apply-test.quickspark.com
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40.112.243.52
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URL:
https://apply-test.quickspark.com/
Submission Tags: @phishunt_io
Submission: On March 08 via api from DE — Scanned from DE
Submission Tags: @phishunt_io
Submission: On March 08 via api from DE — Scanned from DE
Form analysis 1 forms found in the DOM
<form novalidate="" id="lease-app" class="ng-untouched ng-pristine ng-invalid ng-star-inserted">
<div><p-steps class="p-element">
<div class="p-steps p-component">
<ul role="tablist">
<li role="tab" ptooltip="" class="p-element p-steps-item p-highlight p-steps-current ng-star-inserted" aria-selected="true" aria-expanded="true">
<a role="presentation" class="p-menuitem-link ng-star-inserted" tabindex="0"><span class="p-steps-number">1</span><span class="p-steps-title ng-star-inserted">Step 1</span><!----><!----></a><!----><!----></li>
<li role="tab" ptooltip="" class="p-element p-steps-item ng-star-inserted" aria-selected="false" aria-expanded="false">
<a role="presentation" class="p-menuitem-link ng-star-inserted" tabindex="0"><span class="p-steps-number">2</span><span class="p-steps-title ng-star-inserted">Step 2</span><!----><!----></a><!----><!----></li>
<li role="tab" ptooltip="" class="p-element p-steps-item ng-star-inserted" aria-selected="false" aria-expanded="false">
<a role="presentation" class="p-menuitem-link ng-star-inserted" tabindex="0"><span class="p-steps-number">3</span><span class="p-steps-title ng-star-inserted">Step 3</span><!----><!----></a><!----><!----></li><!---->
</ul>
</div>
</p-steps><p-card class="p-element mt-2">
<div class="p-card p-component"><!---->
<div class="p-card-body"><!----><!---->
<div class="p-card-content">
<div><business-info _nghost-jna-c49="">
<div _ngcontent-jna-c49="" class="container-fluid">
<div _ngcontent-jna-c49="" class="row">
<div _ngcontent-jna-c49="" class="col">
<h4 _ngcontent-jna-c49="" class="card-title">Business Info</h4>
</div>
</div>
<div _ngcontent-jna-c49="" class="row">
<div _ngcontent-jna-c49="" class="col-md-6"><qs-val-input _ngcontent-jna-c49="" name="businessName" label="Business Name *" aria-label="Business Name" errormessage="Please enter the business name." _nghost-jna-c69="">
<div _ngcontent-jna-c69="" class="form-floating"><input _ngcontent-jna-c69="" class="form-control ng-untouched ng-pristine ng-invalid" id="businessName" name="businessName" type="text" placeholder="Business Name *"><label
_ngcontent-jna-c69="" for="businessName">Business Name *</label><!----></div>
</qs-val-input></div>
<div _ngcontent-jna-c49="" class="col-md-6">
<div _ngcontent-jna-c49="" class="form-floating input-group"><input _ngcontent-jna-c49="" name="dbaName" aria-label="Doing Business As" id="dba" type="text" placeholder="DBA Name"
class="form-control ng-untouched ng-pristine ng-valid"><label _ngcontent-jna-c49="" for="dba">DBA Name</label><span _ngcontent-jna-c49=""
class="input-group-text"><i _ngcontent-jna-c49="" class="bi bi-question-circle"></i></span></div>
</div>
</div>
<div _ngcontent-jna-c49="" class="row">
<div _ngcontent-jna-c49="" class="col-md-6">
<div _ngcontent-jna-c49="" class="form-floating"><select _ngcontent-jna-c49="" name="businessType" aria-label="Business Type" id="businessType" class="form-select ng-untouched ng-pristine ng-invalid">
<option _ngcontent-jna-c49="" value="sole">Sole Proprietorship</option>
<option _ngcontent-jna-c49="" value="partner">Partnership</option>
<option _ngcontent-jna-c49="" value="llc">LLC</option>
<option _ngcontent-jna-c49="" value="corp">Corporation</option>
<option _ngcontent-jna-c49="" value="nonprofit">Non-Profit</option>
<option _ngcontent-jna-c49="" value="minicipal">Municipal</option>
<option _ngcontent-jna-c49="" value="federal">Federal</option>
</select><label _ngcontent-jna-c49="" for="businessType">Business Type *</label></div><!---->
</div>
<div _ngcontent-jna-c49="" class="col-md-6"><time-in-business _ngcontent-jna-c49="" _nghost-jna-c70="">
<div _ngcontent-jna-c70="">
<div _ngcontent-jna-c70="" class="d-flex flex-row justify-content-end align-items-center">
