{"id":19655,"date":"2013-10-07T14:49:52","date_gmt":"2013-10-07T11:49:52","guid":{"rendered":"https:\/\/www.laeq-med.com\/?page_id=19655"},"modified":"2025-02-03T13:16:05","modified_gmt":"2025-02-03T10:16:05","slug":"service-request","status":"publish","type":"page","link":"https:\/\/www.laeq-med.com\/?page_id=19655","title":{"rendered":"Service Request"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221;][vc_column][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;full_width&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221;][vc_column_inner][layerslider_vc id=&#8221;3&#8243;][vc_separator type=&#8221;transparent&#8221; thickness=&#8221;30&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h2 style=\"text-align: center;\">Service Request Form<\/h2>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator type=&#8221;small&#8221; position=&#8221;center&#8221; color=&#8221;#e39005&#8243; thickness=&#8221;3&#8243;][\/vc_column][\/vc_row][vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221; z_index=&#8221;&#8221;][vc_column css=&#8221;.vc_custom_1662461538506{background-color: #ffffff !important;border-radius: 2px !important;}&#8221;]<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-19251\"><form id=\"wpforms-form-19251\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"19251\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F19655&#038;wpforms_form_id=19251\" data-token=\"9fbe6a2648489af155fd51b10af91841\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-19251-field_7-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_7\">Service  <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-19251-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required=\"required\"><option value=\"Choose Service\" >Choose Service<\/option><option value=\"Laeq Food Safety (LFS)\" >Laeq Food Safety (LFS)<\/option><option value=\"HACCP\" >HACCP<\/option><option value=\"ISO22000\" >ISO22000<\/option><option value=\"GMP\" >GMP<\/option><option value=\"Audit\/ Inspection\" >Audit\/ Inspection<\/option><option value=\"Gap Analysis\" >Gap Analysis<\/option><option value=\"Mystery shopper\" >Mystery shopper<\/option><option value=\"Consultation\" >Consultation<\/option><option value=\"Calorie Counting \" >Calorie Counting <\/option><option value=\"Training\" >Training<\/option><option value=\"Products Registration \" >Products Registration <\/option><\/select><\/div><div id=\"wpforms-19251-field_78-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"78\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_78\">Beneficiary<\/label><ul id=\"wpforms-19251-field_78\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_78_1\" name=\"wpforms[fields][78]\" value=\"Facility\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_78_1\">Facility<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_78_2\" name=\"wpforms[fields][78]\" value=\"Individual\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_78_2\">Individual<\/label><\/li><\/ul><\/div><div id=\"wpforms-19251-field_10-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"10\"><h3 id=\"wpforms-19251-field_10\" name=\"wpforms[fields][10]\">Facility information<\/h3><\/div><div id=\"wpforms-19251-field_1-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_1\">Name  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-19251-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><div id=\"wpforms-19251-field_3-container\" class=\"wpforms-field wpforms-field-address wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_3\">Address  <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-19251-field_3\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][3][address1]\" required><label for=\"wpforms-19251-field_3\" class=\"wpforms-field-sublabel after \">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-19251-field_3-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][3][city]\" required><label for=\"wpforms-19251-field_3-city\" class=\"wpforms-field-sublabel after \">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-19251-field_3-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][3][state]\" required><label for=\"wpforms-19251-field_3-state\" class=\"wpforms-field-sublabel after \">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-19251-field_3-country\" class=\"wpforms-field-address-country wpforms-field-required\" name=\"wpforms[fields][3][country]\" value=\"SAUDI ARABIA\" required><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albania<\/option><option value=\"DZ\" >Algeria<\/option><option value=\"AS\" >American Samoa<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctica<\/option><option value=\"AG\" >Antigua and Barbuda<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaijan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgium<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivia (Plurinational State of)<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvet Island<\/option><option value=\"BR\" >Brazil<\/option><option value=\"IO\" >British Indian Ocean Territory<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Cambodia<\/option><option value=\"CM\" >Cameroon<\/option><option value=\"CA\" >Canada<\/option><option value=\"KY\" >Cayman Islands<\/option><option value=\"CF\" >Central African Republic<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CX\" >Christmas Island<\/option><option value=\"CC\" >Cocos (Keeling) Islands<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoros<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Democratic Republic of the)<\/option><option value=\"CK\" >Cook Islands<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"HR\" >Croatia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"CY\" >Cyprus<\/option><option value=\"CZ\" >Czech Republic<\/option><option value=\"CI\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"DK\" >Denmark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominican Republic<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egypt<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"GQ\" >Equatorial Guinea<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estonia<\/option><option value=\"SZ\" >Eswatini (Kingdom of)<\/option><option value=\"ET\" >Ethiopia<\/option><option value=\"FK\" >Falkland Islands (Malvinas)<\/option><option value=\"FO\" >Faroe Islands<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"FI\" >Finland<\/option><option