[Autocomplete #o7cafd12dc2fe-firstname options='1 Month - $199,3 Months - $249 (starter)']
[Autocomplete #o7cafd12dc2fe-lastname options='1 Month - $324,3 Months - $951 (same dose)']
[Autocomplete #o7cafd12dc2fe-f2373 options='1 Month - $399,3 Months - $499 (starter)']
[Autocomplete #o7cafd12dc2fe-address options='1 Month - $199,2 Months - $398 (same dose),2 Months - $398 (dose increase),3 Months - $537 (0.25\,0.75 and 1mg doses),3 Months - $597 (1.5mg doses and higher),4 Months - $716 (0.25\,0.75 and 1mg doses),4 Months - $796 (1.5mg doses and higher),5 Months- $895 (0.25\,0.75 and 1mg doses),5 Months- $995 (1.5mg doses and higher)']
[Autocomplete #o7cafd12dc2fe-address2 options='1 Month - $324,2 Months - $648 (same dose),2 Months - $648 (dose increase),3 Months - $951 (same dose)']
[Autocomplete #o7cafd12dc2fe-city options='1 Month - $399,2 Months - $798 (same dose),2 Months - $798 (dose increase),3 Months - $1\,197 (2.5\,5 and 7.5mg doses),3 Months - $1\,347 (10mg doses and higher),4 Months - $1\,596 (2.5\,5 and 7.5mg doses),4 Months - $1\,796 (10mg doses and higher)']
[Autocomplete #o7cafd12dc2fe-f2560 options='1 Month - $1\,839']
[Autocomplete #o7cafd12dc2fe-f2561 options='1 Month - $1\,498']
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[IfField #o7cafd12dc2fe-address contains 'dose increase'][FillField f2385//f2770 with 'I want to increase dosage every month'][/IfField]
[IfField #o7cafd12dc2fe-address2 contains 'same dose'][FillField f2385//f2770 with 'I want multiple months of the same dose'][/IfField]
[IfField #o7cafd12dc2fe-address2 contains 'dose increase'][FillField f2385//f2770 with 'I want to increase dosage every month'][/IfField]
[IfField #o7cafd12dc2fe-city contains 'same dose'][FillField f2385//f2770 with 'I want multiple months of the same dose'][/IfField]
[IfField #o7cafd12dc2fe-city contains 'dose increase'][FillField f2385//f2770 with 'I want to increase dosage every month'][/IfField]
[IfField #o7cafd12dc2fe-address contains '1 Month' OR #o7cafd12dc2fe-address contains '3 Months' OR #o7cafd12dc2fe-address contains '4 Months' OR #o7cafd12dc2fe-address contains '5 Months' OR #o7cafd12dc2fe-address2 contains '1 Month' OR #o7cafd12dc2fe-address2 contains '3 Months' OR #o7cafd12dc2fe-city contains '1 Month' OR #o7cafd12dc2fe-city contains '3 Months' OR #o7cafd12dc2fe-city contains '4 Months' OR #o7cafd12dc2fe-city contains '5 Months' OR (#o7cafd12dc2fe-address is '' AND #o7cafd12dc2fe-address2 is '' AND #o7cafd12dc2fe-city is '')][FillField f2385//f2770 with 'Select...'][/IfField]
[HideField f2385//f2976]
[IfField #o7cafd12dc2fe-address contains '1mg doses'][FillField f2385//f2976 with 'Lower doses'][/IfField]
[IfField #o7cafd12dc2fe-address contains '1.5mg doses'][FillField f2385//f2976 with 'Higher doses'][/IfField]
[IfField #o7cafd12dc2fe-city contains '7.5mg doses'][FillField f2385//f2976 with 'Lower doses'][/IfField]
[IfField #o7cafd12dc2fe-city contains '10mg doses'][FillField f2385//f2976 with 'Higher doses'][/IfField]
