[gravityform id="53" title="false" description="false" ajax="true"]
<script type="text/javascript">var gform;gform||(document.addEventListener("gform_main_scripts_loaded",function(){gform.scriptsLoaded=!0}),window.addEventListener("DOMContentLoaded",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener("DOMContentLoaded",o):document.addEventListener("gform_main_scripts_loaded",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook("action",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook("filter",o,n,r,t)},doAction:function(o){gform.doHook("action",o,arguments)},applyFilters:function(o){return gform.doHook("filter",o,arguments)},removeAction:function(o,n){gform.removeHook("action",o,n)},removeFilter:function(o,n,r){gform.removeHook("filter",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+"_"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){"function"!=typeof(t=o.callable)&&(t=window[t]),"action"==n?t.apply(null,r):r[0]=t.apply(null,r)})),"filter"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});</script>
<div class='gf_browser_unknown gform_wrapper gravity-theme' id='gform_wrapper_53' style='display:none'><div id='gf_53' class='gform_anchor' tabindex='-1'></div><form method='post' enctype='multipart/form-data' target='gform_ajax_frame_53' id='gform_53' action='/related/seniors-cards#gf_53' novalidate>
<div id='gf_progressbar_wrapper_53' class='gf_progressbar_wrapper'>
<p class="gf_progressbar_title">Step <span class='gf_step_current_page'>1</span> of <span class='gf_step_page_count'>5</span>
</p>
<div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>
<div class='gf_progressbar_percentage percentbar_blue percentbar_20' style='width:20%;'><span>20%</span></div>
</div></div>
<div class='gform_body gform-body'><div id='gform_page_53_1' class='gform_page' >
<div class='gform_page_fields'><div id='gform_fields_53' class='gform_fields top_label form_sublabel_below description_below'><fieldset id="field_53_1" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_53_1"><legend class='gfield_label' >How old are you?</legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_53_1'>
<div class='gchoice gchoice_53_1_0'>
<input class='gfield-choice-input' name='input_1' type='radio' value='18-29' id='choice_53_1_0' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_1_0' id='label_53_1_0'>18-29</label>
</div>
<div class='gchoice gchoice_53_1_1'>
<input class='gfield-choice-input' name='input_1' type='radio' value='30-39' id='choice_53_1_1' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_1_1' id='label_53_1_1'>30-39</label>
</div>
<div class='gchoice gchoice_53_1_2'>
<input class='gfield-choice-input' name='input_1' type='radio' value='40-49' id='choice_53_1_2' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_1_2' id='label_53_1_2'>40-49</label>
</div>
<div class='gchoice gchoice_53_1_3'>
<input class='gfield-choice-input' name='input_1' type='radio' value='50-59' id='choice_53_1_3' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_1_3' id='label_53_1_3'>50-59</label>
</div>
<div class='gchoice gchoice_53_1_4'>
<input class='gfield-choice-input' name='input_1' type='radio' value='60-69' id='choice_53_1_4' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_1_4' id='label_53_1_4'>60-69</label>
</div></div></div></fieldset><fieldset id="field_53_6" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_53_6"><legend class='gfield_label' >How far from retirement are you?</legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_53_6'>
<div class='gchoice gchoice_53_6_0'>
<input class='gfield-choice-input' name='input_6' type='radio' value='More than 5 years' id='choice_53_6_0' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_6_0' id='label_53_6_0'>More than 5 years</label>
</div>
<div class='gchoice gchoice_53_6_1'>
<input class='gfield-choice-input' name='input_6' type='radio' value='2-5 years' id='choice_53_6_1' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_6_1' id='label_53_6_1'>2-5 years</label>
</div>
<div class='gchoice gchoice_53_6_2'>
<input class='gfield-choice-input' name='input_6' type='radio' value='Within the next 2 years' id='choice_53_6_2' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_6_2' id='label_53_6_2'>Within the next 2 years</label>
</div></div></div></fieldset></div>
</div>
<div class='gform_page_footer top_label'>
<input type='button' id='gform_next_button_53_3' class='gform_next_button button' value='Next' onclick='jQuery("#gform_target_page_number_53").val("2"); jQuery("#gform_53").trigger("submit",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_53").val("2"); jQuery("#gform_53").trigger("submit",[true]); } ' />