value=\"FR\" >France<\/option><option value=\"GF\" >French Guiana<\/option><option value=\"PF\" >French Polynesia<\/option><option value=\"TF\" >French Southern Territories<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"DE\" >Germany<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GR\" >Greece<\/option><option value=\"GL\" >Greenland<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard Island and McDonald Islands<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungary<\/option><option value=\"IS\" >Iceland<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IR\" >Iran (Islamic Republic of)<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Ireland (Republic of)<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italy<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Japan<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordan<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"KP\" >Korea (Democratic People&#039;s Republic of)<\/option><option value=\"KR\" >Korea (Republic of)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"KG\" >Kyrgyzstan<\/option><option value=\"LA\" >Lao People&#039;s Democratic Republic<\/option><option value=\"LV\" >Latvia<\/option><option value=\"LB\" >Lebanon<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libya<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lithuania<\/option><option value=\"LU\" >Luxembourg<\/option><option value=\"MO\" >Macao<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MH\" >Marshall Islands<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexico<\/option><option value=\"FM\" >Micronesia (Federated States of)<\/option><option value=\"MD\" >Moldova (Republic of)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MA\" >Morocco<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NL\" >Netherlands<\/option><option value=\"NC\" >New Caledonia<\/option><option value=\"NZ\" >New Zealand<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NF\" >Norfolk Island<\/option><option value=\"MK\" >North Macedonia (Republic of)<\/option><option value=\"MP\" >Northern Mariana Islands<\/option><option value=\"NO\" >Norway<\/option><option value=\"OM\" >Oman<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestine (State of)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua New Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Poland<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RO\" >Romania<\/option><option value=\"RU\" >Russian Federation<\/option><option value=\"RW\" >Rwanda<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"BL\" >Saint Barth\u00e9lemy<\/option><option value=\"SH\" >Saint Helena, Ascension and Tristan da Cunha<\/option><option value=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"LC\" >Saint Lucia<\/option><option value=\"MF\" >Saint Martin (French part)<\/option><option value=\"PM\" >Saint Pierre and Miquelon<\/option><option value=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"ST\" >Sao Tome and Principe<\/option><option value=\"SA\" >Saudi Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"SX\" >Sint Maarten (Dutch part)<\/option><option value=\"SK\" >Slovakia<\/option><option value=\"SI\" >Slovenia<\/option><option value=\"SB\" >Solomon Islands<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ZA\" >South Africa<\/option><option value=\"GS\" >South Georgia and the South Sandwich Islands<\/option><option value=\"SS\" >South Sudan<\/option><option value=\"ES\" >Spain<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"SE\" >Sweden<\/option><option value=\"CH\" >Switzerland<\/option><option value=\"SY\" >Syrian Arab Republic<\/option><option value=\"TW\" >Taiwan, Republic of China<\/option><option value=\"TJ\" >Tajikistan<\/option><option value=\"TZ\" >Tanzania (United Republic of)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad and Tobago<\/option><option value=\"TN\" >Tunisia<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks and Caicos Islands<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"AE\" >United Arab Emirates<\/option><option value=\"GB\" >United Kingdom of Great Britain and Northern Ireland<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"US\" >United States of America<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatican City State<\/option><option value=\"VE\" >Venezuela (Bolivarian Republic of)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"VG\" >Virgin Islands (British)<\/option><option value=\"VI\" >Virgin Islands (U.S.)<\/option><option value=\"WF\" >Wallis and Futuna<\/option><option value=\"EH\" >Western Sahara<\/option><option value=\"YE\" >Yemen<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"AX\" >\u00c5land Islands<\/option><\/select><label for=\"wpforms-19251-field_3-country\" class=\"wpforms-field-sublabel after \">Country<\/label><\/div><\/div><\/div><div id=\"wpforms-19251-field_31-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-field wpforms-conditional-hide wpforms-conditional-trigger\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_31\">Facility activity <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-19251-field_31\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_31_1\" name=\"wpforms[fields][31]\" value=\"Factory\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_31_1\">Factory<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_31_2\" name=\"wpforms[fields][31]\" value=\"Hotel\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_31_2\">Hotel<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_31_3\" name=\"wpforms[fields][31]\" value=\"Restaurant\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_31_3\">Restaurant<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_31_5\" name=\"wpforms[fields][31]\" value=\"Central kitchen  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_31_5\">Central kitchen  <\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_31_4\" name=\"wpforms[fields][31]\" value=\"Slaughterhouse\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_31_4\">Slaughterhouse<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_31_6\" name=\"wpforms[fields][31]\" value=\"Other \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_31_6\">Other <\/label><\/li><\/ul><\/div><div id=\"wpforms-19251-field_44-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"44\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_44\">Facility