<div _ngcontent-jna-c70="" class="form-floating" style="flex-grow: 4; flex-basis: auto; min-width: 150px;"><input _ngcontent-jna-c70="" name="timeInBusiness" aria-label="Time in Business" id="timeInBusiness"
placeholder="Time in Business" class="form-control ng-untouched ng-pristine ng-invalid"><label _ngcontent-jna-c70="" for="timeInBusiness">Time in Business</label></div>
<div _ngcontent-jna-c70="" class="d-flex flex-row align-items-center" style="flex-wrap: wrap;">
<div _ngcontent-jna-c70="" class="px-2">
<div _ngcontent-jna-c70="" class="form-check"><input _ngcontent-jna-c70="" aria-label="Years" type="radio" id="years" value="years" class="form-check-input"><label _ngcontent-jna-c70="" for="years"
class="form-check-label">Years</label></div>
</div>
<div _ngcontent-jna-c70="" class="px-2">
<div _ngcontent-jna-c70="" class="form-check"><input _ngcontent-jna-c70="" type="radio" id="months" value="months" class="form-check-input"><label _ngcontent-jna-c70="" for="months"
class="form-check-label">Months</label></div>
</div>
</div>
</div><!---->
</div>
</time-in-business></div>
</div>
<div _ngcontent-jna-c49="" class="row">
<div _ngcontent-jna-c49="" class="col-md-6">
<div _ngcontent-jna-c49="" class="form-floating"><select _ngcontent-jna-c49="" id="credit" aria-label="Business Credit" class="form-select ng-untouched ng-pristine ng-valid">
<option _ngcontent-jna-c49="" value="no credit">No Biz Credit Yet</option>
<option _ngcontent-jna-c49="" value="excellent">Excellent</option>
<option _ngcontent-jna-c49="" value="fair">Fair</option>
<option _ngcontent-jna-c49="" value="poor">Poor</option>
</select><label _ngcontent-jna-c49="" for="credit">Business Credit</label></div>
</div>
<div _ngcontent-jna-c49="" class="col-md-6"><qs-input _ngcontent-jna-c49="" name="federalTaxId" field="federalTaxId" label="Federal Tax Id" id="federalTaxId" _nghost-jna-c60="">
<div _ngcontent-jna-c60="" class="form-floating"><input _ngcontent-jna-c60="" class="form-control ng-untouched ng-pristine ng-valid" id="federalTaxId" type="text" placeholder="Federal Tax Id"><label _ngcontent-jna-c60=""
for="federalTaxId">Federal Tax Id</label></div>
</qs-input></div>
</div><p-divider _ngcontent-jna-c49="" class="p-element">
<div role="separator" class="p-divider p-component p-divider-horizontal p-divider-solid p-divider-left">
<div class="p-divider-content"></div>
</div>
</p-divider><address-form _ngcontent-jna-c49="" id="biz" addresstitle="Business Address *" _nghost-jna-c46="">
<div _ngcontent-jna-c46="" class="row">
<div _ngcontent-jna-c46="" class="col-12"><qs-val-input _ngcontent-jna-c46="" errormessage="Please enter an address." _nghost-jna-c69="">
<div _ngcontent-jna-c69="" class="form-floating"><input _ngcontent-jna-c69="" class="form-control ng-untouched ng-pristine ng-invalid pac-target-input" id="biz_address1" name="biz_address1" type="text"
placeholder="Business Address *" autocomplete="off"><label _ngcontent-jna-c69="" for="biz_address1">Business Address *</label><!----></div>
</qs-val-input></div>
</div>
<div _ngcontent-jna-c46="" class="row">
<div _ngcontent-jna-c46="" class="col-sm-8 col-md-5"><qs-val-input _ngcontent-jna-c46="" label="City *" errormessage="Please enter a city." _nghost-jna-c69="">
<div _ngcontent-jna-c69="" class="form-floating"><input _ngcontent-jna-c69="" class="form-control ng-untouched ng-pristine ng-invalid" id="biz_city" name="biz_city" type="text" placeholder="City *"><label
_ngcontent-jna-c69="" for="biz_city">City *</label><!----></div>
</qs-val-input></div>
<div _ngcontent-jna-c46="" class="col-sm-4"><qs-states _ngcontent-jna-c46="" _nghost-jna-c61="" class="ng-tns-c61-0 ng-star-inserted">
<div _ngcontent-jna-c61="" class="form-floating ng-tns-c61-0"><select _ngcontent-jna-c61="" class="form-select ng-tns-c61-0 ng-untouched ng-pristine ng-invalid" id="biz_state" name="biz_state">
