\u062a\u0645\u0631.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.6' type='checkbox'  value='No smoking cigarettes or using Vapes (electric cigarettes) on the camp grounds or in the surrounding area.'  id='choice_75_145_6'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_6' id='label_75_145_6' class='gform-field-label gform-field-label--type-inline'>\u0645\u0645\u0646\u0648\u0639 \u062a\u062f\u062e\u064a\u0646 \u0627\u0644\u0633\u062c\u0627\u0626\u0631 \u0623\u0648 \u0627\u0633\u062a\u062e\u062f\u0627\u0645 &#8220;vip&#8221; (\u0627\u0644\u0633\u064a\u062c\u0627\u0631\u0629 \u0627\u0644\u0643\u0647\u0631\u0628\u0627\u0626\u064a\u0629) \u0641\u064a \u062c\u0645\u064a\u0639 \u0623\u0646\u062d\u0627\u0621 \u0627\u0644\u0645\u0624\u062a\u0645\u0631 \u0648\u0627\u0644\u0645\u0646\u0627\u0637\u0642 \u0627\u0644\u0645\u062d\u064a\u0637\u0629 \u0628\u0647.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.7' type='checkbox'  value='Quiet in the buildings where the bedrooms are after 22:30. Everyone else can hang out in the areas designated for free time until it\u2019s time for the end-of-day debrief with your room leader right before bed. Lights out at 00:15.'  id='choice_75_145_7'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_7' id='label_75_145_7' class='gform-field-label gform-field-label--type-inline'>\u064a\u062c\u0628 \u0627\u0644\u0645\u062d\u0627\u0641\u0638\u0629 \u0639\u0644\u0649 \u0627\u0644\u0633\u0643\u0648\u062a \u0641\u064a \u062c\u0645\u064a\u0639 \u0623\u0646\u062d\u0627\u0621 \u0627\u0644\u063a\u0631\u0641 \u0627\u0628\u062a\u062f\u0627\u0621\u064b \u0645\u0646 \u0627\u0644\u0633\u0627\u0639\u0629 10:30 \u0645\u0633\u0627\u0621\u064b. \u064a\u0645\u0643\u0646\u0643 \u0627\u0644\u062a\u062d\u062f\u062b \u0648\u0642\u0636\u0627\u0621 \u0628\u0639\u0636 \u0627\u0644\u0648\u0642\u062a \u0641\u064a \u0627\u0644\u0645\u0646\u0637\u0642\u0629 \u0627\u0644\u0645\u0631\u0643\u0632\u064a\u0629\u060c \u062a\u062d\u062a \u0625\u0634\u0631\u0627\u0641\u060c \u062d\u062a\u0649 \u064a\u062d\u064a\u0646 \u0648\u0642\u062a \u0627\u0644\u0625\u0631\u0634\u0627\u062f \u0627\u0644\u0644\u064a\u0644\u064a \u0645\u0639 \u0645\u0631\u0634\u062f \u0627\u0644\u063a\u0631\u0641\u0629. \u0625\u0637\u0641\u0627\u0621 \u0627\u0644\u0623\u0646\u0648\u0627\u0631 \u0627\u0644\u0633\u0627\u0639\u0629 00:15.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.8' type='checkbox'  value='No one is to leave the Nordia Hostel area. No one is to wander into the Nordia residential neighborhood, the gas station, or the corner store.'  id='choice_75_145_8'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_8' id='label_75_145_8' class='gform-field-label gform-field-label--type-inline'>\u0645\u0645\u0646\u0648\u0639 \u062a\u0631\u0643 \u0645\u0646\u0637\u0642\u0629 \u0627\u0644\u0646\u064f\u0632\u064f\u0644. \u0645\u0645\u0646\u0648\u0639 \u0627\u0644\u062f\u062e\u0648\u0644 \u0627\u0644\u0649 \u0627\u0644\u062d\u0627\u0631\u0627\u062a \u0627\u0644\u0645\u062c\u0627\u0648\u0631\u0629\u060c \u0627\u0644\u0649 \u0627\u0644\u0628\u0642\u0627\u0644\u0629\u060c \u0627\u0648 \u0627\u0644\u0649 \u0645\u062d\u0637\u0629 \u0627\u0644\u0628\u0646\u0632\u064a\u0646 \u0641\u064a \u0646\u0648\u0631\u062f\u064a\u0627. <\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.9' type='checkbox'  value='Meetings, Creative Project Times, and workshops are mandatory. You cannot leave a meeting while it is in session. In case of emergency, talk to your room leader and they will decide how to handle it.'  id='choice_75_145_9'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_9' id='label_75_145_9' class='gform-field-label gform-field-label--type-inline'>\u062d\u0636\u0648\u0631 \u062c\u0645\u064a\u0639 \u0627\u0644\u0627\u062c\u062a\u0645\u0627\u0639\u0627\u062a \u0648\u0627\u0644\u0645\u0634\u0627\u0631\u064a\u0639 \u0627\u0644\u0625\u0628\u062f\u0627\u0639\u064a\u0629 \u0648\u0648\u0631\u0634 \u0627\u0644\u0639\u0645\u0644 \u0625\u0644\u0632\u0627\u0645\u064a. \u0645\u0645\u0646\u0648\u0639 \u062a\u0631\u0643 \u0627\u0644\u0627\u062c\u062a\u0645\u0627\u0639 \u0642\u0628\u0644 \u0623\u0646 \u064a\u0646\u062a\u0647\u064a. \u0641\u064a \u062d\u0627\u0644\u0629 \u0627\u0644\u0637\u0648\u0627\u0631\u0626\u060c \u062a\u062d\u062f\u062b \u0625\u0644\u0649 \u0645\u0631\u0634\u062f \u0627\u0644\u063a\u0631\u0641\u0629.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.11' type='checkbox'  value='Phones should be handed to your room leader before main Meetings., as well as 10 minutes before lights go out in the bedrooms..'  id='choice_75_145_11'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_11' id='label_75_145_11' class='gform-field-label gform-field-label--type-inline'>\u064a\u062a\u0645 \u0625\u0639\u0637\u0627\u0621 \u0627\u0644\u0647\u0648\u0627\u062a\u0641 \u0627\u0644\u0645\u062d\u0645\u0648\u0644\u0629 \u0644\u0645\u0631\u0634\u062f \u0627\u0644\u063a\u0631\u0641\u0629 \u0642\u0628\u0644 \u0627\u0644\u0627\u062c\u062a\u0645\u0627\u0639\u0627\u062a \u0648\u0627\u0644\u062a\u062c\u0645\u0651\u0639\u0627\u062a\u060c \u0648\u0643\u0630\u0644\u0643 \u0642\u0628\u0644 10 \u062f\u0642\u0627\u0626\u0642 \u0645\u0646 \u0648\u0642\u062a \u0625\u0637\u0641\u0627\u0621 \u0627\u0644\u0623\u0646\u0648\u0627\u0631.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.12' type='checkbox'  value='Vandalism or purposeful destruction of property is not allowed. Payment will be required from the parents for repair or replacement of the purposely destroyed property.'  id='choice_75_145_12'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_12' id='label_75_145_12' class='gform-field-label gform-field-label--type-inline'>\u064a\u064f\u0645\u0646\u0639 \u0645\u0646\u0639\u0627 \u0628\u0627\u062a\u0627 \u0627\u0644\u062a\u062e\u0631\u064a\u0628 \u0627\u0644\u0645\u062a\u0639\u0645\u0651\u062f \u0623\u0648 \u0623\u064a \u0646\u064a\u0651\u0629 \u0644\u0625\u062a\u0644\u0627\u0641 \u0627\u064a\u0651\u0629 \u0645\u0639\u062f\u0651\u0627\u062a \u0627\u0644\u0645\u0624\u062a\u0645\u0631. \u0641\u064a \u062d\u0627\u0644\u0629 \u0627\u0644\u062a\u062e\u0631\u064a\u0628\u060c \u0633\u064a\u064f\u0637\u0644\u0628 \u0645\u0646 \u0648\u0627\u0644\u062f\u064a \u0627\u0644\u0648\u0644\u062f \/ \u0627\u0644\u0628\u0646\u062a \u062f\u0641\u0639 \u062a\u0643\u0627\u0644\u064a\u0641 \u0627\u0644\u062a\u0635\u0644\u064a\u062d \u0648\/\u0623\u0648 \u0627\u0644\u0627\u0633\u062a\u0628\u062f\u0627\u0644.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.13' type='checkbox'  value='Everyone must treat the instruments and equipment with respect and handle them carefully. No one can remove an instrument from its practice room or play the instrument without a leader\u2019s permission. No removal of furniture, mattresses, pillows, etc from the bedrooms to the outside area or vice versa.'  id='choice_75_145_13'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_13' id='label_75_145_13' class='gform-field-label gform-field-label--type-inline'>\u064a\u062c\u0628 \u0639\u0644\u0649 \u0627\u0644\u062c\u0645\u064a\u0639 \u0627\u062d\u062a\u0631\u0627\u0645 \u0645\u0639\u062f\u0627\u062a \u0627\u0644\u0645\u0624\u062a\u0645\u0631\u060c \u0648\u062e\u0627\u0635\u0629 \u0627\u0644\u0622\u0644\u0627\u062a \u0627\u0644\u0645\u0648\u0633\u064a\u0642\u064a\u0629\u060c \u0648\u0627\u0633\u062a\u062e\u062f\u0627\u0645\u0647\u0627 \u0628\u0639\u0646\u0627\u064a\u0629. \u0644\u0627 \u064a\u062c\u0648\u0632 \u0625\u062e\u0631\u0627\u062c \u0627\u0644\u0622\u0644\u0627\u062a \u0623\u0648 \u0627\u0644\u0645\u0639\u062f\u0627\u062a \u0627\u0644\u0645\u0648\u0633\u064a\u0642\u064a\u0629 \u0645\u0646 \u063a\u0631\u0641 \u0627\u0644\u062a\u062f\u0631\u064a\u0628 \u0623\u0648 \u0627\u0644\u0639\u0632\u0641 \u0639\u0644\u064a\u0647\u0627 \u0623\u062b\u0646\u0627\u0621 \u0648\u0642\u062a \u0627\u0644\u0641\u0631\u0627\u063a \u060c \u0645\u0627 \u0644\u0645 \u064a\u062a\u0645 \u0627\u0644\u062d\u0635\u0648\u0644 \u0639\u0644\u0649 \u0625\u0630\u0646 \u0648\u0627\u0636\u062d \u0645\u0646 \u0637\u0627\u0642\u0645 \u0627\u0644\u0645\u0624\u062a\u0645\u0631. \u0628\u0627\u0644\u0625\u0636\u0627\u0641\u0629 \u0625\u0644\u0649 \u0630\u0644\u0643\u060c \u0644\u0627 \u064a\u062c\u0648\u0632 \u0625\u062e\u0631\u0627\u062c \u0627\u0644\u0623\u062b\u0627\u062b \u0648\u0627\u0644\u0645\u0639\u062f\u0627\u062a \u0645\u0646 \u0627\u0644\u063a\u0631\u0641 \u0648\/\u0623\u0648 \u0625\u062d\u0636\u0627\u0631 \u0627\u0644\u0645\u0639\u062f\u0627\u062a \u0648\u0627\u0644\u0623\u062b\u0627\u062b \u0627\u0644\u062e\u0627\u0631\u062c\u064a \u0625\u0644\u0649 \u0627\u0644\u063a\u0631\u0641 &#8211; \u0645\u0627 \u0644\u0645 \u062a\u062a\u0645 \u0627\u0644\u0645\u0648\u0627\u0641\u0642\u0629 \u0639\u0644\u0649 \u0630\u0644\u0643 \u0635\u0631\u0627\u062d\u0629 \u0645\u0646 \u0642\u0628\u0644 \u0637\u0627\u0642\u0645 \u0627\u0644\u0645\u0624\u062a\u0645\u0631.