{"id":741,"date":"2013-10-31T02:06:59","date_gmt":"2013-10-31T02:06:59","guid":{"rendered":"http:\/\/trafficsignalpro.com\/wp_build\/?page_id=741"},"modified":"2013-11-04T14:48:10","modified_gmt":"2013-11-04T14:48:10","slug":"order-form-2","status":"publish","type":"page","link":"https:\/\/trafficsignalpro.com\/wp_build\/order-form-2\/","title":{"rendered":"Order Form"},"content":{"rendered":"<p><span style=\"line-height: 1.714285714; font-size: 1rem;\"><h3 style=\"\" class=\"\">Order Form<\/h3><\/span><\/p>\n<h5 style=\"\" class=\"\"><\/h5>\n\t<p style=\"margin-bottom: 20px;\">Please fill in all fields.<\/p>\n\t<div class=\"form_container\">\n\t\t<form id=\"purchaseForm\" name=\"purchaseForm\">\n\t\t<ul class=\"form_fields\">\n\t\t\t<li><input placeholder=\"First Name\" class=\"span12\" name=\"contact_first_name\" id=\"contact_first_name\" type=\"text\" \/><\/li>\n\t\t\t<li><input placeholder=\"Last Name\" class=\"span12\" name=\"contact_last_name\" id=\"contact_last_name\" type=\"text\" \/><\/li>\n\t\t\t<li><input placeholder=\"Email\" class=\"span12\" name=\"contact_email\" id=\"contact_email\" type=\"text\" \/><\/li>\n\t\t\t<li><input placeholder=\"Telephone\" class=\"span12\" name=\"contact_phone\" id=\"contact_phone\" type=\"text\" \/><\/li>\n\t\t\t<li><input placeholder=\"Fax\" class=\"span12\" name=\"contact_fax\" id=\"contact_fax\" type=\"text\" \/><\/li>\n\t\t\t<li><input placeholder=\"Organization\" class=\"span12\" name=\"contact_organization\" id=\"contact_organization\" type=\"text\" \/><\/li>\n\t\t\t<li><input placeholder=\"Address 1\" class=\"span12\" name=\"contact_address_1\" id=\"contact_address_1\" type=\"text\" \/><\/li>\n\t\t\t<li><input placeholder=\"Address 2\" class=\"span12\" name=\"contact_address_2\" id=\"contact_address_2\" type=\"text\" \/><\/li>\n\t\t\t<li><input placeholder=\"City\" class=\"span12\" name=\"contact_city\" id=\"contact_city\" type=\"text\" \/><\/li>\n\t\t\t<li><input placeholder=\"Post Code\" class=\"span12\" name=\"contact_post_code\" id=\"contact_post_code\" type=\"text\" \/><\/li>\n\t\t\t<li><input placeholder=\"State\" class=\"span12\" name=\"contact_state\" id=\"contact_state\" type=\"text\" \/><\/li>\n\t\t\t<li><input placeholder=\"Number of Subscriptions\" class=\"span12\" name='contact_subscriptions' id='contact_subscriptions' type=\"text\"\/>\n\t\t\t<input type='button' class=\"btn btn-inverse btn-large\" name='add' onclick='javascript: document.getElementById(\"contact_subscriptions\").value++;' value='+'\/>\n\t\t\t<input type='button' class=\"btn btn-inverse btn-large\" name='subtract' onclick='javascript: document.getElementById(\"contact_subscriptions\").value--;' value='-'\/><\/li>\n\t\t\t<li><input placeholder=\"Password\" class=\"span12\" name=\"contact_password\" id=\"contact_password\" type=\"text\" \/><\/li>\n\t\t\t<li><input placeholder=\"Password Confirm\" class=\"span12\" name=\"contact_password_confirm\" id=\"contact_password_confirm\" type=\"text\" \/><\/li>\n\t\t\t<li><textarea placeholder=\"Message\" class=\"span12\" name=\"contact_message\" id=\"contact_message\" cols=\"30\" rows=\"5\"><\/textarea><\/li>\n\t\t<\/ul>\n\t\t<button id=\"btnSendRequest\" class=\"btn btn-inverse btn-large\">Submit Purchase Form!<\/button><span id=\"request_results\"><\/span>\n\n\t\t<\/form>\n\t<\/div>\n\t\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-741","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/P43Gvh-bX","_links":{"self":[{"href":"https:\/\/trafficsignalpro.com\/wp_build\/wp-json\/wp\/v2\/pages\/741","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/trafficsignalpro.com\/wp_build\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/trafficsignalpro.com\/wp_build\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/trafficsignalpro.com\/wp_build\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/trafficsignalpro.com\/wp_build\/wp-json\/wp\/v2\/comments?post=741"}],"version-history":[{"count":12,"href":"https:\/\/trafficsignalpro.com\/wp_build\/wp-json\/wp\/v2\/pages\/741\/revisions"}],"predecessor-version":[{"id":813,"href":"https:\/\/trafficsignalpro.com\/wp_build\/wp-json\/wp\/v2\/pages\/741\/revisions\/813"}],"wp:attachment":[{"href":"https:\/\/trafficsignalpro.com\/wp_build\/wp-json\/wp\/v2\/media?parent=741"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}