{"id":10852,"date":"2019-09-12T12:17:43","date_gmt":"2019-09-12T12:17:43","guid":{"rendered":"https:\/\/webrequestform.com\/index.php\/home-page\/"},"modified":"2019-10-03T16:45:30","modified_gmt":"2019-10-03T16:45:30","slug":"home-page","status":"publish","type":"page","link":"https:\/\/webrequestform.com\/","title":{"rendered":"Home Page"},"content":{"rendered":"<div id=\"pl-10852\"  class=\"panel-layout\" ><div id=\"pg-10852-0\"  class=\"panel-grid panel-has-style\" ><div class=\"panel-row-style panel-row-style-for-10852-0\" ><div id=\"pgc-10852-0-0\"  class=\"panel-grid-cell panel-grid-cell-empty\" ><\/div><div id=\"pgc-10852-0-1\"  class=\"panel-grid-cell panel-grid-cell-mobile-last\" ><div id=\"panel-10852-0-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"0\" ><div class=\"panel-widget-style panel-widget-style-for-10852-0-1-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h3 style=\"text-align: center;\">For quality web site development, please complete the form below. Though the fields in section 1 represent <strong><u>the minimum required information,<\/u><\/strong> please understand that the more information provided, the better the web site!<\/h3>\n<p>* Denotes a required field<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pgc-10852-0-2\"  class=\"panel-grid-cell panel-grid-cell-empty\" ><\/div><\/div><\/div><div id=\"pg-10852-1\"  class=\"panel-grid panel-has-style\" ><div class=\"panel-row-style panel-row-style-for-10852-1\" ><div id=\"pgc-10852-1-0\"  class=\"panel-grid-cell panel-grid-cell-empty\" ><\/div><div id=\"pgc-10852-1-1\"  class=\"panel-grid-cell panel-grid-cell-mobile-last\" ><div id=\"panel-10852-1-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<div class=\"caldera-grid\" id=\"caldera_form_1\" data-cf-ver=\"1.9.7\" data-cf-form-id=\"CF5a6ff4c642e55\"><div id=\"caldera_notices_1\" data-spinner=\"https:\/\/webrequestform.com\/wp-admin\/images\/spinner.gif\"><\/div><form data-instance=\"1\" class=\"CF5a6ff4c642e55 caldera_forms_form cfajax-trigger\" method=\"POST\" enctype=\"multipart\/form-data\" id=\"CF5a6ff4c642e55_1\" data-form-id=\"CF5a6ff4c642e55\" aria-label=\"Web Site Request Form\" data-target=\"#caldera_notices_1\" data-template=\"#cfajax_CF5a6ff4c642e55-tmpl\" data-cfajax=\"CF5a6ff4c642e55\" data-load-element=\"_parent\" data-load-class=\"cf_processing\" data-post-disable=\"0\" data-action=\"cf_process_ajax_submit\" data-request=\"https:\/\/webrequestform.com\/cf-api\/CF5a6ff4c642e55\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF5a6ff4c642e55\" name=\"_cf_verify\" value=\"fb4ab1b9e4\"  data-nonce-time=\"1776595469\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/10852\" \/><div id=\"cf2-CF5a6ff4c642e55_1\"><\/div><input type=\"hidden\" name=\"_cf_frm_id\" value=\"CF5a6ff4c642e55\">\r\n<input type=\"hidden\" name=\"_cf_frm_ct\" value=\"1\">\r\n<input type=\"hidden\" name=\"cfajax\" value=\"CF5a6ff4c642e55\">\r\n<input type=\"hidden\" name=\"_cf_cr_pst\" value=\"10852\">\r\n<div class=\"hide\" style=\"display:none; overflow:hidden;height:0;width:0;\">\r\n<label>Twitter<\/label><input type=\"text\" name=\"twitter\" value=\"\" autocomplete=\"off\">\r\n<\/div><div id=\"CF5a6ff4c642e55_1-row-1\"  class=\"row  first_row\"><div  class=\"col-sm-12  single\"><div class=\"\"><div align=\"left\">\n<H4>Design and development fees for the <strong>First 5 Pages <\/strong>are included in membership fees for all USMCA members<\/H4>\n<\/div>\n<hr>\n<\/div><div class=\"\"><p><\/H2><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-6544\" src=\"https:\/\/webrequestform.com\/wp-content\/uploads\/label1.jpg\" alt=\"\" width=\"444\" height=\"50\" \/><\/p>\n<\/div><\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-2\"  class=\"row \"><div  class=\"col-sm-2  first_col\"><div data-field-wrapper=\"fld_185917\" class=\"form-group\" id=\"fld_185917_1-wrap\">\r\n\t<label id=\"fld_185917Label\" for=\"fld_185917_1\" class=\"control-label\">First Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_185917\" class=\" form-control\" id=\"fld_185917_1\" name=\"fld_185917\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_185917Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_6892512\" class=\"form-group\" id=\"fld_6892512_1-wrap\">\r\n\t<label id=\"fld_6892512Label\" for=\"fld_6892512_1\" class=\"control-label\">Last Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_6892512\" class=\" form-control\" id=\"fld_6892512_1\" name=\"fld_6892512\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_6892512Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4 \"><div data-field-wrapper=\"fld_7900587\" class=\"form-group\" id=\"fld_7900587_1-wrap\">\r\n\t<label id=\"fld_7900587Label\" for=\"fld_7900587_1\" class=\"control-label\">Email Address <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"email\" data-field=\"fld_7900587\" class=\" form-control\" id=\"fld_7900587_1\" name=\"fld_7900587\" value=\"\" data-type=\"email\" aria-required=\"true\"   aria-labelledby=\"fld_7900587Label\" aria-describedby=\"fld_7900587Caption\" >\t\t<span id=\"fld_7900587Caption\" class=\"help-block\">Must be a valid email address.