{"id":10452,"date":"2022-02-07T13:51:36","date_gmt":"2022-02-07T12:51:36","guid":{"rendered":"https:\/\/public-worxs.com\/pharmatech\/?page_id=10452"},"modified":"2022-05-03T09:39:29","modified_gmt":"2022-05-03T07:39:29","slug":"contactform","status":"publish","type":"page","link":"https:\/\/public-worxs.com\/pharmatech\/contactform\/","title":{"rendered":"Contact form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"10452\" class=\"elementor elementor-10452\">\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-488ed977 elementor-section-full_width elementor-section-stretched elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-section-height-default elementor-section-height-default mkdf-parallax-row-no mkdf-content-aligment-left mkdf-elementor-row-grid-no mkdf-disabled-bg-image-bellow-no mkdf-row-btt-light\" data-id=\"488ed977\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\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-61e2d0c8\" data-id=\"61e2d0c8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\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<div class=\"mkdf-elementor-row mkdf-elementor-section-with-custom-bg-color\" style=\"background-color: #FFFFFF;\">\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2423e215 mkdf-elementor-row-grid-section elementor-section-full_width elementor-section-stretched elementor-section-height-default elementor-section-height-default mkdf-parallax-row-no mkdf-content-aligment-left mkdf-disabled-bg-image-bellow-no mkdf-row-btt-light\" data-id=\"2423e215\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\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-59a56209\" data-id=\"59a56209\" 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-6688352f elementor-widget elementor-widget-text-editor\" data-id=\"6688352f\" 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<div class=\"elementor-text-editor elementor-clearfix\">\n\t\t\t\t<p>Please fill out the contact form below and we will get in touch with you.<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\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<div class=\"mkdf-row-background-text-holder mkdf-row-background-text-front\"><div class=\"mkdf-row-background-text-wrapper  mkdf-row-background-text-align-left\"><div class=\"mkdf-row-background-text-wrapper-inner\" style=\"font-size:150px;color:#0093D036;-webkit-text-stroke-color:#0093D036;text-align:left;vertical-align:middle;padding-left:7px\" data-font-size-1440=150px data-font-size-1280=150px data-padding-left-size-1440=4.3% data-padding-left-size-1280=4.3%><div class=\"mkdf-row-background-text-1\">Contact Form<\/div><\/div><\/div><\/div><\/div>\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a81423b elementor-section-boxed elementor-section-height-default elementor-section-height-default mkdf-parallax-row-no mkdf-content-aligment-left mkdf-elementor-row-grid-no mkdf-disabled-bg-image-bellow-no mkdf-row-btt-light\" data-id=\"a81423b\" 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-c291aae\" data-id=\"c291aae\" 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-d56f360 elementor-widget elementor-widget-text-editor\" data-id=\"d56f360\" 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<div class=\"elementor-text-editor elementor-clearfix\">\n\t\t\t\t<div id=\"quform-ae24b3\" class=\"quform quform-1 quform-support-page-caching\"><form id=\"quform-form-ae24b3\" class=\"quform-form quform-form-1\" action=\"\/pharmatech\/wp-json\/wp\/v2\/pages\/10452#quform-ae24b3\" method=\"post\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-options=\"{&quot;id&quot;:1,&quot;uniqueId&quot;:&quot;ae24b3&quot;,&quot;theme&quot;:&quot;&quot;,&quot;ajax&quot;:true,&quot;logic&quot;:{&quot;logic&quot;:[],&quot;dependents&quot;:[],&quot;elementIds&quot;:[],&quot;dependentElementIds&quot;:[],&quot;animate&quot;:true},&quot;currentPageId&quot;:1,&quot;errorsIcon&quot;:&quot;&quot;,&quot;updateFancybox&quot;:true,&quot;hasPages&quot;:false,&quot;pages&quot;:[1],&quot;pageProgressType&quot;:&quot;numbers&quot;,&quot;tooltipsEnabled&quot;:false,&quot;tooltipClasses&quot;:&quot;qtip-quform-dark qtip-shadow&quot;,&quot;tooltipMy&quot;:&quot;left center&quot;,&quot;tooltipAt&quot;:&quot;right center&quot;,&quot;isRtl&quot;:false,&quot;scrollOffset&quot;:-50,&quot;scrollSpeed&quot;:800}\"><button