</div>
</div>
<div id='gform_page_53_2' class='gform_page' style='display:none;'>
<div class='gform_page_fields'>
<div id='gform_fields_53_2' class='gform_fields top_label form_sublabel_below description_below'><fieldset id="field_53_8" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_53_8"><legend class='gfield_label' >Are you looking for help with a single issue, or do you looking for a comprehensive financial plan that fully takes into account your personal situation, needs and financial goals?</legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_53_8'>
<div class='gchoice gchoice_53_8_0'>
<input class='gfield-choice-input' name='input_8' type='radio' value='Single issue' id='choice_53_8_0' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_8_0' id='label_53_8_0'>Single issue</label>
</div>
<div class='gchoice gchoice_53_8_1'>
<input class='gfield-choice-input' name='input_8' type='radio' value='Comprehensive plan' id='choice_53_8_1' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_8_1' id='label_53_8_1'>Comprehensive plan</label>
</div></div></div></fieldset><fieldset id="field_53_4" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_53_4"><legend class='gfield_label gfield_label_before_complex' >What type of advice are you looking for?</legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_53_4'><div class='gchoice gchoice_53_4_1'>
<input class='gfield-choice-input' name='input_4.1' type='checkbox' value='Insurance' id='choice_53_4_1' />
<label for='choice_53_4_1' id='label_53_4_1'>Insurance</label>
</div><div class='gchoice gchoice_53_4_2'>
<input class='gfield-choice-input' name='input_4.2' type='checkbox' value='Investing' id='choice_53_4_2' />
<label for='choice_53_4_2' id='label_53_4_2'>Investing</label>
</div><div class='gchoice gchoice_53_4_3'>
<input class='gfield-choice-input' name='input_4.3' type='checkbox' value='SMSFs' id='choice_53_4_3' />
<label for='choice_53_4_3' id='label_53_4_3'>SMSFs</label>
</div><div class='gchoice gchoice_53_4_4'>
<input class='gfield-choice-input' name='input_4.4' type='checkbox' value='Retirement planning' id='choice_53_4_4' />
<label for='choice_53_4_4' id='label_53_4_4'>Retirement planning</label>
</div><div class='gchoice gchoice_53_4_5'>
<input class='gfield-choice-input' name='input_4.5' type='checkbox' value='Superannuation' id='choice_53_4_5' />
<label for='choice_53_4_5' id='label_53_4_5'>Superannuation</label>
</div><div class='gchoice gchoice_53_4_6'>
<input class='gfield-choice-input' name='input_4.6' type='checkbox' value='Tax' id='choice_53_4_6' />
<label for='choice_53_4_6' id='label_53_4_6'>Tax</label>
</div></div></div></fieldset></div>
</div>
<div class='gform_page_footer top_label'>
<input type='button' id='gform_previous_button_53_9' class='gform_previous_button button' value='Previous' onclick='jQuery("#gform_target_page_number_53").val("1"); jQuery("#gform_53").trigger("submit",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_53").val("1"); jQuery("#gform_53").trigger("submit",[true]); } ' /> <input type='button' id='gform_next_button_53_9' class='gform_next_button button' value='Next' onclick='jQuery("#gform_target_page_number_53").val("3"); jQuery("#gform_53").trigger("submit",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_53").val("3"); jQuery("#gform_53").trigger("submit",[true]); } ' />
</div>
</div>
<div id='gform_page_53_3' class='gform_page' style='display:none;'>
<div class='gform_page_fields'>
<div id='gform_fields_53_3' class='gform_fields top_label form_sublabel_below description_below'><fieldset id="field_53_17" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_53_17"><legend class='gfield_label' >What is the approximate value of all your financial assets (including your super and the equity in your family home)?</legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_53_17'>
<div class='gchoice gchoice_53_17_0'>
<input class='gfield-choice-input' name='input_17' type='radio' value='Less than $500,000' id='choice_53_17_0' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_17_0' id='label_53_17_0'>Less than $500,000</label>
</div>
<div class='gchoice gchoice_53_17_1'>
<input class='gfield-choice-input' name='input_17' type='radio' value='$500,000 to $1 million' id='choice_53_17_1' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_17_1' id='label_53_17_1'>$500,000 to $1 million</label>
</div>
<div class='gchoice gchoice_53_17_2'>