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_75_147\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"5b63a8ac\" data-field-span=\"12\"><legend id='gfield_label_75_147' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u062a\u0623\u0643\u064a\u062f \u0642\u0631\u0627\u0621\u0629 \u0627\u0644\u0642\u0648\u0627\u0646\u064a\u0646 \u0627\u0644\u062e\u0627\u0635\u0629 \u0628\u0627\u0644\u0645\u0633\u062c\u0644 \u0631\u0642\u0645 1<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_147.1' id='input_75_147_1' type='checkbox' value='1'   aria-labelledby=\"input_75_147_1_label gfield_label_75_147\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_75_147_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_75_147_1' ><span class='gform-field-label__text'>\u0644\u0642\u062f \u0642\u0631\u0623\u062a \u0627\u0644\u0642\u0648\u0627\u0646\u064a\u0646 \u0648\u0627\u0644\u0639\u0648\u0627\u0642\u0628 \u060c \u0648\u0623\u0641\u0647\u0645\u0647\u0627 \u060c \u0648\u0623\u0648\u0627\u0641\u0642 \u0639\u0644\u0649 \u0627\u062d\u062a\u0631\u0627\u0645\u0647\u0627<\/span><\/label><input type='hidden' name='input_147.2' value='\u0644\u0642\u062f \u0642\u0631\u0623\u062a \u0627\u0644\u0642\u0648\u0627\u0646\u064a\u0646 \u0648\u0627\u0644\u0639\u0648\u0627\u0642\u0628 \u060c \u0648\u0623\u0641\u0647\u0645\u0647\u0627 \u060c \u0648\u0623\u0648\u0627\u0641\u0642 \u0639\u0644\u0649 \u0627\u062d\u062a\u0631\u0627\u0645\u0647\u0627' class='gform_hidden' \/><input type='hidden' name='input_147.3' value='12' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_75_148\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"e70f5332\" data-field-span=\"12\"><legend id='gfield_label_75_148' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u062a\u0623\u0643\u064a\u062f \u0642\u0631\u0627\u0621\u0629 \u0627\u0644\u0642\u0648\u0627\u0646\u064a\u0646 \u0627\u0644\u062e\u0627\u0635\u0629 \u0628\u0627\u0644\u0645\u0633\u062c\u0644 \u0631\u0642\u0645 2<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_148.1' id='input_75_148_1' type='checkbox' value='1'   aria-labelledby=\"input_75_148_1_label gfield_label_75_148\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_75_148_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_75_148_1' ><span class='gform-field-label__text'>\u0644\u0642\u062f \u0642\u0631\u0623\u062a \u0627\u0644\u0642\u0648\u0627\u0646\u064a\u0646 \u0648\u0627\u0644\u0639\u0648\u0627\u0642\u0628 \u060c \u0648\u0623\u0641\u0647\u0645\u0647\u0627 \u060c \u0648\u0623\u0648\u0627\u0641\u0642 \u0639\u0644\u0649 \u0627\u062d\u062a\u0631\u0627\u0645\u0647\u0627<\/span><\/label><input type='hidden' name='input_148.2' value='\u0644\u0642\u062f \u0642\u0631\u0623\u062a \u0627\u0644\u0642\u0648\u0627\u0646\u064a\u0646 \u0648\u0627\u0644\u0639\u0648\u0627\u0642\u0628 \u060c \u0648\u0623\u0641\u0647\u0645\u0647\u0627 \u060c \u0648\u0623\u0648\u0627\u0641\u0642 \u0639\u0644\u0649 \u0627\u062d\u062a\u0631\u0627\u0645\u0647\u0627' class='gform_hidden' \/><input type='hidden' name='input_148.3' value='12' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_75_149\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"5238ebb8\" data-field-span=\"12\"><legend id='gfield_label_75_149' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u062a\u0623\u0643\u064a\u062f \u0642\u0631\u0627\u0621\u0629 \u0627\u0644\u0642\u0648\u0627\u0646\u064a\u0646 \u0627\u0644\u062e\u0627\u0635\u0629 \u0628\u0627\u0644\u0645\u0633\u062c\u0644 \u0631\u0642\u0645 3<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_149.1' id='input_75_149_1' type='checkbox' value='1'   aria-labelledby=\"input_75_149_1_label gfield_label_75_149\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_75_149_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_75_149_1' ><span class='gform-field-label__text'>\u0644\u0642\u062f \u0642\u0631\u0623\u062a \u0627\u0644\u0642\u0648\u0627\u0646\u064a\u0646 \u0648\u0627\u0644\u0639\u0648\u0627\u0642\u0628 \u060c \u0648\u0623\u0641\u0647\u0645\u0647\u0627 \u060c \u0648\u0623\u0648\u0627\u0641\u0642 \u0639\u0644\u0649 \u0627\u062d\u062a\u0631\u0627\u0645\u0647\u0627<\/span><\/label><input type='hidden' name='input_149.2' value='\u0644\u0642\u062f \u0642\u0631\u0623\u062a \u0627\u0644\u0642\u0648\u0627\u0646\u064a\u0646 \u0648\u0627\u0644\u0639\u0648\u0627\u0642\u0628 \u060c \u0648\u0623\u0641\u0647\u0645\u0647\u0627 \u060c \u0648\u0623\u0648\u0627\u0641\u0642 \u0639\u0644\u0649 \u0627\u062d\u062a\u0631\u0627\u0645\u0647\u0627' class='gform_hidden' \/><input type='hidden' name='input_149.3' value='12' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_75_151\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"66bf06ea\" data-field-span=\"12\"><legend id='gfield_label_75_151' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u062a\u0623\u0643\u064a\u062f \u0642\u0631\u0627\u0621\u0629 \u0627\u0644\u0642\u0648\u0627\u0646\u064a\u0646 \u0644\u0644\u0645\u0633\u062c\u0644 \u0631\u0642\u0645 4<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_151.1' id='input_75_151_1' type='checkbox' value='1'   aria-labelledby=\"input_75_151_1_label gfield_label_75_151\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_75_151_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_75_151_1' ><span class='gform-field-label__text'>\u0644\u0642\u062f \u0642\u0631\u0623\u062a \u0627\u0644\u0642\u0648\u0627\u0646\u064a\u0646 \u0648\u0627\u0644\u0639\u0648\u0627\u0642\u0628 \u060c \u0648\u0623\u0641\u0647\u0645\u0647\u0627 \u060c \u0648\u0623\u0648\u0627\u0641\u0642 \u0639\u0644\u0649 \u0627\u062d\u062a\u0631\u0627\u0645\u0647\u0627<\/span><\/label><input type='hidden' name='input_151.2' value='\u0644\u0642\u062f \u0642\u0631\u0623\u062a \u0627\u0644\u0642\u0648\u0627\u0646\u064a\u0646 \u0648\u0627\u0644\u0639\u0648\u0627\u0642\u0628 \u060c \u0648\u0623\u0641\u0647\u0645\u0647\u0627 \u060c \u0648\u0623\u0648\u0627\u0641\u0642 \u0639\u0644\u0649 \u0627\u062d\u062a\u0631\u0627\u0645\u0647\u0627' class='gform_hidden' \/><input type='hidden' name='input_151.3' value='12' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_75_152\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"cc29ad4c\" data-field-span=\"12\"><legend id='gfield_label_75_152' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u062a\u0623\u0643\u064a\u062f \u0642\u0631\u0627\u0621\u0629 \u0627\u0644\u0642\u0648\u0627\u0646\u064a\u0646 \u0644\u0644\u0645\u0633\u062c\u0644 \u0631\u0642\u0645 5<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_152.1' id='input_75_152_1' type='checkbox' value='1'   aria-labelledby=\"input_75_152_1_label gfield_label_75_152\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_75_152_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_75_152_1' ><span class='gform-field-label__text'>\u0644\u0642\u062f \u0642\u0631\u0623\u062a \u0627\u0644\u0642\u0648\u0627\u0646\u064a\u0646 \u0648\u0627\u0644\u0639\u0648\u0627\u0642\u0628 \u060c \u0648\u0623\u0641\u0647\u0645\u0647\u0627 \u060c \u0648\u0623\u0648\u0627\u0641\u0642 \u0639\u0644\u0649 \u0627\u062d\u062a\u0631\u0627\u0645\u0647\u0627<\/span><\/label><input type='hidden' name='input_152.2' value='\u0644\u0642\u062f \u0642\u0631\u0623\u062a \u0627\u0644\u0642\u0648\u0627\u0646\u064a\u0646 \u0648\u0627\u0644\u0639\u0648\u0627\u0642\u0628 \u060c \u0648\u0623\u0641\u0647\u0645\u0647\u0627 \u060c \u0648\u0623\u0648\u0627\u0641\u0642 \u0639\u0644\u0649 \u0627\u062d\u062a\u0631\u0627\u0645\u0647\u0627' class='gform_hidden' \/><input type='hidden' name='input_152.3' value='12' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_75_146\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"02979652\" data-field-span=\"12\"><legend id='gfield_label_75_146' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u062a\u0623\u0643\u064a\u062f \u0642\u0631\u0627\u0621\u0629 \u0627\u0644\u0642\u0648\u0627\u0646\u064a\u0646 &#8211; \u0623\u0648\u0644\u064a\u0627\u0621 \u0627\u0644\u0623\u0645\u0648\u0631<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_146.1' id='input_75_146_1' type='checkbox' value='1'   aria-labelledby=\"input_75_146_1_label gfield_label_75_146\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_75_146_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_75_146_1' ><span class='gform-field-label__text'>\u0644\u0642\u062f \u0642\u0631\u0623\u062a \u0627\u0644\u0642\u0648\u0627\u0646\u064a\u0646 \u0648\u0627\u0644\u0639\u0648\u0627\u0642\u0628 \u060c \u0648\u0646\u0627\u0642\u0634\u062a\u0647\u0627 \u0645\u0639 \u0627\u0628\u0646\u064a \/ \u0627\u0628\u0646\u062a\u064a \u0627\u0644\u0630\u064a \u0633\u064a\u062d\u0636\u0631 \u0627\u0644\u0645\u0624\u062a\u0645\u0631 \u060c \u0648\u0623\u0648\u0627\u0641\u0642 \u0639\u0644\u0649 \u062a\u0631\u062a\u064a\u0628 \u0627\u0644\u0639\u0648\u062f\u0629 \u0625\u0644\u0649 \u0627\u0644\u0628\u064a\u062a \u0625\u0630\u0627 \u062a\u0645 \u0625\u062e\u0628\u0627\u0631\u0647\/\u0647\u0627 \u0627\u0646 \u0639\u0644\u064a\u0647\/\u0639\u0644\u064a\u0647\u0627 \u0645\u063a\u0627\u062f\u0631\u0629 \u0627\u0644\u0645\u0624\u062a\u0645\u0631 \u0628\u0633\u0628\u0628 \u062a\u0635\u0631\u0641\u0627\u062a \u0623\u0648 \u0633\u0644\u0648\u0643 \u063a\u064a\u0631 \u0645\u062d\u062a\u0631\u0645 \u0645\u062b\u0644 \u0645\u0627 \u062a\u0645\u0651 \u0648\u0635\u0641\u0647\u0627 \u0641\u064a \u0627\u0644\u0639\u0648\u0627\u0642\u0628.