{"id":267,"date":"2023-05-12T01:39:30","date_gmt":"2023-05-12T01:39:30","guid":{"rendered":"https:\/\/pavementtechnology.com\/?page_id=267"},"modified":"2023-05-29T18:38:21","modified_gmt":"2023-05-29T18:38:21","slug":"request-service","status":"publish","type":"page","link":"https:\/\/pavementtechnology.com\/index.php\/request-service\/","title":{"rendered":"Request For Service"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"267\" class=\"elementor elementor-267\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d087342 e-flex e-con-boxed e-con e-parent\" data-id=\"d087342\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c850a99 elementor-widget elementor-widget-formidable\" data-id=\"c850a99\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"formidable.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_4_container\" data-token=\"573a5037d7dcc710b861d475e80acf9f\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_contactus22\" data-token=\"573a5037d7dcc710b861d475e80acf9f\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Request Service<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"4\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_4\" id=\"frm_hide_fields_4\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"contactus22\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_4\" name=\"frm_submit_entry_4\" value=\"2109d15d84\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/267\" \/><div id=\"frm_field_31_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third frm_first\">\r\n    <label for=\"field_8n9dg3\" id=\"field_8n9dg3_label\" class=\"frm_primary_label\">Company Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_8n9dg3\" name=\"item_meta[31]\" value=\"\"  data-reqmsg=\"Company Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_32_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_eyvhy3\" id=\"field_eyvhy3_label\" class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_eyvhy3\" name=\"item_meta[32]\" value=\"\"  data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_33_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_fourth\">\r\n    <label for=\"field_8h8c93\" id=\"field_8h8c93_label\" class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_8h8c93\" name=\"item_meta[33]\" value=\"\"  data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_34_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third frm_first\">\r\n    <label for=\"field_l9g933\" id=\"field_l9g933_label\" class=\"frm_primary_label\">Address\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_l9g933\" name=\"item_meta[34]\" value=\"\"  data-reqmsg=\"Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_35_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_mu6sk3\" id=\"field_mu6sk3_label\" class=\"frm_primary_label\">City\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_mu6sk3\" name=\"item_meta[35]\" value=\"\"  data-reqmsg=\"City cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_36_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_sixth\">\r\n    <label for=\"field_dxujz3\" id=\"field_dxujz3_label\" class=\"frm_primary_label\">State\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_dxujz3\" name=\"item_meta[36]\" value=\"\"  data-reqmsg=\"State cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_37_container\" class=\"frm_form_field form-field  frm_top_container frm_sixth\">\r\n    <label for=\"field_5x8wy3\" id=\"field_5x8wy3_label\" class=\"frm_primary_label\">Zip Code\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_5x8wy3\" name=\"item_meta[37]\" value=\"\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_38_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_xm8pn3\" id=\"field_xm8pn3_label\" class=\"frm_primary_label\">Phone Number\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_xm8pn3\" name=\"item_meta[38]\" value=\"\"  data-reqmsg=\"Phone Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_39_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_r5i6d3\" id=\"field_r5i6d3_label\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_r5i6d3\" name=\"item_meta[39]\" value=\"\"  data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_40_container\" class=\"frm_form_field form-field  frm_top_container frm_two_thirds frm_first\">\r\n    <label for=\"field_py92m3\" id=\"field_py92m3_label\" class=\"frm_primary_label\">How can we help?