{"id":67548,"date":"2025-02-10T00:47:02","date_gmt":"2025-02-10T00:47:02","guid":{"rendered":"https:\/\/citypallets.ca\/cpwp\/?page_id=67548"},"modified":"2025-02-10T01:10:36","modified_gmt":"2025-02-10T01:10:36","slug":"new-customer-delivery-form","status":"publish","type":"page","link":"https:\/\/citypallets.ca\/cpwp\/new-customer-delivery-form\/","title":{"rendered":"New Customer Delivery Information Form"},"content":{"rendered":"<div class=\"vgblk-rw-wrapper limit-wrapper\">\n\n\t<style>\n    .green-bg-form {\n        background-color: #0d793d;\n        padding:3px; \n        text-align: center; \n        margin-bottom: 10px;\n    }\n    .grey-bg-form {\n        background-color: #dddddd;\n        padding:3px;\n        text-align: center;\n        margin-bottom: 10px;\n    }\n<\/style>\n\t<p>Any issues filling out the form? Please get in touch with us at\u00a0<a href=\"mailto:contact@citypallets.ca\">contact@citypallets.ca<\/a><\/p>\n\t\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f67547-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"67547\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/cpwp\/wp-json\/wp\/v2\/pages\/67548#wpcf7-f67547-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"67547\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f67547-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<!-- SECTION A -->\n<div class=\"green-bg-form\">\n\t<h3 style=\"text-align: center; color: #fff;\">SECTION A: COMPANY INFORMATION\n\t<\/h3>\n<\/div>\n<p><label> Date<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-today\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-today\" \/><\/span> <\/label>\n<\/p>\n<div class=\"content-column one_half\">\n\t<p><label> Legal Name*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-legalname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-legalname\" \/><\/span> <\/label>\n\t<\/p>\n<\/div>\n<div class=\"content-column one_half last_column\">\n\t<div style=\"padding: 0;\">\n\t\t<p><label> Trade Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-tradename\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-tradename\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"content-column one_half\">\n\t<p><label> Authorized Contact Name*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-contactname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-contactname\" \/><\/span> <\/label>\n\t<\/p>\n<\/div>\n<div class=\"content-column one_half last_column\">\n\t<div style=\"padding: 0;\">\n\t\t<p><label> Authorized Contact Title<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-contacttitle\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-contacttitle\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"content-column one_half\">\n\t<p><label> Authorized Contact Telephone* Number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-contacttelnumber\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-contacttelnumber\" \/><\/span> <\/label>\n\t<\/p>\n<\/div>\n<div class=\"content-column one_half last_column\">\n\t<div style=\"padding: 0;\">\n\t\t<p><label> Authorized Contact Email*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email-contactemail\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-contactemail\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<p><label><span style=\"visibility:hidden !important;\">secure<\/span><\/label>\n<\/p>\n<div class=\"green-bg-form\">\n\t<h3 style=\"text-align: center; color: #fff;\">SECTION B: DELIVERY INFORMATION\n\t<\/h3>\n<\/div>\n<div class=\"content-column one_half\">\n\t<p><label> Delivery Address*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-deliveraddress\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-deliveraddress\" \/><\/span> <\/label>\n\t<\/p>\n<\/div>\n<div class=\"content-column one_half last_column\">\n\t<div style=\"padding: 0;\">\n\t\t<p><label> Purchasing Agent Telephone Number*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-purchaseagenttelnumber\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-purchaseagenttelnumber\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"content-column one_half\">\n\t<p><label> Purchasing Agent Name*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-purchaseagentname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-purchaseagentname\" \/><\/span> <\/label>\n\t<\/p>\n<\/div>\n<div class=\"content-column one_half last_column\">\n\t<div style=\"padding: 0;\">\n\t\t<p><label> Purchasing Agent Email*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-purchaseagentemail\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-purchaseagentemail\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"content-column one_half last_column\">\n\t<div style=\"padding: 0;\">\n\t\t<p><label> Second Contact Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-secondname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-secondname\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"content-column one_half\">\n\t<p><label> Second Contact Phone Number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-secondphone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-secondphone\" \/><\/span> <\/label>\n\t<\/p>\n<\/div>\n<div class=\"content-column one_half\">\n\t<p><label> Shipping\/Receiving Hours*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-shippinghours\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-shippinghours\" \/><\/span> <\/label>\n\t<\/p>\n<\/div>\n<div class=\"content-column one_half last_column\">\n\t<div style=\"padding: 0;\">\n\t\t<p><label> Additional Comments<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sectionbcomments\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"sectionbcomments\"><\/textarea><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<p><label> Do you have a dock level door?* <span class=\"wpcf7-form-control-wrap\" data-name=\"dockleveldoor\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"dockleveldoor\"><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span> <\/label><br \/>\n<label> Do you have a forklift?* <span class=\"wpcf7-form-control-wrap\" data-name=\"forklift\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"forklift\"><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span> <\/label><br \/>\n<label> Do you have a licensed forklift driver?* <span class=\"wpcf7-form-control-wrap\" data-name=\"licensedforklift\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"licensedforklift\"><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span> <\/label>\n<\/p>\n<p style=\"font-size: 1.2em;\">I declare that the above information is true, correct and complete.\n<\/p>\n<p><label>Signature <span style=\"font-style: italic;\">(please use your mouse or finger to draw your signature in the box below)<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap wpcf7-sign-wrap sign-233\"><input class=\"wpcf7-form-control wpcf7-sign wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"sign-233\" type=\"hidden\" \/>\n            <canvas style=\"display:block\" data-hidden=\"sign-233\" class=\"signature-pad\" width=400 height=200><\/canvas>\n            <button class=\"btn btn-primary cf7sg-sign\">Clear<\/button>\n        <\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"37\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n<\/div><!-- .vgblk-rw-wrapper -->","protected":false},"excerpt":{"rendered":"<p>Any issues filling out the form? Please get in touch with us at\u00a0contact@citypallets.ca<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-67548","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/citypallets.ca\/cpwp\/wp-json\/wp\/v2\/pages\/67548","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/citypallets.ca\/cpwp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/citypallets.ca\/cpwp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/citypallets.ca\/cpwp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/citypallets.ca\/cpwp\/wp-json\/wp\/v2\/comments?post=67548"}],"version-history":[{"count":3,"href":"https:\/\/citypallets.ca\/cpwp\/wp-json\/wp\/v2\/pages\/67548\/revisions"}],"predecessor-version":[{"id":67553,"href":"https:\/\/citypallets.ca\/cpwp\/wp-json\/wp\/v2\/pages\/67548\/revisions\/67553"}],"wp:attachment":[{"href":"https:\/\/citypallets.ca\/cpwp\/wp-json\/wp\/v2\/media?parent=67548"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}