<\/span><\/label><input type='hidden' name='input_146.2' value='\u0644\u0642\u062f \u0642\u0631\u0623\u062a \u0627\u0644\u0642\u0648\u0627\u0646\u064a\u0646 \u0648\u0627\u0644\u0639\u0648\u0627\u0642\u0628 \u060c \u0648\u0646\u0627\u0642\u0634\u062a\u0647\u0627 \u0645\u0639 \u0627\u0628\u0646\u064a \/ \u0627\u0628\u0646\u062a\u064a \u0627\u0644\u0630\u064a \u0633\u064a\u062d\u0636\u0631 \u0627\u0644\u0645\u0624\u062a\u0645\u0631 \u060c \u0648\u0623\u0648\u0627\u0641\u0642 \u0639\u0644\u0649 \u062a\u0631\u062a\u064a\u0628 \u0627\u0644\u0639\u0648\u062f\u0629 \u0625\u0644\u0649 \u0627\u0644\u0628\u064a\u062a \u0625\u0630\u0627 \u062a\u0645 \u0625\u062e\u0628\u0627\u0631\u0647\/\u0647\u0627 \u0627\u0646 \u0639\u0644\u064a\u0647\/\u0639\u0644\u064a\u0647\u0627 \u0645\u063a\u0627\u062f\u0631\u0629 \u0627\u0644\u0645\u0624\u062a\u0645\u0631 \u0628\u0633\u0628\u0628 \u062a\u0635\u0631\u0641\u0627\u062a \u0623\u0648 \u0633\u0644\u0648\u0643 \u063a\u064a\u0631 \u0645\u062d\u062a\u0631\u0645 \u0645\u062b\u0644 \u0645\u0627 \u062a\u0645\u0651 \u0648\u0635\u0641\u0647\u0627 \u0641\u064a \u0627\u0644\u0639\u0648\u0627\u0642\u0628.' class='gform_hidden' \/><input type='hidden' name='input_146.3' value='12' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_75_275\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"01c5e36e\" data-field-span=\"12\"><h3 class=\"gsection_title\">\u062a\u0635\u0627\u0631\u064a\u062d \u062e\u0627\u0635\u0629<\/h3><\/div><fieldset id=\"field_75_274\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"5f878d73\" data-field-span=\"12\"><legend id='gfield_label_75_274' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u0627\u0644\u0645\u0648\u0627\u0641\u0642\u0629 \u0639\u0644\u0649 \u0627\u0644\u0627\u0634\u062a\u0631\u0627\u0643 \u0628\u0645\u0634\u0631\u0648\u0639 \u0627\u0628\u062f\u0627\u0639\u064a<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_75_274'>\u0623\u0648\u0627\u0641\u0642 \u0639\u0644\u0649 \u0627\u0634\u062a\u0631\u0627\u0643 \u0627\u0628\u0646\u064a \/ \u0627\u0628\u0646\u062a\u064a \u0641\u064a \u0645\u0642\u0637\u0639 \u0623\u0648 \u0641\u064a\u062f\u064a\u0648 \u0645\u0646 \u0625\u0646\u062a\u0627\u062c \u0627\u0644\u0645\u0634\u0627\u0631\u0643\u064a\u0646 \u0641\u064a \u0627\u0644\u0645\u0624\u062a\u0645\u0631 \u0627\u0644\u0630\u064a\u0646 \u0633\u064a\u0639\u0645\u0644\u0648\u0646 \u0641\u064a \u0625\u0646\u062a\u0627\u062c \u0627\u0644\u0623\u0641\u0644\u0627\u0645\/\u0627\u0644\u0641\u064a\u062f\u064a\u0648\u0647\u0627\u062a \u0641\u064a \u0627\u0644\u0645\u0624\u062a\u0645\u0631 \u0648\u0627\u0644\u062a\u064a \u0633\u062a\u0638\u0647\u0631 \u0639\u0644\u0649 \u0642\u0646\u0627\u0629 \u0627\u0644\u064a\u0648\u062a\u064a\u0648\u0628 \u0644\u0644\u062c\u064a\u0644 \u0627\u0644\u0635\u0627\u0639\u062f<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_75_274'>\n\t\t\t<div class='gchoice gchoice_75_274_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_274' type='radio' value='\u0646\u0639\u0645' checked='checked' id='choice_75_274_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_75_274\" aria-labelledby=\"label_75_274_0 gfield_label_75_274\"   \/>\n\t\t\t\t\t<label for='choice_75_274_0' id='label_75_274_0' class='gform-field-label gform-field-label--type-inline'>\u0646\u0639\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_274_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_274' type='radio' value='Yes, but not as a main character'  id='choice_75_274_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_274_1' id='label_75_274_1' class='gform-field-label gform-field-label--type-inline'>\u0646\u0639\u0645 \u060c \u0648\u0644\u0643\u0646 \u0644\u064a\u0633 \u0643\u0634\u062e\u0635\u064a\u0629 \u0631\u0626\u064a\u0633\u064a\u0629 \u0641\u064a \u0627\u0644\u0641\u064a\u062f\u064a\u0648<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_274_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_274' type='radio' value='No'  id='choice_75_274_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_274_2' id='label_75_274_2' class='gform-field-label gform-field-label--type-inline'>\u0644\u0627<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_75_183\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"36b04326\" data-field-span=\"12\"><h3 class=\"gsection_title\">\u0645\u0648\u0627\u0641\u0642\u0629 \u0627\u0644\u0627\u0647\u0644<\/h3><\/div><div id=\"field_75_354\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"782cb620\" data-field-span=\"12\"><label id='gfield_label_75_354' class='gfield_label gform-field-label' for='input_75_354'><span class='gform-field-label__text'>\u0627\u0644\u062d\u0627\u0644\u0629 \u0627\u0644\u0627\u062c\u062a\u0645\u0627\u0639\u064a\u0629<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_354'>\u064a\u0631\u062c\u0649 \u0645\u0644\u0627\u062d\u0638\u0629 \u0623\u0646\u0647 \u0641\u064a \u062d\u0627\u0644 \u0623\u0646 \u0627\u0644\u0648\u0627\u0644\u062f\u064a\u0646 \u0645\u0637\u0644\u0642\u0651\u064a\u0646\u060c \u064a\u062c\u0628 \u0639\u0644\u0649 \u0643\u0644\u0627 \u0627\u0644\u0648\u0627\u0644\u062f\u064a\u0646 \u0627\u0644\u062a\u0648\u0642\u064a\u0639 \u0639\u0644\u0649 \u0627\u0644\u0646\u0645\u0648\u0630\u062c!<\/div><div class='ginput_container ginput_container_select'><select name='input_354' id='input_75_354' class='large gfield_select'  aria-describedby=\"gfield_description_75_354\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='- \u0646\u0631\u062c\u0648 \u0627\u0644\u0627\u062e\u062a\u064a\u0627\u0631 \u0645\u0646 \u0627\u0644\u0642\u0627\u0626\u0645\u0629 -' >&#8211; \u0646\u0631\u062c\u0648 \u0627\u0644\u0627\u062e\u062a\u064a\u0627\u0631 \u0645\u0646 \u0627\u0644\u0642\u0627\u0626\u0645\u0629 &#8211;<\/option><option value='\u0645\u062a\u0632\u0648\u062c\/\u0629' >\u0645\u062a\u0632\u0648\u062c\/\u0629<\/option><option value='\u0623\u0645 \u0648\u062d\u064a\u062f\u0629 (\u0642\u0627\u0646\u0648\u0646\u064a\u0627\u064b)' >\u0623\u0645 \u0648\u062d\u064a\u062f\u0629 (\u0642\u0627\u0646\u0648\u0646\u064a\u0627\u064b)<\/option><option value='\u0623\u0628 \u0648\u062d\u064a\u062f (\u0642\u0627\u0646\u0648\u0646\u064a\u0627\u064b)' >\u0623\u0628 \u0648\u062d\u064a\u062f (\u0642\u0627\u0646\u0648\u0646\u064a\u0627\u064b)<\/option><option value='\u0645\u064f\u0637\u0644\u0651\u0642\/\u0629 (\u0648\u0635\u0627\u064a\u0629 \u0645\u0634\u062a\u0631\u0643\u0629)' >\u0645\u064f\u0637\u0644\u0651\u0642\/\u0629 (\u0648\u0635\u0627\u064a\u0629 \u0645\u0634\u062a\u0631\u0643\u0629)<\/option><\/select><\/div><\/div><fieldset id=\"field_75_90\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"1d7d59c2\" data-field-span=\"12\"><legend id='gfield_label_75_90' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u062a\u0641\u0627\u0635\u064a\u0644 \u0627\u0644\u0627\u0645<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_75_90'>\u0627\u0648 \u0627\u0644\u0648\u0635\u064a (\u0627\u0628\u0648\u062a\u0631\u0648\u0628\u0648\u0633)<\/div><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name has_suffix gf_name_has_4 ginput_container_name gform-grid-row' id='input_75_90'>\n                            \n                            <span id='input_75_90_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_90.3' id='input_75_90_3' value=''   aria-required='true'     aria-describedby=\"gfield_description_75_90\" aria-labelledby=\"input_75_90_3_label gfield_label_75_90\"\/>\n                                                    <label for='input_75_90_3' id='input_75_90_3_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0627\u0633\u0645 \u0627\u0644\u0634\u062e\u0635\u064a<\/label>\n                                                <\/span>\n                            <span id='input_75_90_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_90.4' id='input_75_90_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_75_90_4' id='input_75_90_4_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0633\u0645 \u0627\u0644\u0639\u0627\u0626\u0644\u0629<\/label>\n                                                <\/span>\n                            <span id='input_75_90_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_90.6' id='input_75_90_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_75_90_6' id='input_75_90_6_label' class='gform-field-label gform-field-label--type-sub '>\u0631\u0642\u0645 \u0627\u0644\u0647\u0627\u062a\u0641<\/label>\n                                                <\/span>\n                            <span id='input_75_90_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_90.8' id='input_75_90_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_75_90_8' id='input_75_90_8_label' class='gform-field-label gform-field-label--type-sub '>\u0628\u0637\u0627\u0642\u0629 \u062a\u0639\u0631\u064a\u0641<\/label>\n                                                <\/span>\n                        <\/div><\/fieldset><fieldset id=\"field_75_136\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"8755ada7\" data-field-span=\"6\"><legend id='gfield_label_75_136' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u0645\u0648\u0627\u0641\u0642\u0629 \u0627\u0644\u0627\u0645<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_136.1' id='input_75_136_1' type='checkbox' value='1'   aria-labelledby=\"input_75_136_1_label gfield_label_75_136\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_75_136_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_75_136_1' ><span class='gform-field-label__text'>\u0627\u0646\u0627 \u0627\u0648\u0627\u0641\u0642 \u0644\u0625\u0628\u0646\u064a\/ \u0625\u0628\u0646\u062a\u064a \u0627\u0644\u0645\u0634\u0627\u0631\u0643\u0629 \u0641\u064a \u0645\u0624\u062a\u0645\u0631 &#8220;\u0627\u0644\u062c\u064a\u0644 \u0627\u0644\u0635\u0627\u0639\u062f&#8221; (\u062f\u0648\u0631 \u0647\u0627\u0628\u0627) \u0627\u0644\u0630\u064a \u064a\u064f\u0639\u0642\u062f \u0641\u064a \u0628\u064a\u062a \u0627\u0644\u0636\u064a\u0627\u0641\u0629 \u2018\u0646\u0648\u0631\u062f\u064a\u0627\u2019 \u0628\u064a\u0646 \u0627\u0644\u062a\u0648\u0627\u0631\u064a\u062e:<br>14-17. 07. 2025 \u0623\u0641\u0647\u0645 \u0648\u0623\u0648\u0627\u0641\u0642 \u0639\u0644\u0649 \u0623\u0646 \u0647\u0630\u0627 \u0645\u0624\u062a\u0645\u0631 \u0645\u0633\u064a\u0627\u0646\u064a \u062a\u062d\u062a \u0631\u0639\u0627\u064a\u0629 &#8220;\u0633\u0648\u0643\u0627\u062a \u0647\u0644\u064a\u0644&#8221;\u060c \u062d\u064a\u062b \u064a\u062a\u0639\u0644\u0645\u0648\u0646 \u0648\u064a\u0639\u0644\u0645\u0648\u0646 \u0645\u0646 \u0627\u0644\u0643\u062a\u0627\u0628 \u0627\u0644\u0645\u0642\u062f\u0633 \u0648\u0627\u0644\u0639\u0647\u062f \u0627\u0644\u062c\u062f\u064a\u062f\u060c \u0645\u0639 \u0627\u0644\u0627\u0639\u062a\u0631\u0627\u0641 \u0628\u0623\u0646 \u064a\u0633\u0648\u0639 \u0647\u0648 \u0627\u0644\u0645\u0633\u064a\u062d \u0648\u0627\u0628\u0646 \u0627\u0644\u0644\u0647.