[IfField #o7cafd12dc2fe-address contains '1 Month' OR #o7cafd12dc2fe-address contains '2 Months' OR #o7cafd12dc2fe-city contains '1 Month' OR #o7cafd12dc2fe-city contains '2 Months' OR (#o7cafd12dc2fe-address is '' AND #o7cafd12dc2fe-city is '')][FillField f2385//f2976 with 'Select...'][/IfField]
[Validate #o7cafd12dc2fe-email IBAN “Please enter a valid IBAN” prevent=yes]
[HideColumn 361 in #o7cafd12dc2fe]
[IfField #o7cafd12dc2fe-firstname not ''][FillField #o7cafd12dc2fe-lastname with ''][FillField #o7cafd12dc2fe-f2373 with ''][FillField #o7cafd12dc2fe-address with ''][FillField #o7cafd12dc2fe-address2 with ''][FillField #o7cafd12dc2fe-city with ''][FillField #o7cafd12dc2fe-f2560 with ''][FillField #o7cafd12dc2fe-f2561 with ''][/IfField]
[IfField #o7cafd12dc2fe-lastname not ''][FillField #o7cafd12dc2fe-firstname with ''][FillField #o7cafd12dc2fe-f2373 with ''][FillField #o7cafd12dc2fe-address with ''][FillField #o7cafd12dc2fe-address2 with ''][FillField #o7cafd12dc2fe-city with ''][FillField #o7cafd12dc2fe-f2560 with ''][FillField #o7cafd12dc2fe-f2561 with ''][/IfField]
[IfField #o7cafd12dc2fe-f2373 not ''][FillField #o7cafd12dc2fe-firstname with ''][FillField #o7cafd12dc2fe-lastname with ''][FillField #o7cafd12dc2fe-address with ''][FillField #o7cafd12dc2fe-address2 with ''][FillField #o7cafd12dc2fe-city with ''][FillField #o7cafd12dc2fe-f2560 with ''][FillField #o7cafd12dc2fe-f2561 with ''][/IfField]
[IfField #o7cafd12dc2fe-address not ''][FillField #o7cafd12dc2fe-firstname with ''][FillField #o7cafd12dc2fe-lastname with ''][FillField #o7cafd12dc2fe-f2373 with ''][FillField #o7cafd12dc2fe-address2 with ''][FillField #o7cafd12dc2fe-city with ''][FillField #o7cafd12dc2fe-f2560 with ''][FillField #o7cafd12dc2fe-f2561 with ''][/IfField]
[IfField #o7cafd12dc2fe-address2 not ''][FillField #o7cafd12dc2fe-firstname with ''][FillField #o7cafd12dc2fe-lastname with ''][FillField #o7cafd12dc2fe-f2373 with ''][FillField #o7cafd12dc2fe-address with ''][FillField #o7cafd12dc2fe-city with ''][FillField #o7cafd12dc2fe-f2560 with ''][FillField #o7cafd12dc2fe-f2561 with ''][/IfField]
[IfField #o7cafd12dc2fe-city not ''][FillField #o7cafd12dc2fe-firstname with ''][FillField #o7cafd12dc2fe-lastname with ''][FillField #o7cafd12dc2fe-f2373 with ''][FillField #o7cafd12dc2fe-address with ''][FillField #o7cafd12dc2fe-address2 with ''][FillField #o7cafd12dc2fe-f2560 with ''][FillField #o7cafd12dc2fe-f2561 with ''][/IfField]
[IfField #o7cafd12dc2fe-f2560 not ''][FillField #o7cafd12dc2fe-firstname with ''][FillField #o7cafd12dc2fe-lastname with ''][FillField #o7cafd12dc2fe-f2373 with ''][FillField #o7cafd12dc2fe-address with ''][FillField #o7cafd12dc2fe-address2 with ''][FillField #o7cafd12dc2fe-city with ''][FillField #o7cafd12dc2fe-f2561 with ''][/IfField]
[IfField #o7cafd12dc2fe-f2561 not ''][FillField #o7cafd12dc2fe-firstname with ''][FillField #o7cafd12dc2fe-lastname with ''][FillField #o7cafd12dc2fe-f2373 with ''][FillField #o7cafd12dc2fe-address with ''][FillField #o7cafd12dc2fe-address2 with ''][FillField #o7cafd12dc2fe-city with ''][FillField #o7cafd12dc2fe-f2560 with ''][/IfField]
