{"id":238,"date":"2013-10-28T13:03:24","date_gmt":"2013-10-28T13:03:24","guid":{"rendered":"http:\/\/www.mpweb.org\/qoagweb\/?page_id=238"},"modified":"2013-10-28T13:03:24","modified_gmt":"2013-10-28T13:03:24","slug":"online-propane-service-order-request-form","status":"publish","type":"page","link":"https:\/\/qualityoilandgas.store\/qoagweb\/support\/online-propane-service-order-request-form\/","title":{"rendered":"Online Propane Service Order Request Form"},"content":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_11_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_k8sxio2\" >\n<div class=\"frm_form_fields \">\n<fieldset>\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=\"11\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_11\" id=\"frm_hide_fields_11\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"k8sxio2\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_11\" name=\"frm_submit_entry_11\" value=\"95dd603e83\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/qoagweb\/wp-json\/wp\/v2\/pages\/238\" \/><div id=\"frm_field_128_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\r\n    <label class=\"frm_primary_label col-form-label form-label\">Company Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_companyname2\" name=\"item_meta[128]\" value=\"\"  data-reqmsg=\"Company Name cannot be blank\" aria-required=\"true\" data-invmsg=\"Company Name is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_129_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\r\n    <label class=\"frm_primary_label col-form-label form-label\">Contact Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_contactname2\" name=\"item_meta[129]\" value=\"\"  data-reqmsg=\"Contact Name cannot be blank\" aria-required=\"true\" data-invmsg=\"Contact Name is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_130_container\" class=\"frm_form_field form-field  form-group frm_top_container\">\r\n    <label class=\"frm_primary_label col-form-label form-label\">Street Address\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_v216mi2\" name=\"item_meta[130]\" value=\"\"  data-invmsg=\"Street Address is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_131_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_first_half\">\r\n    <label class=\"frm_primary_label col-form-label form-label\">City\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_city2\" name=\"item_meta[131]\" value=\"\"  style=\"width:450px\" data-invmsg=\"City is invalid\" class=\"auto_width form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_132_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_inline\">\r\n    <label class=\"frm_primary_label col-form-label form-label\">State\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_state2\" name=\"item_meta[132]\" value=\"\"  style=\"width:108px\" data-invmsg=\"State is invalid\" class=\"auto_width form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_133_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_inline\">\r\n    <label class=\"frm_primary_label col-form-label form-label\">Zip\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_zip2\" name=\"item_meta[133]\" value=\"\"  style=\"width:162px\" data-invmsg=\"Zip is invalid\" class=\"auto_width form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_134_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container frm_first_half\">\r\n    <label class=\"frm_primary_label col-form-label form-label\">Phone\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_phone2\" name=\"item_meta[134]\" value=\"\"  data-reqmsg=\"Phone cannot be blank\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_135_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_last_half\">\r\n    <label class=\"frm_primary_label col-form-label form-label\">Email Address\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_emailaddress2\" name=\"item_meta[135]\" value=\"\"  data-invmsg=\"Email Address is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_136_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_first_half\">\r\n    <label class=\"frm_primary_label col-form-label form-label\">Tank Serial Number if applicable\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ujra8n2\" name=\"item_meta[136]\" value=\"\"  style=\"width:225px\" data-invmsg=\"Tank Serial Number if applicable is invalid\" class=\"auto_width form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_137_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_last_half\">\r\n    <label for=\"field_703382a2\" class=\"frm_primary_label col-form-label form-label\">LP Work Order File Upload\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\"  data-invmsg=\"LP Work Order Request File Upload is invalid\" aria-invalid=\"false\"   name=\"item_meta[137]\"  value=\"\" data-frmfile=\"137\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file137_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file137\" id=\"field_703382a2\"\n\t\t\t data-invmsg=\"LP Work Order Request File Upload is invalid\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"LP Work Order File Upload. Drop a file here or click to upload. Maximum file size: 516MB\">Drop a file here or click to upload<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"LP Work Order File Upload. Choose File. Maximum file size: 516MB\">Choose File<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Maximum file size: 516MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_138_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container frm_full\">\r\n    <label class=\"frm_primary_label col-form-label form-label\">Enter your service request in the box below. Your request will be forwarded to our service department.\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[138]\" id=\"field_enteryourservicerequestintheboxbelowyourrequestwillbeforwardedtoourservicedepartment2\" rows=\"10\"  style=\"width:540px\" cols=\"60\" data-reqmsg=\"Enter your service request in the box below. Your request will be forwarded to our service department. cannot be blank\" aria-required=\"true\" data-invmsg=\"Enter your service request in the box below. Your request will be forwarded to our service department. is invalid\" class=\"auto_width form-control\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_139_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\r\n    <label class=\"frm_primary_label col-form-label form-label\">Submitted by:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_submittedby2\" name=\"item_meta[139]\" value=\"\"  data-reqmsg=\"Submitted by: cannot be blank\" aria-required=\"true\" data-invmsg=\"Submitted by: is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_140_container\" class=\"frm_form_field form-field  form-group frm_top_container vertical_radio\">\r\n    <label class=\"frm_primary_label col-form-label form-label\">Acct\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<div class=\"frm_radio radio\" id=\"frm_radio_140-0\">\t\t\t<label  for=\"field_byclickingthisbuttoniconfirmthattheaccountlistedaboveiscurrentserviceordersfordelinquentaccountswillnotbesubmittedtoourservicedepartment2-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[140]\" id=\"field_byclickingthisbuttoniconfirmthattheaccountlistedaboveiscurrentserviceordersfordelinquentaccountswillnotbesubmittedtoourservicedepartment2-0\" value=\"By clicking this button I confirm that the account listed above is current.       Service orders for delinquent accounts will not be submitted to our service department.\"\n\t\t   data-invmsg=\"Acct is invalid\"  \/> By clicking this button I confirm that the account listed above is current.       Service orders for delinquent accounts will not be submitted to our service department.<\/label><\/div>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_619_container\" class=\"frm_form_field form-field  form-group\">\n\t<div class=\"form-group frm_submit\">\r\n\r\n<input type=\"submit\" value=\"Submit\"  class=\"btn btn-secondary frm_final_submit\" \/>\r\n<img decoding=\"async\" class=\"frm_ajax_loading\" src=\"http:\/\/www.mpweb.org\/qoagweb\/wp-content\/plugins\/formidable\/images\/ajax_loader.gif\" alt=\"Sending\" style=\"visibility:hidden;\" \/>\r\n\r\n<\/div>\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_620_container\">\n\t\t\t<label for=\"field_vb38d\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_vb38d\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[620]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"1loNbwuk2GwFEjHVupskUfs0kcfMsUJGNhawPVT50\/xpYwbv\/u+RW2jGDQom5gMf\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":13,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"class_list":["post-238","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - 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