<\/span><\/label><input type='hidden' name='input_136.2' value='\u0627\u0646\u0627 \u0627\u0648\u0627\u0641\u0642 \u0644\u0625\u0628\u0646\u064a\/ \u0625\u0628\u0646\u062a\u064a \u0627\u0644\u0645\u0634\u0627\u0631\u0643\u0629 \u0641\u064a \u0645\u0624\u062a\u0645\u0631 &quot;\u0627\u0644\u062c\u064a\u0644 \u0627\u0644\u0635\u0627\u0639\u062f&quot; (\u062f\u0648\u0631 \u0647\u0627\u0628\u0627) \u0627\u0644\u0630\u064a \u064a\u064f\u0639\u0642\u062f \u0641\u064a \u0628\u064a\u062a \u0627\u0644\u0636\u064a\u0627\u0641\u0629 \u2018\u0646\u0648\u0631\u062f\u064a\u0627\u2019 \u0628\u064a\u0646 \u0627\u0644\u062a\u0648\u0627\u0631\u064a\u062e:&lt;br&gt;14-17. 07. 2025 \u0623\u0641\u0647\u0645 \u0648\u0623\u0648\u0627\u0641\u0642 \u0639\u0644\u0649 \u0623\u0646 \u0647\u0630\u0627 \u0645\u0624\u062a\u0645\u0631 \u0645\u0633\u064a\u0627\u0646\u064a \u062a\u062d\u062a \u0631\u0639\u0627\u064a\u0629 &quot;\u0633\u0648\u0643\u0627\u062a \u0647\u0644\u064a\u0644&quot;\u060c \u062d\u064a\u062b \u064a\u062a\u0639\u0644\u0645\u0648\u0646 \u0648\u064a\u0639\u0644\u0645\u0648\u0646 \u0645\u0646 \u0627\u0644\u0643\u062a\u0627\u0628 \u0627\u0644\u0645\u0642\u062f\u0633 \u0648\u0627\u0644\u0639\u0647\u062f \u0627\u0644\u062c\u062f\u064a\u062f\u060c \u0645\u0639 \u0627\u0644\u0627\u0639\u062a\u0631\u0627\u0641 \u0628\u0623\u0646 \u064a\u0633\u0648\u0639 \u0647\u0648 \u0627\u0644\u0645\u0633\u064a\u062d \u0648\u0627\u0628\u0646 \u0627\u0644\u0644\u0647.' class='gform_hidden' \/><input type='hidden' name='input_136.3' value='12' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_75_133\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"8755ada7\" data-field-span=\"6\"><legend id='gfield_label_75_133' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u062a\u0648\u0642\u064a\u0639 \u0627\u0644\u0627\u0645<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class=\"ginput_container ginput_container_signature\"><input type='hidden' value='' name='input_133' id='input_75_133_signature_filename' class='gfield_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_75_133_Container' class='gfield_signature_container' style='height:90px; width:300px; ' ><input type='hidden' id='input_75_133_data' name='input_75_133_data' class='gfield_signature_data' \/><canvas id=\"input_75_133\" width=\"300\" height=\"90\" style=\"border-style: Dashed; border-width: 2px; border-color: #757575; background-color:#FFFFFF; cursor: url(https:\/\/dorhaba.com\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;\" tabindex=\"0\" aria-label=\"Signature pad\" ><\/canvas><input type='text' id='input_75_133_textinput' name='input_75_133_textinput' class='gfield_signature_text_input' style='text-indent:10px;display:none;width:300px;height:90px;border-style:Dashed;border-width:2px;border-color:#757575;background-color:#FFFFFF;font-family:&quot;Snell Roundhand&quot;, &quot;Segoe Script&quot;, cursive;font-size:2em;padding:0 12px;box-sizing:border-box;color:#000000;' placeholder='Type your signature' autocomplete='off' aria-label='Type your signature' \/><style type='text\/css'>\n                #input_75_133_textinput::placeholder {\n                    font-size: 1.5rem;\n                    font-family: Arial;\n                    opacity: 0.8;\n                }\n            <\/style><\/div><div id='input_75_133_toolbar' class='gfield_signature_toolbar' dir='ltr' style='margin:5px 0;position:relative;height:35px;width:300px;max-width:100%;display:flex;align-items:center;'><div id='input_75_133_status' class='gfield_signature_status gform-visually-hidden' role='status' aria-live='polite' aria-atomic='true' style='position:absolute;width:1px;height:1px;padding:0;margin:-1px;overflow:hidden;clip:rect(0,0,0,0);white-space:nowrap;border:0;'><\/div><input type='hidden' id='input_75_133_font_select' class='gfield_signature_font_select' value='script' \/><div id='input_75_133_font_dropdown' class='gfield_signature_font_dropdown'><span class='gform-common-icon gform-common-icon--chevron-down gfield_signature_font_dropdown_icon'><\/span><button type='button' id='input_75_133_font_select_button' class='gfield_signature_font_select_button gform-theme__disable' tabindex='0' aria-haspopup='listbox' aria-expanded='false' aria-label='Font Options' style='width:100%;box-sizing:border-box;overflow:hidden;text-overflow:ellipsis;white-space:nowrap;font-family:\"Snell Roundhand\", \"Segoe Script\", cursive;color:#000000'>Your Name<\/button><ul id='input_75_133_font_select_list' class='gfield_signature_font_select_list' role='listbox' tabindex='-1' style='display:none;position:absolute;top:100%;left:0;right:0;margin:0;padding:0;list-style:none;background:#fff;border:1px solid #ccc;z-index:10;max-height:200px;overflow-y:auto;box-sizing:border-box;'><li class='gfield_signature_font_option' role='option' data-value='script' tabindex='0' style='font-family:&quot;Snell Roundhand&quot;, &quot;Segoe Script&quot;, cursive; color:#000000' aria-label='Your Name, Script style'>Your Name<\/li><li class='gfield_signature_font_option' role='option' data-value='handwritten' tabindex='0' style='font-family:&quot;Bradley Hand&quot;, &quot;Comic Sans MS&quot;, cursive; color:#000000' aria-label='Your Name, Handwritten style'>Your Name<\/li><li class='gfield_signature_font_option' role='option' data-value='print' tabindex='0' style='font-family:&quot;Noteworthy&quot;, &quot;Segoe Print&quot;, cursive; color:#000000' aria-label='Your Name, Print style'>Your Name<\/li><\/ul><\/div><div class='gfield_signature_toolbar_icons' style='margin-left:auto;display:flex;align-items:center;'><button type='button' id='input_75_133_textbutton' class='gform-common-icon gform-common-icon--text-field gfield_signature_text_button gform-theme-no-framework' tabindex='0' style='background:none;border:0;padding:0;margin:0;appearance:none;-webkit-appearance:none;cursor:pointer;' alt='Text Signature' aria-label='Text Signature'><\/button><button type='button' id='input_75_133_drawbutton' class='gform-common-icon gform-common-icon--pencil gfield_signature_draw_button gform-theme-no-framework' tabindex='0' style='display:none;background:none;border:0;padding:0;margin:0;appearance:none;-webkit-appearance:none;cursor:pointer;' alt='Draw Signature' aria-label='Draw Signature'><\/button><button type='button' id='input_75_133_resetbutton' class='gform-common-icon gform-common-icon--arrow-path gfield_signature_reset_button gform-theme-no-framework' tabindex='0' style='background:none;border:0;padding:0;margin:0;appearance:none;-webkit-appearance:none;cursor:pointer;' alt='Clear Signature' aria-label='Clear Signature'><\/button><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_75_91\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"ee6c9e91\" data-field-span=\"12\"><legend id='gfield_label_75_91' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u062a\u0641\u0627\u0635\u064a\u0644 \u0627\u0644\u0627\u0628<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_75_91'>\u0627\u0648 \u0627\u0644\u0648\u0635\u064a (\u0627\u0628\u0648\u062a\u0631\u0648\u0628\u0648\u0633)<\/div><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name has_suffix gf_name_has_4 ginput_container_name gform-grid-row' id='input_75_91'>\n                            \n                            <span id='input_75_91_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_91.3' id='input_75_91_3' value=''   aria-required='true'     aria-describedby=\"gfield_description_75_91\" aria-labelledby=\"input_75_91_3_label gfield_label_75_91\"\/>\n                                                    <label for='input_75_91_3' id='input_75_91_3_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0627\u0633\u0645 \u0627\u0644\u0634\u062e\u0635\u064a<\/label>\n                                                <\/span>\n                            <span id='input_75_91_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_91.4' id='input_75_91_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_75_91_4' id='input_75_91_4_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0633\u0645 \u0627\u0644\u0639\u0627\u0626\u0644\u0629<\/label>\n                                                <\/span>\n                            <span id='input_75_91_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_91.6' id='input_75_91_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_75_91_6' id='input_75_91_6_label' class='gform-field-label gform-field-label--type-sub '>\u0631\u0642\u0645 \u0627\u0644\u0647\u0627\u062a\u0641<\/label>\n                                                <\/span>\n                            <span id='input_75_91_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_91.8' id='input_75_91_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_75_91_8' id='input_75_91_8_label' class='gform-field-label gform-field-label--type-sub '>\u0631\u0642\u0645 \u0627\u0644\u0647\u0648\u064a\u0629<\/label>\n                                                <\/span>\n                        <\/div><\/fieldset><fieldset id=\"field_75_140\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"d644082d\" data-field-span=\"6\"><legend id='gfield_label_75_140' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u0645\u0648\u0627\u0641\u0642\u0629 \u0627\u0644\u0627\u0628<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_140.1' id='input_75_140_1' type='checkbox' value='1'   aria-labelledby=\"input_75_140_1_label gfield_label_75_140\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_75_140_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_75_140_1' ><span class='gform-field-label__text'>\u0627\u0646\u0627 \u0627\u0648\u0627\u0641\u0642 \u0644\u0625\u0628\u0646\u064a\/ \u0625\u0628\u0646\u062a\u064a \u0627\u0644\u0645\u0634\u0627\u0631\u0643\u0629 \u0641\u064a \u0645\u0624\u062a\u0645\u0631 &#8220;\u0627\u0644\u062c\u064a\u0644 \u0627\u0644\u0635\u0627\u0639\u062f&#8221; (\u062f\u0648\u0631 \u0647\u0627\u0628\u0627) \u0627\u0644\u0630\u064a \u064a\u064f\u0639\u0642\u062f \u0641\u064a \u0628\u064a\u062a \u0627\u0644\u0636\u064a\u0627\u0641\u0629 \u2018\u0646\u0648\u0631\u062f\u064a\u0627\u2019 \u0628\u064a\u0646 \u0627\u0644\u062a\u0648\u0627\u0631\u064a\u062e:<br>14-17. 