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[SyncFields email]
['SyncFields f2151]
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[IfField #oeddddcd807ae-f2316 not ''] [/IfField]
[IfField #oeddddcd807ae-f2165 is '3,4,5,6,7,8,9,10,11,12' AND #oeddddcd807ae-f2593 not 'Faxed In'][Redirect https://patients.orderlymeds.com/healthscreening][/IfField]
[IfField #oeddddcd807ae-f2165 is '2' AND #oeddddcd807ae-f2152 is 'Yes' AND #oeddddcd807ae-f2593 not 'Faxed In'][Redirect https://patients.orderlymeds.com/healthscreening][/IfField]
[IfField #oeddddcd807ae-f2165 not '10' AND #oeddddcd807ae-f2165 not '12' AND #oeddddcd807ae-f2593 is 'Faxed In'][Redirect https://orderlysupport.com/faxed_in_new_client][/IfField]
[IfField #oeddddcd807ae-f2165 is '10' AND #oeddddcd807ae-f2593 is 'Faxed In'][Redirect https://patients.orderlymeds.com/continue/paynow][/IfField]
[IfField #oeddddcd807ae-f2165 is '12' AND #oeddddcd807ae-f2593 is 'Faxed In'][Redirect https://patients.orderlymeds.com/healthscreening-ty][/IfField]
[Calc $state='']
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[IfField #oeddddcd807ae-f2593 is 'V6' AND #oeddddcd807ae-f2385//unique_id is ''][Redirect https://patients.orderlymeds.com/Eligibility-existing-prescription-v6][/IfField]
[HideBlock #oeddddcd807ae][IfAnchor #testing][ShowBlock #oeddddcd807ae][ShowField f2165,unique_id,f2482,f2593,f2165,status,f2392,f2523,f2746,f2747,f2385//unique_id][/IfAnchor]
[Calc $progress=0]
[IfField #oeddddcd807ae-f2165 not ''][Calc $progress=#oeddddcd807ae-f2165][/IfField]
[IfAnchor #step.$currentstep][ShowAfter 0.5s][Redirect #o8df2aff93d6b][FillField #oeddddcd807ae-f2165 with $currentstep][Redirect #done][/ShowAfter][/IfAnchor]
[IfField #oeddddcd807ae-f2165 is ',0'][Redirect #go.to.eligibility][/IfField]
[IfAnchor #go.to.eligibility][Redirect https://patients.orderlymeds.com/eligibility][/IfAnchor]
[HideElement 36 in #o5c7604388ed1]
[IfField #oeddddcd807ae-f2165 is '1,2' AND #oeddddcd807ae-f2162 is 'Not Eligible'][ShowBlock #ocdbdbf5a743a][/IfField]
[IfField #oeddddcd807ae-f2165 is '1,2' AND #oeddddcd807ae-f2162 not 'Not Eligible'][ShowBlock #o7cafd12dc2fe][/IfField]
[IfField #o7cafd12dc2fe-firstname not ''][ShowElement 296 in #o7cafd12dc2fe][/IfField]
[IfField #o7cafd12dc2fe-lastname not ''][ShowElement 297 in #o7cafd12dc2fe][/IfField]
[IfField #o7cafd12dc2fe-f2373 not ''][ShowElement 298 in #o7cafd12dc2fe][/IfField]
[IfField #o7cafd12dc2fe-address not ''][ShowElement 326 in #o7cafd12dc2fe][/IfField]
[IfField #o7cafd12dc2fe-address2 not ''][ShowElement 333 in #o7cafd12dc2fe][/IfField]
[IfField #o7cafd12dc2fe-city not ''][ShowElement 340 in #o7cafd12dc2fe][/IfField]
[IfField #o7cafd12dc2fe-f2560 not ''][ShowElement 305 in #o7cafd12dc2fe][/IfField]
[IfField #o7cafd12dc2fe-f2561 not ''][ShowElement 319 in #o7cafd12dc2fe][/IfField]
