Free Thyroid RFA
Patient Guidebook
__CONFIG_lead_generation_code__<form method="post" action="https://app.kartra.com/process/add_lead/zbcIriqZdyYf" target="_top" class="form_class_zbcIriqZdyYf optin_form_for_video js_kartra_trackable_object" data-kt-type="optin" data-kt-value="zbcIriqZdyYf" data-kt-owner="0gvXGKqr" accept-charset="UTF-8">
<input type="text" class="js_kartra_santitation" data-santitation-type="name" placeholder="First name..." name="first_name" value="" >
<input type="text" class="js_kartra_santitation" data-santitation-type="email" placeholder="Email address..." name="email" value="" >
<button class='submit_button_c20ad4d76fe97759aa27a0c99bff6710'
onclick="var element = this;
element.form.submit();
element.setAttribute('disabled', true);
setTimeout(function(){
element.removeAttribute('disabled');
}, 1000);"
type="submit" >
Download Now!
</button>
</form>
<script>window.jQuery || document.write('<script src="https://app.kartra.com/js/jquery-1.11.3.min.js"></script>')</script>
<script src="https://app.kartra.com/resources/js/analytics/0gvXGKqr"></script>
<script src="https://app.kartra.com/resources/js/optin_fill_in?optin=zbcIriqZdyYf"></script>
<script>
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var script = document.createElement('script');
script.type = 'text/javascript';
script.src = 'https://app.kartra.com/js/santitation.js';
script.charset = 'utf-8';
document.getElementsByTagName('body')[0].appendChild(script);
kartra_checkout_jquery = window.jQuery;
}
</script>
__CONFIG_lead_generation_code__
