Share Your Bankruptcy Story And Win

Share your story about how Benenati Law Firm helped you restart your life and get a chance to win $2,500. Simply create and upload a video using the form below. Videos cannot exceed sixty (60) seconds in length. Videos should be in .mp4, .mov, .m4v format. Read the full rules here: Video Contest Rules

<label class='gfield_label gform-field-label' for='input_6_1'>Select Video to Upload<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='gfield_description' id='gfield_description_6_1'>Maximum File Size: 50MB. Only MP4, MOV, and M4V files.</div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='52428800' /><input name='input_1' id='input_6_1' type='file' class='medium' aria-describedby="gfield_upload_rules_6_1 gfield_description_6_1" onchange='javascript:gformValidateFileSize( this, 52428800 );' tabindex='49' /><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_6_1'>Accepted file types: mp4, mov, m4v, Max. file size: 50 MB.</span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_6_1'></div></div></li><li id="field_6_4" class="gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_4" ><label class='gfield_label gform-field-label' for='input_6_4'>Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_6_4' type='text' value='' class='medium' tabindex='50' aria-required="true" aria-invalid="false" /></div></li><li id="field_6_2" class="gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_2" ><label class='gfield_label gform-field-label' for='input_6_2'>Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_2' id='input_6_2' type='email' value='' class='medium' tabindex='51' aria-required="true" aria-invalid="false" /></div></li></ul></div><div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_6' class='gform_button button' value='Submit' tabindex='52' onclick='if(window["gf_submitting_6"]){return false;} if( !jQuery("#gform_6")[0].checkValidity || jQuery("#gform_6")[0].checkValidity()){window["gf_submitting_6"]=true;} ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_6"]){return false;} if( !jQuery("#gform_6")[0].checkValidity || jQuery("#gform_6")[0].checkValidity()){window["gf_submitting_6"]=true;} jQuery("#gform_6").trigger("submit",[true]); }' /> <input type='hidden' name='gform_ajax' value='form_id=6&title=&description=&tabindex=49&theme=legacy' /> <input type='hidden' class='gform_hidden' name='is_submit_6' value='1' /> <input type='hidden' class='gform_hidden' name='gform_submit' value='6' /> <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' /> <input type='hidden' class='gform_hidden' name='state_6' value='WyJbXSIsImZkODM4ZDI5OTdhNjU1N2VlMzQyZTk0NTAxZWI4NWYyIl0=' /> <input type='hidden' class='gform_hidden' name='gform_target_page_number_6' id='gform_target_page_number_6' value='0' /> <input type='hidden' class='gform_hidden' name='gform_source_page_number_6' id='gform_source_page_number_6' value='1' /> <input type='hidden' name='gform_field_values' value='' /></div><p style="display: none !important;" class="akismet-fields-container" data-prefix="ak_"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_1" name="ak_js" value="56"/><script>document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() );</script></p></form></div> <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_6' id='gform_ajax_frame_6' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'>