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="unknown"></option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="AL">Alabama</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="AK">Alaska</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="AZ">Arizona</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="AR">Arkansas</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="CA">California</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="CO">Colorado</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="CT">Connecticut</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="DE">Delaware</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="DC">District Of Columbia</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="FL">Florida</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="GA">Georgia</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="HI">Hawaii</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="ID">Idaho</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="IL">Illinois</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="IN">Indiana</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="IA">Iowa</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="KS">Kansas</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="KY">Kentucky</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="LA">Louisiana</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="ME">Maine</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="MD">Maryland</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="MA">Massachusetts</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="MI">Michigan</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="MN">Minnesota</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="MS">Mississippi</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="MO">Missouri</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="MT">Montana</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="NE">Nebraska</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="NV">Nevada</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="NH">New Hampshire</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="NJ">New Jersey</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="NM">New Mexico</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="NY">New York</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="NC">North Carolina</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="ND">North Dakota</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="OH">Ohio</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="OK">Oklahoma</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="OR">Oregon</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="PA">Pennsylvania</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="RI">Rhode Island</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="SC">South Carolina</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="SD">South Dakota</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="TN">Tennessee</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="TX">Texas</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="UT">Utah</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="VT">Vermont</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="VA">Virginia</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="WA">Washington</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="WV">West Virginia</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="WI">Wisconsin</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-0 ng-star-inserted" value="WY">Wyoming</option><!---->
</select><label _ngcontent-jna-c61="" class="ng-tns-c61-0" for="biz_state">State *</label></div><!---->
</qs-states></div>
<div _ngcontent-jna-c46="" class="col-md-3"><qs-val-input _ngcontent-jna-c46="" label="Zip *" errormessage="Please enter a zip code." _nghost-jna-c69="">
<div _ngcontent-jna-c69="" class="form-floating"><input _ngcontent-jna-c69="" class="form-control ng-untouched ng-pristine ng-invalid" id="biz_zip" name="biz_zip" type="text" placeholder="Zip *"><label _ngcontent-jna-c69=""
for="biz_zip">Zip *</label><!----></div>
</qs-val-input></div>
</div>
</address-form>
<div _ngcontent-jna-c49="" class="row mt-3">
<div _ngcontent-jna-c49="" class="col-md-6"><qs-val-input _ngcontent-jna-c49="" name="businessPhone" aria-label="Business Phone" id="businessPhone" label="Business Phone *" errormessage="Please enter the business phone."
