{"id":4605,"date":"2021-12-20T08:30:00","date_gmt":"2021-12-20T08:30:00","guid":{"rendered":"https:\/\/mulemenprd.wpengine.com\/apoio-ao-pedido\/"},"modified":"2022-03-25T10:05:29","modified_gmt":"2022-03-25T10:05:29","slug":"apoio-ao-pedido","status":"publish","type":"page","link":"https:\/\/mulemen.org\/pt-pt\/apoio-ao-pedido\/","title":{"rendered":"Apoio ao Pedido"},"content":{"rendered":"<p><img decoding=\"async\" src=\"\/wp-content\/uploads\/2021\/12\/Mule-request-support.png\" alt=\"\"><\/p>\n<div>\n<div><div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_4_container\" data-token=\"489368a305744368a9893097d90d8153\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form \" id=\"form_requestsupport\"  data-token=\"489368a305744368a9893097d90d8153\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Request Support<\/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=\"requestsupport\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_4\" name=\"frm_submit_entry_4\" value=\"4ec70b83bf\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/pt-pt\/wp-json\/wp\/v2\/pages\/4605\" \/><div id=\"frm_field_23_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_i86ls\" id=\"field_i86ls_label\" class=\"frm_primary_label\">Organization Name:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_i86ls\" name=\"item_meta[23]\" value=\"\"  placeholder=\"Enter your organization\u2019s name.\" data-reqmsg=\"This field 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_25_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_kyilt\" id=\"field_kyilt_label\" class=\"frm_primary_label\">Organization Type\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[25]\" id=\"field_kyilt\"  data-frmval=\"None\" data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Organization Type is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Business\">Business<\/option><option  value=\"Government\">Government<\/option><option  value=\"Non-profit\">Non-profit<\/option><option  value=\"Individual\">Individual<\/option><option  value=\"None\" selected='selected'>None<\/option>\t<\/select>\n\t\r\n    <div class=\"frm_description\" id=\"frm_desc_field_kyilt\">Select the category that best describes your organization.<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_26_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_apyo7\" id=\"field_apyo7_label\" class=\"frm_primary_label\">Crisis:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_apyo7\" name=\"item_meta[26]\" value=\"\"  placeholder=\"Name the specific crisis for which you are making this request. If you are supporting ongoing humanitarian efforts, please say so.\" data-reqmsg=\"This field 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_47_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_1e1wv\" id=\"field_1e1wv_label\" class=\"frm_primary_label\">Contact Name:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_1e1wv\" name=\"item_meta[47]\" value=\"\"  placeholder=\"Enter the first and last name of the point of contact for this request.\" data-reqmsg=\"This field 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_24_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <label for=\"field_hw2n2\" id=\"field_hw2n2_label\" class=\"frm_primary_label\">Contact Email\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_hw2n2\" name=\"item_meta[24]\" value=\"\"  placeholder=\"Enter the email of the point of contact for this request.\" data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_48_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_o2air\" id=\"field_o2air_label\" class=\"frm_primary_label\">Contact Phone:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_o2air\" name=\"item_meta[48]\" value=\"\"  placeholder=\"Enter the phone of the point of contact for this request.\" data-reqmsg=\"This field 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_29_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_n348s\" id=\"field_n348s_label\" class=\"frm_primary_label\">Transportation Payment:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[29]\" id=\"field_n348s\"  data-frmval=\"New Option\" data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Transportation Payment: is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Donated\">Donated<\/option><option  value=\"Paid\">Paid<\/option><option  value=\"Discounted\">Discounted<\/option><option  value=\"Unknown\">Unknown<\/option><option  value=\"Other\">Other<\/option><option  value=\"None\">None<\/option>\t<\/select>\n\t\r\n    <div class=\"frm_description\" id=\"frm_desc_field_n348s\">Are you seeking Donated or Paid transportation services?