{"id":107,"date":"2024-06-18T12:58:20","date_gmt":"2024-06-18T12:58:20","guid":{"rendered":"http:\/\/35.88.158.37\/?page_id=107"},"modified":"2025-06-14T01:09:14","modified_gmt":"2025-06-14T01:09:14","slug":"contact-us","status":"publish","type":"page","link":"https:\/\/ghia-ca.com\/zh\/contact-us\/","title":{"rendered":"\u806f\u7d61\u6211\u5011"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\"  style='background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;'><div class=\"fusion-builder-row fusion-row \"><div  class=\"fusion-layout-column fusion_builder_column fusion_builder_column_1_1 fusion-builder-column-0 fusion-one-full fusion-column-first fusion-column-last textContent 1_1\"  style='margin-top:0px;margin-bottom:20px;'><div class=\"fusion-column-wrapper\" style=\"padding: 0px 0px 0px 0px;background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;\"   data-bg-url=\"\"><div class=\"fusion-text\"><p><span style=\"color: #939598;\">Have a question or wondering about your healthcare options? Call us or email us today! You may also stop by one of our offices listed below.<\/span><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div  class=\"fusion-layout-column fusion_builder_column fusion_builder_column_1_2 fusion-builder-column-1 fusion-one-half fusion-column-first 1_2\"  style='margin-top:0px;margin-bottom:20px;width:50%;width:calc(50% - ( ( 4% ) * 0.5 ) );margin-right: 4%;'><div class=\"fusion-column-wrapper\" style=\"padding: 0px 0px 0px 0px;background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;\"   data-bg-url=\"\"><div class=\"fusion-content-boxes content-boxes columns row fusion-columns-1 fusion-columns-total-3 fusion-content-boxes-1 content-boxes-timeline-vertical content-left content-boxes-timeline-layout content-boxes-icon-with-title fusion-delayed-animation\" data-animation-delay=\"350\" data-animationOffset=\"100%\" style=\"margin-top:;margin-bottom:;\"><style type=\"text\/css\">.fusion-content-boxes-1 .heading .content-box-heading {color:#245999;}\n\t\t\t\t\t.fusion-content-boxes-1 .fusion-content-box-hover .link-area-link-icon-hover .heading .content-box-heading,\n\t\t\t\t\t.fusion-content-boxes-1 .fusion-content-box-hover .link-area-link-icon-hover .heading .heading-link .content-box-heading,\n\t\t\t\t\t.fusion-content-boxes-1 .fusion-content-box-hover .link-area-box-hover .heading .content-box-heading,\n\t\t\t\t\t.fusion-content-boxes-1 .fusion-content-box-hover .link-area-box-hover .heading .heading-link .content-box-heading,\n\t\t\t\t\t.fusion-content-boxes-1 .fusion-content-box-hover .link-area-link-icon-hover.link-area-box .fusion-read-more,\n\t\t\t\t\t.fusion-content-boxes-1 .fusion-content-box-hover .link-area-link-icon-hover.link-area-box .fusion-read-more::after,\n\t\t\t\t\t.fusion-content-boxes-1 .fusion-content-box-hover .link-area-link-icon-hover.link-area-box .fusion-read-more::before,\n\t\t\t\t\t.fusion-content-boxes-1 .fusion-content-box-hover .fusion-read-more:hover:after,\n\t\t\t\t\t.fusion-content-boxes-1 .fusion-content-box-hover .fusion-read-more:hover:before,\n\t\t\t\t\t.fusion-content-boxes-1 .fusion-content-box-hover .fusion-read-more:hover,\n\t\t\t\t\t.fusion-content-boxes-1 .fusion-content-box-hover .link-area-box-hover.link-area-box .fusion-read-more,\n\t\t\t\t\t.fusion-content-boxes-1 .fusion-content-box-hover .link-area-box-hover.link-area-box .fusion-read-more::after,\n\t\t\t\t\t.fusion-content-boxes-1 .fusion-content-box-hover .link-area-box-hover.link-area-box .fusion-read-more::before,\n\t\t\t\t\t.fusion-content-boxes-1 .fusion-content-box-hover .link-area-link-icon-hover .icon .circle-no,\n\t\t\t\t\t.fusion-content-boxes-1 .heading .heading-link:hover .content-box-heading {\n\t\t\t\t\t\tcolor: #d5ad34;\n\t\t\t\t\t}\n\t\t\t\t\t.fusion-content-boxes-1 .fusion-content-box-hover .link-area-box-hover .icon .circle-no {\n\t\t\t\t\t\tcolor: #d5ad34 !important;\n\t\t\t\t\t}.fusion-content-boxes-1 .fusion-content-box-hover .link-area-box.link-area-box-hover .fusion-content-box-button {background: #5aa86c;color: #ffffff;}.fusion-content-boxes-1 .fusion-content-box-hover .link-area-box.link-area-box-hover .fusion-content-box-button .fusion-button-text {color: #ffffff;}\n\t\t\t\t\t.fusion-content-boxes-1 .fusion-content-box-hover .link-area-link-icon-hover .heading .icon > span {\n\t\t\t\t\t\tbackground-color: #d5ad34 !important;\n\t\t\t\t\t}\n\t\t\t\t\t.fusion-content-boxes-1 .fusion-content-box-hover .link-area-box-hover .heading .icon > span {\n\t\t\t\t\t\tborder-color: #d5ad34 !important;\n\t\t\t\t\t}<\/style><div class=\"fusion-column content-box-column content-box-column content-box-column-1 col-lg-12 col-md-12 col-sm-12 fusion-content-box-hover content-box-column-last-in-row\"><div class=\"col content-box-wrapper content-wrapper link-area-link-icon icon-hover-animation-fade fusion-animated\" style=\"background-color:rgba(255,255,255,0);\" data-animationType=\"fadeIn\" data-animationDuration=\"0.25\" data-animationOffset=\"100%\"><div class=\"heading heading-with-icon icon-left\" style=\"margin-top:9px;\"><div class=\"icon\" style=\"margin-top:-9px;margin-bottom:-9px;-webkit-animation-duration: 350ms;animation-duration: 350ms;\"><i style=\"border-color:#245999;border-width:1px;background-color:#245999;box-sizing:content-box;height:40px;width:40px;line-height:40px;border-radius:50%;color:#ffffff;font-size:20px;\" class=\"fontawesome-icon fa-map-marker-alt fas circle-yes\"><\/i><\/div><h2 class=\"content-box-heading\" style=\"font-size:24px;line-height:29px;\">San Francisco Office<\/h2><\/div><div class=\"fusion-clearfix\"><\/div><div class=\"content-container\" style=\"padding-left:62px;color:#245999;\">\n<p><span style=\"color: #939598;\">728 Pacific Avenue<\/span><br \/>\n<span style=\"color: #939598;\">Suite 119<\/span><br \/>\n<span style=\"color: #939598;\">San Francisco, CA 94133<\/span><br \/>\n<span style=\"color: #939598;\"><a style=\"color: #939598;\" href=\"https:\/\/maps.app.goo.gl\/qPQHvTWphCYeBLqy5\">Get Directions<\/a><\/span><\/p>\n<\/div><div class=\"content-box-shortcode-timeline-vertical\" style=\"border-color:#245999;left:35px;top:20px;-webkit-transition-duration: 350ms;animation-duration: 350ms;\"><\/div><\/div><\/div><div class=\"fusion-column content-box-column content-box-column content-box-column-2 col-lg-12 col-md-12 col-sm-12 fusion-content-box-hover content-box-column-last-in-row\"><div class=\"col content-box-wrapper content-wrapper link-area-link-icon icon-hover-animation-fade fusion-animated\" style=\"background-color:rgba(255,255,255,0);\" data-animationType=\"fadeIn\" data-animationDuration=\"0.25\" data-animationOffset=\"100%\"><div class=\"heading heading-with-icon icon-left\" style=\"margin-top:9px;\"><div class=\"icon\" style=\"margin-top:-9px;margin-bottom:-9px;-webkit-animation-duration: 350ms;animation-duration: 