[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.65″ background_layout=”light” text_orientation=”left” border_style=”solid”]
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[/et_pb_text][et_pb_code admin_label=”Refer a freind code” _builder_version=”3.0.65″]<div style=”display:none;”><SCRIPT type=”text/javascript” src=”https://www.planplusonline02.com/ozLovDatePicker2.js”></SCRIPT><SCRIPT type=”text/javascript” src=”https://www.planplusonline02.com/jsmain.js”></SCRIPT><SCRIPT type=”text/javascript” src=”https://www.planplusonline02.com/menu.js”></SCRIPT><!– [et_pb_line_break_holder] –><link rel=”stylesheet” href=”https://www.planplusonline02.com/all.css”><!– [et_pb_line_break_holder] –><!– [et_pb_line_break_holder] –><style><!– [et_pb_line_break_holder] –>form{<!– [et_pb_line_break_holder] –> background: #eeee;<!– [et_pb_line_break_holder] –> padding: 3%;<!– [et_pb_line_break_holder] –> width: 50%;<!– [et_pb_line_break_holder] –>}<!– [et_pb_line_break_holder] –>label{<!– [et_pb_line_break_holder] –>display: block;<!– [et_pb_line_break_holder] –> font-size: 13pt;<!– [et_pb_line_break_holder] –> margin-bottom: 3px;<!– [et_pb_line_break_holder] –>}<!– [et_pb_line_break_holder] –><!– [et_pb_line_break_holder] –>input, textarea{<!– [et_pb_line_break_holder] –> margin-bottom: 22px !important;<!– [et_pb_line_break_holder] –> padding: 8px !important;<!– [et_pb_line_break_holder] –> border-radius: 5px;<!– [et_pb_line_break_holder] –>}<!– [et_pb_line_break_holder] –>textarea:focus{<!– [et_pb_line_break_holder] –> color: #4e4e4e !important;<!– [et_pb_line_break_holder] –>}<!– [et_pb_line_break_holder] –> textarea{<!– [et_pb_line_break_holder] –> width: 100% !important;<!– [et_pb_line_break_holder] –> }<!– [et_pb_line_break_holder] –>@media screen and (max-width: 780px) {<!– [et_pb_line_break_holder] –> form{<!– [et_pb_line_break_holder] –> width:100%;<!– [et_pb_line_break_holder] –>padding: 7%;<!– [et_pb_line_break_holder] –> }<!– [et_pb_line_break_holder] –><!– [et_pb_line_break_holder] –>}<!– [et_pb_line_break_holder] –></style><!– [et_pb_line_break_holder] –><form name=ebfb_na action=”https://www.planplusonline02.com/forms/fmsubmit.jsp” method=post enctype=”multipart/form-data”><!– [et_pb_line_break_holder] –><div><!– [et_pb_line_break_holder] –> <label> Your first name:</label><!– [et_pb_line_break_holder] –> <input type=”text” class=”textInput” name=”ebff_15262″ id=”ebff_15262″ value=”” size=24/><!– [et_pb_line_break_holder] –></div><!– [et_pb_line_break_holder] –><div><!– [et_pb_line_break_holder] –> <label> Your email (so we can give you credit for the referral):</label><!– [et_pb_line_break_holder] –> <input type=”text” class=”textInput” name=”ebff_15261″ id=”ebff_15261″ value=”” size=30/><!– [et_pb_line_break_holder] –></div><!– [et_pb_line_break_holder] –><div><!– [et_pb_line_break_holder] –> <label>Friend’s first name:</label><!– [et_pb_line_break_holder] –> <input type=text name=ebff_15256 id=ebff_15256 class=textInput size=24 value=””/><!– [et_pb_line_break_holder] –> </div><!– [et_pb_line_break_holder] –> <div><!– [et_pb_line_break_holder] –> <label>Friend’s last name:</label><!– [et_pb_line_break_holder] –> <input type=text name=ebff_15254 id=ebff_15254 class=textInput size=24 value=””/><!– [et_pb_line_break_holder] –> </div><!– [et_pb_line_break_holder] –> <div><!– [et_pb_line_break_holder] –> <label>Friend’s email address:</label><!– [et_pb_line_break_holder] –> <input type=text name=ebff_15255 id=ebff_15255 class=textInput size=30 value=””/><!– [et_pb_line_break_holder] –> </div><!– [et_pb_line_break_holder] –> <div style=”display: flex;”><!– [et_pb_line_break_holder] –><input type=checkbox name=”ebff_15257″ value=Y /><!– [et_pb_line_break_holder] –> <label>I confirm that I know this person.</label><!– [et_pb_line_break_holder] –> </div><!– [et_pb_line_break_holder] –> <div><!– [et_pb_line_break_holder] –> <label>Add a message to your friend to be included with invite:</label><!– [et_pb_line_break_holder] –> <textarea rows=”4″ class=”textInput” name=”ebff_15258″></div>[/et_pb_code][/et_pb_column][/et_pb_row][/et_pb_section]