activity <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-19251-field_44\" class=\"wpforms-field-required\"><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_44_2\" name=\"wpforms[fields][44]\" value=\"Hotel\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_44_2\">Hotel<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_44_3\" name=\"wpforms[fields][44]\" value=\"Restaurant\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_44_3\">Restaurant<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_44_5\" name=\"wpforms[fields][44]\" value=\"Central kitchen  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_44_5\">Central kitchen  <\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_44_6\" name=\"wpforms[fields][44]\" value=\"Other \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_44_6\">Other <\/label><\/li><\/ul><\/div><div id=\"wpforms-19251-field_6-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"6\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_6\">Other <\/label><input type=\"text\" id=\"wpforms-19251-field_6\" class=\"wpforms-field-small\" name=\"wpforms[fields][6]\" ><\/div><div id=\"wpforms-19251-field_43-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"43\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_43\">class <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-19251-field_43\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_43_1\" name=\"wpforms[fields][43]\" value=\"Star \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_43_1\">Star <\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_43_2\" name=\"wpforms[fields][43]\" value=\"Two Stars \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_43_2\">Two Stars <\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_43_3\" name=\"wpforms[fields][43]\" value=\"Three Staras \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_43_3\">Three Staras <\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_43_4\" name=\"wpforms[fields][43]\" value=\"Four Stars \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_43_4\">Four Stars <\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_43_5\" name=\"wpforms[fields][43]\" value=\"Five Stars \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_43_5\">Five Stars <\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_43_6\" name=\"wpforms[fields][43]\" value=\"Other \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_43_6\">Other <\/label><\/li><\/ul><\/div><div id=\"wpforms-19251-field_65-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"65\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_65\">Branches  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-19251-field_65\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][65]\" required><\/div><div id=\"wpforms-19251-field_66-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"66\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_66\">Branch details and locations <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-19251-field_66\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][66]\" required><\/textarea><\/div><div id=\"wpforms-19251-field_41-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"41\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_41\">Cuisine<\/label><ul id=\"wpforms-19251-field_41\"><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_11\" name=\"wpforms[fields][41][]\" value=\"coffee shop\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_11\">coffee shop<\/label><\/li><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_1\" name=\"wpforms[fields][41][]\" value=\"Saudi\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_1\">Saudi<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_2\" name=\"wpforms[fields][41][]\" value=\"\u0623\u0643\u0644\u0627\u062a \u0634\u0639\u0628\u064a\u0629 \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_2\">\u0623\u0643\u0644\u0627\u062a \u0634\u0639\u0628\u064a\u0629 <\/label><\/li><li class=\"choice-19 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_19\" name=\"wpforms[fields][41][]\" value=\"Fast Food \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_19\">Fast Food <\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_3\" name=\"wpforms[fields][41][]\" value=\"European\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_3\">European<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_4\" name=\"wpforms[fields][41][]\" value=\"Italian\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_4\">Italian<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_12\" name=\"wpforms[fields][41][]\" value=\"French\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_12\">French<\/label><\/li><li class=\"choice-23 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_23\" name=\"wpforms[fields][41][]\" value=\"Spanish\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_23\">Spanish<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_5\" name=\"wpforms[fields][41][]\" value=\"American\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_5\">American<\/label><\/li><li class=\"choice-21 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_21\" name=\"wpforms[fields][41][]\" value=\"Mexican\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_21\">Mexican<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_6\" name=\"wpforms[fields][41][]\" value=\"Diet meals\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_6\">Diet meals<\/label><\/li><li class=\"choice-20 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_20\" name=\"wpforms[fields][41][]\" value=\"Japanese\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_20\">Japanese<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_7\" name=\"wpforms[fields][41][]\" value=\"Indonesian\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_7\">Indonesian<\/label><\/li><li class=\"choice-17 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_17\" name=\"wpforms[fields][41][]\" value=\"Chinese\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_17\">Chinese<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_8\" name=\"wpforms[fields][41][]\" value=\"Malaysian\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_8\">Malaysian<\/label><\/li><li class=\"choice-18 