<input class='gfield-choice-input' name='input_17' type='radio' value='$1 million to $2 million' id='choice_53_17_2' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_17_2' id='label_53_17_2'>$1 million to $2 million</label>
</div>
<div class='gchoice gchoice_53_17_3'>
<input class='gfield-choice-input' name='input_17' type='radio' value='$2 million to $5 million' id='choice_53_17_3' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_17_3' id='label_53_17_3'>$2 million to $5 million</label>
</div>
<div class='gchoice gchoice_53_17_4'>
<input class='gfield-choice-input' name='input_17' type='radio' value='More than $5 million' id='choice_53_17_4' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_17_4' id='label_53_17_4'>More than $5 million</label>
</div></div></div></fieldset><fieldset id="field_53_19" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_53_19"><legend class='gfield_label' >What is your approximate household income before tax?</legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_53_19'>
<div class='gchoice gchoice_53_19_0'>
<input class='gfield-choice-input' name='input_19' type='radio' value='Less than $50,000' id='choice_53_19_0' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_19_0' id='label_53_19_0'>Less than $50,000</label>
</div>
<div class='gchoice gchoice_53_19_1'>
<input class='gfield-choice-input' name='input_19' type='radio' value='$50,000 to $80,000' id='choice_53_19_1' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_19_1' id='label_53_19_1'>$50,000 to $80,000</label>
</div>
<div class='gchoice gchoice_53_19_2'>
<input class='gfield-choice-input' name='input_19' type='radio' value='$80,000 to $120,000' id='choice_53_19_2' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_19_2' id='label_53_19_2'>$80,000 to $120,000</label>
</div>
<div class='gchoice gchoice_53_19_3'>
<input class='gfield-choice-input' name='input_19' type='radio' value='$120,000 to $180,000' id='choice_53_19_3' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_19_3' id='label_53_19_3'>$120,000 to $180,000</label>
</div>
<div class='gchoice gchoice_53_19_4'>
<input class='gfield-choice-input' name='input_19' type='radio' value='$180,000 to $250,000' id='choice_53_19_4' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_19_4' id='label_53_19_4'>$180,000 to $250,000</label>
</div>
<div class='gchoice gchoice_53_19_5'>
<input class='gfield-choice-input' name='input_19' type='radio' value='More than $250,000' id='choice_53_19_5' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_19_5' id='label_53_19_5'>More than $250,000</label>
</div></div></div></fieldset></div>
</div>
<div class='gform_page_footer top_label'>
<input type='button' id='gform_previous_button_53_20' class='gform_previous_button button' value='Previous' onclick='jQuery("#gform_target_page_number_53").val("2"); jQuery("#gform_53").trigger("submit",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_53").val("2"); jQuery("#gform_53").trigger("submit",[true]); } ' /> <input type='button' id='gform_next_button_53_20' class='gform_next_button button' value='Next' onclick='jQuery("#gform_target_page_number_53").val("4"); jQuery("#gform_53").trigger("submit",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_53").val("4"); jQuery("#gform_53").trigger("submit",[true]); } ' />
</div>
</div>
<div id='gform_page_53_4' class='gform_page' style='display:none;'>
<div class='gform_page_fields'>
<div id='gform_fields_53_4' class='gform_fields top_label form_sublabel_below description_below'><fieldset id="field_53_10" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_53_10"><legend class='gfield_label' >Would you like to meet online or face-to-face?</legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_53_10'>
<div class='gchoice gchoice_53_10_0'>
<input class='gfield-choice-input' name='input_10' type='radio' value='Online (e.g. Facetime, Whatsapp, Skype)' id='choice_53_10_0' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_10_0' id='label_53_10_0'>Online (e.g. Facetime, Whatsapp, Skype)</label>
</div>
<div class='gchoice gchoice_53_10_1'>
<input class='gfield-choice-input' name='input_10' type='radio' value='Face-to-face' id='choice_53_10_1' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_10_1' id='label_53_10_1'>Face-to-face</label>
</div>
<div class='gchoice gchoice_53_10_2'>
<input class='gfield-choice-input' name='input_10' type='radio' value='Either' id='choice_53_10_2' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_10_2' id='label_53_10_2'>Either</label>
