Independent Agent

<div class='gf_browser_unknown gform_wrapper' id='gform_wrapper_10' ><div id='gf_10' class='gform_anchor' tabindex='-1'></div><form method='post' enctype='multipart/form-data' target='gform_ajax_frame_10' id='gform_10' action='/category/independent-agent#gf_10'> <div class='gform_body'><ul id='gform_fields_10' class='gform_fields left_label form_sublabel_below description_below'><li id='field_10_3' class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_10_3' >Full Name<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_10_3' type='text' value='' class='large' placeholder='Your Name' aria-required="true" aria-invalid="false" /></div></li><li id='field_10_2' class='gfield gf_half_right gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_10_2' >Email<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_email'> <input name='input_2' id='input_10_2' type='text' value='' class='large' placeholder='Your Email Address' aria-required="true" aria-invalid="false" /> </div></li><li id='field_10_5' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_10_5' >Message<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_textarea'><textarea name='input_5' id='input_10_5' class='textarea small' placeholder='Please leave us a message.' aria-required="true" aria-invalid="false" rows='10' cols='50'></textarea></div></li> </ul></div> <div class='gform_footer left_label'> <input type='submit' id='gform_submit_button_10' class='gform_button button' value='SEND' onclick='if(window["gf_submitting_10"]){return false;} window["gf_submitting_10"]=true; ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_10"]){return false;} window["gf_submitting_10"]=true; jQuery("#gform_10").trigger("submit",[true]); }' /> <input type='hidden' name='gform_ajax' value='form_id=10&amp;title=&amp;description=&amp;tabindex=0' /> <input type='hidden' class='gform_hidden' name='is_submit_10' value='1' /> <input type='hidden' class='gform_hidden' name='gform_submit' value='10' /> <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' /> <input type='hidden' class='gform_hidden' name='state_10' value='WyJbXSIsIjA3ZTJiOTc1OGM3OTYyY2RlYmQ0MWI1YTA5NTQxMWRjIl0=' /> <input type='hidden' class='gform_hidden' name='gform_target_page_number_10' id='gform_target_page_number_10' value='0' /> <input type='hidden' class='gform_hidden' name='gform_source_page_number_10' id='gform_source_page_number_10' value='1' /> <input type='hidden' name='gform_field_values' value='' /> </div> </form> </div> <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_10' id='gform_ajax_frame_10'>This iframe contains the logic required to handle Ajax powered Gravity Forms.</iframe> <script type='text/javascript'>jQuery(document).ready(function($){gformInitSpinner( 10, 'https://www.theamericaninsurancegroup.com/wp-content/plugins/gravityforms/images/spinner.gif' );jQuery('#gform_ajax_frame_10').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_10');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_10').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! 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