07. 2025 \u0623\u0641\u0647\u0645 \u0648\u0623\u0648\u0627\u0641\u0642 \u0639\u0644\u0649 \u0623\u0646 \u0647\u0630\u0627 \u0645\u0624\u062a\u0645\u0631 \u0645\u0633\u064a\u0627\u0646\u064a \u062a\u062d\u062a \u0631\u0639\u0627\u064a\u0629 &#8220;\u0633\u0648\u0643\u0627\u062a \u0647\u0644\u064a\u0644&#8221;\u060c \u062d\u064a\u062b \u064a\u062a\u0639\u0644\u0645\u0648\u0646 \u0648\u064a\u0639\u0644\u0645\u0648\u0646 \u0645\u0646 \u0627\u0644\u0643\u062a\u0627\u0628 \u0627\u0644\u0645\u0642\u062f\u0633 \u0648\u0627\u0644\u0639\u0647\u062f \u0627\u0644\u062c\u062f\u064a\u062f\u060c \u0645\u0639 \u0627\u0644\u0627\u0639\u062a\u0631\u0627\u0641 \u0628\u0623\u0646 \u064a\u0633\u0648\u0639 \u0647\u0648 \u0627\u0644\u0645\u0633\u064a\u062d \u0648\u0627\u0628\u0646 \u0627\u0644\u0644\u0647.<\/span><\/label><input type='hidden' name='input_140.2' value='\u0627\u0646\u0627 \u0627\u0648\u0627\u0641\u0642 \u0644\u0625\u0628\u0646\u064a\/ \u0625\u0628\u0646\u062a\u064a \u0627\u0644\u0645\u0634\u0627\u0631\u0643\u0629 \u0641\u064a \u0645\u0624\u062a\u0645\u0631 &quot;\u0627\u0644\u062c\u064a\u0644 \u0627\u0644\u0635\u0627\u0639\u062f&quot; (\u062f\u0648\u0631 \u0647\u0627\u0628\u0627) \u0627\u0644\u0630\u064a \u064a\u064f\u0639\u0642\u062f \u0641\u064a \u0628\u064a\u062a \u0627\u0644\u0636\u064a\u0627\u0641\u0629 \u2018\u0646\u0648\u0631\u062f\u064a\u0627\u2019 \u0628\u064a\u0646 \u0627\u0644\u062a\u0648\u0627\u0631\u064a\u062e:&lt;br&gt;14-17. 07. 2025 \u0623\u0641\u0647\u0645 \u0648\u0623\u0648\u0627\u0641\u0642 \u0639\u0644\u0649 \u0623\u0646 \u0647\u0630\u0627 \u0645\u0624\u062a\u0645\u0631 \u0645\u0633\u064a\u0627\u0646\u064a \u062a\u062d\u062a \u0631\u0639\u0627\u064a\u0629 &quot;\u0633\u0648\u0643\u0627\u062a \u0647\u0644\u064a\u0644&quot;\u060c \u062d\u064a\u062b \u064a\u062a\u0639\u0644\u0645\u0648\u0646 \u0648\u064a\u0639\u0644\u0645\u0648\u0646 \u0645\u0646 \u0627\u0644\u0643\u062a\u0627\u0628 \u0627\u0644\u0645\u0642\u062f\u0633 \u0648\u0627\u0644\u0639\u0647\u062f \u0627\u0644\u062c\u062f\u064a\u062f\u060c \u0645\u0639 \u0627\u0644\u0627\u0639\u062a\u0631\u0627\u0641 \u0628\u0623\u0646 \u064a\u0633\u0648\u0639 \u0647\u0648 \u0627\u0644\u0645\u0633\u064a\u062d \u0648\u0627\u0628\u0646 \u0627\u0644\u0644\u0647.' class='gform_hidden' \/><input type='hidden' name='input_140.3' value='12' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_75_139\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"d644082d\" data-field-span=\"6\"><legend id='gfield_label_75_139' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u062a\u0648\u0642\u064a\u0639 \u0627\u0644\u0627\u0628<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class=\"ginput_container ginput_container_signature\"><input type='hidden' value='' name='input_139' id='input_75_139_signature_filename' class='gfield_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_75_139_Container' class='gfield_signature_container' style='height:90px; width:300px; ' ><input type='hidden' id='input_75_139_data' name='input_75_139_data' class='gfield_signature_data' \/><canvas id=\"input_75_139\" width=\"300\" height=\"90\" style=\"border-style: Dashed; border-width: 2px; border-color: #757575; background-color:#FFFFFF; cursor: url(https:\/\/dorhaba.com\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;\" tabindex=\"0\" aria-label=\"Signature pad\" ><\/canvas><input type='text' id='input_75_139_textinput' name='input_75_139_textinput' class='gfield_signature_text_input' style='text-indent:10px;display:none;width:300px;height:90px;border-style:Dashed;border-width:2px;border-color:#757575;background-color:#FFFFFF;font-family:&quot;Snell Roundhand&quot;, &quot;Segoe Script&quot;, cursive;font-size:2em;padding:0 12px;box-sizing:border-box;color:#000000;' placeholder='Type your signature' autocomplete='off' aria-label='Type your signature' \/><style type='text\/css'>\n                #input_75_139_textinput::placeholder {\n                    font-size: 1.5rem;\n                    font-family: Arial;\n                    opacity: 0.8;\n                }\n            <\/style><\/div><div id='input_75_139_toolbar' class='gfield_signature_toolbar' dir='ltr' style='margin:5px 0;position:relative;height:35px;width:300px;max-width:100%;display:flex;align-items:center;'><div id='input_75_139_status' class='gfield_signature_status gform-visually-hidden' role='status' aria-live='polite' aria-atomic='true' style='position:absolute;width:1px;height:1px;padding:0;margin:-1px;overflow:hidden;clip:rect(0,0,0,0);white-space:nowrap;border:0;'><\/div><input type='hidden' id='input_75_139_font_select' class='gfield_signature_font_select' value='script' \/><div id='input_75_139_font_dropdown' class='gfield_signature_font_dropdown'><span class='gform-common-icon gform-common-icon--chevron-down gfield_signature_font_dropdown_icon'><\/span><button type='button' id='input_75_139_font_select_button' class='gfield_signature_font_select_button gform-theme__disable' tabindex='0' aria-haspopup='listbox' aria-expanded='false' aria-label='Font Options' style='width:100%;box-sizing:border-box;overflow:hidden;text-overflow:ellipsis;white-space:nowrap;font-family:\"Snell Roundhand\", \"Segoe Script\", cursive;color:#000000'>Your Name<\/button><ul id='input_75_139_font_select_list' class='gfield_signature_font_select_list' role='listbox' tabindex='-1' style='display:none;position:absolute;top:100%;left:0;right:0;margin:0;padding:0;list-style:none;background:#fff;border:1px solid #ccc;z-index:10;max-height:200px;overflow-y:auto;box-sizing:border-box;'><li class='gfield_signature_font_option' role='option' data-value='script' tabindex='0' style='font-family:&quot;Snell Roundhand&quot;, &quot;Segoe Script&quot;, cursive; color:#000000' aria-label='Your Name, Script style'>Your Name<\/li><li class='gfield_signature_font_option' role='option' data-value='handwritten' tabindex='0' style='font-family:&quot;Bradley Hand&quot;, &quot;Comic Sans MS&quot;, cursive; color:#000000' aria-label='Your Name, Handwritten style'>Your Name<\/li><li class='gfield_signature_font_option' role='option' data-value='print' tabindex='0' style='font-family:&quot;Noteworthy&quot;, &quot;Segoe Print&quot;, cursive; color:#000000' aria-label='Your Name, Print style'>Your Name<\/li><\/ul><\/div><div class='gfield_signature_toolbar_icons' style='margin-left:auto;display:flex;align-items:center;'><button type='button' id='input_75_139_textbutton' class='gform-common-icon gform-common-icon--text-field gfield_signature_text_button gform-theme-no-framework' tabindex='0' style='background:none;border:0;padding:0;margin:0;appearance:none;-webkit-appearance:none;cursor:pointer;' alt='Text Signature' aria-label='Text Signature'><\/button><button type='button' id='input_75_139_drawbutton' class='gform-common-icon gform-common-icon--pencil gfield_signature_draw_button gform-theme-no-framework' tabindex='0' style='display:none;background:none;border:0;padding:0;margin:0;appearance:none;-webkit-appearance:none;cursor:pointer;' alt='Draw Signature' aria-label='Draw Signature'><\/button><button type='button' id='input_75_139_resetbutton' class='gform-common-icon gform-common-icon--arrow-path gfield_signature_reset_button gform-theme-no-framework' tabindex='0' style='background:none;border:0;padding:0;margin:0;appearance:none;-webkit-appearance:none;cursor:pointer;' alt='Clear Signature' aria-label='Clear Signature'><\/button><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_75_156\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"88ff621c\" data-field-span=\"12\"><h3 class=\"gsection_title\">\u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0644\u0644\u0645\u0648\u0627\u0635\u0644\u0627\u062a<\/h3><\/div><fieldset id=\"field_75_157\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"46d58b46\" data-field-span=\"12\"><legend id='gfield_label_75_157' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u0647\u0644 \u0633\u064a\u0634\u0627\u0631\u0643 \u0627\u0628\u0646\u0643 \/ \u0627\u0648\u0644\u0627\u062f\u0643 \u0641\u064a \u0627\u0644\u0633\u0641\u0631\u064a\u0627\u062a \u0628\u0648\u0633\u0627\u0626\u0644 \u0627\u0644\u0646\u0642\u0644 \u0627\u0644\u062a\u064a \u064a\u0646\u0638\u0645\u0647\u0627 \u0627\u0644\u062c\u064a\u0644 \u0627\u0644\u0635\u0627\u0639\u062f\u061f<\/span><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_75_157'>\n\t\t\t<div class='gchoice gchoice_75_157_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_157' type='radio' value='\u0646\u0639\u0645'  id='choice_75_157_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_75_157_0 gfield_label_75_157\"   \/>\n\t\t\t\t\t<label for='choice_75_157_0' id='label_75_157_0' class='gform-field-label gform-field-label--type-inline'>\u0646\u0639\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_157_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_157' type='radio' value='No'  id='choice_75_157_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_157_1' id='label_75_157_1' class='gform-field-label gform-field-label--type-inline'>\u0644\u0627<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_75_160\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"2cd27a25\" data-field-span=\"12\"><label id='gfield_label_75_160' class='gfield_label gform-field-label' for='input_75_160'><span class='gform-field-label__text'>\u0643\u0645 \u0645\u0646 \u0623\u0648\u0644\u0627\u062f\u0643 \u0633\u064a\u0643\u0648\u0646\u0648\u0646 \u0641\u064a \u0627\u0644\u0628\u0627\u0635\u061f<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_160'>\u062a\u0628\u0644\u063a \u062a\u0643\u0644\u0641\u0629 \u062e\u062f\u0645\u0629 \u0627\u0644\u0646\u0642\u0644 \u0630\u0647\u0627\u0628\u064b\u0627 \u0648\u0625\u064a\u0627\u0628\u064b\u0627 60 \u0634\u064a\u0643\u0644\u064b\u0627 \u062c\u062f\u064a\u062f\u064b\u0627\u060c \u0628\u063a\u0636 \u0627\u0644\u0646\u0638\u0631 \u0639\u0646 \u0645\u0648\u0642\u0639 \u0627\u0644\u0627\u0633\u062a\u0642\u0628\u0627\u0644 \u0648\u0625\u0630\u0627 \u0643\u0646\u062a \u062a\u0633\u0627\u0641\u0631 \u0641\u064a \u0627\u062a\u062c\u0627\u0647 \u0648\u0627\u062d\u062f \u0641\u0642\u0637. \n\u0633\u064a\u062a\u0645 \u0625\u0636\u0627\u0641\u0629 \u0627\u0644\u0645\u0628\u0644\u063a \u0625\u0644\u0649 \u0627\u0644\u062a\u0643\u0644\u0641\u0629 \u0627\u0644\u0646\u0647\u0627\u0626\u064a\u0629.