<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_2254781\" class=\"form-group\" id=\"fld_2254781_1-wrap\">\r\n\t<label id=\"fld_2254781Label\" for=\"fld_2254781_1\" class=\"control-label\">Phone where you can be reached <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"format (555) 555-5555\"  required type=\"tel\" data-field=\"fld_2254781\" class=\" form-control\" id=\"fld_2254781_1\" name=\"fld_2254781\" value=\"\" data-type=\"tel\" aria-required=\"true\"   aria-labelledby=\"fld_2254781Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-3\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_764664\" class=\"form-group\" id=\"fld_764664_1-wrap\">\r\n\t<label id=\"fld_764664Label\" for=\"fld_764664_1\" class=\"control-label\">Business Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_764664\" class=\" form-control\" id=\"fld_764664_1\" name=\"fld_764664\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_764664Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2 \"><div data-field-wrapper=\"fld_8494217\" class=\"form-group\" id=\"fld_8494217_1-wrap\">\r\n\t<label id=\"fld_8494217Label\" for=\"fld_8494217_1\" class=\"control-label\">Business Phone 1 <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"format (555) 555-5555\"  required type=\"text\" data-field=\"fld_8494217\" class=\" form-control\" id=\"fld_8494217_1\" name=\"fld_8494217\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_8494217Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2 \"><div data-field-wrapper=\"fld_1924259\" class=\"form-group\" id=\"fld_1924259_1-wrap\">\r\n\t<label id=\"fld_1924259Label\" for=\"fld_1924259_1\" class=\"control-label\">Phone 2<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"not required\"   type=\"text\" data-field=\"fld_1924259\" class=\" form-control\" id=\"fld_1924259_1\" name=\"fld_1924259\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_1924259Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2  last_col\"><div data-field-wrapper=\"fld_8583154\" class=\"form-group\" id=\"fld_8583154_1-wrap\">\r\n\t<label id=\"fld_8583154Label\" for=\"fld_8583154_1\" class=\"control-label\">Fax<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"not required\"   type=\"text\" data-field=\"fld_8583154\" class=\" form-control\" id=\"fld_8583154_1\" name=\"fld_8583154\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8583154Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-4\"  class=\"row \"><div  class=\"col-sm-5  first_col\"><div data-field-wrapper=\"fld_6224033\" class=\"form-group\" id=\"fld_6224033_1-wrap\">\r\n\t<label id=\"fld_6224033Label\" for=\"fld_6224033_1\" class=\"control-label\">Full Address of Business <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_6224033\" class=\" form-control\" id=\"fld_6224033_1\" name=\"fld_6224033\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_6224033Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_880258\" class=\"form-group\" id=\"fld_880258_1-wrap\">\r\n\t<label id=\"fld_880258Label\" for=\"fld_880258_1\" class=\"control-label\">City <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_880258\" class=\" form-control\" id=\"fld_880258_1\" name=\"fld_880258\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_880258Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_1097269\" class=\"form-group\" id=\"fld_1097269_1-wrap\">\r\n\t<label id=\"fld_1097269Label\" for=\"fld_1097269_1\" class=\"control-label\">State <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t<select  id=\"fld_1097269_1\" data-field=\"fld_1097269\" class=\"form-control\" name=\"fld_1097269\" required=\"required\">\n\t\t\t<option value=\"\"> - Select Province\/State - <\/option>\n\t\t\t<option value=\"AB\">Alberta<\/option>\n\t\t\t<option value=\"BC\">British Columbia<\/option>\n\t\t\t<option value=\"MB\">Manitoba<\/option>\n\t\t\t<option value=\"NB\">New Brunswick<\/option>\n\t\t\t<option value=\"NL\">Newfoundland and Labrador<\/option>\n\t\t\t<option value=\"NS\">Nova Scotia<\/option>\n\t\t\t<option value=\"NT\">Northwest Territories<\/option>\n\t\t\t<option value=\"NU\">Nunavut<\/option>\n\t\t\t<option value=\"ON\">Ontario<\/option>\n\t\t\t<option value=\"PE\">Prince Edward Island<\/option>\n\t\t\t<option value=\"QC\">Quebec<\/option>\n\t\t\t<option value=\"SK\">Saskatchewan<\/option>\n\t\t\t<option value=\"YT\">Yukon<\/option>\n\t\t\t<option> ==================== <\/option>\n\t\t\t<option value=\"AL\">Alabama<\/option>\n\t\t\t<option value=\"AK\">Alaska<\/option>\n\t\t\t<option value=\"AZ\">Arizona<\/option>\n\t\t\t<option value=\"AR\">Arkansas<\/option>\n\t\t\t<option value=\"CA\">California<\/option>\n\t\t\t<option value=\"CO\">Colorado<\/option>\n\t\t\t<option value=\"CT\">Connecticut<\/option>\n\t\t\t<option value=\"DE\">Delaware<\/option>\n\t\t\t<option value=\"DC\">District Of Columbia<\/option>\n\t\t\t<option value=\"FL\">Florida<\/option>\n\t\t\t<option value=\"GA\">Georgia<\/option>\n\t\t\t<option value=\"HI\">Hawaii<\/option>\n\t\t\t<option value=\"ID\">Idaho<\/option>\n\t\t\t<option value=\"IL\">Illinois<\/option>\n\t\t\t<option value=\"IN\">Indiana<\/option>\n\t\t\t<option value=\"IA\">Iowa<\/option>\n\t\t\t<option value=\"KS\">Kansas<\/option>\n\t\t\t<option value=\"KY\">Kentucky<\/option>\n\t\t\t<option value=\"LA\">Louisiana<\/option>\n\t\t\t<option value=\"ME\">Maine<\/option>\n\t\t\t<option value=\"MD\">Maryland<\/option>\n\t\t\t<option value=\"MA\">Massachusetts<\/option>\n\t\t\t<option value=\"MI\">Michigan<\/option>\n\t\t\t<option value=\"MN\">Minnesota<\/option>\n\t\t\t<option value=\"MS\">Mississippi<\/option>\n\t\t\t<option value=\"MO\">Missouri<\/option>\n\t\t\t<option value=\"MT\">Montana<\/option>\n\t\t\t<option value=\"NE\">Nebraska<\/option>\n\t\t\t<option value=\"NV\">Nevada<\/option>\n\t\t\t<option value=\"NH\">New Hampshire<\/option>\n\t\t\t<option value=\"NJ\">New Jersey<\/option>\n\t\t\t<option value=\"NM\">New Mexico<\/option>\n\t\t\t<option value=\"NY\">New York<\/option>\n\t\t\t<option value=\"NC\">North Carolina<\/option>\n\t\t\t<option value=\"ND\">North Dakota<\/option>\n\t\t\t<option value=\"OH\">Ohio<\/option>\n\t\t\t<option value=\"OK\">Oklahoma<\/option>\n\t\t\t<option value=\"OR\">Oregon<\/option>\n\t\t\t<option value=\"PA\">Pennsylvania<\/option>\n\t\t\t<option value=\"RI\">Rhode Island<\/option>\n\t\t\t<option value=\"SC\">South Carolina<\/option>\n\t\t\t<option value=\"SD\">South Dakota<\/option>\n\t\t\t<option value=\"TN\">Tennessee<\/option>\n\t\t\t<option value=\"TX\">Texas<\/option>\n\t\t\t<option value=\"UT\">Utah<\/option>\n\t\t\t<option value=\"VT\">Vermont<\/option>\n\t\t\t<option value=\"VA\">Virginia<\/option>\n\t\t\t<option value=\"WA\">Washington<\/option>\n\t\t\t<option value=\"WV\">West Virginia<\/option>\n\t\t\t<option value=\"WI\">Wisconsin<\/option>\n\t\t\t<option