{"id":763,"date":"2020-08-15T10:10:14","date_gmt":"2020-08-15T10:10:14","guid":{"rendered":"http:\/\/raezar.co.za\/?page_id=763"},"modified":"2020-08-15T10:11:11","modified_gmt":"2020-08-15T10:11:11","slug":"business-package-sign-up-form","status":"publish","type":"page","link":"http:\/\/raezar.co.za\/?page_id=763","title":{"rendered":"Business package sign up form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"763\" class=\"elementor elementor-763\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3b82c70 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3b82c70\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8e87975\" data-id=\"8e87975\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bcb7da1 eael-fluentform-form-button-custom elementor-widget elementor-widget-eael-fluentform\" data-id=\"bcb7da1\" data-element_type=\"widget\" data-widget_type=\"eael-fluentform.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t        <div class=\"eael-contact-form eael-fluent-form-wrapper clearfix eael-contact-form-align-default\">\n\n            \n            <div class='fluentform fluentform_wrapper_2'><form data-form_id=\"2\" id=\"fluentform_2\" class=\"frm-fluent-form fluent_form_2 ff-el-form-top ff_form_instance_2_1 ff-form-loading\" data-form_instance=\"ff_form_instance_2_1\" method=\"POST\" ><input type='hidden' name='__fluent_form_embded_post_id' value='763' \/><input type=\"hidden\" id=\"_fluentform_2_fluentformnonce\" name=\"_fluentform_2_fluentformnonce\" value=\"d65496aa3b\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F763\" \/><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_2_names_first_name_'>First Name<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_2_names_first_name_\" class=\"ff-el-form-control\" ><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_2_names_last_name_'>Last Name<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_2_names_last_name_\" class=\"ff-el-form-control\" ><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_2_numeric-field_1'>Contact Number <\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_1\" id=\"ff_2_numeric-field_1\" class=\"ff-el-form-control\" data-name=\"numeric-field_1\" inputmode=\"numeric\" step=\"any\" ><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_2_email'>Email<\/label> <\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_2_email\" class=\"ff-el-form-control\" placeholder=\"you@domain.com\" data-name=\"email\" ><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_2_department'>Company Type<\/label> <\/div><div class='ff-el-input--content'><select name=\"department\" id=\"ff_2_department\" class=\"ff-el-form-control\" data-name=\"department\" data-calc_value=\"0\" ><option value=\"\">- Select Company Type  -<\/option><option value=\"Sole Proprietorship\"  >Sole Proprietorship<\/option><option value=\"Partnership\"  >Partnership<\/option><option value=\"Private (Pty) Ltd\"  >Private (Pty) Ltd<\/option><option value=\"Public Company\"  >Public Company<\/option><option value=\"Non Profit (NPO)\"  >Non Profit (NPO)<\/option><\/select><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address_3\" ><div class='ff-el-input--label'><label>Registered address for company<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_2_address_3_address_line_1_'>Address Line 1<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_3[address_line_1]\" id=\"ff_2_address_3_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"Address Line 1\" data-key_name=\"address_line_1\" ><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_2_address_3_address_line_2_'>Address Line 2<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_3[address_line_2]\" id=\"ff_2_address_3_address_line_2_\" class=\"ff-el-form-control\" placeholder=\"Address Line 2\" data-key_name=\"address_line_2\" ><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_2_address_3_city_'>City<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_3[city]\" id=\"ff_2_address_3_city_\" class=\"ff-el-form-control\" placeholder=\"City\" data-key_name=\"city\" ><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_2_address_3_state_'>Province<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_3[state]\" id=\"ff_2_address_3_state_\" class=\"ff-el-form-control\" placeholder=\"Province\" data-key_name=\"state\" ><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_2_address_3_zip_'>Postal Code<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_3[zip]\" id=\"ff_2_address_3_zip_\" class=\"ff-el-form-control\" placeholder=\"Postal Code\" data-key_name=\"zip\" ><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_2_address_3_country_'>Country<\/label> <\/div><div class='ff-el-input--content'><select name=\"address_3[country]\" id=\"ff_2_address_3_country_\" class=\"ff-el-form-control\" placeholder=\"Select Country\" data-key_name=\"country\" ><option value=''>Select Country<\/option><option value='ZA' >South Africa<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_2_description'>Business Description <\/label> <\/div><div class='ff-el-input--content'><textarea name=\"description\" id=\"ff_2_description\" class=\"ff-el-form-control\" placeholder=\"Tell us about your business\" rows=\"4\" cols=\"2\" data-name=\"description\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_2_input_text'>Business industry<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_2_input_text\" ><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-right'><label for='ff_2_dropdown'>Service package selection<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_2_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\" ><option value=\"\">Package<\/option><option value=\"Owl (R 1500)\"  >Owl (R 1500)<\/option><option value=\"Condor (R 2000)\"  >Condor (R 2000)<\/option><option value=\"Heron (R 2800)\"  >Heron (R 2800)<\/option><option value=\"Eagle (R 3500)\"  >Eagle (R 3500)<\/option><option value=\"Hawk (R 6500)\"  >Hawk (R 6500)<\/option><option value=\"Falcon (R 10000)\"  >Falcon (R 10000)<\/option><\/select><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\" >Submit Form<\/button><\/div><\/form><div id='fluentform_2_errors' class='ff-errors-in-stack ff_form_instance_2_1 ff-form-loading_errors ff_form_instance_2_1_errors'><\/div><\/div>        <script type=\"text\/javascript\">\n            window.fluent_form_ff_form_instance_2_1 = {\"id\":\"2\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_2_1\",\"form_id_selector\":\"fluentform_2\",\"rules\":{\"names[first_name]\":{\"required\":{\"value\":true,\"message\":\"First Name field is required\"}},\"names[middle_name]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"names[last_name]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"numeric-field_1\":{\"required\":{\"value\":true,\"message\":\"This field is required\"},\"numeric\":{\"value\":true,\"message\":\"This field must contain numeric value\"},\"min\":{\"value\":\"\",\"message\":\"Minimum value is \"},\"max\":{\"value\":\"\",\"message\":\"Maximum value is 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required\"}},\"dropdown\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}}}};\n                    <\/script>\n                <\/div>\n\n        \t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>First Name Last Name Contact Number Email Company Type &#8211; Select Company Type &#8211;Sole ProprietorshipPartnershipPrivate (Pty) LtdPublic CompanyNon Profit (NPO)Registered address for 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