_nghost-jna-c69="">
<div _ngcontent-jna-c69="" class="form-floating"><input _ngcontent-jna-c69="" class="form-control ng-untouched ng-pristine ng-invalid" id="businessPhone" name="businessPhone" type="text" placeholder="Business Phone *"><label
_ngcontent-jna-c69="" for="businessPhone">Business Phone *</label><!----></div>
</qs-val-input></div>
<div _ngcontent-jna-c49="" class="col-md-6"><qs-input _ngcontent-jna-c49="" name="businessFax" aria-label="Business Fax" id="businessFax" field="fax" label="Fax" _nghost-jna-c60="">
<div _ngcontent-jna-c60="" class="form-floating"><input _ngcontent-jna-c60="" class="form-control ng-untouched ng-pristine ng-valid" id="businessFax" type="text" placeholder="Fax"><label _ngcontent-jna-c60=""
for="businessFax">Fax</label></div>
</qs-input></div>
</div><p-divider _ngcontent-jna-c49="" class="p-element">
<div role="separator" class="p-divider p-component p-divider-horizontal p-divider-solid p-divider-left">
<div class="p-divider-content"></div>
</div>
</p-divider>
<div _ngcontent-jna-c49="" class="row">
<div _ngcontent-jna-c49="" class="col-12"><qs-input _ngcontent-jna-c49="" name="website" aria-label="Business Website" id="businessWebsite" field="website" label="Website" _nghost-jna-c60="">
<div _ngcontent-jna-c60="" class="form-floating"><input _ngcontent-jna-c60="" class="form-control ng-untouched ng-pristine ng-valid" id="website" type="text" placeholder="Website"><label _ngcontent-jna-c60=""
for="website">Website</label></div>
</qs-input></div>
</div>
<div _ngcontent-jna-c49="" class="row">
<div _ngcontent-jna-c49="" class="col-12"><qs-input _ngcontent-jna-c49="" name="comments" aria-label="Comments" id="comments" field="comments" label="Comments" _nghost-jna-c60="">
<div _ngcontent-jna-c60="" class="form-floating"><input _ngcontent-jna-c60="" class="form-control ng-untouched ng-pristine ng-valid" id="comments" type="text" placeholder="Comments"><label _ngcontent-jna-c60=""
for="comments">Comments</label></div>
</qs-input></div>
</div>
<div _ngcontent-jna-c49="" class="row">
<div _ngcontent-jna-c49="" class="col-12">
<div _ngcontent-jna-c49="" class="form-floating"><select _ngcontent-jna-c49="" id="salesContact" aria-label="Sales Contact" class="form-select ng-untouched ng-pristine ng-valid">
<option _ngcontent-jna-c49="" value="liz">Liz</option>
<option _ngcontent-jna-c49="" value="bill">Bill</option>
</select><label _ngcontent-jna-c49="" for="salesContact">Sales Contact</label></div>
</div>
</div>
</div>
</business-info>
<div class="container">
<div class="row"><p-divider class="p-element">
<div role="separator" class="p-divider p-component p-divider-horizontal p-divider-solid p-divider-left">
<div class="p-divider-content"></div>
</div>
</p-divider>
<div class="col-12 text-right"><button name="nextStep2" class="btn btn-primary">Next</button></div>
</div>
</div>
</div>
<div hidden=""><equipment-info _nghost-jna-c53="">
<div _ngcontent-jna-c53="" class="container-fluid">
<div _ngcontent-jna-c53="" class="row">
<div _ngcontent-jna-c53="" class="col-12">
<h4 _ngcontent-jna-c53="">Equipment Info</h4>
</div>
</div>
<div _ngcontent-jna-c53="" class="row">
<div _ngcontent-jna-c53="" class="col-md-6"><qs-input _ngcontent-jna-c53="" name="nameofequipment" field="nameofequipment" label="Name of Equipment" _nghost-jna-c60="">
<div _ngcontent-jna-c60="" class="form-floating"><input _ngcontent-jna-c60="" class="form-control ng-untouched ng-pristine ng-valid" id="nameofequipment" type="text" placeholder="Name of Equipment"><label _ngcontent-jna-c60=""
for="nameofequipment">Name of Equipment</label></div>
</qs-input></div>
<div _ngcontent-jna-c53="" class="col-md-6"><!----><equipment-cost _ngcontent-jna-c53="" _nghost-jna-c52="">
<div _ngcontent-jna-c52="" class="mb-2">
<div _ngcontent-jna-c52="" class="d-flex flex-row justify-content-end align-items-center">
<div _ngcontent-jna-c52="" style="flex-grow: 4; flex-basis: auto; min-width: 150px;">
<div _ngcontent-jna-c52="" class="input-group flex-nowrap"><span _ngcontent-jna-c52="" class="input-group-text"><i _ngcontent-jna-c52="" class="bi bi-currency-dollar"></i></span>
<div _ngcontent-jna-c52="" class="form-floating" style="flex-grow: 1;"><input _ngcontent-jna-c52="" id="equipmentCost" name="equipmentCost" type="text" placeholder="Equipment Cost"
