{"id":2568,"date":"2018-08-21T10:12:09","date_gmt":"2018-08-21T10:12:09","guid":{"rendered":"https:\/\/www.triadtelecom.com\/?page_id=2568"},"modified":"2018-10-02T12:27:07","modified_gmt":"2018-10-02T12:27:07","slug":"new-customer-order-form","status":"publish","type":"page","link":"https:\/\/www.triadtelecom.com\/new-customer-order-form\/","title":{"rendered":"New Customer Order Form"},"content":{"rendered":"<p>[vc_row el_id=&#8221;mainsection&#8221;][vc_column]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2569-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"2569\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wp-json\/wp\/v2\/pages\/2568#wpcf7-f2569-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=\"2569\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2569-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<p><label>Company Name<span class=\"wpcf7-form-control-wrap\" data-name=\"CompanyName\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"CompanyName\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"CompanyName\" \/><\/span><\/label><label>Billing Address<span class=\"wpcf7-form-control-wrap\" data-name=\"text-91\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"BillingAddress\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-91\" \/><\/span><\/label><label>Billing City<span class=\"wpcf7-form-control-wrap\" data-name=\"text-299\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"BillingCity\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-299\" \/><\/span><\/label><label>State<span class=\"wpcf7-form-control-wrap\" data-name=\"text-65\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"State\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-65\" \/><\/span><\/label><label>ZIP<span class=\"wpcf7-form-control-wrap\" data-name=\"text-646\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"ZIP\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-646\" \/><\/span><\/label><label>Single Location or Multiple Location<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-838\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"SingleLocationorMultipleLocation\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-838\"><option value=\"Single\">Single<\/option><option value=\"Multiple\">Multiple<\/option><\/select><\/span><\/label>Physical Address and Phone Number(s) for 911 Emergency Services. Please use one number per location.<br \/>\nEx. 3365551010<br \/>\n123 Anywhere St<br \/>\nCityville, NC 123456<br \/>\n<label><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-935\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"textarea-935\"><\/textarea><\/span><\/label><label>Please enter the caller ID name (up to 15 characters including spaces) that you would like passed with your number when placing calls<span class=\"wpcf7-form-control-wrap\" data-name=\"text-109\"><input size=\"40\" maxlength=\"16\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"LIDB\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-109\" \/><\/span><\/label>Phonebook and 411 Information Listing NOTE, if left blank, you will not be listed<label>Phone number to list<span class=\"wpcf7-form-control-wrap\" data-name=\"text-555\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"DL-Number\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-555\" \/><\/span><\/label><label>Name you would like your company listed as<span class=\"wpcf7-form-control-wrap\" data-name=\"text-701\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"DLName\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-701\" \/><\/span><\/label><label>Enter the complete address to be listed including Street, City, State, & ZIP:<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-134\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" id=\"DL-Address\" aria-required=\"true\" aria-invalid=\"false\" name=\"textarea-134\"><\/textarea><\/span><\/label><label>Billing Contact Name<span class=\"wpcf7-form-control-wrap\" data-name=\"text-564\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"billcontact\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-564\" \/><\/span><\/label><label>Billing Contact Phone<span class=\"wpcf7-form-control-wrap\" data-name=\"text-427\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"billphone\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-427\" \/><\/span><\/label><label>Billing Contact Email<span class=\"wpcf7-form-control-wrap\" data-name=\"email-263\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" id=\"billemail\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-263\" \/><\/span><\/label><label>Technical Contact Name<span class=\"wpcf7-form-control-wrap\" data-name=\"text-951\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"techcontact\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-951\" \/><\/span><\/label><label>Technical Contact Phone<span class=\"wpcf7-form-control-wrap\" data-name=\"text-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"techphone\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-2\" \/><\/span><\/label><label>Technical Contact Email<span class=\"wpcf7-form-control-wrap\" data-name=\"email-562\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" id=\"techemail\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-562\" \/><\/span><\/label><label>Type of Service Requested<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-846\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"trunktype\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-846\"><option value=\"Static IP Based SIP Trunk\">Static IP Based SIP Trunk<\/option><option value=\"Registration SIP Trunk(preferred)\">Registration SIP Trunk(preferred)<\/option><option value=\"Hosted\/PBXreach\">Hosted\/PBXreach<\/option><\/select><\/span><\/label><label>Your Primary IP Address for SIP Peering (enter n\/a if you chose \u2018SIP Registration or Hosted\/PBXreach\u2019 above)<span class=\"wpcf7-form-control-wrap\" data-name=\"text-762\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"primaryip\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-762\" \/><\/span><\/label><label>Your Secondary\/Failover IP Address for SIP Peering (not required)<span class=\"wpcf7-form-control-wrap\" data-name=\"text-619\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"secondip\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-619\" \/><\/span><\/label><label>Please enter any special order notes that you would like the provisioning team to review<span class=\"wpcf7-form-control-wrap\" data-name=\"text-736\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"notes\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-736\" \/><\/span><\/label><label>Authorized By<span class=\"wpcf7-form-control-wrap\" data-name=\"text-767\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"authorizeBy\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-767\" \/><\/span><\/label><div id=\"cf7sr-6a279d12161e3\" class=\"cf7sr-g-recaptcha\" data-theme=\"light\" data-type=\"image\" data-size=\"normal\" data-sitekey=\"6Lfhg40UAAAAANxw-J-RFm3DBIXZV7qcca9JAkuP\"><\/div><span class=\"wpcf7-form-control-wrap cf7sr-recaptcha\" data-name=\"cf7sr-recaptcha\"><input type=\"hidden\" name=\"cf7sr-recaptcha\" value=\"\" class=\"wpcf7-form-control\"><\/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=\"173\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row el_id=&#8221;mainsection&#8221;][vc_column][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2568","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.triadtelecom.com\/wp-json\/wp\/v2\/pages\/2568","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.triadtelecom.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.triadtelecom.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.triadtelecom.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.triadtelecom.com\/wp-json\/wp\/v2\/comments?post=2568"}],"version-history":[{"count":2,"href":"https:\/\/www.triadtelecom.com\/wp-json\/wp\/v2\/pages\/2568\/revisions"}],"predecessor-version":[{"id":2900,"href":"https:\/\/www.triadtelecom.com\/wp-json\/wp\/v2\/pages\/2568\/revisions\/2900"}],"wp:attachment":[{"href":"https:\/\/www.triadtelecom.com\/wp-json\/wp\/v2\/media?parent=2568"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}