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[IfAnchor #om.starter.core][ShowBlock #od83362e46468][HideBlock #o2a1a3d066ab5,#ofa56f4453bf9,#ocf4e964e8de4,#oe346742d91b0,#obe8ccf6f8bbe,#o618ffcc6cec4,#o34f75afb82a2][Redirect #od83362e46468][/IfAnchor]
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[IfAnchor #om.starter.easy][ShowBlock #ofa56f4453bf9][HideBlock #od83362e46468,#o2a1a3d066ab5,#ocf4e964e8de4,#oe346742d91b0,#obe8ccf6f8bbe,#o618ffcc6cec4,#o34f75afb82a2][Redirect #ofa56f4453bf9][/IfAnchor]
[IfAnchor #om.transferring.easy][ShowBlock #ocf4e964e8de4][HideBlock #od83362e46468,#o2a1a3d066ab5,#ofa56f4453bf9,#oe346742d91b0,#obe8ccf6f8bbe,#o618ffcc6cec4,#o34f75afb82a2][Redirect #ocf4e964e8de4][/IfAnchor]
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[IfAnchor #om.transferring.ultra][ShowBlock #obe8ccf6f8bbe][HideBlock #od83362e46468,#o2a1a3d066ab5,#ofa56f4453bf9,#ocf4e964e8de4,#oe346742d91b0,#o618ffcc6cec4,#o34f75afb82a2][Redirect #obe8ccf6f8bbe][/IfAnchor]
[IfAnchor #om.wegovy][ShowBlock #o618ffcc6cec4][HideBlock #od83362e46468,#o2a1a3d066ab5,#ofa56f4453bf9,#ocf4e964e8de4,#oe346742d91b0,#obe8ccf6f8bbe,#o34f75afb82a2][Redirect #o618ffcc6cec4][/IfAnchor]
[IfAnchor #om.zepbound][ShowBlock #o34f75afb82a2][HideBlock #od83362e46468,#o2a1a3d066ab5,#ofa56f4453bf9,#ocf4e964e8de4,#oe346742d91b0,#obe8ccf6f8bbe,#o618ffcc6cec4][Redirect #o34f75afb82a2][/IfAnchor]
[IfAnchor #om.close][HideBlock #od83362e46468,#o2a1a3d066ab5,#ofa56f4453bf9,#ocf4e964e8de4,#oe346742d91b0,#obe8ccf6f8bbe,#o618ffcc6cec4,#o34f75afb82a2][Redirect #o7cafd12dc2fe][/IfAnchor]
[IfVar $started is 'Transferring in at Higher Dose (higher doses)']
[HideColumn 271,273,272 in #o7cafd12dc2fe]
[ShowColumn 320,327,334 in #o7cafd12dc2fe]
[/IfVar]
[IfField #oeddddcd807ae-f2165 is '3,4,5,6,7,8,9,10,11,12'][ShowBlock #o14f77ce2fbf3][HideBlock #o8b5c888c9864][/IfField]
[HideElement 49,7 in #od83362e46468]
[HideElement 49,7 in #o2a1a3d066ab5]
[HideElement 49,7 in #ofa56f4453bf9]
[HideElement 49,7 in #ocf4e964e8de4]
[HideElement 48,7 in #oe346742d91b0]
[HideElement 48,7 in #obe8ccf6f8bbe]
[HideElement 7,48 in #o618ffcc6cec4]
[HideElement 3,7,48 in #o34f75afb82a2]
[IfField #oeddddcd807ae-f2145 not '' AND #oeddddcd807ae-f2147 not '' AND #oeddddcd807ae-f2146 not '']
[Calc $feet=#oeddddcd807ae-f2145]
[Calc $inches=#oeddddcd807ae-f2147]
[Calc $height=($feet*12)+$inches]
[Calc $weight=#oeddddcd807ae-f2146]
[Calc $bmi=($weight/($height*$height))*703 round=1]
[/IfField]
[Calc $weight=#oeddddcd807ae-f2146]
[Calc $semaweight=17.5*$weight/100 round=0]
[Calc $tirzeweight=22.5*$weight/100 round=0]
[Calc $started=#oeddddcd807ae-f2364]
[Calc $referrertype='']
[Calc $couponcode='']
[IfVar $couponcode not 'FREEPERKS' AND $couponcode not 'PERKS100' AND $couponcode not 'NIFT' AND $couponcode not 'ATDCPERKS' AND $couponcode not 'PEHP' AND $coupon not 'ATV100' AND $coupon not 'BDO' AND $coupon not 'THATCH' AND $coupon not 'MAVERICKCARETX' AND $coupon not 'AMERICASBESTCARE' AND $coupon not 'ACTIVEOPS' AND $coupon not 'INSPIREBENEFITS' AND $coupon not 'BENEFITHUB' AND $coupon not 'VIPPERKS' AND ($referrertype is 'Referral Credit System' OR $referrertype is 'PN Coaches' OR $referrertype is 'PN Corporate')]
