{"id":4556,"date":"2019-09-07T01:13:47","date_gmt":"2019-09-07T01:13:47","guid":{"rendered":"https:\/\/cleanioscorp.com\/?page_id=4556"},"modified":"2024-11-23T05:48:37","modified_gmt":"2024-11-23T05:48:37","slug":"order-form","status":"publish","type":"page","link":"https:\/\/cleanioscorp.com\/staged\/order-form\/","title":{"rendered":"Order Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4556\" class=\"elementor elementor-4556\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-52c95f9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"52c95f9\" 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-a411f4a\" data-id=\"a411f4a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-2a149e7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2a149e7\" 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-e39b018\" data-id=\"e39b018\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-17f537b elementor-widget elementor-widget-text-editor\" data-id=\"17f537b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><b>Orders are processed\u00a0 weekdays (excluding weekends and statutory holidays) between 9:00 AM and 3:00 PM (MST). Any orders received after 3:00 PM (MST) will be processed the following day. Please allow 3 to 5 business days to deliver for Alberta and 5 to 7 business days for British Columbia and Saskatchewan.\u00a0<\/b><\/p><div id=\"ritekit-alerts\">\u00a0<\/div>\t\t\t\t\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<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-85f3942 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"85f3942\" 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-3c6ea50\" data-id=\"3c6ea50\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-95fb825 elementor-widget elementor-widget-wp-widget-frm_show_form\" data-id=\"95fb825\" data-element_type=\"widget\" data-widget_type=\"wp-widget-frm_show_form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"frm_form_widget\"><div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_2_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form \" id=\"form_orderform\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Order Form<\/legend>\r\n\r\n<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=\"orderform\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_2\" name=\"frm_submit_entry_2\" value=\"37443f231c\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/staged\/wp-json\/wp\/v2\/pages\/4556\" \/><div id=\"frm_field_7_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_zgdxu\" id=\"field_zgdxu_label\" class=\"frm_primary_label\">Date\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_zgdxu\" name=\"item_meta[7]\" value=\"\"  data-reqmsg=\"Date 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_8_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_sngt2\" id=\"field_sngt2_label\" class=\"frm_primary_label\">PO Number\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_sngt2\" name=\"item_meta[8]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_4i1p2\" id=\"field_4i1p2_label\" class=\"frm_primary_label\">Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_4i1p2\" name=\"item_meta[9]\" value=\"\"  data-reqmsg=\"Name 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_10_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_f8xeg\" id=\"field_f8xeg_label\" class=\"frm_primary_label\">Organization\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_f8xeg\" name=\"item_meta[10]\" value=\"\"  data-reqmsg=\"Organization 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_11_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_4zfnx\" id=\"field_4zfnx_label\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_4zfnx\" name=\"item_meta[11]\" value=\"\"  data-reqmsg=\"Email 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_12_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_vlk3x\" id=\"field_vlk3x_label\" class=\"frm_primary_label\">Phone\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_vlk3x\" name=\"item_meta[12]\" value=\"\"  data-reqmsg=\"Phone cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone 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_13_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_8swm3\" id=\"field_8swm3_label\" class=\"frm_primary_label\">Billing Address\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[13]\" id=\"field_8swm3\" rows=\"5\"  placeholder=\"Street Number and Name\r\nCity\r\nProvince\r\nPostal Code\r\nCountry\" data-reqmsg=\"Billing Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Billing Address is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_8swm3\"><\/textarea>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_8swm3\">Must include: Street number and name, city, province, postal code, and country<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_14_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_nqdbd\" id=\"field_nqdbd_label\" class=\"frm_primary_label\">Shipping Address (if different from Billing Address)\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[14]\" id=\"field_nqdbd\" rows=\"5\"  data-invmsg=\"Shipping Address (if different from Billing Address) is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_nqdbd\"><\/textarea>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_nqdbd\">Must include: Street number and name, city, province, postal code, and country<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_15_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_9wdmz\" id=\"field_9wdmz_label\" class=\"frm_primary_label\">Order request (Product Name, Size, Quantity)\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[15]\" id=\"field_9wdmz\" rows=\"5\"  placeholder=\"Example: Booster, 20L, 5 pails\" data-reqmsg=\"Order request (Product Name, Size, Quantity) cannot be blank.\" aria-required=\"true\" data-invmsg=\"Order request (Product Name, Size, Quantity) is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_16_container\" class=\"frm_form_field form-field  frm_none_container\">\r\n    <label for=\"g-recaptcha-response\" id=\"field_lalb5_label\" class=\"frm_primary_label\">reCAPTCHA\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_17_container\" class=\"frm_form_field form-field \">\n\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit\" type=\"submit\"  >Submit<\/button>\r\n\r\n<\/div>\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_18_container\">\n\t\t\t<label for=\"field_i5b8i\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_i5b8i\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[18]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"nyjojY1guVdLQ5RyjKlWIfAtAVfxmmXL7ZFMNmU+UEg=\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n<\/div>\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<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Orders are processed\u00a0 weekdays (excluding weekends and statutory holidays) between 9:00 AM and 3:00 PM (MST). Any orders received after 3:00 PM (MST) will be processed the following day. Please allow 3 to 5 business days to deliver for Alberta and 5 to 7 business days for British Columbia and Saskatchewan.\u00a0 \u00a0<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-4556","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/cleanioscorp.com\/staged\/wp-json\/wp\/v2\/pages\/4556","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cleanioscorp.com\/staged\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cleanioscorp.com\/staged\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cleanioscorp.com\/staged\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cleanioscorp.com\/staged\/wp-json\/wp\/v2\/comments?post=4556"}],"version-history":[{"count":3,"href":"https:\/\/cleanioscorp.com\/staged\/wp-json\/wp\/v2\/pages\/4556\/revisions"}],"predecessor-version":[{"id":7315,"href":"https:\/\/cleanioscorp.com\/staged\/wp-json\/wp\/v2\/pages\/4556\/revisions\/7315"}],"wp:attachment":[{"href":"https:\/\/cleanioscorp.com\/staged\/wp-json\/wp\/v2\/media?parent=4556"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}