{"id":425,"date":"2022-04-16T11:34:06","date_gmt":"2022-04-16T11:34:06","guid":{"rendered":"http:\/\/hanmarks.net\/?page_id=425"},"modified":"2022-04-16T13:13:09","modified_gmt":"2022-04-16T13:13:09","slug":"request-form","status":"publish","type":"page","link":"https:\/\/hanmarks.net\/?page_id=425","title":{"rendered":"Request Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"425\" class=\"elementor elementor-425\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b9ac4ac elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b9ac4ac\" 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<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-376fcfa\" data-id=\"376fcfa\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cbe2660 elementor-widget elementor-widget-spacer\" data-id=\"cbe2660\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.16.0 - 20-09-2023 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container{height:100%;width:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty,.e-con>.elementor-widget-spacer.elementor-widget-empty{position:relative;min-height:22px;min-width:22px}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon,.e-con>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon{position:absolute;top:0;bottom:0;left:0;right:0;margin:auto;padding:0;width:22px;height:22px}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-402dd6b6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"402dd6b6\" 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<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7be09614\" data-id=\"7be09614\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-58252b4 elementor-widget elementor-widget-shortcode\" data-id=\"58252b4\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_2_container\" data-token=\"749c53fa980f5e5e3d02d4839f40cf00\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form \" id=\"form_requestform\"  data-token=\"749c53fa980f5e5e3d02d4839f40cf00\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Request<\/legend>\r\n<h3 class=\"frm_form_title\">Request<\/h3>\r\n<div class=\"frm_description\"><p>Help us describe how best we can serve you.<\/p>\n<\/div><div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"2\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_2\" id=\"frm_hide_fields_2\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"requestform\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_2\" name=\"frm_submit_entry_2\" value=\"d521373039\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F425\" \/><div id=\"frm_field_18_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <div  id=\"field_name_label\" class=\"frm_primary_label\">Customer Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_name_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tCustomer Name\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_18\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_18-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_name_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tFirst\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_name_first\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[18][first]\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Customer Name is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_18_first_desc\">First<\/div>\t\t\t<\/div>\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_18-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_name_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tLast\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_name_last\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[18][last]\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Customer Name is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_18_last_desc\">Last<\/div>\t\t\t<\/div>\n\t\t\t<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_19_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_email\" id=\"field_email_label\" class=\"frm_primary_label\">Customer Email\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_email\" name=\"item_meta[19]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_17_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_mobile\" id=\"field_mobile_label\" class=\"frm_primary_label\">Customer Mobile\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_mobile\" name=\"item_meta[17]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"mobile is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_14_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_address\" id=\"field_address_label\" class=\"frm_primary_label\">Customer Address\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_address\" name=\"item_meta[14]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_12_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_mode\" id=\"field_mode_label\" class=\"frm_primary_label\">Preferred Mode of Internet Deployment\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[12]\" id=\"field_mode\"  data-invmsg=\"Preferred Mode of Internet Deployment is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Select Below\">Select Below<\/option><option  value=\"Wireless\">Wireless<\/option><option  value=\"Fiber\">Fiber<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_13_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_cost\" id=\"field_cost_label\" class=\"frm_primary_label\">If actual installation cost is N60,000, how much would be fair to pay for installation?