class="form-control flat-start mr-2 ng-untouched ng-pristine ng-invalid"><label _ngcontent-jna-c52="" for="equipmentCost">Equipment Cost *</label></div>
</div>
</div>
<div _ngcontent-jna-c52="" class="d-flex flex-row align-items-center" style="flex-wrap: wrap;">
<div _ngcontent-jna-c52="" class="px-2">
<div _ngcontent-jna-c52="" class="form-check"><input _ngcontent-jna-c52="" type="radio" id="new" value="new" class="form-check-input"><label _ngcontent-jna-c52="" for="new" class="form-check-label">New</label></div>
</div>
<div _ngcontent-jna-c52="" class="px-2">
<div _ngcontent-jna-c52="" class="form-check"><input _ngcontent-jna-c52="" type="radio" id="used" value="used" class="form-check-input"><label _ngcontent-jna-c52="" for="used" class="form-check-label">Used</label>
</div>
</div>
</div>
</div><!---->
</div>
</equipment-cost></div>
</div>
<div _ngcontent-jna-c53="" class="row">
<div _ngcontent-jna-c53="" class="col-12"><!----><qs-val-textarea _ngcontent-jna-c53="" name="equipmentDesc" label="Description *" errormessage="Please enter equipment description." rows="5" _nghost-jna-c59="">
<div _ngcontent-jna-c59="" class="form-floating mb-2"><textarea _ngcontent-jna-c59="" required="" class="form-control ng-untouched ng-pristine ng-invalid" id="equipmentDesc" name="equipmentDesc" placeholder="Description *"
style="height: calc(8.75rem + 2px);"></textarea><label _ngcontent-jna-c59="" for="equipmentDesc">Description *</label><!----></div>
</qs-val-textarea></div>
</div><p-divider _ngcontent-jna-c53="" class="p-element">
<div role="separator" class="p-divider p-component p-divider-horizontal p-divider-solid p-divider-left">
<div class="p-divider-content"></div>
</div>
</p-divider>
<div _ngcontent-jna-c53="" class="row">
<div _ngcontent-jna-c53="" class="col-md-6"><address-same-as _ngcontent-jna-c53="" id="ship" addresstitle="Ship to Address" _nghost-jna-c47="">
<div _ngcontent-jna-c47="" class="form-group"><label _ngcontent-jna-c47="">Ship to Address</label>
<div _ngcontent-jna-c47="" class="form-check mb-2"><input _ngcontent-jna-c47="" type="radio" value="new" class="form-check-input mb-2" id="ship_sameAddress"><label _ngcontent-jna-c47="" class="form-check-label mb-2"
for="ship_sameAddress">Same as Business Address</label></div>
<div _ngcontent-jna-c47="" class="form-check mb-2"><input _ngcontent-jna-c47="" type="radio" value="used" class="form-check-input mb-2" id="ship_newAddress"><label _ngcontent-jna-c47="" class="form-check-label mb-2"
for="ship_newAddress">Other Address</label></div>
</div><address-form _ngcontent-jna-c47="" _nghost-jna-c46="" hidden="">
<div _ngcontent-jna-c46="" class="row">
<div _ngcontent-jna-c46="" class="col-12"><qs-val-input _ngcontent-jna-c46="" errormessage="Please enter an address." _nghost-jna-c69="">
<div _ngcontent-jna-c69="" class="form-floating"><input _ngcontent-jna-c69="" class="form-control ng-untouched ng-pristine pac-target-input" id="ship_address1" name="ship_address1" type="text"
placeholder="Ship to Address" disabled="" autocomplete="off"><label _ngcontent-jna-c69="" for="ship_address1">Ship to Address</label><!----></div>
</qs-val-input></div>
</div>
<div _ngcontent-jna-c46="" class="row">
<div _ngcontent-jna-c46="" class="col-sm-8 col-md-5"><qs-val-input _ngcontent-jna-c46="" label="City *" errormessage="Please enter a city." _nghost-jna-c69="">
<div _ngcontent-jna-c69="" class="form-floating"><input _ngcontent-jna-c69="" class="form-control ng-untouched ng-pristine" id="ship_city" name="ship_city" type="text" placeholder="City *" disabled=""><label
_ngcontent-jna-c69="" for="ship_city">City *</label><!----></div>
</qs-val-input></div>
<div _ngcontent-jna-c46="" class="col-sm-4"><qs-states _ngcontent-jna-c46="" _nghost-jna-c61="" class="ng-tns-c61-1 ng-star-inserted">
<div _ngcontent-jna-c61="" class="form-floating ng-tns-c61-1"><select _ngcontent-jna-c61="" class="form-select ng-tns-c61-1 ng-untouched ng-pristine" id="ship_state" name="ship_state" disabled="">