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[40]\" id=\"field_py92m3\" rows=\"5\"  data-invmsg=\"Paragraph is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_41_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_m2wu33_label\" class=\"frm_primary_label\">Request Service, Calibration or Maintenace On:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_m2wu33_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_41-0\">\t\t\t<label  for=\"field_m2wu33-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[41][]\" id=\"field_m2wu33-0\" value=\"Aspahalt Pavement Analyzer (APA)\"  data-reqmsg=\"Request Service, Calibration or Maintenace On: cannot be blank.\" data-invmsg=\"Request Service, Calibration or Maintenace On: is invalid\"   aria-required=\"true\"  \/> Aspahalt Pavement Analyzer (APA)<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_41-1\">\t\t\t<label  for=\"field_m2wu33-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[41][]\" id=\"field_m2wu33-1\" value=\"Asphalt Pavement Analyzer Jr. (APA Jr.)\"  data-reqmsg=\"Request Service, Calibration or Maintenace On: cannot be blank.\" data-invmsg=\"Request Service, Calibration or Maintenace On: is invalid\"   \/> Asphalt Pavement Analyzer Jr. (APA Jr.)<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_41-2\">\t\t\t<label  for=\"field_m2wu33-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[41][]\" id=\"field_m2wu33-2\" value=\"Asphalt Vibratory Compactor (AVC)\"  data-reqmsg=\"Request Service, Calibration or Maintenace On: cannot be blank.\" data-invmsg=\"Request Service, Calibration or Maintenace On: is invalid\"   \/> Asphalt Vibratory Compactor (AVC)<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_41-3\">\t\t\t<label  for=\"field_m2wu33-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[41][]\" id=\"field_m2wu33-3\" value=\"Single Pugmill\"  data-reqmsg=\"Request Service, Calibration or Maintenace On: cannot be blank.\" data-invmsg=\"Request Service, Calibration or Maintenace On: is invalid\"   \/> Single Pugmill<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_41-4\">\t\t\t<label  for=\"field_m2wu33-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[41][]\" id=\"field_m2wu33-4\" value=\"Double Pugmill\"  data-reqmsg=\"Request Service, Calibration or Maintenace On: cannot be blank.\" data-invmsg=\"Request Service, Calibration or Maintenace On: is invalid\"   \/> Double Pugmill<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_41-5\">\t\t\t<label  for=\"field_m2wu33-5\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[41][]\" id=\"field_m2wu33-5\" value=\"Warm Mix Asphalt Laboratory Foaming System\"  data-reqmsg=\"Request Service, Calibration or Maintenace On: cannot be blank.\" data-invmsg=\"Request Service, Calibration or Maintenace On: is invalid\"   \/> Warm Mix Asphalt Laboratory Foaming System<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_41-6\">\t\t\t<label  for=\"field_m2wu33-6\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[41][]\" id=\"field_m2wu33-6\" value=\"Mobile Testing Lab.\"  data-reqmsg=\"Request Service, Calibration or Maintenace On: cannot be blank.\" data-invmsg=\"Request Service, Calibration or Maintenace On: is invalid\"   \/> Mobile Testing Lab.<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_41-7\">\t\t\t<label  for=\"field_m2wu33-7\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[41][]\" id=\"field_m2wu33-7\" value=\"Skid Mounted Testing Lab.\"  data-reqmsg=\"Request Service, Calibration or Maintenace On: cannot be blank.\" data-invmsg=\"Request Service, Calibration or Maintenace On: is invalid\"   \/> Skid Mounted Testing Lab.<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_41-8\">\t\t\t<label  for=\"field_m2wu33-8\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[41][]\" id=\"field_m2wu33-8\" value=\"Automatic Belt Sampler\"  data-reqmsg=\"Request Service, Calibration or Maintenace On: cannot be blank.\" data-invmsg=\"Request Service, Calibration or Maintenace On: is invalid\"   \/> Automatic Belt Sampler<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_41-9\">\t\t\t<label  for=\"field_m2wu33-9\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[41][]\" id=\"field_m2wu33-9\" value=\"Laboratory Automatic Gradation Unit\"  data-reqmsg=\"Request Service, Calibration or Maintenace On: cannot be blank.\" data-invmsg=\"Request Service, Calibration or Maintenace On: is invalid\"   \/> Laboratory Automatic Gradation Unit<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_41-10\">\t\t\t<label  for=\"field_m2wu33-10\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[41][]\" id=\"field_m2wu33-10\" value=\"Field Gradation Test\"  data-reqmsg=\"Request Service, Calibration or Maintenace On: cannot be blank.\" data-invmsg=\"Request Service, Calibration or Maintenace On: is invalid\"   \/> Field Gradation Test<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_41-11\">\t\t\t<label  for=\"field_m2wu33-11\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[41][]\" id=\"field_m2wu33-11\" value=\"Real-Time Quality Control Systems for Asphalt &amp; Aggregate Plants\"  data-reqmsg=\"Request Service, Calibration or Maintenace On: cannot be blank.