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<div class='gf_browser_unknown gform_wrapper' id='gform_wrapper_27' ><div id='gf_27' class='gform_anchor' tabindex='-1'></div><form method='post' enctype='multipart/form-data' target='gform_ajax_frame_27' id='gform_27' action='/refund-survey#gf_27'> <div class='gform_body'><ul id='gform_fields_27' class='gform_fields top_label form_sublabel_below description_below'><li id='field_27_1' class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible' ><img class="em-head" src="//www.evanmarckatz.com/images/em-head.jpg" width="120" height="120"> <p align="center">Evan Marc Katz</p></li><li id='field_27_2' class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible' ><center><br><br> <strong><span style="font-size: 14px">Are you sick of men not making an effort? <br><br> Are you tired of texting relationships? <br><br> Are you done with “Netflix and chill?”</span></strong><br><br> <span style="font-size: 12px">Sign up for this free email training and I’ll tell you the <strong>8 Massive Mistakes You’re Making in Relationships</strong> so you never end up feeling this way again. </span></center></li><li id='field_27_3' class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible' ><center><img style="margin: 20px 0" width="131" height="190" src="//www.evanmarckatz.com/images/8-mistakes-cover.png"></center></li><li id='field_27_10' class='gfield gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' >Name<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name' id='input_27_10'> <span id='input_27_10_3_container' class='name_first' > <input type='text' name='input_10.3' id='input_27_10_3' value='' aria-label='First name' aria-required="true" aria-invalid="false" placeholder='First Name'/> <label for='input_27_10_3' class='hidden_sub_label screen-reader-text'>First</label> </span> </div></li><li id='field_27_9' class='gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_27_9' ><span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_email'> <input name='input_9' id='input_27_9' type='text' value='' class='medium' placeholder='Enter your best email address' aria-required="true" aria-invalid="false" /> </div></li><li id='field_27_5' class='gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible' ><input name='input_5' id='input_27_5' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></li><li id='field_27_6' class='gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible' ><input name='input_6' id='input_27_6' type='hidden' class='gform_hidden' aria-invalid="false" value='https://www.evanmarckatz.com/refund-survey' /></li><li id='field_27_11' class='gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_27_11' >Phone</label><div class='ginput_container'><input name='input_11' id='input_27_11' type='text' value='' /></div><div class='gfield_description' id='gfield_description__11'>This field is for validation purposes and should be left unchanged.</div></li> </ul></div> <div class='gform_footer top_label'> <input type="submit" id="gform_submit_button_27" class="gform_button button om-trigger-conversion" value="Sign Up Now" onclick='if(window["gf_submitting_27"]){return false;} window["gf_submitting_27"]=true; 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