{"id":490,"date":"2024-02-19T21:40:45","date_gmt":"2024-02-19T21:40:45","guid":{"rendered":"https:\/\/www.aerosolization.com\/?page_id=490"},"modified":"2024-02-20T15:27:18","modified_gmt":"2024-02-20T15:27:18","slug":"imas-order-form","status":"publish","type":"page","link":"https:\/\/www.aerosolization.com\/imas-order-form\/","title":{"rendered":"IMAS Order Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"490\" class=\"elementor elementor-490\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5df3630 e-flex e-con-boxed e-con e-parent\" data-id=\"5df3630\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-aaa2fa8 elementor-widget elementor-widget-spacer\" data-id=\"aaa2fa8\" data-element_type=\"widget\" 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*\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">IMAS ORDER FORM<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-357b6d1 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"357b6d1\" data-element_type=\"widget\" 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for=\"form-field-name\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tDate\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-xl  elementor-field-textual elementor-date-field\" placeholder=\"Date\" value=\"March 2, 2024 1:05 am\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_9d86c14 elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9d86c14\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tName\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_9d86c14]\" id=\"form-field-field_9d86c14\" class=\"elementor-field elementor-size-xl  elementor-field-textual\" placeholder=\"Name\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_f11b150 elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f11b150\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tCompany\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_f11b150]\" id=\"form-field-field_f11b150\" class=\"elementor-field elementor-size-xl  elementor-field-textual\" placeholder=\"Company\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_64cfa01 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_64cfa01\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tPhone\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_64cfa01]\" id=\"form-field-field_64cfa01\" class=\"elementor-field elementor-size-xl  elementor-field-textual\" placeholder=\"Phone\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tEmail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-xl  elementor-field-textual\" placeholder=\"Email\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_1f72c11 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1f72c11\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tAddress\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_1f72c11]\" id=\"form-field-field_1f72c11\" class=\"elementor-field elementor-size-xl  elementor-field-textual\" placeholder=\"Address\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_f9ce0f0 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f9ce0f0\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tCity\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_f9ce0f0]\" id=\"form-field-field_f9ce0f0\" class=\"elementor-field elementor-size-xl  elementor-field-textual\" placeholder=\"City\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_096ccdd elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_096ccdd\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tState\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_096ccdd]\" id=\"form-field-field_096ccdd\" class=\"elementor-field elementor-size-xl  elementor-field-textual\" placeholder=\"State\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_da53625 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_da53625\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tZip\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_da53625]\" id=\"form-field-field_da53625\" class=\"elementor-field elementor-size-xl  elementor-field-textual\" placeholder=\"Zip\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_83c10d5 elementor-col-100 elementor-field-type-select-multiple elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_83c10d5\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tEnd User\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_83c10d5][]\" id=\"form-field-field_83c10d5\" class=\"elementor-field-textual elementor-size-xl\" required=\"required\" aria-required=\"true\" multiple=\"\" size=\"5\">\n\t\t\t\t\t\t\t\t\t<option value=\"Select End User\" selected=\"selected\">Select End User<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Engineering Firm\">Engineering Firm<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Manufacturer\">Manufacturer<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Contractor\">Contractor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Other\">Other<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_95ee4f9 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_95ee4f9\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tWastewater\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_95ee4f9]\" id=\"form-field-field_95ee4f9\" class=\"elementor-field 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class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_7497d54 elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7497d54\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tLicense Timeframe\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_7497d54]\" id=\"form-field-field_7497d54\" class=\"elementor-field elementor-size-xl  elementor-field-textual\" placeholder=\"License Timeframe\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_57cefd7 elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_57cefd7\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tTypes of Units 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FORM<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/www.aerosolization.com\/wp-json\/wp\/v2\/pages\/490"}],"collection":[{"href":"https:\/\/www.aerosolization.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.aerosolization.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.aerosolization.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.aerosolization.com\/wp-json\/wp\/v2\/comments?post=490"}],"version-history":[{"count":52,"href":"https:\/\/www.aerosolization.com\/wp-json\/wp\/v2\/pages\/490\/revisions"}],"predecessor-version":[{"id":617,"href":"https:\/\/www.aerosolization.com\/wp-json\/wp\/v2\/pages\/490\/revisions\/617"}],"wp:attachment":[{"href":"https:\/\/www.aerosolization.com\/wp-json\/wp\/v2\/media?parent=490"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}