value=\"WY\">Wyoming<\/option>\n\t\t<\/select>\n\t\t\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-1  last_col\"><div data-field-wrapper=\"fld_6341992\" class=\"form-group\" id=\"fld_6341992_1-wrap\">\r\n\t<label id=\"fld_6341992Label\" for=\"fld_6341992_1\" class=\"control-label\">Zip <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_6341992\" class=\" form-control\" id=\"fld_6341992_1\" name=\"fld_6341992\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_6341992Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-5\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_3743806\" class=\"form-group\" id=\"fld_3743806_1-wrap\">\r\n\t<label id=\"fld_3743806Label\" for=\"fld_3743806_1\" class=\"control-label\">Describe your business in a sentence or two. <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_3743806\" value=\"\" data-field=\"fld_3743806\" class=\"form-control\" id=\"fld_3743806_1\" rows=\"4\"  required=\"required\"  aria-labelledby=\"fld_3743806Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_6339766\" class=\"form-group\" id=\"fld_6339766_1-wrap\">\r\n\t<label id=\"fld_6339766Label\" for=\"fld_6339766_1\" class=\"control-label\">Interview Date <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_6339766\" class=\" form-control\" id=\"fld_6339766_1\" name=\"fld_6339766\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_6339766Label\" aria-describedby=\"fld_6339766Caption\" >\t\t<span id=\"fld_6339766Caption\" class=\"help-block\">Please indicate the best possible day and time to have a 15 minute phone interview with your developer.<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-6\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><p>-<br \/>\n-<br \/>\n<\/H2><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-6544\" src=\"https:\/\/webrequestform.com\/wp-content\/uploads\/label2.jpg\" alt=\"\" width=\"444\" height=\"50\" \/><\/p>\n<\/div><\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-7\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div class=\"\"><p><H4>Do you currently own a web site?<br \/>\n<\/H4><\/p>\n<\/div><div data-field-wrapper=\"fld_929828\" class=\"form-group\" id=\"fld_929828_1-wrap\">\r\n<label id=\"fld_929828Label\" for=\"fld_929828_1\" class=\"control-label screen-reader-text sr-only\">own web site<\/label>\r\n<div class=\"\">\r\n\t\t\t\t<label class=\"radio-inline\" data-label=\"Yes\" for=\"fld_929828_1_opt1710282\"><input type=\"radio\" id=\"fld_929828_1_opt1710282\" data-field=\"fld_929828\" class=\"fld_929828_1\" name=\"fld_929828\" value=\"No\"    data-radio-field=\"fld_929828_1\" data-type=\"radio\" data-calc-value=\"0\" \/>\n\t\t\tYes\t\t<\/label>\n\t\t\t\t\t\t\t\t<label class=\"radio-inline\" data-label=\"No\" for=\"fld_929828_1_opt1906365\"><input type=\"radio\" id=\"fld_929828_1_opt1906365\" data-field=\"fld_929828\" class=\"fld_929828_1\" name=\"fld_929828\" value=\"Yes\"    data-radio-field=\"fld_929828_1\" data-type=\"radio\" data-calc-value=\"0\" \/>\n\t\t\tNo\t\t<\/label>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div class=\"\"><p><H4>If yes, what is the location of your website?<br \/>\n<\/H4><\/p>\n<\/div><div data-field-wrapper=\"fld_5528025\" class=\"form-group\" id=\"fld_5528025_1-wrap\">\r\n\t<label id=\"fld_5528025Label\" for=\"fld_5528025_1\" class=\"control-label screen-reader-text sr-only\">Location of current web site?<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"Location of current web site?\"   type=\"text\" data-field=\"fld_5528025\" class=\" form-control\" id=\"fld_5528025_1\" name=\"fld_5528025\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5528025Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-8\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div class=\"\"><p><H4>Do you currently own a domain name?  (for example: www.my-website.com)<\/H4><\/p>\n<\/div><div data-field-wrapper=\"fld_8587170\" class=\"form-group\" id=\"fld_8587170_1-wrap\">\r\n<label id=\"fld_8587170Label\" for=\"fld_8587170_1\" class=\"control-label screen-reader-text sr-only\">need domain name<\/label>\r\n<div class=\"\">\r\n\t\t\t\t<label class=\"radio-inline\" data-label=\"Yes\" for=\"fld_8587170_1_opt1710282\"><input type=\"radio\" id=\"fld_8587170_1_opt1710282\" data-field=\"fld_8587170\" class=\"fld_8587170_1\" name=\"fld_8587170\" value=\"No\"    data-radio-field=\"fld_8587170_1\" data-type=\"radio\" data-calc-value=\"0\" \/>\n\t\t\tYes\t\t<\/label>\n\t\t\t\t\t\t\t\t<label class=\"radio-inline\" data-label=\"No\" for=\"fld_8587170_1_opt1906365\"><input type=\"radio\" id=\"fld_8587170_1_opt1906365\" data-field=\"fld_8587170\" class=\"fld_8587170_1\" name=\"fld_8587170\" value=\"Yes\"    data-radio-field=\"fld_8587170_1\" data-type=\"radio\" data-calc-value=\"0\" \/>\n\t\t\tNo\t\t<\/label>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p><a href=\"https:\/\/customerpreview.com\/godaddy\" target=\"_blank\"><H4>If you currently own a domain name that you wish to have applied to your new web site, please click this text for directions to effect the transfer.<\/H4><\/a><\/p>\n<\/div><\/div><div  class=\"col-sm-6  last_col\"><div class=\"\"><p><H4>If no, what would you like to use as a domain name for your new website?<br \/>\n<\/H4><\/p>\n<\/div><div data-field-wrapper=\"fld_4023030\" class=\"form-group\" id=\"fld_4023030_1-wrap\">\r\n\t<label id=\"fld_4023030Label\" for=\"fld_4023030_1\" class=\"control-label screen-reader-text sr-only\">domain name 1<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"domain name 1\"   type=\"text\" data-field=\"fld_4023030\" class=\" form-control\" id=\"fld_4023030_1\" name=\"fld_4023030\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4023030Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_662385\" class=\"form-group\" id=\"fld_662385_1-wrap\">\r\n\t<label id=\"fld_662385Label\" for=\"fld_662385_1\" class=\"control-label screen-reader-text sr-only\">second choice -domain name 2<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"second choice -domain name 2\"   type=\"text\" data-field=\"fld_662385\" class=\" form-control\" id=\"fld_662385_1\" name=\"fld_662385\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_662385Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-9\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div class=\"\"><p><H4>1) Do you have a company logo or business cards?