class=\"quform-default-submit\" name=\"quform_submit\" type=\"submit\" value=\"submit\" aria-hidden=\"true\" tabindex=\"-1\"><\/button><div class=\"quform-form-inner quform-form-inner-1\"><input type=\"hidden\" name=\"quform_form_id\" value=\"1\" \/><input type=\"hidden\" name=\"quform_form_uid\" value=\"ae24b3\" \/><input type=\"hidden\" name=\"quform_count\" value=\"1\" \/><input type=\"hidden\" name=\"form_url\" value=\"https:\/\/public-worxs.com\/pharmatech\/wp-json\/wp\/v2\/pages\/10452\" \/><input type=\"hidden\" name=\"referring_url\" value=\"\" \/><input type=\"hidden\" name=\"post_id\" value=\"\" \/><input type=\"hidden\" name=\"post_title\" value=\"\" \/><input type=\"hidden\" name=\"quform_current_page_id\" value=\"1\" \/><input type=\"hidden\" name=\"quform_csrf_token\" value=\"VZAafKRPMioe89hBVI77Xdu3NTaFy5wklUUM5f0l\" \/><div class=\"quform-elements quform-elements-1 quform-cf quform-responsive-elements-phone-landscape\"><div class=\"quform-element quform-element-page quform-page-1 quform-page-1_1 quform-cf quform-group-style-plain quform-first-page quform-last-page quform-current-page\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-1_3 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-1_4\"><div class=\"quform-element quform-element-text quform-element-1_13 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_13\"><label class=\"quform-label-text\" for=\"quform_1_13_ae24b3\">First name<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_13\"><div class=\"quform-input quform-input-text quform-input-1_13 quform-cf\"><input type=\"text\" id=\"quform_1_13_ae24b3\" name=\"quform_1_13\" class=\"quform-field quform-field-text quform-field-1_13\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_14 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_14\"><label class=\"quform-label-text\" for=\"quform_1_14_ae24b3\">Last name<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_14\"><div class=\"quform-input quform-input-text quform-input-1_14 quform-cf\"><input type=\"text\" id=\"quform_1_14_ae24b3\" name=\"quform_1_14\" class=\"quform-field quform-field-text quform-field-1_14\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-1_5\"><div class=\"quform-element quform-element-email quform-element-1_9 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_9\"><label class=\"quform-label-text\" for=\"quform_1_9_ae24b3\">E-mail address<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-email quform-inner-1_9\"><div class=\"quform-input quform-input-email quform-input-1_9 quform-cf\"><input type=\"email\" id=\"quform_1_9_ae24b3\" name=\"quform_1_9\" class=\"quform-field quform-field-email quform-field-1_9\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_12 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_12\"><label class=\"quform-label-text\" for=\"quform_1_12_ae24b3\">Phone number<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_12\"><div class=\"quform-input quform-input-text quform-input-1_12 quform-cf\"><input type=\"text\" id=\"quform_1_12_ae24b3\" name=\"quform_1_12\" class=\"quform-field quform-field-text quform-field-1_12\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-checkbox quform-element-1_16 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_16\"><label class=\"quform-label-text\" id=\"quform_1_16_ae24b3_label\">Please state the reason why you are contacting us via the contact form:<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-checkbox quform-inner-1_16\"><div class=\"quform-input quform-input-checkbox quform-input-1_16 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-simple\" role=\"group\" aria-labelledby=\"quform_1_16_ae24b3_label\"><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_1_16[]\" id=\"quform_1_16_ae24b3_1\" class=\"quform-field quform-field-checkbox quform-field-1_16 quform-field-1_16_1\" value=\"I would like to receive more information about equipment.\" \/><label for=\"quform_1_16_ae24b3_1\" class=\"quform-option-label quform-option-label-1_16_1\"><span class=\"quform-option-text\">I would like to receive more information about equipment.<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_1_16[]\" id=\"quform_1_16_ae24b3_2\" class=\"quform-field quform-field-checkbox quform-field-1_16 quform-field-1_16_2\" value=\"I would like to receive more information about services.