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<div class="wpforms-container wpforms-container-full" id="wpforms-1252"><form id="wpforms-form-1252" class="wpforms-validate wpforms-form wpforms-ajax-form" data-formid="1252" method="post" enctype="multipart/form-data" action="/category/success-stories/" data-token="8575ae4fb13c32663356b2a6af39ac4c"><noscript class="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</noscript><div class="wpforms-field-container"><div id="wpforms-1252-field_18-container" class="wpforms-field wpforms-field-html" data-field-id="18"><div id="wpforms-1252-field_18"><p style="text-align:center;"><img src="https://startmy15.com/wp-content/uploads/2022/08/25Day25KContest-Gradient-477x39-1.png" alt="The 15 Day Challenge logo"></p></div></div><div id="wpforms-1252-field_1-container" class="wpforms-field wpforms-field-name" data-field-id="1"><label class="wpforms-field-label" for="wpforms-1252-field_1">Name <span class="wpforms-required-label">*</span></label><div class="wpforms-field-row wpforms-field-large"><div class="wpforms-field-row-block wpforms-first wpforms-one-half"><input type="text" id="wpforms-1252-field_1" class="wpforms-field-name-first wpforms-field-required" name="wpforms[fields][1][first]" required><label for="wpforms-1252-field_1" class="wpforms-field-sublabel after ">First</label></div><div class="wpforms-field-row-block wpforms-one-half"><input type="text" id="wpforms-1252-field_1-last" class="wpforms-field-name-last wpforms-field-required" name="wpforms[fields][1][last]" required><label for="wpforms-1252-field_1-last" class="wpforms-field-sublabel after ">Last</label></div></div></div><div id="wpforms-1252-field_2-container" class="wpforms-field wpforms-field-email" data-field-id="2"><label class="wpforms-field-label" for="wpforms-1252-field_2">Email <span class="wpforms-required-label">*</span></label><input type="email" id="wpforms-1252-field_2" class="wpforms-field-large wpforms-field-required wpforms-novalidate-onkeyup" data-rule-unique="true" name="wpforms[fields][2]" required></div><div id="wpforms-1252-field_15-container" class="wpforms-field wpforms-field-phone" data-field-id="15"><label class="wpforms-field-label" for="wpforms-1252-field_15">Phone <span class="wpforms-required-label">*</span></label><input type="tel" id="wpforms-1252-field_15" class="wpforms-field-large wpforms-field-required wpforms-smart-phone-field wpforms-novalidate-onkeyup" data-rule-smart-phone-field="true" data-rule-unique="true" name="wpforms[fields][15]" required></div><div id="wpforms-1252-field_16-container" class="wpforms-field wpforms-field-payment-multiple wpforms-list-2-columns" data-field-id="16"><label class="wpforms-field-label" for="wpforms-1252-field_16">Please click on one finalist to cast your vote. You may vote for only one finalist. <span class="wpforms-required-label">*</span></label><ul id="wpforms-1252-field_16" class="wpforms-field-required wpforms-image-choices wpforms-image-choices-modern"><li class="choice-1 wpforms-image-choices-item"><label class="wpforms-field-label-inline" for="wpforms-1252-field_16_1"><span class="wpforms-image-choices-image"><img src="https://startmy15.com/wp-content/uploads/2022/09/Men-finalist.webp" alt="Finalist 1" title="Finalist 1"></span><input type="radio" id="wpforms-1252-field_16_1" class="wpforms-payment-price wpforms-screen-reader-element" data-amount="0.00" name="wpforms[fields][16]" value="1" required ><span class="wpforms-image-choices-label">Finalist 1</span></label></li><li class="choice-2 wpforms-image-choices-item"><label class="wpforms-field-label-inline" for="wpforms-1252-field_16_2"><span class="wpforms-image-choices-image"><img src="https://startmy15.com/wp-content/uploads/2022/09/Woman-finalist.webp" alt="Finalist 2" title="Finalist 2"></span><input type="radio" id="wpforms-1252-field_16_2" class="wpforms-payment-price wpforms-screen-reader-element" data-amount="0.00" name="wpforms[fields][16]" value="2" required ><span class="wpforms-image-choices-label">Finalist 2</span></label></li><li class="choice-3 wpforms-image-choices-item"><label class="wpforms-field-label-inline" for="wpforms-1252-field_16_3"><span class="wpforms-image-choices-image"><img src="https://startmy15.com/wp-content/uploads/2022/09/Men-finalist.webp" alt="Finalist 3" title="Finalist 3"></span><input type="radio" id="wpforms-1252-field_16_3" class="wpforms-payment-price wpforms-screen-reader-element" data-amount="0.00" name="wpforms[fields][16]" value="3" required ><span class="wpforms-image-choices-label">Finalist 3</span></label></li><li class="choice-4 wpforms-image-choices-item"><label class="wpforms-field-label-inline" for="wpforms-1252-field_16_4"><span class="wpforms-image-choices-image"><img src="https://startmy15.com/wp-content/uploads/2022/09/Woman-finalist.webp" alt="Finalist 4" title="Finalist 4"></span><input type="radio" id="wpforms-1252-field_16_4" class="wpforms-payment-price wpforms-screen-reader-element" data-amount="0.00" name="wpforms[fields][16]" value="4" required ><span class="wpforms-image-choices-label">Finalist 4</span></label></li><li class="choice-5 wpforms-image-choices-item"><label class="wpforms-field-label-inline" for="wpforms-1252-field_16_5"><span class="wpforms-image-choices-image"><img src="https://startmy15.com/wp-content/uploads/2022/09/Men-finalist.webp" alt="Finalist 5" title="Finalist 5"></span><input type="radio" id="wpforms-1252-field_16_5" class="wpforms-payment-price wpforms-screen-reader-element" data-amount="0.00" name="wpforms[fields][16]" value="5" required ><span class="wpforms-image-choices-label">Finalist 5</span></label></li><li class="choice-6 wpforms-image-choices-item"><label class="wpforms-field-label-inline" for="wpforms-1252-field_16_6"><span class="wpforms-image-choices-image"><img src="https://startmy15.com/wp-content/uploads/2022/09/Woman-finalist.webp" alt="Finalist 6" title="Finalist 6"></span><input type="radio" id="wpforms-1252-field_16_6" class="wpforms-payment-price wpforms-screen-reader-element" data-amount="0.00" name="wpforms[fields][16]" value="6" required ><span class="wpforms-image-choices-label">Finalist 6</span></label></li><li class="choice-7 wpforms-image-choices-item"><label class="wpforms-field-label-inline" for="wpforms-1252-field_16_7"><span class="wpforms-image-choices-image"><img src="https://startmy15.com/wp-content/uploads/2022/09/Men-finalist.webp" alt="Finalist 7" title="Finalist 7"></span><input type="radio" id="wpforms-1252-field_16_7" class="wpforms-payment-price wpforms-screen-reader-element" data-amount="0.00" name="wpforms[fields][16]" value="7" required ><span class="wpforms-image-choices-label">Finalist 7</span></label></li><li class="choice-8 wpforms-image-choices-item"><label class="wpforms-field-label-inline" for="wpforms-1252-field_16_8"><span class="wpforms-image-choices-image"><img src="https://startmy15.com/wp-content/uploads/2022/09/Woman-finalist.webp" alt="Finalist 8" title="Finalist 8"></span><input type="radio" id="wpforms-1252-field_16_8" class="wpforms-payment-price wpforms-screen-reader-element" data-amount="0.00" name="wpforms[fields][16]" value="8" required ><span class="wpforms-image-choices-label">Finalist 8</span></label></li><li class="choice-10 wpforms-image-choices-item"><label class="wpforms-field-label-inline" for="wpforms-1252-field_16_10"><span class="wpforms-image-choices-image"><img src="https://startmy15.com/wp-content/uploads/2022/09/Men-finalist.webp" alt="Finalist 9" title="Finalist 9"></span><input type="radio" id="wpforms-1252-field_16_10" class="wpforms-payment-price wpforms-screen-reader-element" data-amount="0.00" name="wpforms[fields][16]" value="10" required ><span class="wpforms-image-choices-label">Finalist 9</span></label></li><li class="choice-9 wpforms-image-choices-item"><label class="wpforms-field-label-inline" for="wpforms-1252-field_16_9"><span class="wpforms-image-choices-image"><img src="https://startmy15.com/wp-content/uploads/2022/09/Woman-finalist.webp" alt="Finalist 10" title="Finalist 10"></span><input type="radio" id="wpforms-1252-field_16_9" class="wpforms-payment-price wpforms-screen-reader-element" data-amount="0.00" name="wpforms[fields][16]" value="9" required ><span class="wpforms-image-choices-label">Finalist 10</span></label></li></ul></div></div><div class="wpforms-submit-container"><input type="hidden" name="wpforms[id]" value="1252"><input type="hidden" name="wpforms[author]" value="2"><button type="submit" name="wpforms[submit]" id="wpforms-submit-1252" class="wpforms-submit wpf-center" data-alt-text="Sending..." data-submit-text="Submit" aria-live="assertive" value="wpforms-submit">Submit</button><img src="https://startmy15.com/wp-content/plugins/wpforms/assets/images/submit-spin.svg" class="wpforms-submit-spinner" style="display: none;" width="26" height="26" alt="Loading"></div></form></div> <!-- .wpforms-container -->
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