<br \/>\n<\/H4><\/p>\n<\/div><div data-field-wrapper=\"fld_8772086\" class=\"form-group\" id=\"fld_8772086_1-wrap\">\r\n<label id=\"fld_8772086Label\" for=\"fld_8772086_1\" class=\"control-label screen-reader-text sr-only\">logo<\/label>\r\n<div class=\"\">\r\n\t\t\t\t<label class=\"radio-inline\" data-label=\"Yes\" for=\"fld_8772086_1_opt1710282\"><input type=\"radio\" id=\"fld_8772086_1_opt1710282\" data-field=\"fld_8772086\" class=\"fld_8772086_1\" name=\"fld_8772086\" value=\"No\"    data-radio-field=\"fld_8772086_1\" data-type=\"radio\" data-calc-value=\"0\" \/>\n\t\t\tYes\t\t<\/label>\n\t\t\t\t\t\t\t\t<label class=\"radio-inline\" data-label=\"No\" for=\"fld_8772086_1_opt1906365\"><input type=\"radio\" id=\"fld_8772086_1_opt1906365\" data-field=\"fld_8772086\" class=\"fld_8772086_1\" name=\"fld_8772086\" value=\"Yes\"    data-radio-field=\"fld_8772086_1\" data-type=\"radio\" data-calc-value=\"0\" \/>\n\t\t\tNo\t\t<\/label>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div class=\"\"><p><H4>3) Do you have prepared content for your website in the form of brochures, flyers, company profile, resume, pdf's etc?<br \/>\n<\/H4><\/p>\n<\/div><div data-field-wrapper=\"fld_1519143\" class=\"form-group\" id=\"fld_1519143_1-wrap\">\r\n<label id=\"fld_1519143Label\" for=\"fld_1519143_1\" class=\"control-label screen-reader-text sr-only\">content<\/label>\r\n<div class=\"\">\r\n\t\t\t\t<label class=\"radio-inline\" data-label=\"Yes\" for=\"fld_1519143_1_opt1710282\"><input type=\"radio\" id=\"fld_1519143_1_opt1710282\" data-field=\"fld_1519143\" class=\"fld_1519143_1\" name=\"fld_1519143\" value=\"No\"    data-radio-field=\"fld_1519143_1\" data-type=\"radio\" data-calc-value=\"0\" \/>\n\t\t\tYes\t\t<\/label>\n\t\t\t\t\t\t\t\t<label class=\"radio-inline\" data-label=\"No\" for=\"fld_1519143_1_opt1906365\"><input type=\"radio\" id=\"fld_1519143_1_opt1906365\" data-field=\"fld_1519143\" class=\"fld_1519143_1\" name=\"fld_1519143\" value=\"Yes\"    data-radio-field=\"fld_1519143_1\" data-type=\"radio\" data-calc-value=\"0\" \/>\n\t\t\tNo\t\t<\/label>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-10\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div class=\"\"><p><H4>2) Do you have particular images that you would like included on your web site?<br \/>\n<\/H4><\/p>\n<\/div><div data-field-wrapper=\"fld_4647406\" class=\"form-group\" id=\"fld_4647406_1-wrap\">\r\n<label id=\"fld_4647406Label\" for=\"fld_4647406_1\" class=\"control-label screen-reader-text sr-only\">images<\/label>\r\n<div class=\"\">\r\n\t\t\t\t<label class=\"radio-inline\" data-label=\"Yes\" for=\"fld_4647406_1_opt1710282\"><input type=\"radio\" id=\"fld_4647406_1_opt1710282\" data-field=\"fld_4647406\" class=\"fld_4647406_1\" name=\"fld_4647406\" value=\"No\"    data-radio-field=\"fld_4647406_1\" data-type=\"radio\" data-calc-value=\"0\" \/>\n\t\t\tYes\t\t<\/label>\n\t\t\t\t\t\t\t\t<label class=\"radio-inline\" data-label=\"No\" for=\"fld_4647406_1_opt1906365\"><input type=\"radio\" id=\"fld_4647406_1_opt1906365\" data-field=\"fld_4647406\" class=\"fld_4647406_1\" name=\"fld_4647406\" value=\"Yes\"    data-radio-field=\"fld_4647406_1\" data-type=\"radio\" data-calc-value=\"0\" \/>\n\t\t\tNo\t\t<\/label>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div class=\"\"><p><H4><br \/>\nHave you owned a website at any time in the past where materials can be retrieved?<br \/>\n<\/H4><\/p>\n<\/div><div data-field-wrapper=\"fld_384273\" class=\"form-group\" id=\"fld_384273_1-wrap\">\r\n<label id=\"fld_384273Label\" for=\"fld_384273_1\" class=\"control-label screen-reader-text sr-only\">owned in past<\/label>\r\n<div class=\"\">\r\n\t\t\t\t<label class=\"radio-inline\" data-label=\"Yes\" for=\"fld_384273_1_opt1710282\"><input type=\"radio\" id=\"fld_384273_1_opt1710282\" data-field=\"fld_384273\" class=\"fld_384273_1\" name=\"fld_384273\" value=\"No\"    data-radio-field=\"fld_384273_1\" data-type=\"radio\" data-calc-value=\"0\" \/>\n\t\t\tYes\t\t<\/label>\n\t\t\t\t\t\t\t\t<label class=\"radio-inline\" data-label=\"No\" for=\"fld_384273_1_opt1906365\"><input type=\"radio\" id=\"fld_384273_1_opt1906365\" data-field=\"fld_384273\" class=\"fld_384273_1\" name=\"fld_384273\" value=\"Yes\"    data-radio-field=\"fld_384273_1\" data-type=\"radio\" data-calc-value=\"0\" \/>\n\t\t\tNo\t\t<\/label>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-11\"  class=\"row \"><div  class=\"col-sm-1  first_col\"><hr id=\"fld_5694165_1\" class=\"\" style=\"width: 100%\" \/><\/div><div  class=\"col-sm-10 \"><div class=\"\"><div align=\"center\">\n<h3>If you answered yes to questions 1, 2 or 3 above, please forward these materials electronically by clicking below. (Original artwork is preferred.) <\/h3>\n<\/div>\n<\/div><\/div><div  class=\"col-sm-1  last_col\"><hr id=\"fld_4997272_1\" class=\"\" style=\"width: 100%\" \/><\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-12\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_9017708\" class=\"form-group\" id=\"fld_9017708_1-wrap\">\r\n\t<label id=\"fld_9017708Label\" for=\"fld_9017708_1\" class=\"control-label screen-reader-text sr-only\">upload<\/label>\r\n\t\t<div class=\"\">\r\n\t\t\t<div\n\t\t\t\t\tid=\"fld_9017708_1_file_list\"\n\t\t\t\t\tdata-id=\"fld_9017708_1\"\n\t\t\t\t\tdata-field=\"fld_9017708\"\n\t\t\t\t\tclass=\"cf-multi-uploader-list\"\n\t\t\t><\/div>\n\n\t\t\t<button\n\t\t\t\t\tid=\"fld_9017708_1_trigger\"\n\t\t\t\t\ttype=\"button\"\n\t\t\t\t\tclass=\"btn btn-block cf-uploader-trigger\"\n\t\t\t\t\tdata-parent=\"fld_9017708_1\"\n\t\t\t>\n\t\t\t\tCLICK