{"id":134,"date":"2016-02-02T10:40:55","date_gmt":"2016-02-02T15:40:55","guid":{"rendered":"http:\/\/avh.doublev.ca\/en\/?page_id=134"},"modified":"2016-02-02T10:41:22","modified_gmt":"2016-02-02T15:41:22","slug":"quote-request","status":"publish","type":"page","link":"https:\/\/lampesmedicales.avh.qc.ca\/en\/quote-request\/","title":{"rendered":"Quote request"},"content":{"rendered":"\n                <div class='gf_browser_gecko gform_wrapper quoteform_wrapper' id='gform_wrapper_2' ><a id='gf_2' class='gform_anchor' ><\/a><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_2' id='gform_2' class='quoteform' action='\/en\/wp-json\/wp\/v2\/pages\/134#gf_2'>\n                        <div class='gform_heading'>\n                            <span class='gform_description'><\/span>\n                        <\/div>\n                        <div class='gform_body'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below'><li id='field_2_16' class='gfield field_admin_only nom_produit field_sublabel_below field_description_below gfield_visibility_administrative' ><input name='input_16' id='input_2_16' class='gform_hidden' type='hidden' value=''\/><\/li><li id='field_2_17' class='gfield field_admin_only qte_produit field_sublabel_below field_description_below gfield_visibility_administrative' ><input name='input_17' id='input_2_17' class='gform_hidden' type='hidden' value=''\/><\/li><li id='field_2_6' class='gfield gf_list_inline field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  ><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_6'><li class='gchoice_2_6_0'><input name='input_6' type='radio' value='New customer'  id='choice_2_6_0' tabindex='1'    \/><label for='choice_2_6_0' id='label_2_6_0'>New customer<\/label><\/li><li class='gchoice_2_6_1'><input name='input_6' type='radio' value='Returning customer'  id='choice_2_6_1' tabindex='2'    \/><label for='choice_2_6_1' id='label_2_6_1'>Returning customer<\/label><\/li><\/ul><\/div><\/li><li id='field_2_9' class='gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_9' >First name<\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_2_9' type='text' value='' class='large'  tabindex='3'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_11' class='gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_11' >Last name<\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_2_11' type='text' value='' class='large'  tabindex='4'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_8' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_8' >Company<\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_2_8' type='text' value='' class='large'  tabindex='5'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_14' class='gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_14' >Address<\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_2_14' type='text' value='' class='large'  tabindex='6'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_15' class='gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_15' >City<\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_2_15' type='text' value='' class='large'  tabindex='7'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_10' class='gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_10' >Province<\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_2_10'  class='medium gfield_select' tabindex='8'   aria-invalid=\"false\"><option value='Alberta' >Alberta<\/option><option value='British Columbia' >British Columbia<\/option><option value='Manitoba' >Manitoba<\/option><option value='New Brunswick' >New Brunswick<\/option><option value='Newfoundland and Labrador' >Newfoundland and Labrador<\/option><option value='Northwest Territories' >Northwest Territories<\/option><option value='Nova Scotia' >Nova Scotia<\/option><option value='Nunavut' >Nunavut<\/option><option value='Ontario' >Ontario<\/option><option value='Prince Edward Island' >Prince Edward Island<\/option><option value='Quebec' >Quebec<\/option><option value='Yukon' >Yukon<\/option><\/select><\/div><\/li><li id='field_2_5' class='gfield gf_right_half 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