[FillField f2594 with "GETSTARTED50"]
[/IfVar]
[Validate f2594 allcap "Please write your Coupon Code in capital letters" force=yes prevent=no]
[IfVar $couponcode is '' AND $referrerid is '78297'][FillField f2594 with "NIFT"][/IfVar]
[IfVar $couponcode is '' AND $referrerid is '71725'][FillField f2594 with "PEHP"][/IfVar]
[IfVar $couponcode is '' AND $referrerid is '65007'][FillField f2594 with "FREEPERKS"][/IfVar]
[IfVar $couponcode is '' AND $referrerid is '78749'][FillField f2594 with "ATDCPERKS"][/IfVar]
[IfVar $couponcode is '' AND $referrerid is '147514'][FillField f2594 with "ATV100"][/IfVar]
[IfVar $couponcode is '' AND $referrerid is '189002'][FillField f2594 with "BDO"][/IfVar]
[IfVar $couponcode is '' AND $referrerid is '190043'][FillField f2594 with "THATCH"][/IfVar]
[IfVar $couponcode is '' AND $referrerid is '192082'][FillField f2594 with "MAVERICKCARETX"][/IfVar]
[IfVar $couponcode is '' AND $referrerid is '192094'][FillField f2594 with "AMERICASBESTCARE"][/IfVar]
[IfVar $couponcode is '' AND $referrerid is '192123'][FillField f2594 with "ACTIVEOPS"][/IfVar]
[IfVar $couponcode is '' AND $referrerid is '192126'][FillField f2594 with "INSPIREBENEFITS"][/IfVar]
[IfVar $couponcode is '' AND $referrerid is '192132'][FillField f2594 with "BENEFITHUB"][/IfVar]
[IfVar $couponcode is '' AND $referrerid is '214318'][FillField f2594 with "VIPPERKS"][/IfVar]
[IfField #oeddddcd807ae-f2364 not 'Transferring in at Higher Dose (higher doses)' AND #oeddddcd807ae-f2594 not 'GETSTARTED50' AND #oeddddcd807ae-f2594 not 'PERKS100' AND #oeddddcd807ae-f2594 not 'FREEPERKS' AND #oeddddcd807ae-f2594 not 'NIFT' AND #oeddddcd807ae-f2594 not 'ATDCPERKS' AND #oeddddcd807ae-f2594 not 'PEHP' AND #oeddddcd807ae-f2594 not 'ATV100' AND #oeddddcd807ae-f2594 not 'BDO' AND #oeddddcd807ae-f2594 not 'THATCH' AND #oeddddcd807ae-f2594 not 'MAVERICKCARETX' AND #oeddddcd807ae-f2594 not 'AMERICASBESTCARE' AND #oeddddcd807ae-f2594 not 'ACTIVEOPS' AND #oeddddcd807ae-f2594 not 'INSPIREBENEFITS' AND #oeddddcd807ae-f2594 not 'BENEFITHUB' AND #oeddddcd807ae-f2594 not 'VIPPERKS']
[ShowField f2594]
[/IfField]
[SyncFields f2364]
[Calc $referrerid='']
[Calc $3startercore=348]
[Calc $3starterultra=698]
[Calc $6startercore=350][Calc $12startercore=575]
[Calc $6transferringcore=64][Calc $12transferringcore=289]
[Calc $6startereasy=107][Calc $12startereasy=476]
[Calc $6transferringeasy=107][Calc $12transferringeasy=476]
[Calc $6starterultra=703][Calc $12starterultra=1156]
[Calc $6transferringultra=130][Calc $12transferringultra=583]
[IfField #o7cafd12dc2fe-firstname contains '1 Month']
[Calc $startercoreduration="Monthly"]
[FillField #od83362e46468-f2392 with '1'][FillField #od83362e46468-f2746 with '0']
[FillField #od83362e46468-f2523 with 'No'][FillField #od83362e46468-f2747 with unchecked][/IfField]
[IfField #o7cafd12dc2fe-firstname contains '3 Months']
[Calc $startercoreduration="3 Month Starter Program"]
