{"id":3093,"date":"2024-09-24T14:25:32","date_gmt":"2024-09-24T14:25:32","guid":{"rendered":"https:\/\/bright-hub.com.ng\/wp\/?page_id=3093"},"modified":"2024-09-24T14:36:39","modified_gmt":"2024-09-24T14:36:39","slug":"pro-remedy-order-form","status":"publish","type":"page","link":"https:\/\/bright-hub.com.ng\/wp\/pro-remedy-order-form\/","title":{"rendered":"PRO-Remedy ORDER FORM"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3093\" class=\"elementor elementor-3093\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8b315f5 e-flex e-con-boxed e-con e-parent\" data-id=\"8b315f5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-f47baf3 e-flex e-con-boxed e-con e-child\" data-id=\"f47baf3\" 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-00898b2 elementor-widget elementor-widget-text-editor\" data-id=\"00898b2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fe46718 e-flex e-con-boxed e-con e-parent\" data-id=\"fe46718\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" data-core-v316-plus=\"true\"><div class=\"e-con-inner\"><div class=\"elementor-element elementor-element-bff9b8b elementor-widget elementor-widget-text-editor\" data-id=\"bff9b8b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\"><div class=\"elementor-widget-container\"><div><div style=\"text-align: center;\"><strong>HOW TO PLACE YOUR ORDER:<\/strong><\/div><div style=\"text-align: center;\">\u00a0<\/div><div style=\"text-align: center;\"><strong>Please fill the form below with your details and our delivery personnel will contact you with your package.<\/strong><\/div><div style=\"text-align: center;\">\u00a0<\/div><div style=\"text-align: center;\"><p><strong>PLEASE DO NOT FILL THE FORM IF YOU ARE NOT READY TO RECEIVE\u00a0AND PAY FOR YOUR PACKAGE OR\u00a0IF YOU WILL BE TRAVELING OUT OF TOWN.<\/strong><\/p><div>WE ONLY DEAL WITH SERIOUS CUSTOMERS SO PLEASE MAKE SURE THAT YOU ARE READY TO PAY WHEN THE ITEM IS DELIVERED\u2026<\/div><div>\u00a0<\/div><div>PLEASE DON\u2019T ORDER TO CHECK FOR PRICE, THE PRICE IS ALREADY THERE<\/div><div>\u00a0<\/div><div><strong>PLEASE DON\u2019T ORDER IF YOU ARE EXPECTING MONEY<\/strong><\/div><div>\u00a0<\/div><div>PLEASE DON\u2019T ORDER IF YOU NEED TO ASK YOUR SPOUSE BEFORE SPENDING (ASK HIM OR HER FIRST THEN ORDER)<\/div><div>\u00a0<\/div><div><strong>PLEASE WE DON\u2019T HAVE ANY DISCOUNT AS THIS PRICE IS FINAL<\/strong><\/div><div>\u00a0<\/div><div>PAYMENT IS ON DELIVERY<\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"elementor-element elementor-element-e47f374 e-flex e-con-boxed e-con e-parent\" style=\"text-align: center;\" data-id=\"e47f374\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" data-core-v316-plus=\"true\"><div class=\"e-con-inner\"><div class=\"elementor-element elementor-element-861077b elementor-widget elementor-widget-text-editor\" data-id=\"861077b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\"><div class=\"elementor-widget-container\"><h3><strong>KINDLY FILL THE ORDER FORM BELOW TO ORDER NOW<\/strong><\/h3><\/div><\/div><\/div><\/div><div class=\"elementor-element elementor-element-a7fbcd8 e-flex e-con-boxed e-con e-parent\" data-id=\"a7fbcd8\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" data-core-v316-plus=\"true\"><div class=\"e-con-inner\"><div class=\"elementor-element elementor-element-e35d818 elementor-widget elementor-widget-shortcode\" data-id=\"e35d818\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\"><div class=\"elementor-widget-container\"><div class=\"elementor-shortcode\"><div class=\"fluentform ff-default fluentform_wrapper_3 ffs_default_wrap\" style=\"text-align: center;\">\u00a0<\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6b3741c e-flex e-con-boxed e-con e-child\" data-id=\"6b3741c\" 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-a4031b4 fluentform-widget-submit-button-custom elementor-widget elementor-widget-fluent-form-widget\" data-id=\"a4031b4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"fluent-form-widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n            <div class=\"fluentform-widget-wrapper fluentform-widget-align-default\">\n\n            \n            <div class='fluentform ff-default fluentform_wrapper_10 ffs_default_wrap'><form data-form_id=\"10\" id=\"fluentform_10\" class=\"frm-fluent-form fluent_form_10 ff-el-form-top ff_form_instance_10_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_10_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Pro-remedy