\n\u0644\u0627 \u064a\u0648\u062c\u062f \u062e\u0635\u0645 \u0639\u0644\u0649 \u0631\u0633\u0648\u0645 \u0627\u0644\u0645\u0648\u0627\u0635\u0644\u0627\u062a<\/div><div class='ginput_container ginput_container_select'><select name='input_160' id='input_75_160' class='large gfield_select'  aria-describedby=\"gfield_description_75_160\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; \u0646\u0631\u062c\u0648 \u0627\u0644\u0627\u062e\u062a\u064a\u0627\u0631 \u0645\u0646 \u0627\u0644\u0642\u0627\u0626\u0645\u0629 &#8211;<\/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><\/select><\/div><\/div><div id=\"field_75_159\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"354dc171\" data-field-span=\"12\"><label id='gfield_label_75_159' class='gfield_label gform-field-label' for='input_75_159'><span class='gform-field-label__text'>\u0645\u0646 \u0623\u064a \u0628\u0644\u062f\u061f (\u0630\u0647\u0627\u0628\u0627 \u0627\u064a\u0627\u0628\u0627)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_159'>\u0642\u0627\u0626\u0645\u0629 \u0627\u0644\u0645\u062d\u0637\u0627\u062a \u0644\u064a\u0633\u062a \u0646\u0647\u0627\u0626\u064a\u0629. \u0648\u0633\u064a\u062a\u0645 \u0625\u0631\u0633\u0627\u0644 \u0642\u0627\u0626\u0645\u0629 \u0645\u062d\u062f\u062b\u0629 \u0623\u0642\u0631\u0628 \u0625\u0644\u0649 \u062a\u0627\u0631\u064a\u062e \u0627\u0644\u0645\u0624\u062a\u0645\u0631. \u0627\u0644\u062a\u0643\u0644\u0641\u0629 \u0628\u0627\u0644\u0625\u0636\u0627\u0641\u0629 \u0625\u0644\u0649 \u0631\u0633\u0648\u0645 \u0627\u0644\u062a\u0633\u062c\u064a\u0644 (\u0644\u0627 \u064a\u0648\u062c\u062f \u062e\u0635\u0645 \u0644\u0644\u0623\u062e\u0648\u0629\/\u0627\u0644\u062d\u0627\u0644\u0629 \u0627\u0644\u0645\u0627\u0644\u064a\u0629\/\u0627\u062a\u062c\u0627\u0647 \u0648\u0627\u062d\u062f)<\/div><div class='ginput_container ginput_container_select'><select name='input_159' id='input_75_159' class='large gfield_select'  aria-describedby=\"gfield_description_75_159\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; \u0646\u0631\u062c\u0648 \u0627\u0644\u0627\u062e\u062a\u064a\u0627\u0631 \u0645\u0646 \u0627\u0644\u0642\u0627\u0626\u0645\u0629 &#8211;<\/option><option value='Kfar Yasif' >\u0643\u0641\u0631 \u064a\u0627\u0633\u064a\u0641<\/option><option value='Krayot' >\u0643\u0631\u064a\u0648\u062a<\/option><option value='Haifa' >\u062d\u064a\u0641\u0627<\/option><option value='Tiberius' >\u0637\u0628\u0631\u064a\u0627<\/option><option value='Nazareth' >\u0627\u0644\u0646\u0627\u0635\u0631\u0629<\/option><option value='Kfar Cana' >\u0643\u0641\u0631\u0643\u0646\u0627<\/option><option value='Bethlehem' >\u0628\u064a\u062a \u0644\u062d\u0645<\/option><option value='Jerusalem' >\u0627\u0644\u0642\u062f\u0633<\/option><option value='Rishon le&#039;zion' >\u0631\u064a\u0634\u0648\u0646 \u0644\u062a\u0633\u064a\u0648\u0646<\/option><option value='Tel Aviv' >\u062a\u0644 \u0623\u0628\u064a\u0628<\/option><option value='Beer Sheva' >\u0628\u0626\u0631 \u0627\u0644\u0633\u0628\u0639<\/option><option value='Other' >\u0622\u062e\u0631<\/option><\/select><\/div><\/div><div id=\"field_75_182\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"cd5110ec\" data-field-span=\"12\"><label id='gfield_label_75_182' class='gfield_label gform-field-label' for='input_75_182'><span class='gform-field-label__text'>\u0645\u0646 \u0627\u064a \u0645\u0643\u0627\u0646 \u0622\u062e\u0631\u061f<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_182'>\u0625\u0630\u0627 \u0643\u0627\u0646 \u0647\u0646\u0627\u0643 \u0639\u062f\u062f \u0643\u0627\u0641\u064d \u0645\u0646 \u0627\u0644\u0645\u0633\u062c\u0644\u064a\u0646 \u0627\u0644\u0630\u064a\u0646 \u064a\u062d\u062a\u0627\u062c\u0648\u0646 \u0625\u0644\u0649 \u0627\u0644\u0646\u0642\u0644 \u0645\u0646 \u0647\u0630\u0627 \u0627\u0644\u0645\u0648\u0642\u0639\u060c \u0641\u0642\u062f \u0646\u0642\u0648\u0645 \u0628\u062a\u0631\u062a\u064a\u0628 \u0627\u0644\u0646\u0642\u0644 \u0645\u0646 \u0647\u0646\u0627\u0643 \u0623\u064a\u0636\u064b\u0627. \u0633\u0646\u0642\u0648\u0645 \u0628\u0627\u0644\u062a\u062d\u062f\u064a\u062b.<\/div><div class='ginput_container ginput_container_text'><input name='input_182' id='input_75_182' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_182\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_352\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"165b7d74\" data-field-span=\"12\"><label id='gfield_label_75_352' class='gfield_label gform-field-label' for='input_75_352'><span class='gform-field-label__text'>\u0625\u0630\u0627 \u0644\u0645 \u0646\u062a\u0645\u0643\u0646 \u0645\u0646 \u062a\u0631\u062a\u064a\u0628 \u0627\u0644\u0645\u0648\u0627\u0635\u0644\u0627\u062a \u0645\u0646 \u0627\u0644\u0645\u062f\u064a\u0646\u0629 \u0627\u0644\u062a\u064a \u0627\u062e\u062a\u0631\u062a\u0647\u0627\u060c \u0641\u064a \u0623\u064a \u0645\u062f\u064a\u0646\u0629 \u064a\u0645\u0643\u0646\u0643 \u0623\u0646 \u062a\u0644\u0627\u0642\u064a \u0627\u0644\u0628\u0627\u0635\u061f (\u0630\u0647\u0627\u0628\u0627 \u0627\u064a\u0627\u0628\u0627)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_352' id='input_75_352' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; \u0646\u0631\u062c\u0648 \u0627\u0644\u0627\u062e\u062a\u064a\u0627\u0631 \u0645\u0646 \u0627\u0644\u0642\u0627\u0626\u0645\u0629 &#8211;<\/option><option value='Kfar Yasif' >\u0643\u0641\u0631 \u064a\u0627\u0633\u064a\u0641<\/option><option value='Krayot' >\u0643\u0631\u064a\u0648\u062a<\/option><option value='Haifa' >\u062d\u064a\u0641\u0627<\/option><option value='Tiberius' >\u0637\u0628\u0631\u064a\u0627<\/option><option value='Nazareth' >\u0627\u0644\u0646\u0627\u0635\u0631\u0629<\/option><option value='Kfar Cana' >\u0643\u0641\u0631\u0643\u0646\u0627<\/option><option value='Bethlehem' >\u0628\u064a\u062a \u0644\u062d\u0645<\/option><option value='Jerusalem' >\u0627\u0644\u0642\u062f\u0633<\/option><option value='Rishon le&#039;zion' >\u0631\u064a\u0634\u0648\u0646 \u0644\u062a\u0633\u064a\u0648\u0646<\/option><option value='Tel Aviv' >\u062a\u0644 \u0623\u0628\u064a\u0628<\/option><option value='Beer Sheva' >\u0628\u0626\u0631 \u0627\u0644\u0633\u0628\u0639<\/option><option value='Other' >\u0622\u062e\u0631<\/option><\/select><\/div><\/div><div id=\"field_75_172\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"345e63f2\" data-field-span=\"12\"><h3 class=\"gsection_title\">\u062f\u0641\u0639 \u0631\u0633\u0648\u0645 \u0627\u0644\u062a\u0633\u062c\u064a\u0644<\/h3><div class='gsection_description' id='gfield_description_75_172'>\u062a\u0643\u0644\u0641\u0629 \u0645\u0624\u062a\u0645\u0631 \u0627\u0644\u062c\u064a\u0644 \u0627\u0644\u0635\u0627\u0639\u062f \u0647\u064a 400 \u0634\u064a\u0643\u0644 \u0644\u0643\u0644 \u0645\u0634\u062a\u0631\u0643. \u0647\u0630\u0647 \u0627\u0644\u062a\u0643\u0644\u0641\u0629 \u0627\u0644\u0645\u062f\u0639\u0648\u0645\u0629 \u0648\u0627\u0644\u062a\u064a \u064a\u062d\u0635\u0644 \u0639\u0644\u064a\u0647\u0627 \u0643\u0644 \u0645\u062a\u0633\u062c\u0651\u0644 \u0628\u0639\u062f \u0627\u0644\u062f\u0639\u0645 \u0627\u0644\u0630\u064a \u064a\u0634\u0643\u0651\u0644 70% \u0648\u0627\u0644\u0630\u064a \u062a\u0648\u0641\u0651\u0631\u0647 \u062e\u062f\u0645\u0629 \u0627\u0644\u062c\u064a\u0644 \u0627\u0644\u0635\u0627\u0639\u062f.  \n\u062a\u062e\u0641\u064a\u0636 \u0644\u0644\u0625\u062e\u0648\u0629: \u0625\u062e\u0648\u0629 \u0645\u0646 \u0646\u0641\u0633 \u0627\u0644\u0639\u0627\u0626\u0644\u0629 \u064a\u062d\u0635\u0644\u0648\u0646 \u0639\u0644\u0649 \u062a\u062e\u0641\u064a\u0636 25% \u0644\u0644\u0623\u062e \u0627\u0644\u0623\u0648\u0644 \u0648- 50% \u0644\u0644\u0625\u062e\u0648\u0629 \u0627\u0644\u0627\u0636\u0627\u0641\u064a\u064a\u0646.