HERE TO UPLOAD IMAGES\t\t\t<\/button>\n\n\t\t\t<input\n\t\t\t\t\tstyle=\"display:none;\" accept=\".jpg,.pdf,.txt,.doc,.png,.jpeg\"\t\t\t\t\tclass=\"cf-multi-uploader\"\n\t\t\t\t\tdata-config=\"{&quot;custom_class&quot;:&quot;&quot;,&quot;attach&quot;:1,&quot;multi_upload&quot;:1,&quot;media_lib&quot;:1,&quot;multi_upload_text&quot;:&quot;CLICK HERE TO UPLOAD IMAGES&quot;,&quot;allowed&quot;:{&quot;0&quot;:&quot;image\\\/jpeg&quot;,&quot;1&quot;:&quot;jpg&quot;,&quot;2&quot;:&quot;application\\\/pdf&quot;,&quot;3&quot;:&quot;pdf&quot;,&quot;4&quot;:&quot;text\\\/plain&quot;,&quot;5&quot;:&quot;txt&quot;,&quot;6&quot;:&quot;application\\\/msword&quot;,&quot;7&quot;:&quot;doc&quot;,&quot;8&quot;:&quot;image\\\/png&quot;,&quot;9&quot;:&quot;png&quot;,&quot;11&quot;:&quot;jpeg&quot;},&quot;email_identifier&quot;:0,&quot;personally_identifying&quot;:0,&quot;max_size&quot;:268435456,&quot;notices&quot;:{&quot;file_exceeds_size_limit&quot;:&quot;File exceeds the maximum upload size for this site.&quot;,&quot;zero_byte_file&quot;:&quot;This file is empty. Please try another.&quot;,&quot;invalid_filetype&quot;:&quot;This file type is not allowed. Please try another.&quot;}}\"\n\t\t\t\t\tdata-controlid=\"trupl69e4b20cf3685\" placeholder=\"upload\"  multiple=\"multiple\"\t\t\t\t\ttype=\"file\"\n\t\t\t\t\tdata-field=\"fld_9017708\"\n\t\t\t\t\tid=\"fld_9017708_1\"\n\t\t\t\t\tname=\"fld_9017708\" >\n\t\t\t<input\n\t\t\t\t\tstyle=\"display:none;\"\n\t\t\t\t\ttype=\"text\"\n\t\t\t\t\tid=\"fld_9017708_1_validator\"\n\t\t\t\t\tdata-field=\"fld_9017708\"\n\t\t\t\t\tdata-parsley-file-type=\"true\"  >\n\t\t\t<input\n\t\t\t\t\ttype=\"hidden\"\n\t\t\t\t\tname=\"fld_9017708\"\n\t\t\t\t\tvalue=\"trupl69e4b20cf3685\"\n\t\t\t>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-6544\" src=\"http:\/\/webrequestform.com\/wp-content\/uploads\/label1-1.jpg\" alt=\"\" width=\"333\" height=\"44\" \/><\/p>\n<\/div><div class=\"\"><p><H4><br \/>\nAs a web developer I provide skeleton content for your website allowing you to flesh each page out if necessary. Would you prefer a professional content writer to assume this task?  (Depending on the scope of work charges generally run from $100 to $500.)<br \/>\n<\/H4><\/p>\n<\/div><div data-field-wrapper=\"fld_2956899\" class=\"form-group\" id=\"fld_2956899_1-wrap\">\r\n\t<label id=\"fld_2956899Label\" for=\"fld_2956899_1\" class=\"control-label screen-reader-text sr-only\">Would you like professional content written to your web site?<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"Would you like professional content written to your web site?\"   type=\"text\" data-field=\"fld_2956899\" class=\" form-control\" id=\"fld_2956899_1\" name=\"fld_2956899\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2956899Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-13\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div class=\"\"><p><H4><br \/>\nWhat are your hours of operation?<br \/>\n<\/H4><\/p>\n<\/div><div data-field-wrapper=\"fld_2252446\" class=\"form-group\" id=\"fld_2252446_1-wrap\">\r\n\t<label id=\"fld_2252446Label\" for=\"fld_2252446_1\" class=\"control-label screen-reader-text sr-only\">business hours<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"business hours\"   type=\"text\" data-field=\"fld_2252446\" class=\" form-control\" id=\"fld_2252446_1\" name=\"fld_2252446\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2252446Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p><H4><br \/>\nWhat slogan(s) or tagline(s) do you use?<br \/>\n<\/H4><\/p>\n<\/div><div data-field-wrapper=\"fld_5398590\" class=\"form-group\" id=\"fld_5398590_1-wrap\">\r\n\t<label id=\"fld_5398590Label\" for=\"fld_5398590_1\" class=\"control-label screen-reader-text sr-only\">Slogans and Taglines<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"Slogans and Taglines\"   type=\"text\" data-field=\"fld_5398590\" class=\" form-control\" id=\"fld_5398590_1\" name=\"fld_5398590\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5398590Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p>\n<H4><br \/>\nPlease provide your NAICS or SIC code if available:<\/p>\n<p><\/H4><\/p>\n<\/div><div data-field-wrapper=\"fld_3972292\" class=\"form-group\" id=\"fld_3972292_1-wrap\">\r\n\t<label id=\"fld_3972292Label\" for=\"fld_3972292_1\" class=\"control-label screen-reader-text sr-only\">NAICS and SIC codes<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"NAICS and SIC codes\"   type=\"text\" data-field=\"fld_3972292\" class=\" form-control\" id=\"fld_3972292_1\" name=\"fld_3972292\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_3972292Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p>\n<H4><br \/>\nAre you licensed and insured?<br \/>\n<\/H4><\/p>\n<\/div><div data-field-wrapper=\"fld_8971749\" class=\"form-group\" id=\"fld_8971749_1-wrap\">\r\n\t<label id=\"fld_8971749Label\" for=\"fld_8971749_1\" class=\"control-label screen-reader-text sr-only\">List Licenses\/Insurance<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"List Licenses\/Insurance\"   type=\"text\" data-field=\"fld_8971749\" class=\" form-control\" id=\"fld_8971749_1\" name=\"fld_8971749\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8971749Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p>\n<H4><br \/>\nProvide a welcome page message promoting your business and\/or describing your services.<br \/>\n<\/H4><\/p>\n<\/div><div data-field-wrapper=\"fld_7812890\" class=\"form-group\" id=\"fld_7812890_1-wrap\">\r\n\t<label id=\"fld_7812890Label\" for=\"fld_7812890_1\" class=\"control-label screen-reader-text sr-only\">Type message here<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_7812890\" value=\"\" data-field=\"fld_7812890\" class=\"form-control\" id=\"fld_7812890_1\" rows=\"4\" placeholder=\"Welcome page message\"    aria-labelledby=\"fld_7812890Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p>\n<H2><\/p>\n<p>What industry-specific keywords would you expect an Internet surfer to use in a search engine to find your business?