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_18\" name=\"wpforms[fields][41][]\" value=\"Indian\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_18\">Indian<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_9\" name=\"wpforms[fields][41][]\" value=\"Beverages\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_9\">Beverages<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_10\" name=\"wpforms[fields][41][]\" value=\"Salads and appetizers\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_10\">Salads and appetizers<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_13\" name=\"wpforms[fields][41][]\" value=\"Seafood\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_13\">Seafood<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_14\" name=\"wpforms[fields][41][]\" value=\"International\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_14\">International<\/label><\/li><li class=\"choice-15 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_15\" name=\"wpforms[fields][41][]\" value=\"Bakery\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_15\">Bakery<\/label><\/li><li class=\"choice-16 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_16\" name=\"wpforms[fields][41][]\" value=\"Lebanese\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_16\">Lebanese<\/label><\/li><li class=\"choice-24 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_41_24\" name=\"wpforms[fields][41][]\" value=\"Other\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_41_24\">Other<\/label><\/li><\/ul><\/div><div id=\"wpforms-19251-field_45-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"45\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_45\">Other <\/label><input type=\"text\" id=\"wpforms-19251-field_45\" class=\"wpforms-field-medium\" name=\"wpforms[fields][45]\" ><\/div><div id=\"wpforms-19251-field_9-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"9\"><h3 id=\"wpforms-19251-field_9\" name=\"wpforms[fields][9]\">Food operations<\/h3><\/div><div id=\"wpforms-19251-field_63-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"63\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_63\">Produced food<\/label><input type=\"text\" id=\"wpforms-19251-field_63\" class=\"wpforms-field-medium\" name=\"wpforms[fields][63]\" ><\/div><div id=\"wpforms-19251-field_37-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-hide wpforms-conditional-trigger\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_37\">Number of production lines<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-19251-field_37\" class=\"wpforms-field-medium\" name=\"wpforms[fields][37]\" ><\/div><div id=\"wpforms-19251-field_11-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"11\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_11\">Details of production lines<\/label><textarea id=\"wpforms-19251-field_11\" class=\"wpforms-field-small\" name=\"wpforms[fields][11]\" ><\/textarea><\/div><div id=\"wpforms-19251-field_13-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-hide wpforms-field-select-style-classic\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_13\">Space m2 <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-19251-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" required=\"required\"><option value=\"&gt;100\" >&gt;100<\/option><option value=\"100-250\" >100-250<\/option><option value=\"250-500\" >250-500<\/option><option value=\"500-1000\" >500-1000<\/option><option value=\"1000-3000\" >1000-3000<\/option><option value=\"3000-5000\" >3000-5000<\/option><option value=\"&lt;5000\" >&lt;5000<\/option><\/select><\/div><div id=\"wpforms-19251-field_30-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-hide wpforms-conditional-trigger\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_30\">Is storage done off-site? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-19251-field_30\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_30_1\" name=\"wpforms[fields][30]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_30_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_30_2\" name=\"wpforms[fields][30]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_30_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-19251-field_15-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"15\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_15\"> Mention it<\/label><input type=\"text\" id=\"wpforms-19251-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\" ><\/div><div id=\"wpforms-19251-field_16-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_16\">Number of production employees <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-19251-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" required><\/div><div id=\"wpforms-19251-field_17-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_17\">Number of production supervisors <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-19251-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" required><\/div><div id=\"wpforms-19251-field_19-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_19\">Number of shifts<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-19251-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" ><\/div><div id=\"wpforms-19251-field_38-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_38\">Shift working time<\/label><input type=\"text\" id=\"wpforms-19251-field_38\" class=\"wpforms-field-medium\" name=\"wpforms[fields][38]\" ><\/div><div id=\"wpforms-19251-field_29-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-hide wpforms-conditional-trigger\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_29\">Has the facility\/site undergone any previous audits or certifications by a food safety authority? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-19251-field_29\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_29_1\" name=\"wpforms[fields][29]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_29_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_29_2\" name=\"wpforms[fields][29]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_29_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-19251-field_21-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"21\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_21\">Please provide the name of the entity or authority that has previously audited or certified the facility<\/label><input type=\"text\" id=\"wpforms-19251-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" ><\/div><div id=\"wpforms-19251-field_28-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline wpforms-conditional-field wpforms-conditional-hide wpforms-conditional-trigger\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_28\">What languages do employees speak? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-19251-field_28\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_28_1\" name=\"wpforms[fields][28][]\" value=\"Arabic\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_28_1\">Arabic<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_28_2\" name=\"wpforms[fields][28][]\" value=\"English\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_28_2\">English<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_28_3\" name=\"wpforms[fields][28][]\" value=\"Hindi\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_28_3\">Hindi<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_28_4\" name=\"wpforms[fields][28][]\" value=\"Urdu\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_28_4\">Urdu<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_28_5\" name=\"wpforms[fields][28][]\" value=\"Other\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_28_5\">Other<\/label><\/li><\/ul><\/div><div id=\"wpforms-19251-field_79-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline wpforms-conditional-field wpforms-conditional-hide wpforms-conditional-trigger\" data-field-id=\"79\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_79\">Select Training Language  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-19251-field_79\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_79_1\" name=\"wpforms[fields][79][]\" value=\"Arabic\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_79_1\">Arabic<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_79_2\" name=\"wpforms[fields][79][]\" value=\"English\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_79_2\">English<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_79_3\" name=\"wpforms[fields][79][]\" value=\"Indian\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_79_3\">Indian<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_79_4\" name=\"wpforms[fields][79][]\" value=\"Urdu\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_79_4\">Urdu<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_79_5\" name=\"wpforms[fields][79][]\" value=\"Other\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_79_5\">Other<\/label><\/li><\/ul><\/div><div id=\"wpforms-19251-field_23-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"23\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_23\">Other<\/label><input type=\"text\" id=\"wpforms-19251-field_23\" class=\"wpforms-field-medium\" name=\"wpforms[fields][23]\" ><\/div><div id=\"wpforms-19251-field_75-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-3-columns wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"75\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_75\">Required Training Course <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-19251-field_75\" class=\"wpforms-field-required\"><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_75_2\" name=\"wpforms[fields][75]\" value=\"Level 2 award in Food Safety \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_75_2\">Level 2 award in Food Safety <\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_75_3\" name=\"wpforms[fields][75]\" value=\"Level 3 award in Food Safety \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_75_3\">Level 3 award in Food Safety <\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_75_4\" name=\"wpforms[fields][75]\" value=\"Level 4 award in Food Safety \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_75_4\">Level 4 award in Food Safety <\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_75_6\" name=\"wpforms[fields][75]\" value=\"Level 2 award in HACCP\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_75_6\">Level 2 award in HACCP<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_75_7\" name=\"wpforms[fields][75]\" value=\"Level 3 award in HACCP\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_75_7\">Level 3 award in HACCP<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_75_10\" name=\"wpforms[fields][75]\" value=\"Level 4 award in HACCP\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_75_10\">Level 4 award in HACCP<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_75_11\" name=\"wpforms[fields][75]\" value=\"Level 3 award in Food Allergy Control \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_75_11\">Level 3 award in Food Allergy Control <\/label><\/li><\/ul><\/div><div id=\"wpforms-19251-field_77-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"77\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_77\">Number of Trainees <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-19251-field_77\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][77]\" required><\/div><div id=\"wpforms-19251-field_76-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"76\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_76\">Course Venue<\/label><ul id=\"wpforms-19251-field_76\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_76_1\" name=\"wpforms[fields][76]\" value=\"Online \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_76_1\">Online <\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_76_2\" name=\"wpforms[fields][76]\" value=\"On-site\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_76_2\">On-site<\/label><\/li><\/ul><\/div><div id=\"wpforms-19251-field_27-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-hide wpforms-conditional-trigger\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_27\">Does the facility wish to add any of the services below to the quotation? