[class^="wpforms-"]

<div role="form" class="wpcf7" id="wpcf7-f131795-p128440-o1" lang="en-US" dir="ltr"> <div class="screen-reader-response"><p role="status" aria-live="polite" aria-atomic="true"></p> <ul></ul></div> <form action="/?porto_builder=current-promotions#wpcf7-f131795-p128440-o1" method="post" class="wpcf7-form init" novalidate="novalidate" data-status="init"> <div style="display: none;"> <input type="hidden" name="_wpcf7" value="131795" /> <input type="hidden" name="_wpcf7_version" value="5.6.1" /> <input type="hidden" name="_wpcf7_locale" value="en_US" /> <input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f131795-p128440-o1" /> <input type="hidden" name="_wpcf7_container_post" value="128440" /> <input type="hidden" name="_wpcf7_posted_data_hash" value="" /> </div> <div class="form-row"> <div class="form-group leftSide" style="width: 48%; float:left;"> <span class="wpcf7-form-control-wrap" data-name="your-first"><input type="text" name="your-first" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="First Name" /></span> </div> <div class="form-group rightSide" style="width: 47%; float:left;"> <span class="wpcf7-form-control-wrap" data-name="your-last"><input type="text" name="your-last" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="Last Name" /></span></p> </div> <p><br></br><br /> &nbsp</p> </div> <div class="form-row"> <div class="form-group leftSide" style="width: 48%; float:left;"> <span class="wpcf7-form-control-wrap" data-name="your-email"><input type="email" name="your-email" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" aria-required="true" aria-invalid="false" placeholder="Email Address" /></span> </div> <div class="form-group rightSide " style="width: 47%; float:left;"> <span class="wpcf7-form-control-wrap" data-name="your-phone"><input type="text" name="your-phone" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="Contact Number" /></span> </p> </div> </div> <p>&nbsp</p> <div class="form-row"> <div class="form-group" style="width: 100%;"> <!--Area Interested In--></p> <div class="form-row"> <div class="form-group col"> <div class="selects" style="width: 49.5%; display: inline-block;"> <label style="color:#fff; font-weight;400; font-size:14px; text-align:center;">Which Area Are You Interested In?<br /> <span class="wpcf7-form-control-wrap" data-name="AreaInterestedIn"><select name="AreaInterestedIn" class="wpcf7-form-control wpcf7-select wpcf7-validates-as-required" aria-required="true" aria-invalid="false"><option value="Select Option">Select Option</option><option value="Crown Surgery">Crown Surgery</option><option value="Front Surgery">Front Surgery</option><option value="Hair Line Surgery">Hair Line Surgery</option><option value="General thinning">General thinning</option><option value="Beard">Beard</option><option value="Eyebrows">Eyebrows</option></select></span><br /> </label> </div> </div> <p>&nbsp</p> <div><input type="submit" value="Send" class="wpcf7-form-control has-spinner wpcf7-submit" /></div> <p>&nbsp</p> <div class="wpcf7-response-output" aria-hidden="true"></div></form></div>

[class^="wpforms-"]