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="unknown"></option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="AL">Alabama</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="AK">Alaska</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="AZ">Arizona</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="AR">Arkansas</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="CA">California</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="CO">Colorado</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="CT">Connecticut</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="DE">Delaware</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="DC">District Of Columbia</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="FL">Florida</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="GA">Georgia</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="HI">Hawaii</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="ID">Idaho</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="IL">Illinois</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="IN">Indiana</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="IA">Iowa</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="KS">Kansas</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="KY">Kentucky</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="LA">Louisiana</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="ME">Maine</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="MD">Maryland</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="MA">Massachusetts</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="MI">Michigan</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="MN">Minnesota</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="MS">Mississippi</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="MO">Missouri</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="MT">Montana</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="NE">Nebraska</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="NV">Nevada</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="NH">New Hampshire</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="NJ">New Jersey</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="NM">New Mexico</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="NY">New York</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="NC">North Carolina</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="ND">North Dakota</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="OH">Ohio</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="OK">Oklahoma</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="OR">Oregon</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="PA">Pennsylvania</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="RI">Rhode Island</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="SC">South Carolina</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="SD">South Dakota</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="TN">Tennessee</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="TX">Texas</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="UT">Utah</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="VT">Vermont</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="VA">Virginia</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="WA">Washington</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="WV">West Virginia</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="WI">Wisconsin</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-1 ng-star-inserted" value="WY">Wyoming</option><!---->
</select><label _ngcontent-jna-c61="" class="ng-tns-c61-1" for="ship_state">State *</label></div><!---->
</qs-states></div>
<div _ngcontent-jna-c46="" class="col-md-3"><qs-val-input _ngcontent-jna-c46="" label="Zip *" errormessage="Please enter a zip code." _nghost-jna-c69="">
<div _ngcontent-jna-c69="" class="form-floating"><input _ngcontent-jna-c69="" class="form-control ng-untouched ng-pristine" id="ship_zip" name="ship_zip" type="text" placeholder="Zip *" disabled=""><label
_ngcontent-jna-c69="" for="ship_zip">Zip *</label><!----></div>
</qs-val-input></div>
</div>
</address-form>
</address-same-as></div>
<div _ngcontent-jna-c53="" class="col-md-6"><address-same-as _ngcontent-jna-c53="" id="loc" addresstitle="Equipment Location" _nghost-jna-c47="">
<div _ngcontent-jna-c47="" class="form-group"><label _ngcontent-jna-c47="">Equipment Location</label>
<div _ngcontent-jna-c47="" class="form-check mb-2"><input _ngcontent-jna-c47="" type="radio" value="new" class="form-check-input mb-2" id="loc_sameAddress"><label _ngcontent-jna-c47="" class="form-check-label mb-2"
for="loc_sameAddress">Same as Business Address</label></div>
