{"id":38380,"date":"2026-03-05T11:38:34","date_gmt":"2026-03-05T11:38:34","guid":{"rendered":"https:\/\/pradeepaggarwal.com\/wps\/?page_id=38380"},"modified":"2026-03-06T05:24:01","modified_gmt":"2026-03-06T05:24:01","slug":"form99","status":"publish","type":"page","link":"https:\/\/pradeepaggarwal.com\/wps\/form99\/","title":{"rendered":"form99"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"38380\" class=\"elementor elementor-38380\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-753884e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"753884e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-93b6417\" data-id=\"93b6417\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0ada816 elementor-widget elementor-widget-shortcode\" data-id=\"0ada816\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">  <style>\r\n    .pa-cf-wrap{max-width:1400px;margin:28px auto;padding:0 28px 40px;font-family:Arial,Helvetica,sans-serif;color:#555}\r\n    .pa-cf-row{display:grid;grid-template-columns:1fr 1fr;gap:80px;align-items:end}\r\n    .pa-cf-field{position:relative;padding-top:14px;padding-bottom:22px}\r\n    .pa-cf-label{display:block;font-size:20px;color:#666;margin-bottom:10px;font-weight:500}\r\n    .pa-cf-required:after{content:\" *\";color:#777;font-weight:600}\r\n    .pa-cf-underline{border-bottom:2px solid #d8d8d8;padding-bottom:6px}\r\n    .pa-cf-input,.pa-cf-textarea{width:100%;border:none;outline:none;background:transparent;font-size:18px;padding:8px 0;color:#333}\r\n    .pa-cf-textarea{border:2px solid #cfcfcf;border-radius:2px;min-height:220px;padding:18px;resize:vertical}\r\n    .pa-cf-counter{position:absolute;right:0;bottom:2px;font-size:14px;color:#9aa0a6}\r\n    .pa-cf-full{grid-column:1\/-1}\r\n    .pa-cf-consent{margin-top:22px}\r\n    .pa-cf-consent-title{font-size:18px;color:#666;margin:0 0 10px;font-weight:600}\r\n    .pa-cf-checkline{display:flex;gap:12px;align-items:flex-start;font-size:18px;color:#666}\r\n    .pa-cf-checkbox{width:20px;height:20px;margin-top:2px;accent-color:#666}\r\n    .pa-cf-link{color:#f2c24d;text-decoration:none}\r\n    .pa-cf-link:hover{text-decoration:underline}\r\n    .pa-cf-actions{margin-top:22px}\r\n    .pa-cf-btn{background:#f2c24d;border:none;padding:14px 34px;font-size:18px;border-radius:4px;cursor:pointer;color:#222;font-weight:700}\r\n    .pa-cf-btn:hover{filter:brightness(0.95)}\r\n    .pa-cf-status{margin:10px 0 0;font-size:16px}\r\n    .pa-cf-ok{color:#2e7d32}\r\n    .pa-cf-err{color:#c62828}\r\n    @media (max-width:900px){.pa-cf-row{grid-template-columns:1fr;gap:22px}.pa-cf-label{font-size:18px}.pa-cf-wrap{padding:0 16px 32px}}\r\n  <\/style>\r\n\r\n  <div class=\"pa-cf-wrap\">\r\n    \r\n    <form method=\"post\">\r\n      <input type=\"hidden\" id=\"pa_cf_nonce\" name=\"pa_cf_nonce\" value=\"e105043e79\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wps\/wp-json\/wp\/v2\/pages\/38380\" \/>\r\n      <div class=\"pa-cf-row\">\r\n\r\n        <div class=\"pa-cf-field\">\r\n          <label class=\"pa-cf-label pa-cf-required\" for=\"pa_phone\">Phone Number<\/label>\r\n          <div class=\"pa-cf-underline\">\r\n            <input class=\"pa-cf-input\" id=\"pa_phone\" name=\"phone\" type=\"tel\" inputmode=\"numeric\" maxlength=\"10\" required value=\"\">\r\n          <\/div>\r\n          <div class=\"pa-cf-counter\" id=\"paPhoneCounter\">0 \/ 10<\/div>\r\n        <\/div>\r\n\r\n        <div class=\"pa-cf-field\">\r\n          <label class=\"pa-cf-label pa-cf-required\" for=\"pa_email\">Email Address<\/label>\r\n          <div class=\"pa-cf-underline\">\r\n            <input class=\"pa-cf-input\" id=\"pa_email\" name=\"email\" type=\"email\" required value=\"\">\r\n          <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"pa-cf-field pa-cf-full\">\r\n          <label class=\"pa-cf-label\" for=\"pa_website\">Website<\/label>\r\n          <div class=\"pa-cf-underline\">\r\n            <input class=\"pa-cf-input\" id=\"pa_website\" name=\"website\" type=\"text\" value=\"\">\r\n          <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"pa-cf-field pa-cf-full\">\r\n          <label class=\"pa-cf-label\" for=\"pa_message\">Additional Message<\/label>\r\n          <textarea class=\"pa-cf-textarea\" id=\"pa_message\" name=\"message\" maxlength=\"180\"><\/textarea>\r\n          <div class=\"pa-cf-counter\" id=\"paMsgCounter\">0 \/ 180<\/div>\r\n        <\/div>\r\n\r\n        <div class=\"pa-cf-full pa-cf-consent\">\r\n          <div class=\"pa-cf-consent-title pa-cf-required\">Consent<\/div>\r\n          <div class=\"pa-cf-checkline\">\r\n            <input class=\"pa-cf-checkbox\" id=\"pa_consent\" name=\"consent\" type=\"checkbox\" value=\"yes\" required >\r\n            <label for=\"pa_consent\" style=\"margin:0;font-size:18px;font-weight:500;\">\r\n              Yes, I agree with the <a class=\"pa-cf-link\" href=\"#\">privacy policy<\/a> and\r\n              <a class=\"pa-cf-link\" href=\"#\">terms and conditions<\/a>.\r\n            <\/label>\r\n          <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"pa-cf-full pa-cf-actions\">\r\n          <button class=\"pa-cf-btn\" type=\"submit\" name=\"pa_cf_submit\" value=\"1\">Submit<\/button>\r\n        <\/div>\r\n\r\n      <\/div>\r\n    <\/form>\r\n  <\/div>\r\n\r\n  <script>\r\n    (function(){\r\n      const phone = document.getElementById(\"pa_phone\");\r\n      const phoneCounter = document.getElementById(\"paPhoneCounter\");\r\n      const msg = document.getElementById(\"pa_message\");\r\n      const msgCounter = document.getElementById(\"paMsgCounter\");\r\n\r\n      function setCounter(el, counterEl, max){\r\n        const len = (el.value || \"\").length;\r\n        counterEl.textContent = `${len} \/ ${max}`;\r\n      }\r\n\r\n      phone.addEventListener(\"input\", () => {\r\n        phone.value = phone.value.replace(\/\\D\/g, \"\").slice(0, 10);\r\n        setCounter(phone, phoneCounter, 10);\r\n      });\r\n\r\n      msg.addEventListener(\"input\", () => setCounter(msg, msgCounter, 180));\r\n\r\n      setCounter(phone, phoneCounter, 10);\r\n      setCounter(msg, msgCounter, 180);\r\n    })();\r\n  <\/script>\r\n  <\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-38380","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pradeepaggarwal.com\/wps\/wp-json\/wp\/v2\/pages\/38380","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pradeepaggarwal.com\/wps\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pradeepaggarwal.com\/wps\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pradeepaggarwal.com\/wps\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pradeepaggarwal.com\/wps\/wp-json\/wp\/v2\/comments?post=38380"}],"version-history":[{"count":10,"href":"https:\/\/pradeepaggarwal.com\/wps\/wp-json\/wp\/v2\/pages\/38380\/revisions"}],"predecessor-version":[{"id":38390,"href":"https:\/\/pradeepaggarwal.com\/wps\/wp-json\/wp\/v2\/pages\/38380\/revisions\/38390"}],"wp:attachment":[{"href":"https:\/\/pradeepaggarwal.com\/wps\/wp-json\/wp\/v2\/media?parent=38380"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}