[FillField #od83362e46468-f2392 with '3'][FillField #od83362e46468-f2746 with $3startercore]
[FillField #od83362e46468-f2523 with 'Yes'][FillField #od83362e46468-f2747 with checked][/IfField]
[IfField #od83362e46468-f2392 is ''][HideColumn 1 in #od83362e46468][/IfField]
[IfField #od83362e46468-f2392 not ''][ShowColumn 1 in #od83362e46468][/IfField]
[IfField #o7cafd12dc2fe-address contains '1 Month']
[Calc $transferingcoreduration="Monthly"]
[FillField #o2a1a3d066ab5-f2392 with '1'][FillField #o2a1a3d066ab5-f2746 with '0']
[FillField #o2a1a3d066ab5-f2523 with 'No'][FillField #o2a1a3d066ab5-f2747 with unchecked][/IfField]
[IfField #o7cafd12dc2fe-address contains '2 Months']
[Calc $transferingcoreduration="2 Month"]
[FillField #o2a1a3d066ab5-f2392 with '2'][FillField #o2a1a3d066ab5-f2746 with '0']
[FillField #o2a1a3d066ab5-f2523 with 'Yes'][FillField #o2a1a3d066ab5-f2747 with unchecked][/IfField]
[IfField #o7cafd12dc2fe-address contains '3 Months']
[Calc $transferingcoreduration="3 Month"]
[FillField #o2a1a3d066ab5-f2392 with '3'][FillField #o2a1a3d066ab5-f2746 with '0']
[FillField #o2a1a3d066ab5-f2523 with 'Yes'][FillField #o2a1a3d066ab5-f2747 with unchecked][/IfField]
[IfField #o7cafd12dc2fe-address contains '4 Months']
[Calc $transferingcoreduration="4 Month"]
[FillField #o2a1a3d066ab5-f2392 with '4'][FillField #o2a1a3d066ab5-f2746 with '0']
[FillField #o2a1a3d066ab5-f2523 with 'Yes'][FillField #o2a1a3d066ab5-f2747 with unchecked][/IfField]
[IfField #o7cafd12dc2fe-address contains '5 Months']
[Calc $transferingcoreduration="5 Month"]
[FillField #o2a1a3d066ab5-f2392 with '5'][FillField #o2a1a3d066ab5-f2746 with '0']
[FillField #o2a1a3d066ab5-f2523 with 'Yes'][FillField #o2a1a3d066ab5-f2747 with unchecked][/IfField]
[IfField #o2a1a3d066ab5-f2392 is ''][HideColumn 1 in #o2a1a3d066ab5][/IfField]
[IfField #o2a1a3d066ab5-f2392 not ''][ShowColumn 1 in #o2a1a3d066ab5][/IfField]
[IfField #o7cafd12dc2fe-lastname contains '1 Month']
[Calc $startereasyduration="Monthly"]
[FillField #ofa56f4453bf9-f2392 with '1'][FillField #ofa56f4453bf9-f2746 with '0']
[FillField #ofa56f4453bf9-f2523 with 'No'][FillField #ofa56f4453bf9-f2747 with unchecked][/IfField]
[IfField #o7cafd12dc2fe-lastname contains '3 Month']
[Calc $startereasyduration="3 Month"]
[FillField #ofa56f4453bf9-f2392 with '3'][FillField #ofa56f4453bf9-f2746 with '0']
[FillField #ofa56f4453bf9-f2523 with 'Yes'][FillField #ofa56f4453bf9-f2747 with unchecked][/IfField]
[IfField #ofa56f4453bf9-f2392 is ''][HideColumn 1 in #ofa56f4453bf9][/IfField]
[IfField #ofa56f4453bf9-f2392 not ''][ShowColumn 1 in #ofa56f4453bf9][/IfField]
[IfField #o7cafd12dc2fe-address2 contains '1 Month']
[Calc $transferingeasyduration="Monthly"]
[FillField #ocf4e964e8de4-f2392 with '1'][FillField #ocf4e964e8de4-f2746 with '0']
[FillField #ocf4e964e8de4-f2523 with 'No'][FillField #ocf4e964e8de4-f2747 with unchecked][/IfField]
[IfField #o7cafd12dc2fe-address2 contains '2 Months']
[Calc $transferingeasyduration="2 Month"]