</div></div></div></fieldset><fieldset id="field_53_22" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_53_22"><legend class='gfield_label' >Which city would you like to meet in?</legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_53_22'>
<div class='gchoice gchoice_53_22_0'>
<input class='gfield-choice-input' name='input_22' type='radio' value='Adelaide' id='choice_53_22_0' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_22_0' id='label_53_22_0'>Adelaide</label>
</div>
<div class='gchoice gchoice_53_22_1'>
<input class='gfield-choice-input' name='input_22' type='radio' value='Brisbane' id='choice_53_22_1' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_22_1' id='label_53_22_1'>Brisbane</label>
</div>
<div class='gchoice gchoice_53_22_2'>
<input class='gfield-choice-input' name='input_22' type='radio' value='Canberra' id='choice_53_22_2' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_22_2' id='label_53_22_2'>Canberra</label>
</div>
<div class='gchoice gchoice_53_22_3'>
<input class='gfield-choice-input' name='input_22' type='radio' value='Melbourne' id='choice_53_22_3' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_22_3' id='label_53_22_3'>Melbourne</label>
</div>
<div class='gchoice gchoice_53_22_4'>
<input class='gfield-choice-input' name='input_22' type='radio' value='Hobart' id='choice_53_22_4' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_22_4' id='label_53_22_4'>Hobart</label>
</div>
<div class='gchoice gchoice_53_22_5'>
<input class='gfield-choice-input' name='input_22' type='radio' value='Perth' id='choice_53_22_5' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_22_5' id='label_53_22_5'>Perth</label>
</div>
<div class='gchoice gchoice_53_22_6'>
<input class='gfield-choice-input' name='input_22' type='radio' value='Sydney' id='choice_53_22_6' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_22_6' id='label_53_22_6'>Sydney</label>
</div>
<div class='gchoice gchoice_53_22_7'>
<input class='gfield-choice-input' name='input_22' type='radio' value='Other' id='choice_53_22_7' onchange='gformToggleRadioOther( this )' />
<label for='choice_53_22_7' id='label_53_22_7'>Other</label>
</div></div></div></fieldset></div>
</div>
<div class='gform_page_footer top_label'>
<input type='button' id='gform_previous_button_53_11' class='gform_previous_button button' value='Previous' onclick='jQuery("#gform_target_page_number_53").val("3"); jQuery("#gform_53").trigger("submit",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_53").val("3"); jQuery("#gform_53").trigger("submit",[true]); } ' /> <input type='button' id='gform_next_button_53_11' class='gform_next_button button' value='Next' onclick='jQuery("#gform_target_page_number_53").val("5"); jQuery("#gform_53").trigger("submit",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_53").val("5"); jQuery("#gform_53").trigger("submit",[true]); } ' />
</div>
</div>
<div id='gform_page_53_5' class='gform_page' style='display:none;'>
<div class='gform_page_fields'>
<div id='gform_fields_53_5' class='gform_fields top_label form_sublabel_below description_below'><div id="field_53_21" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_53_21"><html>Please enter the best email address and phone number to get in touch with you.</html></div><div id="field_53_12" class="gfield gfield--width-half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_53_12"><label class='gfield_label' for='input_53_12' >Email<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label><div class='ginput_container ginput_container_email'>
<input name='input_12' id='input_53_12' type='email' value='' class='large' aria-required="true" aria-invalid="false" />
</div></div><div id="field_53_14" class="gfield gfield--width-half field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_53_14"><label class='gfield_label' for='input_53_14' >Phone</label><div class='ginput_container ginput_container_phone'><input name='input_14' id='input_53_14' type='tel' value='' class='large' aria-invalid="false" /></div></div><fieldset id="field_53_16" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_53_16"><legend class='gfield_label gfield_label_before_complex' >What is your name?<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_53_16'>
<span id='input_53_16_3_container' class='name_first' >
<input type='text' name='input_16.3' id='input_53_16_3' value='' aria-required='true' />
<label for='input_53_16_3' >First</label>
</span>
<span id='input_53_16_6_container' class='name_last' >
<input type='text' name='input_16.6' id='input_53_16_6' value='' aria-required='true' />
<label for='input_53_16_6' >Last</label>
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