<div _ngcontent-jna-c47="" class="form-check mb-2"><input _ngcontent-jna-c47="" type="radio" value="used" class="form-check-input mb-2" id="loc_newAddress"><label _ngcontent-jna-c47="" class="form-check-label mb-2"
for="loc_newAddress">Other Address</label></div>
</div><address-form _ngcontent-jna-c47="" _nghost-jna-c46="" hidden="">
<div _ngcontent-jna-c46="" class="row">
<div _ngcontent-jna-c46="" class="col-12"><qs-val-input _ngcontent-jna-c46="" errormessage="Please enter an address." _nghost-jna-c69="">
<div _ngcontent-jna-c69="" class="form-floating"><input _ngcontent-jna-c69="" class="form-control ng-untouched ng-pristine pac-target-input" id="loc_address1" name="loc_address1" type="text"
placeholder="Equipment Location" disabled="" autocomplete="off"><label _ngcontent-jna-c69="" for="loc_address1">Equipment Location</label><!----></div>
</qs-val-input></div>
</div>
<div _ngcontent-jna-c46="" class="row">
<div _ngcontent-jna-c46="" class="col-sm-8 col-md-5"><qs-val-input _ngcontent-jna-c46="" label="City *" errormessage="Please enter a city." _nghost-jna-c69="">
<div _ngcontent-jna-c69="" class="form-floating"><input _ngcontent-jna-c69="" class="form-control ng-untouched ng-pristine" id="loc_city" name="loc_city" type="text" placeholder="City *" disabled=""><label
_ngcontent-jna-c69="" for="loc_city">City *</label><!----></div>
</qs-val-input></div>
<div _ngcontent-jna-c46="" class="col-sm-4"><qs-states _ngcontent-jna-c46="" _nghost-jna-c61="" class="ng-tns-c61-2 ng-star-inserted">
<div _ngcontent-jna-c61="" class="form-floating ng-tns-c61-2"><select _ngcontent-jna-c61="" class="form-select ng-tns-c61-2 ng-untouched ng-pristine" id="loc_state" name="loc_state" disabled="">
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="unknown"></option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="AL">Alabama</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="AK">Alaska</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="AZ">Arizona</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="AR">Arkansas</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="CA">California</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="CO">Colorado</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="CT">Connecticut</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="DE">Delaware</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="DC">District Of Columbia</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="FL">Florida</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="GA">Georgia</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="HI">Hawaii</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="ID">Idaho</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="IL">Illinois</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="IN">Indiana</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="IA">Iowa</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="KS">Kansas</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="KY">Kentucky</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="LA">Louisiana</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="ME">Maine</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="MD">Maryland</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="MA">Massachusetts</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="MI">Michigan</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="MN">Minnesota</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="MS">Mississippi</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="MO">Missouri</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="MT">Montana</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="NE">Nebraska</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="NV">Nevada</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="NH">New Hampshire</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="NJ">New Jersey</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="NM">New Mexico</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="NY">New York</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="NC">North Carolina</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="ND">North