\" data-invmsg=\"Request Service, Calibration or Maintenace On: is invalid\"   \/> Real-Time Quality Control Systems for Asphalt &amp; Aggregate Plants<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_42_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p><strong>Please select a Preferred Time of Service. We will contact you to confirm the Date and Time.<\/strong><\/p>\n<\/div>\n<div id=\"frm_field_43_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first frm_sixth\">\r\n    <label for=\"field_zzybu2\" id=\"field_zzybu2_label\" class=\"frm_primary_label\">Date Requested\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_zzybu2\" name=\"item_meta[43]\" value=\"\"  maxlength=\"10\" data-reqmsg=\"Date Requested cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_44_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_fourth\">\r\n    <div  id=\"field_6kub2_label\" class=\"frm_primary_label\">Preferred Time\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <select aria-labelledby=\"field_6kub2_label\" name=\"item_meta[44]\" id=\"field_6kub2\"  data-reqmsg=\"Preferred Time cannot be blank.\" aria-required=\"true\" data-invmsg=\"Time is invalid\" aria-invalid=\"false\"  ><option value=\"\"  selected='selected'><\/option><option value=\"8:00 AM\" >8:00 AM<\/option><option value=\"9:00 AM\" >9:00 AM<\/option><option value=\"10:00 AM\" >10:00 AM<\/option><option value=\"11:00 AM\" >11:00 AM<\/option><option value=\"12:00 PM\" >12:00 PM<\/option><option value=\"1:00 PM\" >1:00 PM<\/option><option value=\"2:00 PM\" >2:00 PM<\/option><option value=\"3:00 PM\" >3:00 PM<\/option><\/select>\r\n    \r\n    \r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_64_container\">\n\t\t\t<label for=\"field_psv6w\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_psv6w\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[64]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"AMx\/jUGAZTazRxqPja\/aEf7bbT2wcWD1IYdoEdau8hpSbZPuYJI9lsFELINF8vOX\" \/>\t\t<div id=\"cf-turnstile-fmdble-295239618\"\r\n\t\tclass=\"cf-turnstile\" \t\tdata-sitekey=\"0x4AAAAAAA5_uDjUxNg177bd\"\r\n\t\tdata-theme=\"light\"\r\n\t\tdata-language=\"auto\"\r\n\t\tdata-size=\"normal\"\r\n\t\tdata-retry=\"auto\" data-retry-interval=\"1000\"\r\n\t\tdata-action=\"formidable-form-4\"\r\n\t\t\t\tdata-appearance=\"always\"><\/div>\r\n\t\t\t<script>document.addEventListener(\"DOMContentLoaded\", function() { setTimeout(function(){ var e=document.getElementById(\"cf-turnstile-fmdble-295239618\"); e&&!e.innerHTML.trim()&&(turnstile.remove(\"#cf-turnstile-fmdble-295239618\"), turnstile.render(\"#cf-turnstile-fmdble-295239618\", {sitekey:\"0x4AAAAAAA5_uDjUxNg177bd\"})); }, 0); });<\/script>\r\n\t\t\t<br class=\"cf-turnstile-br cf-turnstile-br-fmdble-295239618\">\r\n\t\t\t\t<style>#cf-turnstile-fmdble-295239618 { margin-left: -15px; }<\/style>\r\n\t\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"   formnovalidate=\"formnovalidate\">Submit Maintenance Request<\/button>\r\n\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Request Service Company Name * First Name * Last Name * Address * City * State * Zip Code Phone Number * Email How can we help? Request Service, Calibration or Maintenace On: * Aspahalt Pavement Analyzer (APA) Asphalt Pavement Analyzer Jr. (APA Jr.) Asphalt Vibratory Compactor (AVC) Single Pugmill Double Pugmill Warm Mix Asphalt [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"wf_page_folders":[5],"class_list":["post-267","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pavementtechnology.com\/index.php\/wp-json\/wp\/v2\/pages\/267","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pavementtechnology.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pavementtechnology.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pavementtechnology.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pavementtechnology.com\/index.php\/wp-json\/wp\/v2\/comments?post=267"}],"version-history":[{"count":10,"href":"https:\/\/pavementtechnology.com\/index.php\/wp-json\/wp\/v2\/pages\/267\/revisions"}],"predecessor-version":[{"id":595,"href":"https:\/\/pavementtechnology.com\/index.php\/wp-json\/wp\/v2\/pages\/267\/revisions\/595"}],"wp:attachment":[{"href":"https:\/\/pavementtechnology.com\/index.php\/wp-json\/wp\/v2\/media?parent=267"}],"wp:term":[{"taxonomy":"wf_page_folders","embeddable":true,"href":"https:\/\/pavementtechnology.com\/index.php\/wp-json\/wp\/v2\/wf_page_folders?post=267"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}