{"id":169,"date":"2015-11-30T15:24:04","date_gmt":"2015-11-30T15:24:04","guid":{"rendered":"http:\/\/precisionwiretech.com\/?page_id=169"},"modified":"2018-02-28T12:38:53","modified_gmt":"2018-02-28T17:38:53","slug":"credit-application","status":"publish","type":"page","link":"https:\/\/precisionwiretech.com\/credit-application\/","title":{"rendered":"Credit Application"},"content":{"rendered":"\n                <div class='gf_browser_unknown gform_wrapper' id='gform_wrapper_2' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/wp-json\/wp\/v2\/pages\/169'> \r\n <input type='hidden' class='gforms-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n                        <div class='gform_body'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below'><li id='field_2_17'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Business Information<\/h2><\/li><li id='field_2_3'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_3' >Company<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_2_3' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_18'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_18' >Company Type<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_2_18' class='large gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='Proprietorship' >Proprietorship<\/option><option value='Partnership' >Partnership<\/option><option value='Corporation' >Corporation<\/option><\/select><\/div><\/li><li id='field_2_19'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Billing Address<\/h2><\/li><li id='field_2_4'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Billing Address<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_2_4' >\n                         <span class='ginput_full address_line_1' id='input_2_4_1_container' >\n                                        <input type='text' name='input_4.1' id='input_2_4_1' value=''    aria-required=\"true\"\/>\n                                        <label for='input_2_4_1' id='input_2_4_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_2_4_2_container' >\n                                        <input type='text' name='input_4.2' id='input_2_4_2' value=''   \/>\n                                        <label for='input_2_4_2' id='input_2_4_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_2_4_3_container' >\n                                    <input type='text' name='input_4.3' id='input_2_4_3' value=''    aria-required=\"true\"\/>\n                                    <label for='input_2_4_3' id='input_2_4_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_2_4_4_container' >\n                                        <input type='text' name='input_4.4' id='input_2_4_4' value=''      aria-required=\"true\"\/>\n                                        <label for='input_2_4_4' id='input_2_4_4_label' >State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_2_4_5_container' >\n                                    <input type='text' name='input_4.5' id='input_2_4_5' value=''    aria-required=\"true\"\/>\n                                    <label for='input_2_4_5' id='input_2_4_5_label' >ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_4.6' id='input_2_4_6' value=''\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_2_21'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_21'><li class='gchoice_2_21_1'>\n\t\t\t\t\t\t\t\t<input name='input_21.1' type='checkbox'  value='Shipping address is different then billing address'  id='choice_2_21_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_21_1' id='label_2_21_1'>Shipping address is different then billing address<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_2_22'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_2_22' >\n                         <span class='ginput_full address_line_1' id='input_2_22_1_container' >\n                                        <input type='text' name='input_22.1' id='input_2_22_1' value=''    \/>\n                                        <label for='input_2_22_1' id='input_2_22_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_2_22_2_container' >\n                                        <input type='text' name='input_22.2' id='input_2_22_2' value=''   \/>\n                                        <label for='input_2_22_2' id='input_2_22_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_2_22_3_container' >\n                                    <input type='text' name='input_22.3' id='input_2_22_3' value=''    \/>\n                                    <label for='input_2_22_3' id='input_2_22_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_2_22_4_container' >\n                                        <input type='text' name='input_22.4' id='input_2_22_4' value=''      \/>\n                                        <label for='input_2_22_4' id='input_2_22_4_label' >State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_2_22_5_container' >\n                                    <input type='text' name='input_22.5' id='input_2_22_5' value=''    \/>\n                                    <label for='input_2_22_5' id='input_2_22_5_label' >ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_22.6' id='input_2_22_6' value=''\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_2_8'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Name of Principals<\/h2><div class='gsection_description' id='gfield_description_2_8'>Principal Reference #1<\/div><\/li><li id='field_2_23'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_2_23'>\n                            \n                            <span id='input_2_23_3_container' class='name_first' >\n                                                    <input type='text' name='input_23.3' id='input_2_23_3' value='' aria-label='First name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_2_23_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_23_6_container' class='name_last' >\n                                                    <input type='text' name='input_23.6' id='input_2_23_6' value='' aria-label='Last name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_2_23_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_2_25'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_25' >Phone<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_25' id='input_2_25' type='text' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id='field_2_29'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Address<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_2_29' >\n                         <span class='ginput_full address_line_1' id='input_2_29_1_container' >\n                                        <input type='text' name='input_29.1' id='input_2_29_1' value=''    aria-required=\"true\"\/>\n                                        <label for='input_2_29_1' id='input_2_29_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_2_29_2_container' >\n                                        <input type='text' name='input_29.2' id='input_2_29_2' value=''   \/>\n                                        <label for='input_2_29_2' id='input_2_29_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_2_29_3_container' >\n                                    <input type='text' name='input_29.3' id='input_2_29_3' value=''    aria-required=\"true\"\/>\n                                    <label for='input_2_29_3' id='input_2_29_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_2_29_4_container' >\n                                        <input type='text' name='input_29.4' id='input_2_29_4' value=''      aria-required=\"true\"\/>\n                                        <label for='input_2_29_4' id='input_2_29_4_label' >State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_2_29_5_container' >\n                                    <input type='text' name='input_29.5' id='input_2_29_5' value=''    aria-required=\"true\"\/>\n                                    <label for='input_2_29_5' id='input_2_29_5_label' >ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_29.6' id='input_2_29_6' value=''\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_2_32'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'><\/h2><div class='gsection_description' id='gfield_description_2_32'>Principal Reference #2<\/div><\/li><li id='field_2_24'  class='gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Name<\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_2_24'>\n                            \n                            <span id='input_2_24_3_container' class='name_first' >\n                                                    <input type='text' name='input_24.3' id='input_2_24_3' value='' aria-label='First name'    aria-invalid=\"false\" \/>\n                                                    <label for='input_2_24_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_24_6_container' class='name_last' >\n                                                    <input type='text' name='input_24.6' id='input_2_24_6' value='' aria-label='Last name'    aria-invalid=\"false\" \/>\n                                                    <label for='input_2_24_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_2_26'  class='gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_26' >Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_26' id='input_2_26' type='text' value='' class='large'    aria-invalid=\"false\"  \/><\/div><\/li><li id='field_2_30'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_2_30' >\n                         <span class='ginput_full address_line_1' id='input_2_30_1_container' >\n                                        <input type='text' name='input_30.1' id='input_2_30_1' value=''    \/>\n                                        <label for='input_2_30_1' id='input_2_30_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_2_30_2_container' >\n                                        <input type='text' name='input_30.2' id='input_2_30_2' value=''   \/>\n                                        <label for='input_2_30_2' id='input_2_30_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_2_30_3_container' >\n                                    <input type='text' name='input_30.3' id='input_2_30_3' value=''    \/>\n                                    <label for='input_2_30_3' id='input_2_30_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_2_30_4_container' >\n                                        <input type='text' name='input_30.4' id='input_2_30_4' value=''      \/>\n                                        <label for='input_2_30_4' id='input_2_30_4_label' >State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_2_30_5_container' >\n                                    <input type='text' name='input_30.5' id='input_2_30_5' value=''    \/>\n                                    <label for='input_2_30_5' id='input_2_30_5_label' >ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_30.6' id='input_2_30_6' value=''\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_2_33'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'><\/h2><div class='gsection_description' id='gfield_description_2_33'>Principal Reference #3<\/div><\/li><li id='field_2_27'  