<br \/>\n<\/H2><\/p>\n<\/div><div data-field-wrapper=\"fld_3682422\" class=\"form-group\" id=\"fld_3682422_1-wrap\">\r\n\t<label id=\"fld_3682422Label\" for=\"fld_3682422_1\" class=\"control-label screen-reader-text sr-only\">keywords<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"keywords\"   type=\"text\" data-field=\"fld_3682422\" class=\" form-control\" id=\"fld_3682422_1\" name=\"fld_3682422\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_3682422Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p>\n<H2><\/p>\n<p>How did you hear about us?<\/p>\n<p><\/H2><\/p>\n<\/div><div data-field-wrapper=\"fld_9125003\" class=\"form-group\" id=\"fld_9125003_1-wrap\">\r\n\t<label id=\"fld_9125003Label\" for=\"fld_9125003_1\" class=\"control-label screen-reader-text sr-only\">Source of Information<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"Source of Information\"   type=\"text\" data-field=\"fld_9125003\" class=\" form-control\" id=\"fld_9125003_1\" name=\"fld_9125003\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9125003Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div class=\"\"><p><H4><br \/>\nHow long have you been in business?<br \/>\n<\/H4><\/p>\n<\/div><div data-field-wrapper=\"fld_7253353\" class=\"form-group\" id=\"fld_7253353_1-wrap\">\r\n\t<label id=\"fld_7253353Label\" for=\"fld_7253353_1\" class=\"control-label screen-reader-text sr-only\">Years in business:<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"Years in business:\"   type=\"text\" data-field=\"fld_7253353\" class=\" form-control\" id=\"fld_7253353_1\" name=\"fld_7253353\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7253353Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p><H4><br \/>\nList the services you offer:<br \/>\n<\/H4><\/p>\n<\/div><div data-field-wrapper=\"fld_5112031\" class=\"form-group\" id=\"fld_5112031_1-wrap\">\r\n\t<label id=\"fld_5112031Label\" for=\"fld_5112031_1\" class=\"control-label screen-reader-text sr-only\">List services here :<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"List services here :\"   type=\"text\" data-field=\"fld_5112031\" class=\" form-control\" id=\"fld_5112031_1\" name=\"fld_5112031\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5112031Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p>\n<H4><br \/>\nHow does your company excel or what makes your business superior to your competitors?<br \/>\n<\/H4><\/p>\n<\/div><div data-field-wrapper=\"fld_4700345\" class=\"form-group\" id=\"fld_4700345_1-wrap\">\r\n\t<label id=\"fld_4700345Label\" for=\"fld_4700345_1\" class=\"control-label screen-reader-text sr-only\">We excel because<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"We excel because\"   type=\"text\" data-field=\"fld_4700345\" class=\" form-control\" id=\"fld_4700345_1\" name=\"fld_4700345\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4700345Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p>\n<H4><br \/>\nWhat are your certifications?<br \/>\n<\/H4><\/p>\n<\/div><div data-field-wrapper=\"fld_9208903\" class=\"form-group\" id=\"fld_9208903_1-wrap\">\r\n\t<label id=\"fld_9208903Label\" for=\"fld_9208903_1\" class=\"control-label screen-reader-text sr-only\">List certification here :<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"List certification here :\"   type=\"text\" data-field=\"fld_9208903\" class=\" form-control\" id=\"fld_9208903_1\" name=\"fld_9208903\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9208903Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p>\n<H4><br \/>\nWould you like to use an industry-specific music loop on your website at no additional charge?<br \/>\n<\/H4><\/p>\n<\/div><div data-field-wrapper=\"fld_9017779\" class=\"form-group\" id=\"fld_9017779_1-wrap\">\r\n<label id=\"fld_9017779Label\" for=\"fld_9017779_1\" class=\"control-label screen-reader-text sr-only\">Music loop<\/label>\r\n<div class=\"\">\r\n\t\t\t\t<label class=\"radio-inline\" data-label=\"Yes\" for=\"fld_9017779_1_opt2021768\"><input type=\"radio\" id=\"fld_9017779_1_opt2021768\" data-field=\"fld_9017779\" class=\"fld_9017779_1\" name=\"fld_9017779\" value=\"Yes\"    data-radio-field=\"fld_9017779_1\" data-type=\"radio\" data-calc-value=\"0\" \/>\n\t\t\tYes\t\t<\/label>\n\t\t\t\t\t\t\t\t<label class=\"radio-inline\" data-label=\"No\" for=\"fld_9017779_1_opt2036833\"><input type=\"radio\" id=\"fld_9017779_1_opt2036833\" data-field=\"fld_9017779\" class=\"fld_9017779_1\" name=\"fld_9017779\" value=\"No\"    data-radio-field=\"fld_9017779_1\" data-type=\"radio\" data-calc-value=\"0\" \/>\n\t\t\tNo\t\t<\/label>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p>\n<H4><br \/>\nAdditional comments or instructions:<br \/>\n<\/H4><\/p>\n<\/div><div data-field-wrapper=\"fld_6353729\" class=\"form-group\" id=\"fld_6353729_1-wrap\">\r\n\t<label id=\"fld_6353729Label\" for=\"fld_6353729_1\" class=\"control-label screen-reader-text sr-only\">Instructions<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_6353729\" value=\"\" data-field=\"fld_6353729\" class=\"form-control\" id=\"fld_6353729_1\" rows=\"4\" placeholder=\"Any additional comments\"    aria-labelledby=\"fld_6353729Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p>\n<H2><\/p>\n<p>When would you like the work to be completed?<br \/>\n<\/H2><\/p>\n<\/div>\n<div data-field-wrapper=\"fld_4873188\" class=\"form-group\" id=\"fld_4873188_1-wrap\">\r\n\t<label id=\"fld_4873188Label\" for=\"fld_4873188_1\" class=\"control-label screen-reader-text sr-only\">Date<\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\" data-provide=\"cfdatepicker\" name=\"fld_4873188\" value=\"(no date has been selected)\" id=\"fld_4873188_1\" data-field=\"fld_4873188\" class=\"form-control cfdatepicker is-cfdatepicker\" data-date-format=\"mm-dd-yyyy\" data-date-start-view=\"month\" placeholder=\"Date\" data-date-autoclose=\"true\"   aria-labelledby=\"fld_4873188Label\"   \/>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-14\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><p><H1><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-6544\" src=\"http:\/\/webrequestform.com\/wp-content\/uploads\/break1.jpg\" alt=\"\" width=\"900\" height=\"9\" \/><\/H1><\/p>\n<\/div><\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-15\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><h3><STRONG>Standard cost for web site hosting is $35\/mon.