{"id":32225,"date":"2019-03-27T03:26:11","date_gmt":"2019-03-27T03:26:11","guid":{"rendered":"https:\/\/www.jackjaffa.com\/?page_id=32225"},"modified":"2019-03-27T03:31:35","modified_gmt":"2019-03-27T03:31:35","slug":"annual-mailing-signup-form","status":"publish","type":"page","link":"https:\/\/www.jackjaffa.com\/annual-mailing-signup-form\/","title":{"rendered":"Safety Notice Mailing Service"},"content":{"rendered":"<p>[vc_row css=&#8221;.vc_custom_1553657489629{padding-top: 40px !important;padding-bottom: 40px !important;}&#8221;][vc_column][vc_column_text]<\/p>\n<h3 class=\"normal regular no-bordered-header bordered-normal\" style=\"text-align: center;\">Sign up now for our Safety Notice Mailing Service<\/h3>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;32229&#8243; img_size=&#8221;large&#8221; alignment=&#8221;center&#8221;][\/vc_column][vc_column width=&#8221;1\/2&#8243;]<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f32223-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><\/div>\n<form action=\"\/wp-json\/wp\/v2\/pages\/32225#wpcf7-f32223-o1\" method=\"post\" class=\"wpcf7-form\" novalidate=\"novalidate\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"32223\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.1.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f32223-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"g-recaptcha-response\" value=\"\" \/>\n<\/div>\n<div class=\"form-group form-icon-group\">\n      <span class=\"wpcf7-form-control-wrap your-name\"><input type=\"text\" name=\"your-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Name *\" \/><\/span>\n<\/div>\n<div class=\"form-group form-icon-group\">\n      <span class=\"wpcf7-form-control-wrap your-company\"><input type=\"text\" name=\"your-company\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Company *\" \/><\/span>\n<\/div>\n<div class=\"form-group form-icon-group\">\n      <span class=\"wpcf7-form-control-wrap your-phone\"><input type=\"tel\" name=\"your-phone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone *\" \/><\/span>\n<\/div>\n<div class=\"form-group form-icon-group\">\n    <span class=\"wpcf7-form-control-wrap your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Email *\" \/><\/span>\n<\/div>\n<div class=\"form-group form-icon-group\">\n    <span class=\"wpcf7-form-control-wrap your-hear\"><input type=\"text\" name=\"your-hear\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" placeholder=\"How did you hear about us?\" \/><\/span>\n<\/div>\n<div class=\"form-group form-icon-group\">\n      <span class=\"wpcf7-form-control-wrap your-comments\"><textarea name=\"your-comments\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea form-control\" aria-invalid=\"false\" placeholder=\"Comments\"><\/textarea><\/span>\n<\/div>\n<div class=\"wpcf7-form-control-wrap\"><div data-sitekey=\"6Ldjap4UAAAAAFVK0ex0rQpckrdG-FSm1WQFmD-1\" class=\"wpcf7-form-control g-recaptcha wpcf7-recaptcha\"><\/div>\r\n<noscript>\r\n\t<div class=\"grecaptcha-noscript\">\r\n\t\t<iframe src=\"https:\/\/www.google.com\/recaptcha\/api\/fallback?k=6Ldjap4UAAAAAFVK0ex0rQpckrdG-FSm1WQFmD-1\" frameborder=\"0\" scrolling=\"no\" width=\"310\" height=\"430\">\r\n\t\t<\/iframe>\r\n\t\t<textarea name=\"g-recaptcha-response\" rows=\"3\" cols=\"40\" placeholder=\"reCaptcha Response Here\">\r\n\t\t<\/textarea>\r\n\t<\/div>\r\n<\/noscript>\r\n<\/div>\n<div class=\"text-center\">\n<input type=\"submit\" value=\"Submit\" class=\"wpcf7-form-control wpcf7-submit btn btn-primary\" \/>\n <\/div>\n<div class=\"wpcf7-response-output wpcf7-display-none\"><\/div><\/form><\/div>[\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row css=&#8221;.vc_custom_1553657489629{padding-top: 40px !important;padding-bottom: 40px !important;}&#8221;][vc_column][vc_column_text] Sign up now for our Safety Notice Mailing Service [\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;32229&#8243; 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