class='gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Name<\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_2_27'>\n                            \n                            <span id='input_2_27_3_container' class='name_first' >\n                                                    <input type='text' name='input_27.3' id='input_2_27_3' value='' aria-label='First name'    aria-invalid=\"false\" \/>\n                                                    <label for='input_2_27_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_27_6_container' class='name_last' >\n                                                    <input type='text' name='input_27.6' id='input_2_27_6' value='' aria-label='Last name'    aria-invalid=\"false\" \/>\n                                                    <label for='input_2_27_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_2_28'  class='gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_28' >Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_28' id='input_2_28' type='text' value='' class='large'    aria-invalid=\"false\"  \/><\/div><\/li><li id='field_2_31'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_2_31' >\n                         <span class='ginput_full address_line_1' id='input_2_31_1_container' >\n                                        <input type='text' name='input_31.1' id='input_2_31_1' value=''    \/>\n                                        <label for='input_2_31_1' id='input_2_31_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_2_31_2_container' >\n                                        <input type='text' name='input_31.2' id='input_2_31_2' value=''   \/>\n                                        <label for='input_2_31_2' id='input_2_31_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_2_31_3_container' >\n                                    <input type='text' name='input_31.3' id='input_2_31_3' value=''    \/>\n                                    <label for='input_2_31_3' id='input_2_31_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_2_31_4_container' >\n                                        <input type='text' name='input_31.4' id='input_2_31_4' value=''      \/>\n                                        <label for='input_2_31_4' id='input_2_31_4_label' >State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_2_31_5_container' >\n                                    <input type='text' name='input_31.5' id='input_2_31_5' value=''    \/>\n                                    <label for='input_2_31_5' id='input_2_31_5_label' >ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_31.6' id='input_2_31_6' value=''\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_2_34'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Trade References<\/h2><div class='gsection_description' id='gfield_description_2_34'>Trade Reference #1<\/div><\/li><li id='field_2_37'  class='gfield gf_left_third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_2_37'>\n                            \n                            <span id='input_2_37_3_container' class='name_first' >\n                                                    <input type='text' name='input_37.3' id='input_2_37_3' value='' aria-label='First name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_2_37_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_37_6_container' class='name_last' >\n                                                    <input type='text' name='input_37.6' id='input_2_37_6' value='' aria-label='Last name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_2_37_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_2_42'  class='gfield gf_middle_third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_42' >Phone<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_42' id='input_2_42' type='text' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id='field_2_44'  class='gfield gf_right_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_44' >Fax Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_44' id='input_2_44' type='text' value='' class='large'    aria-invalid=\"false\"  \/><\/div><\/li><li id='field_2_48'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Address<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_2_48' >\n                         <span class='ginput_full address_line_1' id='input_2_48_1_container' >\n                                        <input type='text' name='input_48.1' id='input_2_48_1' value=''    aria-required=\"true\"\/>\n                                        <label for='input_2_48_1' id='input_2_48_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_2_48_2_container' >\n                                        <input type='text' name='input_48.2' id='input_2_48_2' value=''   \/>\n                                        <label for='input_2_48_2' id='input_2_48_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_2_48_3_container' >\n                                    <input type='text' name='input_48.3' id='input_2_48_3' value=''    aria-required=\"true\"\/>\n                                    <label for='input_2_48_3' id='input_2_48_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_2_48_4_container' >\n                                        <input type='text' name='input_48.4' id='input_2_48_4' value=''      aria-required=\"true\"\/>\n                                        <label for='input_2_48_4' id='input_2_48_4_label' >State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_2_48_5_container' >\n                                    <input type='text' name='input_48.5' id='input_2_48_5' value=''    aria-required=\"true\"\/>\n                                    <label