<\/STRONG><br \/>\nThis fee is required of all USMCA members and includes the following services: <\/h3>\n<p><\/H2><img decoding=\"async\" class=\"alignleft size-full wp-image-6544\" src=\"http:\/\/webrequestform.com\/wp-content\/uploads\/web-hosting.jpg\" alt=\"\" width=1038\" height=\"484\" \/><\/p>\n<div align=\"center\">\n<h4>*Please Note:  Inadequate hosting services severely impacts the performance of a web site on the Internet.  It also results in poor search engine rankings and limited exposure to your target audience.  For more information on virtual private hosting please visit<br \/>\n  the web site at <br \/><a href=\"https:\/\/www.hostgator.com\/blog\/fastest-web-hosting\/?utm_source=HostGator_Monthly_NL&utm_medium=email&utm_campaign=hg-2019x08-hg-newsletter\"target=\"_blank\">www.hostgator.com\/hosting<\/a><\/div>\n<\/h4>\n<h4>\n<div align=\"center\">OR<\/div>\n<div align=\"center\"><a href=\"http:\/\/www.godaddy.com\/hosting\/vps-hosting\"target=\"_blank\">www.godaddy.com\/hosting<\/a><\/h4>\n<\/div>\n<\/div><\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-16\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><p><H1><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-6544\" src=\"http:\/\/webrequestform.com\/wp-content\/uploads\/break1.jpg\" alt=\"\" width=\"900\" height=\"9\" \/><\/H1><\/p>\n<\/div><\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-17\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><div align=\"center\">\n<h3>Please indicate below which hosting payment option you prefer <\/h3>\n<\/div>\n<\/div><\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-18\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><hr id=\"fld_6308218_1\" class=\"\" style=\"width: 100%\" \/><\/div><div  class=\"col-sm-7 \"><div data-field-wrapper=\"fld_6428492\" class=\"form-group\" id=\"fld_6428492_1-wrap\">\r\n<label id=\"fld_6428492Label\" for=\"fld_6428492_1\" class=\"control-label\">Hosting payment options<\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"1) Auto Bill Pay\" for=\"fld_6428492_1_opt1056158\"><input type=\"radio\" id=\"fld_6428492_1_opt1056158\" data-field=\"fld_6428492\" class=\"fld_6428492_1\" name=\"fld_6428492\" value=\"1) Auto Bill Pay\"    data-radio-field=\"fld_6428492_1\" data-type=\"radio\" data-calc-value=\"1\" \/>\n\t\t\t1) Auto Bill Pay\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"2) Electronic Credit Card\" for=\"fld_6428492_1_opt1587679\"><input type=\"radio\" id=\"fld_6428492_1_opt1587679\" data-field=\"fld_6428492\" class=\"fld_6428492_1\" name=\"fld_6428492\" value=\"2) Electronic Credit Card\"    data-radio-field=\"fld_6428492_1\" data-type=\"radio\" data-calc-value=\"2\" \/>\n\t\t\t2) Electronic Credit Card\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2  last_col\"><hr id=\"fld_8951080_1\" class=\"\" style=\"width: 100%\" \/><\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-19\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div class=\"\"><p align=\"left\"><font size=\"5\"><strong>1) <\/strong><\/font><font size=\"4\">Auto bill-pay -- Preferred method. Your bank is notified to submit regular payments on the 1st of every month. Simply provide your bank with the following information: <br \/>\n            Creative Business System PO box 313 Mt. Vernon Illinois 62864<\/font><\/p>\n<\/div><\/div><div  class=\"col-sm-6  last_col\"><div class=\"\"><p><\/font><\/p>\n<p align=\"left\"><font size=\"5\"><strong>2)<\/strong> <\/font><font size=\"4\">Electronic credit card payment using a Credit Card can be set up to auto process payment each month.  No Debit Cards are accepted<\/font><\/p>\n<p align=\"left\"><font size=\"4\">When your first month's hosting is received you will have 30 days to make any revisions or changes needed at no        additional charge.<\/font><\/p>\n<\/div><\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-20\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><p><H2><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-6544\" src=\"http:\/\/webrequestform.com\/wp-content\/uploads\/break1.jpg\" alt=\"\" width=\"900\" height=\"9\" \/>Credit Card only.  No Debit Cards accepted<\/H2><\/p>\n<\/div><\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-21\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_5569727\" class=\"form-group\" id=\"fld_5569727_1-wrap\">\r\n\t<label id=\"fld_5569727Label\" for=\"fld_5569727_1\" class=\"control-label\">Name on Credit Card<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_5569727\" class=\" form-control\" id=\"fld_5569727_1\" name=\"fld_5569727\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5569727Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_1482217\" class=\"form-group\" id=\"fld_1482217_1-wrap\">\r\n\t<label id=\"fld_1482217Label\" for=\"fld_1482217_1\" class=\"control-label\">CC Number<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"tel\" data-field=\"fld_1482217\" class=\" form-control cf-credit-card \" id=\"fld_1482217_1\" name=\"fld_1482217\" value=\"\" data-type=\"credit_card_number\"   aria-labelledby=\"fld_1482217Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2 \"><div data-field-wrapper=\"fld_5611292\" class=\"form-group\" id=\"fld_5611292_1-wrap\">\r\n\t<label id=\"fld_5611292Label\" for=\"fld_5611292_1\" class=\"control-label\">Expiration<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"  \/  \"   