350ms;\"><i style=\"border-color:#245999;border-width:1px;background-color:#245999;box-sizing:content-box;height:40px;width:40px;line-height:40px;border-radius:50%;color:#ffffff;font-size:20px;\" class=\"fontawesome-icon fa-phone fas circle-yes\"><\/i><\/div><h2 class=\"content-box-heading\" style=\"font-size:24px;line-height:29px;\">Phone<\/h2><\/div><div class=\"fusion-clearfix\"><\/div><div class=\"content-container\" style=\"padding-left:62px;color:#245999;\">\n<p><span style=\"color: #939598;\">Office: 415-352-5000<\/span><\/p>\n<p><span style=\"color: #939598;\">Toll Free: 888-883-0339<\/span><\/p>\n<\/div><div class=\"content-box-shortcode-timeline-vertical\" style=\"border-color:#245999;left:35px;top:20px;-webkit-transition-duration: 350ms;animation-duration: 350ms;\"><\/div><\/div><\/div><div class=\"fusion-column content-box-column content-box-column content-box-column-3 col-lg-12 col-md-12 col-sm-12 fusion-content-box-hover content-box-column-last content-box-column-last-in-row\"><div class=\"col content-box-wrapper content-wrapper link-area-link-icon icon-hover-animation-fade fusion-animated\" style=\"background-color:rgba(255,255,255,0);\" data-animationType=\"fadeIn\" data-animationDuration=\"0.25\" data-animationOffset=\"100%\"><div class=\"heading heading-with-icon icon-left\" style=\"margin-top:9px;\"><div class=\"icon\" style=\"margin-top:-9px;margin-bottom:-9px;-webkit-animation-duration: 350ms;animation-duration: 350ms;\"><i style=\"border-color:#245999;border-width:1px;background-color:#245999;box-sizing:content-box;height:40px;width:40px;line-height:40px;border-radius:50%;color:#ffffff;font-size:20px;\" class=\"fontawesome-icon fa-envelope fas circle-yes\"><\/i><\/div><h2 class=\"content-box-heading\" style=\"font-size:24px;line-height:29px;\">Email Address<\/h2><\/div><div class=\"fusion-clearfix\"><\/div><div class=\"content-container\" style=\"padding-left:62px;color:#245999;\">\n<p><a href=\"mailto:info@ghia-ca.com\">info@ghia-ca.com<\/a><\/p>\n<\/div><div class=\"content-box-shortcode-timeline-vertical\" style=\"border-color:#245999;left:35px;top:20px;-webkit-transition-duration: 350ms;animation-duration: 350ms;\"><\/div><\/div><\/div><style type=\"text\/css\">\n\t\t\t\t\t\t.fusion-content-boxes-1 .fusion-content-box-hover .heading-link:hover .icon i.circle-yes,\n\t\t\t\t\t\t.fusion-content-boxes-1 .fusion-content-box-hover .link-area-box:hover .heading-link .icon i.circle-yes,\n\t\t\t\t\t\t.fusion-content-boxes-1 .fusion-content-box-hover .link-area-link-icon-hover .heading .icon i.circle-yes,\n\t\t\t\t\t\t.fusion-content-boxes-1 .fusion-content-box-hover .link-area-box-hover .heading .icon i.circle-yes {\n\t\t\t\t\t\t\tbackground-color: #d5ad34 !important;\n\t\t\t\t\t\t\tborder-color: #d5ad34 !important;\n\t\t\t\t\t\t}<\/style><div class=\"fusion-clearfix\"><\/div><\/div><div class=\"fusion-content-boxes content-boxes columns row fusion-columns-1 fusion-columns-total-3 fusion-content-boxes-2 content-boxes-timeline-vertical content-left content-boxes-timeline-layout content-boxes-icon-with-title fusion-delayed-animation\" data-animation-delay=\"350\" data-animationOffset=\"100%\" style=\"margin-top:;margin-bottom:;\"><style type=\"text\/css\">.fusion-content-boxes-2 .heading .content-box-heading {color:#245999;}\n\t\t\t\t\t.fusion-content-boxes-2 .fusion-content-box-hover .link-area-link-icon-hover .heading .content-box-heading,\n\t\t\t\t\t.fusion-content-boxes-2 .fusion-content-box-hover .link-area-link-icon-hover .heading .heading-link .content-box-heading,\n\t\t\t\t\t.fusion-content-boxes-2 .fusion-content-box-hover .link-area-box-hover .heading .content-box-heading,\n\t\t\t\t\t.fusion-content-boxes-2 .fusion-content-box-hover .link-area-box-hover .heading .heading-link .content-box-heading,\n\t\t\t\t\t.fusion-content-boxes-2 .fusion-content-box-hover .link-area-link-icon-hover.link-area-box .fusion-read-more,\n\t\t\t\t\t.fusion-content-boxes-2 .fusion-content-box-hover .link-area-link-icon-hover.link-area-box .fusion-read-more::after,\n\t\t\t\t\t.fusion-content-boxes-2 .fusion-content-box-hover .link-area-link-icon-hover.link-area-box .fusion-read-more::before,\n\t\t\t\t\t.fusion-content-boxes-2 .fusion-content-box-hover .fusion-read-more:hover:after,\n\t\t\t\t\t.fusion-content-boxes-2 .fusion-content-box-hover .fusion-read-more:hover:before,\n\t\t\t\t\t.fusion-content-boxes-2 .fusion-content-box-hover .fusion-read-more:hover,\n\t\t\t\t\t.fusion-content-boxes-2 .fusion-content-box-hover .link-area-box-hover.link-area-box .fusion-read-more,\n\t\t\t\t\t.fusion-content-boxes-2 .fusion-content-box-hover .link-area-box-hover.link-area-box .fusion-read-more::after,\n\t\t\t\t\t.fusion-content-boxes-2 .fusion-content-box-hover .link-area-box-hover.link-area-box .fusion-read-more::before,\n\t\t\t\t\t.fusion-content-boxes-2 .fusion-content-box-hover .link-area-link-icon-hover .icon .circle-no,\n\t\t\t\t\t.fusion-content-boxes-2 .heading .heading-link:hover .content-box-heading {\n\t\t\t\t\t\tcolor: #d5ad34;\n\t\t\t\t\t}\n\t\t\t\t\t.fusion-content-boxes-2 .fusion-content-box-hover .link-area-box-hover .icon .circle-no {\n\t\t\t\t\t\tcolor: #d5ad34 !important;\n\t\t\t\t\t}.fusion-content-boxes-2 .fusion-content-box-hover .link-area-box.link-area-box-hover .fusion-content-box-button {background: #5aa86c;color: #ffffff;}.fusion-content-boxes-2 .fusion-content-box-hover .link-area-box.link-area-box-hover .fusion-content-box-button .fusion-button-text {color: #ffffff;}\n\t\t\t\t\t.fusion-content-boxes-2 .fusion-content-box-hover .link-area-link-icon-hover .heading .icon > span {\n\t\t\t\t\t\tbackground-color: #d5ad34 !important;\n\t\t\t\t\t}\n\t\t\t\t\t.fusion-content-boxes-2 .fusion-content-box-hover .link-area-box-hover .heading .icon > span {\n\t\t\t\t\t\tborder-color: #d5ad34 !important;\n\t\t\t\t\t}<\/style><div class=\"fusion-column content-box-column content-box-column content-box-column-1 col-lg-12 col-md-12 col-sm-12 fusion-content-box-hover content-box-column-last-in-row\"><div class=\"col content-box-wrapper content-wrapper link-area-link-icon icon-hover-animation-fade fusion-animated\" style=\"background-color:rgba(255,255,255,0);\" data-animationType=\"fadeIn\" data-animationDuration=\"0.25\" data-animationOffset=\"100%\"><div class=\"heading heading-with-icon icon-left\" style=\"margin-top:9px;\"><div class=\"icon\" style=\"margin-top:-9px;margin-bottom:-9px;-webkit-animation-duration: 350ms;animation-duration: 350ms;\"><i style=\"border-color:#245999;border-width:1px;background-color:#245999;box-sizing:content-box;height:40px;width:40px;line-height:40px;border-radius:50%;color:#ffffff;font-size:20px;\" class=\"fontawesome-icon fa-map-marker-alt fas circle-yes\"><\/i><\/div><h2 class=\"content-box-heading\" style=\"font-size:24px;line-height:29px;\">San Jose Office<\/h2><\/div><div class=\"fusion-clearfix\"><\/div><div class=\"content-container\" style=\"padding-left:62px;color:#245999;\">\n<p><span style=\"color: #939598;\">Coming soon!