<div role="form" class="wpcf7" id="wpcf7-f131793-p128440-o2" lang="en-US" dir="ltr"> <div class="screen-reader-response"><p role="status" aria-live="polite" aria-atomic="true"></p> <ul></ul></div> <form action="/?porto_builder=current-promotions#wpcf7-f131793-p128440-o2" method="post" class="wpcf7-form init" novalidate="novalidate" data-status="init"> <div style="display: none;"> <input type="hidden" name="_wpcf7" value="131793" /> <input type="hidden" name="_wpcf7_version" value="5.6.1" /> <input type="hidden" name="_wpcf7_locale" value="en_US" /> <input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f131793-p128440-o2" /> <input type="hidden" name="_wpcf7_container_post" value="128440" /> <input type="hidden" name="_wpcf7_posted_data_hash" value="" /> </div> <div class="form-row"> <div class="form-group leftSide" style="width: 48%; float:left;"> <span class="wpcf7-form-control-wrap" data-name="your-first"><input type="text" name="your-first" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="First Name" /></span> </div> <div class="form-group rightSide" style="width: 47%; float:left;"> <span class="wpcf7-form-control-wrap" data-name="your-last"><input type="text" name="your-last" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="Last Name" /></span></p> </div> <p><br></br><br /> &nbsp</p> </div> <div class="form-row"> <div class="form-group leftSide" style="width: 48%; float:left;"> <span class="wpcf7-form-control-wrap" data-name="your-email"><input type="email" name="your-email" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" aria-required="true" aria-invalid="false" placeholder="Email Address" /></span> </div> <div class="form-group rightSide " style="width: 47%; float:left;"> <span class="wpcf7-form-control-wrap" data-name="your-phone"><input type="text" name="your-phone" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="Contact Number" /></span> </p> </div> </div> <p>&nbsp</p> <div class="form-row"> <div class="form-group" style="width: 100%;"> <!--Area Interested In--></p> <div class="form-row"> <div class="form-group col"> <div class="selects" style="width: 49.5%; display: inline-block;"> <label style="color:#fff; font-weight;400; font-size:14px; text-align:center;">Which Area Are You Interested In?<br /> <span class="wpcf7-form-control-wrap" data-name="AreaInterestedIn"><select name="AreaInterestedIn" class="wpcf7-form-control wpcf7-select wpcf7-validates-as-required" aria-required="true" aria-invalid="false"><option value="Select Option">Select Option</option><option value="Crown Surgery">Crown Surgery</option><option value="Front Surgery">Front Surgery</option><option value="Hair Line Surgery">Hair Line Surgery</option><option value="General thinning">General thinning</option><option value="Beard">Beard</option><option value="Eyebrows">Eyebrows</option></select></span><br /> </label> </div> </div> <p>&nbsp</p> <div><input type="submit" value="Send" class="wpcf7-form-control has-spinner wpcf7-submit" /></div> <p>&nbsp</p> <div class="wpcf7-response-output" aria-hidden="true"></div></form></div>

[class^="wpforms-"]

<div role="form" class="wpcf7" id="wpcf7-f129886-p128440-o3" lang="en-US" dir="ltr"> <div class="screen-reader-response"><p role="status" aria-live="polite" aria-atomic="true"></p> <ul></ul></div> <form action="/?porto_builder=current-promotions#wpcf7-f129886-p128440-o3" method="post" class="wpcf7-form init" novalidate="novalidate" data-status="init"> <div style="display: none;"> <input type="hidden" name="_wpcf7" value="129886" /> <input type="hidden" name="_wpcf7_version" value="5.6.1" /> <input type="hidden" name="_wpcf7_locale" value="en_US" /> <input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f129886-p128440-o3" /> <input type="hidden" name="_wpcf7_container_post" value="128440" /> <input type="hidden" name="_wpcf7_posted_data_hash" value="" /> </div> <div class="form-row"> <div class="form-group leftSide" style="width: 48%; float:left;"> <span class="wpcf7-form-control-wrap" data-name="your-first"><input type="text" name="your-first" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="First Name" /></span> </div> <div class="form-group rightSide" style="width: 47%; float:left;"> <span class="wpcf7-form-control-wrap" data-name="your-last"><input type="text" name="your-last" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="Last Name" /></span></p> </div> <p><br></br><br /> &nbsp</p> </div> <div class="form-row"> <div class="form-group leftSide" style="width: 48%; float:left;"> <span class="wpcf7-form-control-wrap" data-name="your-email"><input type="email" name="your-email" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" aria-required="true" aria-invalid="false" placeholder="Email Address" /></span> </div> <div class="form-group rightSide " style="width: 47%; float:left;"> <span class="wpcf7-form-control-wrap" data-name="your-phone"><input type="text" name="your-phone" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="Contact Number" /></span> </p> </div> </div> <p>&nbsp</p> <div class="form-row"> <div class="form-group" style="width: 100%;"> <!--Area Interested In--></p> <div class="form-row"> <div class="form-group col"> <div class="selects" style="width: 49.5%; display: inline-block;"> <label style="color:#fff; font-weight;400; font-size:14px; text-align:center;">Which Area Are You Interested In?<br /> <span class="wpcf7-form-control-wrap" data-name="AreaInterestedIn"><select name="AreaInterestedIn" class="wpcf7-form-control wpcf7-select wpcf7-validates-as-required" aria-required="true" aria-invalid="false"><option value="Select Option">Select Option</option><option value="Crown Surgery">Crown Surgery</option><option value="Front Surgery">Front Surgery</option><option value="Hair Line Surgery">Hair Line Surgery</option><option value="General thinning">General thinning</option><option value="Beard">Beard</option><option value="Eyebrows">Eyebrows</option></select></span><br /> </label> </div> </div> <p>&nbsp</p> <div><input type="submit" value="Send" class="wpcf7-form-control has-spinner wpcf7-submit" /></div> <p>&nbsp</p> <div class="wpcf7-response-output" aria-hidden="true"></div></form></div>