\n\n\u0646\u0644\u0641\u062a \u0627\u0646\u062a\u0628\u0627\u0647\u0643\u0645: \u0644\u0646 \u0646\u062a\u0645\u0643\u0646 \u0647\u0630\u0647 \u0627\u0644\u0633\u0646\u0629 \u0645\u0646 \u062a\u0642\u062f\u064a\u0645 \u062f\u0639\u0645 \u0645\u0627\u0644\u064a \u0625\u0636\u0627\u0641\u064a \u0641\u0648\u0642 \u0627\u0644\u0633\u0639\u0631 \u0627\u0644\u0645\u062f\u0639\u0648\u0645 \u0627\u0644\u0630\u064a \u0642\u062f \u0648\u0641\u0651\u0631\u0646\u0627\u0647. \u0625\u0630\u0627 \u0643\u0646\u062a\u0645 \u062a\u062d\u062a\u0627\u062c\u0648\u0646 \u0644\u0645\u0633\u0627\u0639\u062f\u0629 \u0645\u0627\u0644\u064a\u0629 \u0625\u0636\u0627\u0641\u064a\u0629\u060c \u0646\u0631\u062c\u0648 \u0627\u0644\u062a\u0648\u062c\u0651\u0647 \u0644\u0644\u0643\u0646\u064a\u0633\u0629 \u0627\u0644\u0645\u062d\u0644\u064a\u0629 \u0627\u0644\u062a\u064a \u0627\u0646\u062a\u0645 \u0641\u064a\u0647\u0627. <\/div><\/div><div id=\"field_75_221\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gfield_price gfield_price_75_221 gfield_product_75_221 field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"9cedf85a\" data-field-span=\"12\"><label id='gfield_label_75_221' class='gfield_label gform-field-label gfield_label_before_complex' for='input_75_221_1'><span class='gform-field-label__text'>\u0645\u0628\u0644\u063a \u0627\u0644\u062a\u0633\u062c\u064a\u0644<\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_221.1' value='\u0645\u0628\u0644\u063a \u0627\u0644\u062a\u0633\u062c\u064a\u0644' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_75_221' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_75_221' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>\u0627\u0644\u0633\u0639\u0631:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_221.2' id='ginput_base_price_75_221' value='&#8362; 400.00' aria-label='\u0645\u0628\u0644\u063a \u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0627\u0644\u0633\u0639\u0631'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_221.3' value='1' class='ginput_quantity_75_221 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_75_336\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gfield_price gfield_price_75_336 gfield_product_75_336 gfield_calculation field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"83f98712\" data-field-span=\"12\"><label id='gfield_label_75_336' class='gfield_label gform-field-label gfield_label_before_complex' for='input_75_336_1'><span class='gform-field-label__text'>\u0645\u0628\u0644\u063a \u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0645\u0639 \u0627\u0644\u062a\u062e\u0641\u064a\u0636 \u0644\u0644\u0625\u062e\u0648\u0629<\/span><\/label><div class='gfield_description' id='gfield_description_75_336'>\u062a\u0633\u062c\u064a\u0644 \u0634\u0627\u0628\u064a\u0646\/ \u0641\u062a\u0627\u062a\u064a\u0646 \n(300+ 400)<\/div><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_336.1' value='\u0645\u0628\u0644\u063a \u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0645\u0639 \u0627\u0644\u062a\u062e\u0641\u064a\u0636 \u0644\u0644\u0625\u062e\u0648\u0629' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_75_336' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>\u0627\u0644\u0633\u0639\u0631:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_75_336'>&#8362; 0.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_336.2' id='ginput_base_price_75_336' class='gform_hidden ginput_calculated_price' value='\u20aa 0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_336.3' value='1' class='ginput_quantity_75_336 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_75_227\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gfield_price gfield_price_75_227 gfield_product_75_227 gfield_calculation field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"0ad52fee\" data-field-span=\"12\"><label id='gfield_label_75_227' class='gfield_label gform-field-label gfield_label_before_complex' for='input_75_227_1'><span class='gform-field-label__text'>\u0645\u0628\u0644\u063a \u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0645\u0639 \u0627\u0644\u062a\u062e\u0641\u064a\u0636 \u0644\u0644\u0625\u062e\u0648\u0629<\/span><\/label><div class='gfield_description' id='gfield_description_75_227'>\u062a\u0633\u062c\u064a\u0644 \u062b\u0644\u0627\u062b\u0629 \u0634\u0628\u0627\u0628 \u0627\u0648 \u0641\u062a\u064a\u0627\u062a\n(400+ 300+ 200)<\/div><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_227.1' value='\u0645\u0628\u0644\u063a \u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0645\u0639 \u0627\u0644\u062a\u062e\u0641\u064a\u0636 \u0644\u0644\u0625\u062e\u0648\u0629' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_75_227' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>\u0627\u0644\u0633\u0639\u0631:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_75_227'>&#8362; 0.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_227.2' id='ginput_base_price_75_227' class='gform_hidden ginput_calculated_price' value='\u20aa 0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_227.3' value='1' class='ginput_quantity_75_227 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_75_234\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gfield_price gfield_price_75_234 gfield_product_75_234 gfield_calculation field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"858ceb99\" data-field-span=\"12\"><label id='gfield_label_75_234' class='gfield_label gform-field-label gfield_label_before_complex' for='input_75_234_1'><span class='gform-field-label__text'>\u0645\u0628\u0644\u063a \u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0645\u0639 \u0627\u0644\u062a\u062e\u0641\u064a\u0636 \u0644\u0644\u0625\u062e\u0648\u0629<\/span><\/label><div class='gfield_description' id='gfield_description_75_234'>\u062a\u0633\u062c\u064a\u0644 \u0627\u0631\u0628\u0639\u0629 \u0634\u0628\u0627\u0628 \/ \u0641\u062a\u064a\u0627\u062a\n(400 + 300 +200 + 200)<\/div><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_234.1' value='\u0645\u0628\u0644\u063a \u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0645\u0639 \u0627\u0644\u062a\u062e\u0641\u064a\u0636 \u0644\u0644\u0625\u062e\u0648\u0629' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_75_234' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>\u0627\u0644\u0633\u0639\u0631:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_75_234'>&#8362; 0.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_234.2' id='ginput_base_price_75_234' class='gform_hidden ginput_calculated_price' value='\u20aa 0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_234.3' value='1' class='ginput_quantity_75_234 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_75_204\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gfield_price gfield_price_75_204 gfield_product_75_204 gfield_calculation field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"e279d145\" data-field-span=\"12\"><label id='gfield_label_75_204' class='gfield_label gform-field-label gfield_label_before_complex' for='input_75_204_1'><span class='gform-field-label__text'>\u0645\u0628\u0644\u063a \u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0645\u0639 \u0627\u0644\u062a\u062e\u0641\u064a\u0636 \u0644\u0644\u0625\u062e\u0648\u0629<\/span><\/label><div class='gfield_description' id='gfield_description_75_204'>\u062a\u0633\u062c\u064a\u0644 \u062e\u0645\u0633 \u0634\u0628\u0627\u0628 \/ \u0641\u062a\u064a\u0627\u062a\n(400 + 300 + 200 + 200 + 200)<\/div><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_204.1' value='\u0645\u0628\u0644\u063a \u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0645\u0639 \u0627\u0644\u062a\u062e\u0641\u064a\u0636 \u0644\u0644\u0625\u062e\u0648\u0629' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_75_204' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>\u0627\u0644\u0633\u0639\u0631:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_75_204'>&#8362; 0.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_204.2' id='ginput_base_price_75_204' class='gform_hidden ginput_calculated_price' value='\u20aa 0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_204.3' value='1' class='ginput_quantity_75_204 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_75_369\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gfield_price gfield_price_75_369 gfield_product_75_369 gfield_calculation field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"fd4a9ab7\" data-field-span=\"12\"><label id='gfield_label_75_369' class='gfield_label gform-field-label gfield_label_before_complex' for='input_75_369_1'><span class='gform-field-label__text'>\u0631\u0633\u0648\u0645 \u0627\u0644\u0645\u0648\u0627\u0635\u0644\u0627\u062a<\/span><\/label><div class='gfield_description' id='gfield_description_75_369'> \u0644\u0627 \u064a\u0648\u062c\u062f \u062e\u0635\u0645 \u0644\u0644\u0623\u062e\u0648\u0629 \u0639\u0644\u0649 \u0631\u0633\u0648\u0645 \u0627\u0644\u0645\u0648\u0627\u0635\u0644\u0627\u062a. \u062a\u0643\u0644\u0641\u0629 \u0627\u0644\u0645\u0648\u0627\u0635\u0644\u0627\u062a \u062a\u0628\u0642\u0649 \u062b\u0627\u0628\u062a\u0629 \u062d\u062a\u0649 \u0644\u0648 \u0643\u0627\u0646\u062a \u0627\u0644\u062d\u0627\u062c\u0629 \u0625\u0644\u0649 \u0633\u0641\u0631 \u0628\u0627\u062a\u062c\u0627\u0647 \u0648\u0627\u062d\u062f \u0641\u0642\u0637<\/div><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_369.1' value='\u0631\u0633\u0648\u0645 \u0627\u0644\u0645\u0648\u0627\u0635\u0644\u0627\u062a' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_75_369' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>\u0627\u0644\u0633\u0639\u0631:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_75_369'>&#8362; 0.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_369.2' id='ginput_base_price_75_369' class='gform_hidden ginput_calculated_price' value='\u20aa 0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_369.3' value='1' class='ginput_quantity_75_369 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_75_377\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gfield_price gfield_price_75_377 gfield_product_75_377 gfield_calculation field_sublabel_below gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\" data-group-id=\"03654f92\" data-field-span=\"12\"><label id='gfield_label_75_377' class='gfield_label gform-field-label gfield_label_before_complex' for='input_75_377_1'><span class='gform-field-label__text'>\u062a\u0645\u062a \u0627\u0644\u0645\u0648\u0627\u0641\u0642\u0629 \u0639\u0644\u0649 \u0637\u0644\u0628\u0643 \u0644\u0644\u062d\u0635\u0648\u0644 \u0639\u0644\u0649 \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \u0627\u0644\u0645\u0627\u0644\u064a\u0629!