type=\"tel\" data-field=\"fld_5611292\" class=\" form-control\" id=\"fld_5611292_1\" name=\"fld_5611292\" value=\"\" data-type=\"credit_card_exp\"   aria-labelledby=\"fld_5611292Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2 \"><div data-field-wrapper=\"fld_5649684\" class=\"form-group\" id=\"fld_5649684_1-wrap\">\r\n\t<label id=\"fld_5649684Label\" for=\"fld_5649684_1\" class=\"control-label\">CVC Code<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"credit_card_cvc\" data-field=\"fld_5649684\" class=\" form-control\" id=\"fld_5649684_1\" name=\"fld_5649684\" value=\"\" data-type=\"credit_card_cvc\"   aria-labelledby=\"fld_5649684Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2  last_col\"><div data-field-wrapper=\"fld_621130\" class=\"form-group\" id=\"fld_621130_1-wrap\">\r\n\t<label id=\"fld_621130Label\" for=\"fld_621130_1\" class=\"control-label\">Zip Code<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_621130\" class=\" form-control\" id=\"fld_621130_1\" name=\"fld_621130\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_621130Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-22\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_7167496\" class=\"form-group\" id=\"fld_7167496_1-wrap\">\r\n\t<label class=\"control-label\">&nbsp;<\/label>\n<div class=\"\">\r\n\t<input  class=\"btn btn-default\" type=\"submit\" name=\"fld_7167496\" id=\"fld_7167496_1\" value=\"SUBMIT THE FORM\" data-field=\"fld_7167496\"  >\n<\/div>\r\n<\/div>\r\n\t<input class=\"button_trigger_1\" type=\"hidden\" name=\"fld_7167496\" id=\"fld_7167496_1_btn\" value=\"\" data-field=\"fld_7167496\"  \/>\n<\/div><\/div><div id=\"CF5a6ff4c642e55_1-row-23\"  class=\"row  last_row\"><div  class=\"col-sm-12  single\"><div class=\"\"><p>Only click the submit button once.<\/p>\n<\/div><\/div><\/div><\/form>\r\n<\/div>\r\n\n<\/div>\n<\/div><\/div><\/div><div id=\"pgc-10852-1-2\"  class=\"panel-grid-cell panel-grid-cell-empty\" ><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>For quality web site development, please complete the form below. Though the fields in section 1 represent the minimum required information, please understand that the more information provided, the better the web site! * Denotes a required field<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/template-full-notitle.php","meta":{"footnotes":""},"class_list":["post-10852","page","type-page","status-publish","hentry","post"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Home Page -<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/webrequestform.com\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Home Page -\" \/>\n<meta property=\"og:description\" content=\"For quality web site development, please complete the form below. Though the fields in section 1 represent the minimum required information, please understand that the more information provided, the better the web site! * Denotes a required field\" \/>\n<meta property=\"og:url\" content=\"https:\/\/webrequestform.com\/\" \/>\n<meta property=\"article:modified_time\" content=\"2019-10-03T16:45:30+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/webrequestform.com\/\",\"url\":\"https:\/\/webrequestform.com\/\",\"name\":\"Home Page -\",\"isPartOf\":{\"@id\":\"https:\/\/webrequestform.com\/#website\"},\"datePublished\":\"2019-09-12T12:17:43+00:00\",\"dateModified\":\"2019-10-03T16:45:30+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/webrequestform.com\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/webrequestform.com\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/webrequestform.com\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/webrequestform.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Home Page\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/webrequestform.com\/#website\",\"url\":\"https:\/\/webrequestform.com\/\",\"name\":\"\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/webrequestform.com\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Home Page -","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/webrequestform.com\/","og_locale":"en_US","og_type":"article","og_title":"Home Page -","og_description":"For quality web site development, please complete the form below. Though the fields in section 1 represent the minimum required information, please understand that the more information provided, the better the web site! * Denotes a required field","og_url":"https:\/\/webrequestform.com\/","article_modified_time":"2019-10-03T16:45:30+00:00","twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/webrequestform.com\/","url":"https:\/\/webrequestform.com\/","name":"Home Page -","isPartOf":{"@id":"https:\/\/webrequestform.com\/#website"},"datePublished":"2019-09-12T12:17:43+00:00","dateModified":"2019-10-03T16:45:30+00:00","breadcrumb":{"@id":"https:\/\/webrequestform.com\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/webrequestform.com\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/webrequestform.com\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/webrequestform.com\/"},{"@type":"ListItem","position":2,"name":"Home Page"}]},{"@type":"WebSite","@id":"https:\/\/webrequestform.com\/#website","url":"https:\/\/webrequestform.com\/","name":"","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/webrequestform.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/webrequestform.com\/index.php\/wp-json\/wp\/v2\/pages\/10852","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/webrequestform.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/webrequestform.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/webrequestform.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/webrequestform.com\/index.php\/wp-json\/wp\/v2\/comments?post=10852"}],"version-history":[{"count":0,"href":"https:\/\/webrequestform.com\/index.php\/wp-json\/wp\/v2\/pages\/10852\/revisions"}],"wp:attachment":[{"href":"https:\/\/webrequestform.com\/index.php\/wp-json\/wp\/v2\/media?parent=10852"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}