<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_51_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_c9aed\" id=\"field_c9aed_label\" class=\"frm_primary_label\">From Whom Else Have You Requested Support:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[51]\" id=\"field_c9aed\" rows=\"2\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"From Whom Else Have You Requested Support: is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_30_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_548d\" id=\"field_548d_label\" class=\"frm_primary_label\">End Recipient\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_548d\" name=\"item_meta[30]\" value=\"\"  data-reqmsg=\"This field 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_31_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_l1e02\" id=\"field_l1e02_label\" class=\"frm_primary_label\">Transportation Type:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[31]\" id=\"field_l1e02\"  data-frmval=\"New Option\" data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Transportation Type: is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Ground Transportation\">Ground Transportation<\/option><option  value=\"Air Transportation for Supplies\">Air Transportation for Supplies<\/option><option  value=\"Air Transportation for Personnel\">Air Transportation for Personnel<\/option><option  value=\"Ocean Transportation\">Ocean Transportation<\/option><option  value=\"I don&#039;t Know\">I don&#039;t Know<\/option><option  value=\"Other\">Other<\/option><option  value=\"None\">None<\/option>\t<\/select>\n\t\r\n    <div class=\"frm_description\" id=\"frm_desc_field_l1e02\">What Type of Transportation are you seeking?<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_52_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_74iwi\" id=\"field_74iwi_label\" class=\"frm_primary_label\">Description\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[52]\" id=\"field_74iwi\" rows=\"3\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Description is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_53_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_vq9sp\" id=\"field_vq9sp_label\" class=\"frm_primary_label\">Origin Street Address:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_vq9sp\" name=\"item_meta[53]\" value=\"\"  data-reqmsg=\"This field 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_half\">\r\n    <label for=\"field_h3q5b\" id=\"field_h3q5b_label\" class=\"frm_primary_label\">Origin City:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_h3q5b\" name=\"item_meta[32]\" value=\"\"  data-reqmsg=\"This field 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_55_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_wmzod\" id=\"field_wmzod_label\" class=\"frm_primary_label\">Origin State\/Province:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_wmzod\" name=\"item_meta[55]\" value=\"\"  data-reqmsg=\"This field 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_56_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_gig1f\" id=\"field_gig1f_label\" class=\"frm_primary_label\">Origin Postal Code:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_gig1f\" name=\"item_meta[56]\" value=\"\"  data-reqmsg=\"This field 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_57_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_1bnt8\" id=\"field_1bnt8_label\" class=\"frm_primary_label\">Origin Contact:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_1bnt8\" name=\"item_meta[57]\" value=\"\"  data-reqmsg=\"This field 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_59_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_aa4ri\" id=\"field_aa4ri_label\" class=\"frm_primary_label\">Origin Dock: \r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[59]\" id=\"field_aa4ri\"  data-frmval=\"New Option\" data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Origin Dock:  is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"The Origin Has A Dock\">The Origin Has A Dock<\/option><option  value=\"The Origin Does Not Have A Dock\">The Origin Does Not Have A Dock<\/option><option  value=\"None\">None<\/option>\t<\/select>\n\t\r\n    <div class=\"frm_description\" id=\"frm_desc_field_aa4ri\">Does the Origin have a dock?<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_33_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_l675k\" id=\"field_l675k_label\" class=\"frm_primary_label\">Destination Street Address:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_l675k\" name=\"item_meta[33]\" value=\"\"  data-reqmsg=\"This field 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_60_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_catyx\" id=\"field_catyx_label\" class=\"frm_primary_label\">Destination City\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_catyx\" name=\"item_meta[60]\" value=\"\"  data-reqmsg=\"This field 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_62_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_xo5d1\" id=\"field_xo5d1_label\" class=\"frm_primary_label\">Destination State\/Province:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_xo5d1\" name=\"item_meta[62]\" value=\"\"  data-reqmsg=\"This field 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_61_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_g9eb3\" id=\"field_g9eb3_label\" class=\"frm_primary_label\">Destination Postal Code:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_g9eb3\" name=\"item_meta[61]\" value=\"\"  data-reqmsg=\"This field 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_64_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_116rw\" id=\"field_116rw_label\" class=\"frm_primary_label\">Destination