<\/span><\/label><div class='gfield_description' id='gfield_description_75_377'>\u0631\u0633\u0648\u0645 \u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0644\u0643\u0644 \u0648\u0644\u062f &#8211; 200<\/div><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_377.1' value='\u062a\u0645\u062a \u0627\u0644\u0645\u0648\u0627\u0641\u0642\u0629 \u0639\u0644\u0649 \u0637\u0644\u0628\u0643 \u0644\u0644\u062d\u0635\u0648\u0644 \u0639\u0644\u0649 \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \u0627\u0644\u0645\u0627\u0644\u064a\u0629!' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_75_377' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>\u0627\u0644\u0633\u0639\u0631:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_75_377'>&#8362; 0.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_377.2' id='ginput_base_price_75_377' class='gform_hidden ginput_calculated_price' value='\u20aa 0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_377.3' value='1' class='ginput_quantity_75_377 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_75_267\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gfield_price gfield_price_75_267 gfield_product_75_267 gfield_calculation field_sublabel_below gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\" data-group-id=\"2aa60123\" data-field-span=\"12\"><label id='gfield_label_75_267' class='gfield_label gform-field-label gfield_label_before_complex' for='input_75_267_1'><span class='gform-field-label__text'>\u062a\u0645\u062a \u0627\u0644\u0645\u0648\u0627\u0641\u0642\u0629 \u0639\u0644\u0649 \u0637\u0644\u0628\u0643 \u0644\u0644\u062d\u0635\u0648\u0644 \u0639\u0644\u0649 \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \u0627\u0644\u0645\u0627\u0644\u064a\u0629!<\/span><\/label><div class='gfield_description' id='gfield_description_75_267'>\u0631\u0633\u0648\u0645 \u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0644\u0643\u0644 \u0648\u0644\u062f &#8211; 100<\/div><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_267.1' value='\u062a\u0645\u062a \u0627\u0644\u0645\u0648\u0627\u0641\u0642\u0629 \u0639\u0644\u0649 \u0637\u0644\u0628\u0643 \u0644\u0644\u062d\u0635\u0648\u0644 \u0639\u0644\u0649 \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \u0627\u0644\u0645\u0627\u0644\u064a\u0629!' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_75_267' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>\u0627\u0644\u0633\u0639\u0631:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_75_267'>&#8362; 0.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_267.2' id='ginput_base_price_75_267' class='gform_hidden ginput_calculated_price' value='\u20aa 0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_267.3' value='1' class='ginput_quantity_75_267 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_75_328\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gfield_price gfield_price_75_328 gfield_product_75_328 gfield_calculation field_sublabel_below gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\" data-group-id=\"466a4851\" data-field-span=\"12\"><label id='gfield_label_75_328' class='gfield_label gform-field-label gfield_label_before_complex' for='input_75_328_1'><span class='gform-field-label__text'>\u062a\u0645\u062a \u0627\u0644\u0645\u0648\u0627\u0641\u0642\u0629 \u0639\u0644\u0649 \u0637\u0644\u0628\u0643 \u0644\u0644\u062d\u0635\u0648\u0644 \u0639\u0644\u0649 \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \u0627\u0644\u0645\u0627\u0644\u064a\u0629!<\/span><\/label><div class='gfield_description' id='gfield_description_75_328'>\u0631\u0633\u0648\u0645 \u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0644\u0643\u0644 \u0648\u0644\u062f &#8211; 0<\/div><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_328.1' value='\u062a\u0645\u062a \u0627\u0644\u0645\u0648\u0627\u0641\u0642\u0629 \u0639\u0644\u0649 \u0637\u0644\u0628\u0643 \u0644\u0644\u062d\u0635\u0648\u0644 \u0639\u0644\u0649 \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \u0627\u0644\u0645\u0627\u0644\u064a\u0629!' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_75_328' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>\u0627\u0644\u0633\u0639\u0631:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_75_328'>&#8362; 0.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_328.2' id='ginput_base_price_75_328' class='gform_hidden ginput_calculated_price' value='\u20aa 0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_328.3' value='1' class='ginput_quantity_75_328 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_75_340\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_75_ gfield_total gfield_total_75_ field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" aria-atomic=\"true\" aria-live=\"polite\" data-group-id=\"bc23cabb\" data-field-span=\"12\" data-currency-format='1'><label id='gfield_label_75_340' class='gfield_label gform-field-label' for='input_75_340'><span class='gform-field-label__text'>\u0627\u0644\u0645\u0628\u0644\u063a \u0627\u0644\u0648\u0627\u062c\u0628 \u062f\u0641\u0639\u0647<\/span><\/label><div class='gfield_description' id='gfield_description_75_340'>\u0646\u0637\u0644\u0628 \u0627\u0646 \u062a\u0633\u062c\u0651\u0644\u0648\u0627 \u0644\u0623\u0646\u0641\u0633\u0643\u0645 \u0627\u0644\u0645\u0628\u0644\u063a \u0627\u0644\u0643\u0627\u0645\u0644 \u0627\u0644\u0645\u0641\u0631\u0648\u0636 \u0639\u0644\u064a\u0643\u0645 \u062f\u0641\u0639\u0647\u060c !!! \u0633\u0648\u0641 \u064a\u064f\u0637\u0644\u0628 \u0645\u0646\u0643\u0645 \u062a\u062f\u0648\u064a\u0646\u0647 \u064a\u062f\u0648\u064a\u0627\u064b \u0641\u064a \u0635\u0641\u062d\u0629 \u0627\u0644\u062f\u0641\u0639.<\/div><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_340' id='input_75_340' value='&#8362; 0.00' class='gform-text-input-reset ginput_total ginput_total_75' aria-describedby=\"gfield_description_75_340\" \/>\n\t\t\t\t\t\t<\/div><\/div><div id=\"field_75_338\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"ab5f0908\" data-field-span=\"12\"><label id='gfield_label_75_338' class='gfield_label gform-field-label' for='input_75_338'><span class='gform-field-label__text'>\u0627\u0644\u062f\u0641\u0639 \u0639\u0628\u0631 \u0627\u0644\u0625\u0646\u062a\u0631\u0646\u062a<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_338'>\u0628\u0639\u062f \u0627\u0631\u0633\u0627\u0644 \u0627\u0644\u062a\u0645\u0648\u0630\u062c \u0647\u0630\u0627\u060c \u0646\u0636\u064a\u0641\u0643\u0645 \u0627\u0644\u0649 \u0645\u062c\u0645\u0648\u0639\u0629 \u0627\u0644\u0648\u0627\u062a\u0633\u0622\u0628 \u0627\u0644\u062e\u0627\u0635\u0629 \u0628\u0627\u0644\u0627\u0647\u0644\u060c \u0648\u0647\u0646\u0627\u0643 \u0633\u0648\u0641 \u062a\u062d\u0635\u0644\u0648\u0646 \u0639\u0644\u0649 \u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0645\u0647\u0645\u0629\u060c \u0648\u062a\u0634\u0645\u0644 \u0627\u0644\u0631\u0627\u0628\u0637 \u0644\u0644\u062f\u0641\u0639 \u0627\u0644\u0645\u062d\u0648\u0633\u0628 \u0627\u0633\u0628\u0648\u0639 \u0642\u0628\u0644 \u0627\u0644\u0645\u0624\u062a\u0645\u0631.<\/div><div class='ginput_container ginput_container_select'><select name='input_338' id='input_75_338' class='large gfield_select'  aria-describedby=\"gfield_description_75_338\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; \u0646\u0631\u062c\u0648 \u0627\u0644\u0627\u062e\u062a\u064a\u0627\u0631 \u0645\u0646 \u0627\u0644\u0642\u0627\u0626\u0645\u0629 &#8211;<\/option><option value='I understand, no problem.' selected='selected'>\u0641\u0647\u0645\u062a\u060c \u0644\u064a\u0633\u062a \u0647\u0646\u0627\u0643 \u0645\u0634\u0643\u0644\u0629 \u0641\u064a \u0627\u0644\u0627\u0645\u0631<\/option><option value='\u0644\u0627 \u0627\u0633\u062a\u0637\u064a\u0639 \u0627\u0644\u062f\u0641\u0639 \u0628\u0648\u0627\u0633\u0637\u0629 \u0628\u0637\u0627\u0642\u0629 \u0627\u0626\u062a\u0645\u0627\u0646' >\u0644\u0627 \u064a\u0645\u0643\u0646\u0646\u064a \u0627\u0644\u062f\u0641\u0639 \u0639\u0628\u0631 \u0627\u0644\u0625\u0646\u062a\u0631\u0646\u062a<\/option><\/select><\/div><\/div><div id=\"field_75_181\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"caf22ace\" data-field-span=\"12\"><label id='gfield_label_75_181' class='gfield_label gform-field-label' for='input_75_181'><span class='gform-field-label__text'>\u0627\u0644\u0631\u062c\u0627\u0621 \u0627\u0644\u0634\u0631\u062d<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_181'>\u0627\u0630\u0627 \u062a\u0639\u0630\u0651\u0631 \u0639\u0644\u064a\u0643\u0645 \u0627\u0644\u062f\u0641\u0639 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u0645\u0646\u0638\u0648\u0645\u0629 \u0627\u0644\u0645\u062d\u0648\u0633\u0628\u0629 \u0627\u0633\u0628\u0648\u0639 \u0642\u0628\u0644 \u0627\u0644\u0645\u0624\u062a\u0645\u0631\u060c\n\u0646\u0631\u062c\u0648 \u0627\u0644\u062a\u0648\u0627\u0635\u0644 \u0645\u0639\u0646\u0627 \u0639\u0644\u0649 \u0627\u0644\u0648\u0627\u062a\u0633\u0622\u0628 \u0639\u0644\u0649 \u0631\u0642\u0645 0462-583-058 \u0648\u0633\u0648\u0641 \u0646\u0641\u062d\u0635 \u0627\u0645\u0643\u0627\u0646\u064a\u0627\u062a \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629!!\n<\/div><div class='ginput_container ginput_container_text'><input name='input_181' id='input_75_181' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_181\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_75' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >\u0623\u0631\u0633\u0644<\/button> <button type='button'  id='gform_save_75_footer_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> \u0627\u062d\u0641\u0638 \u0648\u0623\u0643\u0645\u0644 \u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0644\u0627\u062d\u0642\u064b\u0627<\/button>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_75' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_75' id='gform_theme_75' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_75' 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