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-19251-field_27\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_27_1\" name=\"wpforms[fields][27]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_27_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_27_2\" name=\"wpforms[fields][27]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_27_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-19251-field_26-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-hide wpforms-conditional-trigger\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_26\">Additional services<\/label><ul id=\"wpforms-19251-field_26\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_26_1\" name=\"wpforms[fields][26][]\" value=\"Product registration with the Food and Drug Administration\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_26_1\">Product registration with the Food and Drug Administration<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_26_2\" name=\"wpforms[fields][26][]\" value=\"International accreditation fo training certificates\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_26_2\">International accreditation fo training certificates<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_26_5\" name=\"wpforms[fields][26][]\" value=\"Certificate of conformity for warehouses or sales outlets\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_26_5\">Certificate of conformity for warehouses or sales outlets<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_26_4\" name=\"wpforms[fields][26][]\" value=\"Certificate of conformity for means of transport\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_26_4\">Certificate of conformity for means of transport<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_26_6\" name=\"wpforms[fields][26][]\" value=\"Calorie counting and allergen clarification\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_26_6\">Calorie counting and allergen clarification<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_26_7\" name=\"wpforms[fields][26][]\" value=\"Mystery Shopper\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_26_7\">Mystery Shopper<\/label><\/li><\/ul><\/div><div id=\"wpforms-19251-field_71-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"71\" style=\"display:none;\"><h3 id=\"wpforms-19251-field_71\" name=\"wpforms[fields][71]\">Warehouse and outlet information<\/h3><\/div><div id=\"wpforms-19251-field_73-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"73\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_73\">Number of warehouses\/sales outlets <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-19251-field_73\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][73]\" required><\/div><div id=\"wpforms-19251-field_74-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"74\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_74\">Warehouse\/Outlet Details <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-19251-field_74\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][74]\" required><\/textarea><\/div><div id=\"wpforms-19251-field_68-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"68\" style=\"display:none;\"><h3 id=\"wpforms-19251-field_68\" name=\"wpforms[fields][68]\">Transportation information<\/h3><\/div><div id=\"wpforms-19251-field_69-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"69\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_69\">Number of vehicles <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-19251-field_69\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][69]\" required><\/div><div id=\"wpforms-19251-field_70-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"70\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_70\">Details and Statement of Vehicles <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-19251-field_70\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][70]\" required><\/textarea><\/div><div id=\"wpforms-19251-field_46-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"46\" style=\"display:none;\"><h3 id=\"wpforms-19251-field_46\" name=\"wpforms[fields][46]\">Menu information<\/h3><\/div><div id=\"wpforms-19251-field_52-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"52\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_52\">Number of main meals<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-19251-field_52\" class=\"wpforms-field-medium\" name=\"wpforms[fields][52]\" ><\/div><div id=\"wpforms-19251-field_51-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"51\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_51\">Number of appetizers and salads<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-19251-field_51\" class=\"wpforms-field-medium\" name=\"wpforms[fields][51]\" ><\/div><div id=\"wpforms-19251-field_49-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"49\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_49\">Number of desserts<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-19251-field_49\" class=\"wpforms-field-medium\" name=\"wpforms[fields][49]\" ><\/div><div id=\"wpforms-19251-field_47-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"47\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_47\">Number of cold drink items<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-19251-field_47\" class=\"wpforms-field-medium\" name=\"wpforms[fields][47]\" ><\/div><div id=\"wpforms-19251-field_48-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"48\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_48\">Number of hot drinks<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-19251-field_48\" class=\"wpforms-field-medium\" name=\"wpforms[fields][48]\" ><\/div><div id=\"wpforms-19251-field_53-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"53\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_53\">Number of additives and flavors<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-19251-field_53\" class=\"wpforms-field-medium\" name=\"wpforms[fields][53]\" ><\/div><div id=\"wpforms-19251-field_54-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"54\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_54\">Other items<\/label><textarea id=\"wpforms-19251-field_54\" class=\"wpforms-field-small\" name=\"wpforms[fields][54]\" ><\/textarea><\/div><div id=\"wpforms-19251-field_64-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"64\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_64\">Service Details <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-19251-field_64\" class=\"wpforms-field-required\"><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_64_3\" name=\"wpforms[fields][64]\" value=\"Calories and Allergens\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_64_3\">Calories and Allergens<\/label><\/li><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_64_1\" name=\"wpforms[fields][64]\" value=\"Calories, Allergens and Nutrition Facts\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_64_1\">Calories, Allergens and Nutrition Facts<\/label><\/li><\/ul><\/div><div id=\"wpforms-19251-field_40-container\" class=\"wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"40\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_40\">Meal menu\/items <span class=\"wpforms-required-label\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"40\"\n\t\tdata-form-id=\"19251\"\n\t\tdata-input-name=\"wpforms_19251_40\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages,ttf,otf,woff,woff2\"\n\t\tdata-max-size=\"2147483648\"\n\t\tdata-max-file-number=\"4\"\n\t\tdata-post-max-size=\"2147483648\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"#b1b1b1\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag files to this area to upload.