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	<title>Ringler Associates</title>
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	<link>http://ringlerassociates.com</link>
	<description>The First Name In Structured Settlements</description>
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		<title>Contact Form</title>
		<link>http://ringlerassociates.com/2011/09/01/contact-form/</link>
		<comments>http://ringlerassociates.com/2011/09/01/contact-form/#comments</comments>
		<pubDate>Thu, 01 Sep 2011 20:46:11 +0000</pubDate>
		<dc:creator>noah</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

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		<title>Referral Form</title>
		<link>http://ringlerassociates.com/2011/04/11/referral-form/</link>
		<comments>http://ringlerassociates.com/2011/04/11/referral-form/#comments</comments>
		<pubDate>Mon, 11 Apr 2011 14:22:13 +0000</pubDate>
		<dc:creator>noah</dc:creator>
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>Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Canada' >Canada</option><option value='Other' >Other</option></select></div></li><li id='field_2_16' class='gfield    gf_right_half' style='display:none;'><label class='gfield_label' for='input_2_16'>Enter Jurisdiction</label><div class='ginput_container'><input name='input_16' id='input_2_16' type='text' value='' class='medium'  tabindex='18'  /></div></li><li id='field_2_17' class='gfield' ><label class='gfield_label' for='input_2_17'>Insured Name</label><div class='ginput_container'><input name='input_17' id='input_2_17' type='text' value='' class='large'  tabindex='19'  /></div></li><li id='field_2_18' class='gfield' ><label class='gfield_label' for='input_2_18'>Injury</label><div class='ginput_container'><input name='input_18' id='input_2_18' type='text' value='' class='large'  tabindex='20'  /></div></li><li id='field_2_19' class='gfield' ><label class='gfield_label' for='input_2_19'>Date of Loss</label><div class='ginput_container'><input name='input_19' id='input_2_19' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='21' /> </div><input type='hidden' id='gforms_calendar_icon_input_2_19' class='gform_hidden' value='http://ringlerassociates.com/wp-content/plugins/gravityforms/images/calendar.png'/></li><li id='field_2_20' class='gfield' ><label class='gfield_label' for='input_2_20'>Number of Dependents</label><div class='ginput_container'><select name='input_20' id='input_2_20' onchange='gf_apply_rules(2,[21,22,23,24,25,26]);' class='small gfield_select' tabindex='22' ><option value='---' >---</option><option value='1' >1</option><option value='2' >2</option><option value='3' >3</option></select></div></li><li id='field_2_21' class='gfield    gf_left_half' ><label class='gfield_label' for='input_2_21.3'>Dependent Name (1)</label><div class='ginput_complex ginput_container' id='input_2_21'><span id='input_2_21_3_container' class='ginput_left'><input type='text' name='input_21.3' id='input_2_21_3' value='' tabindex='23' /><label for='input_2_21_3'>First</label></span><span id='input_2_21_6_container' class='ginput_right'><input type='text' name='input_21.6' id='input_2_21_6' value='' tabindex='24' /><label for='input_2_21_6'>Last</label></span></div></li><li id='field_2_22' class='gfield    gf_right_half' ><label class='gfield_label' for='input_2_22'>Date of Birth</label><div class='ginput_container'><input name='input_22' id='input_2_22' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='25' 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class='datepicker medium mdy datepicker_no_icon' tabindex='28' /> </div><input type='hidden' id='gforms_calendar_icon_input_2_24' class='gform_hidden' value='http://ringlerassociates.com/wp-content/plugins/gravityforms/images/calendar.png'/></li><li id='field_2_25' class='gfield    gf_left_half' style='display:none;'><label class='gfield_label' for='input_2_25.3'>Dependent Name (3)</label><div class='ginput_complex ginput_container' id='input_2_25'><span id='input_2_25_3_container' class='ginput_left'><input type='text' name='input_25.3' id='input_2_25_3' value='' tabindex='29' /><label for='input_2_25_3'>First</label></span><span id='input_2_25_6_container' class='ginput_right'><input type='text' name='input_25.6' id='input_2_25_6' value='' tabindex='30' /><label for='input_2_25_6'>Last</label></span></div></li><li id='field_2_26' class='gfield    gf_right_half' style='display:none;'><label class='gfield_label' for='input_2_26'>Date of Birth</label><div class='ginput_container'><input name='input_26' id='input_2_26' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='31' /> </div><input type='hidden' id='gforms_calendar_icon_input_2_26' class='gform_hidden' value='http://ringlerassociates.com/wp-content/plugins/gravityforms/images/calendar.png'/></li><li id='field_2_43' class='gfield    gf_list_inline' ><label class='gfield_label'>Line of Business</label><div class='ginput_container'><ul class='gfield_radio' id='input_2_43'><li class='gchoice_43_0'><input name='input_43' type='radio' value='Physical Injury'  id='choice_43_0' tabindex='32'  onclick='gf_apply_rules(2,[44,29]);' /><label for='choice_43_0'>Physical Injury</label></li><li class='gchoice_43_1'><input name='input_43' type='radio' value='Non-Physical Injury'  id='choice_43_1' tabindex='33'  onclick='gf_apply_rules(2,[44,29]);' /><label for='choice_43_1'>Non-Physical Injury</label></li><li class='gchoice_43_2'><input name='input_43' type='radio' value='Workers&#039; Compensation'  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