for='input_2_48_5' id='input_2_48_5_label' >ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_48.6' id='input_2_48_6' value=''\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_2_35'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'><\/h2><div class='gsection_description' id='gfield_description_2_35'>Trade Reference #2<\/div><\/li><li id='field_2_40'  class='gfield gf_left_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Name<\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_2_40'>\n                            \n                            <span id='input_2_40_3_container' class='name_first' >\n                                                    <input type='text' name='input_40.3' id='input_2_40_3' value='' aria-label='First name'    aria-invalid=\"false\" \/>\n                                                    <label for='input_2_40_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_40_6_container' class='name_last' >\n                                                    <input type='text' name='input_40.6' id='input_2_40_6' value='' aria-label='Last name'    aria-invalid=\"false\" \/>\n                                                    <label for='input_2_40_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_2_43'  class='gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_43' >Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_43' id='input_2_43' type='text' value='' class='large'    aria-invalid=\"false\"  \/><\/div><\/li><li id='field_2_46'  class='gfield gf_right_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_46' >Fax Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_46' id='input_2_46' type='text' value='' class='large'    aria-invalid=\"false\"  \/><\/div><\/li><li id='field_2_49'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_2_49' >\n                         <span class='ginput_full address_line_1' id='input_2_49_1_container' >\n                                        <input type='text' name='input_49.1' id='input_2_49_1' value=''    \/>\n                                        <label for='input_2_49_1' id='input_2_49_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_2_49_2_container' >\n                                        <input type='text' name='input_49.2' id='input_2_49_2' value=''   \/>\n                                        <label for='input_2_49_2' id='input_2_49_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_2_49_3_container' >\n                                    <input type='text' name='input_49.3' id='input_2_49_3' value=''    \/>\n                                    <label for='input_2_49_3' id='input_2_49_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_2_49_4_container' >\n                                        <input type='text' name='input_49.4' id='input_2_49_4' value=''      \/>\n                                        <label for='input_2_49_4' id='input_2_49_4_label' >State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_2_49_5_container' >\n                                    <input type='text' name='input_49.5' id='input_2_49_5' value=''    \/>\n                                    <label for='input_2_49_5' id='input_2_49_5_label' >ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_49.6' id='input_2_49_6' value=''\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_2_36'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'><\/h2><div class='gsection_description' id='gfield_description_2_36'>Trade Reference #3<\/div><\/li><li id='field_2_41'  class='gfield gf_left_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Name<\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_2_41'>\n                            \n                            <span id='input_2_41_3_container' class='name_first' >\n                                                    <input type='text' name='input_41.3' id='input_2_41_3' value='' aria-label='First name'    aria-invalid=\"false\" \/>\n                                                    <label for='input_2_41_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_41_6_container' class='name_last' >\n                                                    <input type='text' name='input_41.6' id='input_2_41_6' value='' aria-label='Last name'    aria-invalid=\"false\" \/>\n                                                    <label for='input_2_41_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_2_45'  class='gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_45' >Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_45' id='input_2_45' type='text' value='' class='large'    aria-invalid=\"false\"  \/><\/div><\/li><li id='field_2_47'  class='gfield gf_right_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_47' >Fax Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_47' id='input_2_47' type='text' value='' class='large'    aria-invalid=\"false\"  \/><\/div><\/li><li id='field_2_50'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_2_50' >\n                         <span class='ginput_full address_line_1' id='input_2_50_1_container' >\n                                        <input type='text' name='input_50.1' id='input_2_50_1' value=''    \/>\n                                        <label for='input_2_50_1' id='input_2_50_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_2_50_2_container' >\n                                        <input type='text' name='input_50.2' id='input_2_50_2' value=''   \/>\n                                        <label for='input_2_50_2' id='input_2_50_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_2_50_3_container' >\n                                    <input type='text' name='input_50.3' id='input_2_50_3' value=''    \/>\n                                    <label for='input_2_50_3' id='input_2_50_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_2_50_4_container' >\n                                        <input type='text' name='input_50.4' id='input_2_50_4' value=''      \/>\n                                        <label for='input_2_50_4' id='input_2_50_4_label' >State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_2_50_5_container' >\n                                    <input type='text' name='input_50.5' id='input_2_50_5' value=''    \/>\n                                    <label for='input_2_50_5' id='input_2_50_5_label' >ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_50.6' id='input_2_50_6' value=''\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_2_51'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Bank Information<\/h2><\/li><li id='field_2_52'  class='gfield gf_left_third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_52' >Bank Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_52' id='input_2_52' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_54'  class='gfield gf_middle_third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_54' >Contact Person<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_54' id='input_2_54' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_55'  class='gfield gf_right_third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_55' >Phone<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_55' id='input_2_55' type='text' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id='field_2_56'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Address<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_2_56' >\n                         <span class='ginput_full address_line_1' id='input_2_56_1_container' >\n                                        <input type='text' name='input_56.1' id='input_2_56_1' value=''    aria-required=\"true\"\/>\n                                        <label for='input_2_56_1' id='input_2_56_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_2_56_2_container' >\n                                        <input type='text' name='input_56.2' id='input_2_56_2' value=''   \/>\n                                        <label for='input_2_56_2' id='input_2_56_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_2_56_3_container' >\n                                    <input type='text' name='input_56.3' id='input_2_56_3' value=''    aria-required=\"true\"\/>\n                                    <label for='input_2_56_3' id='input_2_56_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_2_56_4_container' >\n                                        <input type='text' name='input_56.4' id='input_2_56_4' value=''      aria-required=\"true\"\/>\n                                        <label for='input_2_56_4' id='input_2_56_4_label' >State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_2_56_5_container' >\n                                    <input type='text' name='input_56.5' id='input_2_56_5' value=''    aria-required=\"true\"\/>\n                                    <label for='input_2_56_5' id='input_2_56_5_label' >ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_56.6' id='input_2_56_6' value=''\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_2_57'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  ><span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_57'><li class='gchoice_2_57_1'>\n\t\t\t\t\t\t\t\t<input name='input_57.1' type='checkbox'  value='We hereby authorize you to verify any of the above statements and agree to your credit terms of Net 30 days from date of invoice.'  id='choice_2_57_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_57_1' id='label_2_57_1'>We hereby authorize you to verify any of the above statements and agree to your credit terms of Net 30 days from date of invoice.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li>\n                            <\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_2' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_2\"]){return false;}  window[\"gf_submitting_2\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_2\"]){return false;} window[\"gf_submitting_2\"]=true;  jQuery(\"#gform_2\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_2' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='2' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_2' value='WyJbXSIsIjhkYjg2M2U0Y2UzZjFkNjE3N2YwYzBlZTljZGQ5NmRlIl0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_2' id='gform_target_page_number_2' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_2' id='gform_source_page_number_2' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type='text\/javascript'> jQuery(document).bind('gform_post_render', function(event, formId, currentPage){if(formId == 