<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 4 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-19251-field_40\"\n\t\tname=\"wpforms_19251_40\" required\t\tvalue=\"\">\n<\/div><div id=\"wpforms-19251-field_55-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"55\" style=\"display:none;\"><h3 id=\"wpforms-19251-field_55\" name=\"wpforms[fields][55]\">Product Information<\/h3><\/div><div id=\"wpforms-19251-field_56-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"56\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_56\">Classification <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-19251-field_56\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_56_1\" name=\"wpforms[fields][56][]\" value=\"Food Product\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_56_1\">Food Product<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_56_2\" name=\"wpforms[fields][56][]\" value=\"Energy Drink\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_56_2\">Energy Drink<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_56_3\" name=\"wpforms[fields][56][]\" value=\"Food Supplement\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_56_3\">Food Supplement<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_56_5\" name=\"wpforms[fields][56][]\" value=\"Feed\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_56_5\">Feed<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-19251-field_56_4\" name=\"wpforms[fields][56][]\" value=\"Raw Materials\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_56_4\">Raw Materials<\/label><\/li><\/ul><\/div><div id=\"wpforms-19251-field_57-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"57\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_57\">Products Description<\/label><textarea id=\"wpforms-19251-field_57\" class=\"wpforms-field-medium\" name=\"wpforms[fields][57]\" ><\/textarea><\/div><div id=\"wpforms-19251-field_58-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"58\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_58\">Production<\/label><ul id=\"wpforms-19251-field_58\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_58_1\" name=\"wpforms[fields][58]\" value=\"Local\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_58_1\">Local<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-19251-field_58_2\" name=\"wpforms[fields][58]\" value=\"Imported\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-19251-field_58_2\">Imported<\/label><\/li><\/ul><\/div><div id=\"wpforms-19251-field_60-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"60\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_60\">Origin Country <\/label><input type=\"text\" id=\"wpforms-19251-field_60\" class=\"wpforms-field-medium\" name=\"wpforms[fields][60]\" ><\/div><div id=\"wpforms-19251-field_59-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"59\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_59\">Import Country <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-19251-field_59\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][59]\" required><\/div><div id=\"wpforms-19251-field_61-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"61\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_61\">Total number of products <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-19251-field_61\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][61]\" required><\/div><div id=\"wpforms-19251-field_62-container\" class=\"wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"62\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_62\">Product Images <span class=\"wpforms-required-label\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"62\"\n\t\tdata-form-id=\"19251\"\n\t\tdata-input-name=\"wpforms_19251_62\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages,ttf,otf,woff,woff2\"\n\t\tdata-max-size=\"2147483648\"\n\t\tdata-max-file-number=\"100\"\n\t\tdata-post-max-size=\"2147483648\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"#b1b1b1\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag files to this area to upload.<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 100 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-19251-field_62\"\n\t\tname=\"wpforms_19251_62\" required\t\tvalue=\"\">\n<\/div><div id=\"wpforms-19251-field_32-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"32\"><h3 id=\"wpforms-19251-field_32\" name=\"wpforms[fields][32]\">Contact Information<\/h3><\/div><div id=\"wpforms-19251-field_33-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_33\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-19251-field_33\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][33][first]\" required><label for=\"wpforms-19251-field_33\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-19251-field_33-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][33][last]\" required><label for=\"wpforms-19251-field_33-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-19251-field_34-container\" class=\"wpforms-field wpforms-field-email wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_34\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-19251-field_34\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][34]\" required><\/div><div id=\"wpforms-19251-field_35-container\" class=\"wpforms-field wpforms-field-phone wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_35\">Mobile Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-19251-field_35\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][35]\" required><\/div><div id=\"wpforms-19251-field_36-container\" class=\"wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-19251-field_36\">CR Copy <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"file\" id=\"wpforms-19251-field_36\" 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