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<div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_1' ><div id='gf_1' class='gform_anchor' tabindex='-1'></div>
<div class='gform_heading'>
<h3 class="gform_title">Request A Quote</h3>
<span class='gform_description'></span>
</div><form method='post' enctype='multipart/form-data' id='gform_1' action='/#gf_1' novalidate>
<div class='gform_body gform-body'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below'><li id="field_1_1" class="gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_1_1"><label class='gfield_label' for='input_1_1' >First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_1_1' type='text' value='' class='medium' placeholder='First Name' aria-required="true" aria-invalid="false" /> </div></li><li id="field_1_2" class="gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_1_2"><label class='gfield_label' for='input_1_2' >Last name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_1_2' type='text' value='' class='medium' placeholder='Last Name' aria-required="true" aria-invalid="false" /> </div></li><li id="field_1_3" class="gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_1_3"><label class='gfield_label' for='input_1_3' >Email Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'>
<input name='input_3' id='input_1_3' type='email' value='' class='medium' placeholder='Email Address' aria-required="true" aria-invalid="false" />
</div></li><li id="field_1_5" class="gfield field_sublabel_below field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_1_5"><label class='gfield_label' for='input_1_5' >Phone</label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_1_5' type='tel' value='' class='medium' placeholder='Phone' aria-invalid="false" /></div></li><li id="field_1_6" class="gfield field_sublabel_below field_description_below hidden_label gfield_visibility_visible is-full-width" data-field-class="is-full-width" data-js-reload="field_1_6"><label class='gfield_label' for='input_1_6' >Company</label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_1_6' type='text' value='' class='large' placeholder='Company' aria-invalid="false" /> </div></li><li id="field_1_7" class="gfield field_sublabel_below field_description_below hidden_label gfield_visibility_visible is-full-width" data-field-class="is-full-width" data-js-reload="field_1_7"><label class='gfield_label' for='input_1_7' >Product Information/Details</label><div class='ginput_container ginput_container_textarea'><textarea name='input_7' id='input_1_7' class='textarea large' placeholder='Product Details' aria-invalid="false" rows='10' cols='50'></textarea></div></li><li id="field_1_11" class="gfield field_sublabel_below field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_1_11"><label class='gfield_label screen-reader-text' for='input_1_11' ></label><div id='input_1_11' class='ginput_container ginput_recaptcha' data-sitekey='6Ldf11cdAAAAAJ_a3B1n4Ta30GIYSYj-26L406Zt' data-theme='light' data-tabindex='-1' data-size='invisible' data-badge='bottomright'></div></li><li id="field_1_10" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_1_10"><div class='ginput_container ginput_container_text'><input name='input_10' id='input_1_10' type='hidden' class='gform_hidden' aria-invalid="false" value='Front Page' /></div></li><li id="field_1_12" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_1_12"><label class='gfield_label' for='input_1_12' >Comments</label><div class='ginput_container'><input name='input_12' id='input_1_12' type='text' value='' autocomplete='new-password'/></div><div class='gfield_description' id='gfield_description_1_12'>This field is for validation purposes and should be left unchanged.</div></li></ul></div>
<div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_1' class='gform_button button' value='Request Quote' onclick='if(window["gf_submitting_1"]){return false;} if( !jQuery("#gform_1")[0].checkValidity || jQuery("#gform_1")[0].checkValidity()){window["gf_submitting_1"]=true;} ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_1"]){return false;} if( !jQuery("#gform_1")[0].checkValidity || jQuery("#gform_1")[0].checkValidity()){window["gf_submitting_1"]=true;} jQuery("#gform_1").trigger("submit",[true]); }' />
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<input type='hidden' name='gform_field_values' value='' />
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