Contact:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_116rw\" name=\"item_meta[64]\" value=\"\"  data-reqmsg=\"This field 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_63_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_k7e9e\" id=\"field_k7e9e_label\" class=\"frm_primary_label\">Destination Dock:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[63]\" id=\"field_k7e9e\"  data-frmval=\"New Option\" data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Destination Dock: is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"The Origin Has A Dock\">The Origin Has A Dock<\/option><option  value=\"The Origin Does Not Have A Dock\">The Origin Does Not Have A Dock<\/option><option  value=\"None\">None<\/option>\t<\/select>\n\t\r\n    <div class=\"frm_description\" id=\"frm_desc_field_k7e9e\"> Does the Destination have a dock?<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_35_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_knimo\" id=\"field_knimo_label\" class=\"frm_primary_label\">Items to be shipped\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[35]\" id=\"field_knimo\" rows=\"2\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Items to be shipped is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_66_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_5a6dy\" id=\"field_5a6dy_label\" class=\"frm_primary_label\">Packaging:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[66]\" id=\"field_5a6dy\"  data-frmval=\"None\" data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Packaging: is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Palletized\">Palletized<\/option><option  value=\"Boxes\">Boxes<\/option><option  value=\"Supersacks\">Supersacks<\/option><option  value=\"Loose\">Loose<\/option><option  value=\"Other\">Other<\/option><option  value=\"None\" selected='selected'>None<\/option>\t<\/select>\n\t\r\n    <div class=\"frm_description\" id=\"frm_desc_field_5a6dy\">How are the items packaged?<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_67_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_eg86o\" id=\"field_eg86o_label\" class=\"frm_primary_label\">Number of Items:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_eg86o\" name=\"item_meta[67]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" 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_36_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_a1lee\" id=\"field_a1lee_label\" class=\"frm_primary_label\">Please list the weights and dimensions:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[36]\" id=\"field_a1lee\" rows=\"2\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please list the weights and dimensions: is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_37_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_yqy9a\" id=\"field_yqy9a_label\" class=\"frm_primary_label\">Please list any hazardous materials like soap \/ hand sanitizer:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[37]\" id=\"field_yqy9a\" rows=\"2\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please list any hazardous materials like soap \/ hand sanitizer: is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_68_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_bpyja\" id=\"field_bpyja_label\" class=\"frm_primary_label\">Is special handling required (oversize items, lift gate, etc?)\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[68]\" id=\"field_bpyja\" rows=\"2\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Is special handling required (oversize items, lift gate, etc?) is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_69_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_yrswi\" id=\"field_yrswi_label\" class=\"frm_primary_label\">What else should we know about this shipment?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[69]\" id=\"field_yrswi\" rows=\"5\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"What else should we know about this shipment? is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_74_container\" class=\"frm_form_field form-field  frm_none_container\">\n    <label for=\"g-recaptcha-response\" id=\"field_fkjub_label\" class=\"frm_primary_label\">reCAPTCHA\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <div id=\"field_fkjub\" class=\"g-recaptcha\" data-sitekey=\"6LdN2rcjAAAAAJPSS2zuRIJkMB5jtWg83asOu_ZV\" data-size=\"invisible\" data-theme=\"light\" data-callback=\"frmAfterRecaptcha\"><\/div>\n    \n    \n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t\t<div class=\"frm__655ba2544eaab\">\n\t\t\t\t<label for=\"frm_email_4\" >\n\t\t\t\t\tIf you are human, leave this field blank.\t\t\t\t<\/label>\n\t\t\t\t<input  id=\"frm_email_4\" type=\"text\" class=\"frm_verify\" name=\"frm__655ba2544eaab\" value=\"\" autocomplete=\"false\"  \/>\n\t\t\t<\/div>\n\t\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit\" type=\"submit\"  >Submit<\/button>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n<\/div>\n<\/div>\n<p><!--more--><br \/>\n<!-- 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