<\/span><br \/>\n<span style=\"color: #939598;\">Get Directions<\/span><\/p>\n<\/div><div class=\"content-box-shortcode-timeline-vertical\" style=\"border-color:#245999;left:35px;top:20px;-webkit-transition-duration: 350ms;animation-duration: 350ms;\"><\/div><\/div><\/div><div class=\"fusion-column content-box-column content-box-column content-box-column-2 col-lg-12 col-md-12 col-sm-12 fusion-content-box-hover content-box-column-last-in-row\"><div class=\"col content-box-wrapper content-wrapper link-area-link-icon icon-hover-animation-fade fusion-animated\" style=\"background-color:rgba(255,255,255,0);\" data-animationType=\"fadeIn\" data-animationDuration=\"0.25\" data-animationOffset=\"100%\"><div class=\"heading heading-with-icon icon-left\" style=\"margin-top:9px;\"><div class=\"icon\" style=\"margin-top:-9px;margin-bottom:-9px;-webkit-animation-duration: 350ms;animation-duration: 350ms;\"><i style=\"border-color:#245999;border-width:1px;background-color:#245999;box-sizing:content-box;height:40px;width:40px;line-height:40px;border-radius:50%;color:#ffffff;font-size:20px;\" class=\"fontawesome-icon fa-phone fas circle-yes\"><\/i><\/div><h2 class=\"content-box-heading\" style=\"font-size:24px;line-height:29px;\">Phone<\/h2><\/div><div class=\"fusion-clearfix\"><\/div><div class=\"content-container\" style=\"padding-left:62px;color:#245999;\">\n<p><span style=\"color: #939598;\">Office: 408-510-5000<\/span><\/p>\n<p><span style=\"color: #939598;\">Toll Free: 888-883-0339<\/span><\/p>\n<\/div><div class=\"content-box-shortcode-timeline-vertical\" style=\"border-color:#245999;left:35px;top:20px;-webkit-transition-duration: 350ms;animation-duration: 350ms;\"><\/div><\/div><\/div><div class=\"fusion-column content-box-column content-box-column content-box-column-3 col-lg-12 col-md-12 col-sm-12 fusion-content-box-hover content-box-column-last content-box-column-last-in-row\"><div class=\"col content-box-wrapper content-wrapper link-area-link-icon icon-hover-animation-fade fusion-animated\" style=\"background-color:rgba(255,255,255,0);\" data-animationType=\"fadeIn\" data-animationDuration=\"0.25\" data-animationOffset=\"100%\"><div class=\"heading heading-with-icon icon-left\" style=\"margin-top:9px;\"><div class=\"icon\" style=\"margin-top:-9px;margin-bottom:-9px;-webkit-animation-duration: 350ms;animation-duration: 350ms;\"><i style=\"border-color:#245999;border-width:1px;background-color:#245999;box-sizing:content-box;height:40px;width:40px;line-height:40px;border-radius:50%;color:#ffffff;font-size:20px;\" class=\"fontawesome-icon fa-envelope fas circle-yes\"><\/i><\/div><h2 class=\"content-box-heading\" style=\"font-size:24px;line-height:29px;\">Email Address<\/h2><\/div><div class=\"fusion-clearfix\"><\/div><div class=\"content-container\" style=\"padding-left:62px;color:#245999;\">\n<p><a href=\"mailto:info@ghia-ca.com\">info@ghia-ca.com<\/a><\/p>\n<\/div><div class=\"content-box-shortcode-timeline-vertical\" style=\"border-color:#245999;left:35px;top:20px;-webkit-transition-duration: 350ms;animation-duration: 350ms;\"><\/div><\/div><\/div><style type=\"text\/css\">\n\t\t\t\t\t\t.fusion-content-boxes-2 .fusion-content-box-hover .heading-link:hover .icon i.circle-yes,\n\t\t\t\t\t\t.fusion-content-boxes-2 .fusion-content-box-hover .link-area-box:hover .heading-link .icon i.circle-yes,\n\t\t\t\t\t\t.fusion-content-boxes-2 .fusion-content-box-hover .link-area-link-icon-hover .heading .icon i.circle-yes,\n\t\t\t\t\t\t.fusion-content-boxes-2 .fusion-content-box-hover .link-area-box-hover .heading .icon i.circle-yes {\n\t\t\t\t\t\t\tbackground-color: #d5ad34 !important;\n\t\t\t\t\t\t\tborder-color: #d5ad34 !important;\n\t\t\t\t\t\t}<\/style><div class=\"fusion-clearfix\"><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div id=\"contactForm\" class=\"fusion-layout-column fusion_builder_column fusion_builder_column_1_2 fusion-builder-column-2 fusion-one-half fusion-column-last 1_2\"  style='margin-top:0px;margin-bottom:20px;width:50%;width:calc(50% - ( ( 4% ) * 0.5 ) );'><div class=\"fusion-column-wrapper\" style=\"background-color:rgba(213,173,52,0.1);overflow:hidden;border-radius:8px 8px 8px 8px;padding: 15px 15px 15px 15px;background-image: url('https:\/\/ghiacacom.wpenginepowered.com\/wp-content\/uploads\/2024\/06\/bg-2.png');background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;border-radius:8px 8px 8px 8px;\"   data-bg-url=\"https:\/\/ghiacacom.wpenginepowered.com\/wp-content\/uploads\/2024\/06\/bg-2.png\"><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-197\"><form id=\"wpforms-form-197\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"197\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/zh\/wp-json\/wp\/v2\/pages\/107\" data-token=\"227c21342eb90fdb8c9c6f4f1904b545\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-197-field_8-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-197-field_8\">Title <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-197-field_8\" class=\"wpforms-field-large wpforms-field-required choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-large\" data-search-enabled=\"\" name=\"wpforms[fields][8]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Mr.\/Mrs.\/Ms.<\/option><option value=\"Mr.\" >Mr.<\/option><option value=\"Mrs.\" >Mrs.<\/option><option value=\"Ms.\" >Ms.<\/option><\/select><\/div><div id=\"wpforms-197-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-197-field_1\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-197-field_1\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][1]\" aria-errormessage=\"wpforms-197-field_1-error\" required><\/div><div id=\"wpforms-197-field_9-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-197-field_9\">Best way to contact you back <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-197-field_9\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][9]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>How do you want us to contact you back?<\/option><option value=\"Call\" >Call<\/option><option value=\"Text\" >Text<\/option><option value=\"Email\" >Email<\/option><\/select><\/div><div id=\"wpforms-197-field_5-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-197-field_5\">Email<\/label><input type=\"email\" id=\"wpforms-197-field_5\" class=\"wpforms-field-large\" name=\"wpforms[fields][5]\" spellcheck=\"false\" aria-errormessage=\"wpforms-197-field_5-error\" ><\/div><div id=\"wpforms-197-field_3-container\" class=\"wpforms-field wpforms-field-text wpf-char-min\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-197-field_3\">Phone Number <span class=\"wpforms-required-label\" 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