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[13]\" id=\"field_cost\"  data-invmsg=\"If actual installation cost is N60,000, how much would be fair to pay for installation? is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Select Below\">Select Below<\/option><option  value=\"100k\">100k<\/option><option  value=\"50k\">50k<\/option><option  value=\"35k\">35k<\/option><option  value=\"25k\">25k<\/option><option  value=\"0\">0<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_house\" id=\"field_house_label\" class=\"frm_primary_label\">House Capacity\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[8]\" id=\"field_house\"  data-invmsg=\"House Capacity is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Select Below\">Select Below<\/option><option  value=\"5 Rooms\">5 Rooms<\/option><option  value=\"4 Rooms\">4 Rooms<\/option><option  value=\"3 Rooms\">3 Rooms<\/option><option  value=\"2 Rooms\">2 Rooms<\/option><option  value=\"1 Room\">1 Room<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_16_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 vertical_radio\">\r\n    <div  id=\"field_plan_label\" class=\"frm_primary_label\">Preferred Subscription Pattern\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_plan_label\" role=\"group\" aria-required=\"true\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_16-0\"><label for=\"field_plan-0\"><input type=\"checkbox\" name=\"item_meta[16][]\" id=\"field_plan-0\" value=\"Monthly\"  data-reqmsg=\"This field cannot be blank.\" data-invmsg=\"Preferred Subscription Pattern is invalid\" aria-invalid=\"false\"   \/> Monthly<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_16-1\"><label for=\"field_plan-1\"><input type=\"checkbox\" name=\"item_meta[16][]\" id=\"field_plan-1\" value=\"Quarterly\"  data-reqmsg=\"This field cannot be blank.\" data-invmsg=\"Preferred Subscription Pattern is invalid\" aria-invalid=\"false\"   \/> Quarterly<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_16-2\"><label for=\"field_plan-2\"><input type=\"checkbox\" name=\"item_meta[16][]\" id=\"field_plan-2\" value=\"Bi-annually\"  data-reqmsg=\"This field cannot be blank.\" data-invmsg=\"Preferred Subscription Pattern is invalid\" aria-invalid=\"false\"   \/> Bi-annually<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_16-3\"><label for=\"field_plan-3\"><input type=\"checkbox\" name=\"item_meta[16][]\" id=\"field_plan-3\" value=\"Annually\"  data-reqmsg=\"This field cannot be blank.\" data-invmsg=\"Preferred Subscription Pattern is invalid\" aria-invalid=\"false\"   \/> Annually<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_22_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first vertical_radio\">\r\n    <div  id=\"field_kqt2s_label\" class=\"frm_primary_label\">Preferred Subscription Plan\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_kqt2s_label\" role=\"group\" aria-required=\"true\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_22-0\"><label for=\"field_kqt2s-0\"><input type=\"checkbox\" name=\"item_meta[22][]\" id=\"field_kqt2s-0\" value=\"Maxx Plan        5M\/10M  (\u20a615,000)\"  data-reqmsg=\"This field cannot be blank.\" data-invmsg=\"Preferred Subscription Plan is invalid\" aria-invalid=\"false\"   \/> Maxx Plan        5M\/10M  (\u20a615,000)<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_22-1\"><label for=\"field_kqt2s-1\"><input type=\"checkbox\" name=\"item_meta[22][]\" id=\"field_kqt2s-1\" value=\"Super Maxx     10M\/20M (\u20a625,000)\"  data-reqmsg=\"This field cannot be blank.\" data-invmsg=\"Preferred Subscription Plan is invalid\" aria-invalid=\"false\"   \/> Super Maxx     10M\/20M (\u20a625,000)<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_21_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_mgc3r\" id=\"field_mgc3r_label\" class=\"frm_primary_label\">When will you be ready to connect?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[21]\" id=\"field_mgc3r\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"When will you be ready to connect? is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Select Below\">Select Below<\/option><option  value=\"Now\">Now<\/option><option  value=\"Within 3months\">Within 3months<\/option><option  value=\"Within 6months\">Within 6months<\/option><option  value=\"Not decided\">Not decided<\/option><option  value=\"Never\">Never<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_23_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_z60yz\" id=\"field_z60yz_label\" class=\"frm_primary_label\">What other service will you love bundled with your internet?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[23]\" id=\"field_z60yz\"  placeholder=\"Please specify additional requirement\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t\t<div class=\"frm__65239d63d6222\" aria-hidden=\"true\">\n\t\t\t\t<label for=\"frm_email_2\">\n\t\t\t\t\tIf you are human, leave this field blank.\t\t\t\t<\/label>\n\t\t\t\t<input  id=\"frm_email_2\" type=\"text\" class=\"frm_verify\" name=\"frm__65239d63d6222\" value=\"\" autocomplete=\"false\"  \/>\n\t\t\t<\/div>\n\t\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit\" type=\"submit\"  >Submit<\/button>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-425","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/hanmarks.net\/index.php?rest_route=\/wp\/v2\/pages\/425","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hanmarks.net\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/hanmarks.net\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/hanmarks.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hanmarks.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=425"}],"version-history":[{"count":8,"href":"https:\/\/hanmarks.net\/index.php?rest_route=\/wp\/v2\/pages\/425\/revisions"}],"predecessor-version":[{"id":448,"href":"https:\/\/hanmarks.net\/index.php?rest_route=\/wp\/v2\/pages\/425\/revisions\/448"}],"wp:attachment":[{"href":"https:\/\/hanmarks.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=425"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}