[FillField #ocf4e964e8de4-f2392 with '2'][FillField #ocf4e964e8de4-f2746 with '0']
[FillField #ocf4e964e8de4-f2523 with 'Yes'][FillField #ocf4e964e8de4-f2747 with unchecked][/IfField]
[IfField #o7cafd12dc2fe-address2 contains '3 Months']
[Calc $transferingeasyduration="3 Month"]
[FillField #ocf4e964e8de4-f2392 with '3'][FillField #ocf4e964e8de4-f2746 with '0']
[FillField #ocf4e964e8de4-f2523 with 'Yes'][FillField #ocf4e964e8de4-f2747 with unchecked][/IfField]
[IfField #ocf4e964e8de4-f2392 is ''][HideColumn 1 in #ocf4e964e8de4][/IfField]
[IfField #ocf4e964e8de4-f2392 not ''][ShowColumn 1 in #ocf4e964e8de4][/IfField]
[IfField #o7cafd12dc2fe-f2373 contains '1 Month']
[Calc $starterultraduration="Monthly"]
[FillField #oe346742d91b0-f2392 with '1'][FillField #oe346742d91b0-f2746 with '0']
[FillField #oe346742d91b0-f2523 with 'No'][FillField #oe346742d91b0-f2747 with unchecked][/IfField]
[IfField #o7cafd12dc2fe-f2373 contains '3 Months']
[Calc $starterultraduration="3 Month Starter Program"]
[FillField #oe346742d91b0-f2392 with '3'][FillField #oe346742d91b0-f2746 with $3starterultra]
[FillField #oe346742d91b0-f2523 with 'Yes'][FillField #oe346742d91b0-f2747 with checked][/IfField]
[IfField #oe346742d91b0-f2392 is ''][HideColumn 1 in #oe346742d91b0][/IfField]
[IfField #oe346742d91b0-f2392 not ''][ShowColumn 1 in #oe346742d91b0][/IfField]
[IfField #o7cafd12dc2fe-city contains '1 Month']
[Calc $transferingultraduration="Monthly"]
[FillField #obe8ccf6f8bbe-f2392 with '1'][FillField #obe8ccf6f8bbe-f2746 with '0']
[FillField #obe8ccf6f8bbe-f2523 with 'No'][FillField #obe8ccf6f8bbe-f2747 with unchecked][/IfField]
[IfField #o7cafd12dc2fe-city contains '2 Months']
[Calc $transferingultraduration="2 Month"]
[FillField #obe8ccf6f8bbe-f2392 with '2'][FillField #obe8ccf6f8bbe-f2746 with '0']
[FillField #obe8ccf6f8bbe-f2523 with 'Yes'][FillField #obe8ccf6f8bbe-f2747 with unchecked][/IfField]
[IfField #o7cafd12dc2fe-city contains '3 Months']
[Calc $transferingultraduration="3 Month"]
[FillField #obe8ccf6f8bbe-f2392 with '3'][FillField #obe8ccf6f8bbe-f2746 with '0']
[FillField #obe8ccf6f8bbe-f2523 with 'Yes'][FillField #obe8ccf6f8bbe-f2747 with unchecked][/IfField]
[IfField #o7cafd12dc2fe-city contains '4 Months']
[Calc $transferingultraduration="4 Month"]
[FillField #obe8ccf6f8bbe-f2392 with '4'][FillField #obe8ccf6f8bbe-f2746 with '0']
[FillField #obe8ccf6f8bbe-f2523 with 'Yes'][FillField #obe8ccf6f8bbe-f2747 with unchecked][/IfField]
[IfField #o7cafd12dc2fe-city contains '5 Months']
[Calc $transferingultraduration="5 Month"]
[FillField #obe8ccf6f8bbe-f2392 with '5'][FillField #obe8ccf6f8bbe-f2746 with '0']
[FillField #obe8ccf6f8bbe-f2523 with 'Yes'][FillField #obe8ccf6f8bbe-f2747 with unchecked][/IfField]
[IfField #obe8ccf6f8bbe-f2392 is ''][HideColumn 1 in #obe8ccf6f8bbe][/IfField]
[IfField #obe8ccf6f8bbe-f2392 not ''][ShowColumn 1 in #obe8ccf6f8bbe][/IfField]
[IfField #obe8ccf6f8bbe-f2392 is '3,4,5'][ShowElement 106 in #obe8ccf6f8bbe][/IfField]
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