2) {gf_global[\"number_formats\"][2] = {\"17\":{\"price\":false,\"value\":false},\"3\":{\"price\":false,\"value\":false},\"18\":{\"price\":false,\"value\":false},\"19\":{\"price\":false,\"value\":false},\"4\":{\"price\":false,\"value\":false},\"21\":{\"price\":false,\"value\":false},\"22\":{\"price\":false,\"value\":false},\"8\":{\"price\":false,\"value\":false},\"23\":{\"price\":false,\"value\":false},\"25\":{\"price\":false,\"value\":false},\"29\":{\"price\":false,\"value\":false},\"32\":{\"price\":false,\"value\":false},\"24\":{\"price\":false,\"value\":false},\"26\":{\"price\":false,\"value\":false},\"30\":{\"price\":false,\"value\":false},\"33\":{\"price\":false,\"value\":false},\"27\":{\"price\":false,\"value\":false},\"28\":{\"price\":false,\"value\":false},\"31\":{\"price\":false,\"value\":false},\"34\":{\"price\":false,\"value\":false},\"37\":{\"price\":false,\"value\":false},\"42\":{\"price\":false,\"value\":false},\"44\":{\"price\":false,\"value\":false},\"48\":{\"price\":false,\"value\":false},\"35\":{\"price\":false,\"value\":false},\"40\":{\"price\":false,\"value\":false},\"43\":{\"price\":false,\"value\":false},\"46\":{\"price\":false,\"value\":false},\"49\":{\"price\":false,\"value\":false},\"36\":{\"price\":false,\"value\":false},\"41\":{\"price\":false,\"value\":false},\"45\":{\"price\":false,\"value\":false},\"47\":{\"price\":false,\"value\":false},\"50\":{\"price\":false,\"value\":false},\"51\":{\"price\":false,\"value\":false},\"52\":{\"price\":false,\"value\":false},\"54\":{\"price\":false,\"value\":false},\"55\":{\"price\":false,\"value\":false},\"56\":{\"price\":false,\"value\":false},\"57\":{\"price\":false,\"value\":false}};if(window['jQuery']){if(!window['gf_form_conditional_logic'])window['gf_form_conditional_logic'] = new Array();window['gf_form_conditional_logic'][2] = { logic: { 22: {\"field\":{\"actionType\":\"show\",\"logicType\":\"all\",\"rules\":[{\"fieldId\":\"21\",\"operator\":\"is\",\"value\":\"Shipping address is different then billing address\"}]},\"nextButton\":null,\"section\":\"\"} }, dependents: { 22: [22] }, animation: 0, defaults: {\"4\":{\"4.1\":\"\",\"4.2\":\"\",\"4.3\":\"\",\"4.4\":\"\",\"4.5\":\"\",\"4.6\":\"\"},\"22\":{\"22.1\":\"\",\"22.2\":\"\",\"22.3\":\"\",\"22.4\":\"\",\"22.5\":\"\",\"22.6\":\"\"},\"23\":{\"23.2\":\"\",\"23.3\":\"\",\"23.4\":\"\",\"23.6\":\"\",\"23.8\":\"\"},\"29\":{\"29.1\":\"\",\"29.2\":\"\",\"29.3\":\"\",\"29.4\":\"\",\"29.5\":\"\",\"29.6\":\"\"},\"24\":{\"24.2\":\"\",\"24.3\":\"\",\"24.4\":\"\",\"24.6\":\"\",\"24.8\":\"\"},\"30\":{\"30.1\":\"\",\"30.2\":\"\",\"30.3\":\"\",\"30.4\":\"\",\"30.5\":\"\",\"30.6\":\"\"},\"27\":{\"27.2\":\"\",\"27.3\":\"\",\"27.4\":\"\",\"27.6\":\"\",\"27.8\":\"\"},\"31\":{\"31.1\":\"\",\"31.2\":\"\",\"31.3\":\"\",\"31.4\":\"\",\"31.5\":\"\",\"31.6\":\"\"},\"37\":{\"37.2\":\"\",\"37.3\":\"\",\"37.4\":\"\",\"37.6\":\"\",\"37.8\":\"\"},\"48\":{\"48.1\":\"\",\"48.2\":\"\",\"48.3\":\"\",\"48.4\":\"\",\"48.5\":\"\",\"48.6\":\"\"},\"40\":{\"40.2\":\"\",\"40.3\":\"\",\"40.4\":\"\",\"40.6\":\"\",\"40.8\":\"\"},\"49\":{\"49.1\":\"\",\"49.2\":\"\",\"49.3\":\"\",\"49.4\":\"\",\"49.5\":\"\",\"49.6\":\"\"},\"41\":{\"41.2\":\"\",\"41.3\":\"\",\"41.4\":\"\",\"41.6\":\"\",\"41.8\":\"\"},\"50\":{\"50.1\":\"\",\"50.2\":\"\",\"50.3\":\"\",\"50.4\":\"\",\"50.5\":\"\",\"50.6\":\"\"},\"56\":{\"56.1\":\"\",\"56.2\":\"\",\"56.3\":\"\",\"56.4\":\"\",\"56.5\":\"\",\"56.6\":\"\"}}, fields: {\"17\":[],\"3\":[],\"18\":[],\"19\":[],\"4\":[],\"21\":[22],\"22\":[],\"8\":[],\"23\":[],\"25\":[],\"29\":[],\"32\":[],\"24\":[],\"26\":[],\"30\":[],\"33\":[],\"27\":[],\"28\":[],\"31\":[],\"34\":[],\"37\":[],\"42\":[],\"44\":[],\"48\":[],\"35\":[],\"40\":[],\"43\":[],\"46\":[],\"49\":[],\"36\":[],\"41\":[],\"45\":[],\"47\":[],\"50\":[],\"51\":[],\"52\":[],\"54\":[],\"55\":[],\"56\":[],\"57\":[]} }; if(!window['gf_number_format'])window['gf_number_format'] = 'decimal_dot';jQuery(document).ready(function(){gf_apply_rules(2, [22], true);jQuery('#gform_wrapper_2').show();jQuery(document).trigger('gform_post_conditional_logic', [2, null, true]);} );} jQuery('#input_2_25').mask('(999) 999-9999').bind('keypress', function(e){if(e.which == 13){jQuery(this).blur();} } );jQuery('#input_2_26').mask('(999) 999-9999').bind('keypress', function(e){if(e.which == 13){jQuery(this).blur();} } );jQuery('#input_2_28').mask('(999) 999-9999').bind('keypress', function(e){if(e.which == 13){jQuery(this).blur();} } );jQuery('#input_2_42').mask('(999) 999-9999').bind('keypress', function(e){if(e.which == 13){jQuery(this).blur();} } );jQuery('#input_2_44').mask('(999) 999-9999').bind('keypress', function(e){if(e.which == 13){jQuery(this).blur();} } );jQuery('#input_2_43').mask('(999) 999-9999').bind('keypress', function(e){if(e.which == 13){jQuery(this).blur();} } );jQuery('#input_2_46').mask('(999) 999-9999').bind('keypress', function(e){if(e.which == 13){jQuery(this).blur();} } );jQuery('#input_2_45').mask('(999) 999-9999').bind('keypress', function(e){if(e.which == 13){jQuery(this).blur();} } );jQuery('#input_2_47').mask('(999) 999-9999').bind('keypress', function(e){if(e.which == 13){jQuery(this).blur();} } );jQuery('#input_2_55').mask('(999) 999-9999').bind('keypress', function(e){if(e.which == 13){jQuery(this).blur();} } );} } );jQuery(document).bind('gform_post_conditional_logic', function(event, formId, fields, isInit){} );<\/script><script type='text\/javascript'> jQuery(document).ready(function(){jQuery(document).trigger('gform_post_render', [2, 1]) } ); <\/script>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/precisionwiretech.com\/wp-json\/wp\/v2\/pages\/169"}],"collection":[{"href":"https:\/\/precisionwiretech.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/precisionwiretech.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/precisionwiretech.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/precisionwiretech.com\/wp-json\/wp\/v2\/comments?post=169"}],"version-history":[{"count":4,"href":"https:\/\/precisionwiretech.com\/wp-json\/wp\/v2\/pages\/169\/revisions"}],"predecessor-version":[{"id":494,"href":"https:\/\/precisionwiretech.com\/wp-json\/wp\/v2\/pages\/169\/revisions\/494"}],"wp:attachment":[{"href":"https:\/\/precisionwiretech.com\/wp-json\/wp\/v2\/media?parent=169"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}