Form<\/legend><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"24\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><input type='hidden' name='__fluent_form_embded_post_id' value='3093' \/><input type=\"hidden\" id=\"_fluentform_10_fluentformnonce\" name=\"_fluentform_10_fluentformnonce\" value=\"7ecfc31028\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp\/wp-json\/wp\/v2\/pages\/3093\" \/><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_10_input_text' id='label_ff_10_input_text' aria-label=\"FULL NAME\">FULL NAME <\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_10_input_text\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_10_input_text_1' id='label_ff_10_input_text_1' aria-label=\"DELIVERY ADDRESS\">DELIVERY ADDRESS<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" data-name=\"input_text_1\" id=\"ff_10_input_text_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_10_dropdown' id='label_ff_10_dropdown' aria-label=\"CHOICE DATE OF DELIVERY\">CHOICE DATE OF DELIVERY<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_10_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_10_dropdown\"><option value=\"\">- Select -<\/option><option value=\"DELIVER FOR ME IMMEDIATELY\"  >DELIVER FOR ME IMMEDIATELY<\/option><option value=\"I NEED IT TOMORROW\"  >I NEED IT TOMORROW<\/option><option value=\"DELIVER FOR ME IN 2DAYS TIME\"  >DELIVER FOR ME IN 2DAYS TIME<\/option><option value=\"DELIVER FOR ME IN 3DAYS FROM NOW\"  >DELIVER FOR ME IN 3DAYS FROM NOW<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_10_input_text_2' id='label_ff_10_input_text_2' aria-label=\"WHATSAPP NUMBER\">WHATSAPP NUMBER<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_2\" class=\"ff-el-form-control\" data-name=\"input_text_2\" id=\"ff_10_input_text_2\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_10_input_text_4' id='label_ff_10_input_text_4' aria-label=\"ALTERNATIVE PHONE NUMBER[OPTIONAL]\">ALTERNATIVE PHONE NUMBER[OPTIONAL]<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_4\" class=\"ff-el-form-control\" data-name=\"input_text_4\" id=\"ff_10_input_text_4\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_10_input_text_3' id='label_ff_10_input_text_3' aria-label=\"CITY\/STATE\">CITY\/STATE<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_3\" class=\"ff-el-form-control\" data-name=\"input_text_3\" id=\"ff_10_input_text_3\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"COST PRICE\">COST PRICE<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_5d5a1a47e449fed3caa3f8ca8b691f65'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"SLIVER PACK COST =#47,500\"  id='checkbox_5d5a1a47e449fed3caa3f8ca8b691f65' aria-label='SLIVER PACK COST =#47,500' aria-invalid='false' aria-required=true> <span>SLIVER PACK COST =#47,500<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_20af80759727ce49aca86b287c3388f9'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"GOLD PACK COST =#76,500\"  id='checkbox_20af80759727ce49aca86b287c3388f9' aria-label='GOLD PACK COST =#76,500' aria-invalid='false' aria-required=true> <span>GOLD PACK COST =#76,500<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_068923e36fce71816d11bd2d023dc8d0'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"DIAMOND PACK COST ==#109,000\"  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your package.\u00a0 PLEASE DO NOT FILL THE FORM IF YOU ARE NOT READY TO RECEIVE\u00a0AND PAY FOR YOUR PACKAGE OR\u00a0IF YOU WILL BE TRAVELING OUT OF TOWN. WE ONLY DEAL WITH SERIOUS CUSTOMERS SO PLEASE [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_canvas","meta":{"footnotes":""},"class_list":["post-3093","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/bright-hub.com.ng\/wp\/wp-json\/wp\/v2\/pages\/3093","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bright-hub.com.ng\/wp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bright-hub.com.ng\/wp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bright-hub.com.ng\/wp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bright-hub.com.ng\/wp\/wp-json\/wp\/v2\/comments?post=3093"}],"version-history":[{"count":4,"href":"https:\/\/bright-hub.com.ng\/wp\/wp-json\/wp\/v2\/pages\/3093\/revisions"}],"predecessor-version":[{"id":3097,"href":"https:\/\/bright-hub.com.ng\/wp\/wp-json\/wp\/v2\/pages\/3093\/revisions\/3097"}],"wp:attachment":[{"href":"https:\/\/bright-hub.com.ng\/wp\/wp-json\/wp\/v2\/media?parent=3093"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}