\" \/><label for=\"quform_1_16_ae24b3_2\" class=\"quform-option-label quform-option-label-1_16_2\"><span class=\"quform-option-text\">I would like to receive more information about services.<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_1_16[]\" id=\"quform_1_16_ae24b3_4\" class=\"quform-field quform-field-checkbox quform-field-1_16 quform-field-1_16_4\" value=\"I would like to receive more information about events.\" \/><label for=\"quform_1_16_ae24b3_4\" class=\"quform-option-label quform-option-label-1_16_4\"><span class=\"quform-option-text\">I would like to receive more information about events.<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_1_16[]\" id=\"quform_1_16_ae24b3_3\" class=\"quform-field quform-field-checkbox quform-field-1_16 quform-field-1_16_3\" value=\"Please contact me for another reason.\" \/><label for=\"quform_1_16_ae24b3_3\" class=\"quform-option-label quform-option-label-1_16_3\"><span class=\"quform-option-text\">Please contact me for another reason.<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-textarea quform-element-1_10 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_10\"><label class=\"quform-label-text\" for=\"quform_1_10_ae24b3\">Notes<\/label><\/div><div class=\"quform-inner quform-inner-textarea quform-inner-1_10\"><div class=\"quform-input quform-input-textarea quform-input-1_10 quform-cf\"><textarea id=\"quform_1_10_ae24b3\" name=\"quform_1_10\" class=\"quform-field quform-field-textarea quform-field-1_10\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-checkbox quform-element-1_17 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-inner quform-inner-checkbox quform-inner-1_17\"><div class=\"quform-input quform-input-checkbox quform-input-1_17 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-simple\"><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_1_17[]\" id=\"quform_1_17_ae24b3_1\" class=\"quform-field quform-field-checkbox quform-field-1_17 quform-field-1_17_1\" value=\"I have read and accept the information on &lt;a href=&quot;https:\/\/public-worxs.com\/pharmatech\/datenschutz\/&quot;&gt;&lt;u&gt;data protection&lt;\/u&gt;&lt;\/a&gt;.\" \/><label for=\"quform_1_17_ae24b3_1\" class=\"quform-option-label quform-option-label-1_17_1\"><span class=\"quform-option-text\">I have read and accept the information on <a href=\"https:\/\/public-worxs.com\/pharmatech\/datenschutz\/\"><u>data protection<\/u><\/a>.<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-submit quform-element-1_2 quform-cf quform-button-style-classic\"><div class=\"quform-button-submit quform-button-submit-default quform-button-submit-1_2\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-submit\" value=\"submit\"><span class=\"quform-button-text quform-button-submit-text\">Submit<\/span><\/button><\/div><div class=\"quform-loading quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element-tree\"><label for=\"quform_1_0_ae24b3\">This field should be left blank<\/label><input type=\"text\" id=\"quform_1_0_ae24b3\" name=\"quform_1_0\" class=\"quform-field quform-field-tree quform-field-1_0\" tabindex=\"-1\" autocomplete=\"off\" \/><\/div><\/div><\/div><\/div><\/div><\/form><\/div>\t\t\t\t\t<\/div>\n\t\t\t\t\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>Please fill out the contact form below and we will get in touch with you.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-10452","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/public-worxs.com\/pharmatech\/wp-json\/wp\/v2\/pages\/10452","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/public-worxs.com\/pharmatech\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/public-worxs.com\/pharmatech\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/public-worxs.com\/pharmatech\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/public-worxs.com\/pharmatech\/wp-json\/wp\/v2\/comments?post=10452"}],"version-history":[{"count":20,"href":"https:\/\/public-worxs.com\/pharmatech\/wp-json\/wp\/v2\/pages\/10452\/revisions"}],"predecessor-version":[{"id":12131,"href":"https:\/\/public-worxs.com\/pharmatech\/wp-json\/wp\/v2\/pages\/10452\/revisions\/12131"}],"wp:attachment":[{"href":"https:\/\/public-worxs.com\/pharmatech\/wp-json\/wp\/v2\/media?parent=10452"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}