Dakota</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="OH">Ohio</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="OK">Oklahoma</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="OR">Oregon</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="PA">Pennsylvania</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="RI">Rhode Island</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="SC">South Carolina</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="SD">South Dakota</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="TN">Tennessee</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="TX">Texas</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="UT">Utah</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="VT">Vermont</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="VA">Virginia</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="WA">Washington</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="WV">West Virginia</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="WI">Wisconsin</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-2 ng-star-inserted" value="WY">Wyoming</option><!---->
</select><label _ngcontent-jna-c61="" class="ng-tns-c61-2" for="loc_state">State *</label></div><!---->
</qs-states></div>
<div _ngcontent-jna-c46="" class="col-md-3"><qs-val-input _ngcontent-jna-c46="" label="Zip *" errormessage="Please enter a zip code." _nghost-jna-c69="">
<div _ngcontent-jna-c69="" class="form-floating"><input _ngcontent-jna-c69="" class="form-control ng-untouched ng-pristine" id="loc_zip" name="loc_zip" type="text" placeholder="Zip *" disabled=""><label
_ngcontent-jna-c69="" for="loc_zip">Zip *</label><!----></div>
</qs-val-input></div>
</div>
</address-form>
</address-same-as></div>
</div>
</div>
</equipment-info>
<div class="container">
<div class="row"><p-divider class="p-element">
<div role="separator" class="p-divider p-component p-divider-horizontal p-divider-solid p-divider-left">
<div class="p-divider-content"></div>
</div>
</p-divider>
<div class="col-6 text-left"><button name="prevStep1" class="btn btn-primary">Previous</button></div>
<div class="col-6 text-right"><button name="nextStep3" class="btn btn-primary">Next</button></div>
</div>
</div>
</div>
<div hidden=""><owner-info id="owner1" _nghost-jna-c57="">
<div _ngcontent-jna-c57="" class="container-fluid">
<div _ngcontent-jna-c57="" class="row">
<div _ngcontent-jna-c57="" class="col-12">
<h4 _ngcontent-jna-c57="">Owner Info</h4>
</div>
</div>
<div _ngcontent-jna-c57="" class="row">
<div _ngcontent-jna-c57="" class="col-md-6"><qs-val-input _ngcontent-jna-c57="" label="First Name *" errormessage="Please enter first name." _nghost-jna-c69="">
<div _ngcontent-jna-c69="" class="form-floating"><input _ngcontent-jna-c69="" class="form-control ng-untouched ng-pristine ng-invalid" id="owner1_firstName" name="owner1_firstName" type="text" placeholder="First Name *"><label
_ngcontent-jna-c69="" for="owner1_firstName">First Name *</label><!----></div>
</qs-val-input></div>
<div _ngcontent-jna-c57="" class="col-md-6"><qs-val-input _ngcontent-jna-c57="" label="Last Name *" errormessage="Please enter last name." _nghost-jna-c69="">
<div _ngcontent-jna-c69="" class="form-floating"><input _ngcontent-jna-c69="" class="form-control ng-untouched ng-pristine ng-invalid" id="owner1_lastName" name="owner1_lastName" type="text" placeholder="Last Name *"><label
_ngcontent-jna-c69="" for="owner1_lastName">Last Name *</label><!----></div>
</qs-val-input></div>
</div>
<div _ngcontent-jna-c57="" class="row">
<div _ngcontent-jna-c57="" class="col-md-9"><qs-input _ngcontent-jna-c57="" label="Title" field="title" _nghost-jna-c60="">
<div _ngcontent-jna-c60="" class="form-floating"><input _ngcontent-jna-c60="" class="form-control ng-untouched ng-pristine ng-valid" id="owner1_title" type="text" placeholder="Title"><label _ngcontent-jna-c60=""
for="owner1_title">Title</label></div>
</qs-input></div>
<div _ngcontent-jna-c57="" class="col-md-3"><qs-val-input _ngcontent-jna-c57="" label="Ownership % *" errormessage="Please enter ownership percentage. (0% - 100%)" _nghost-jna-c69="">
<div _ngcontent-jna-c69="" class="form-floating"><input _ngcontent-jna-c69="" class="form-control ng-untouched ng-pristine ng-invalid" id="owner1_ownershipPercent" name="owner1_ownershipPercent" type="text"
placeholder="Ownership % *"><label _ngcontent-jna-c69="" for="owner1_ownershipPercent">Ownership % *</label><!----></div>
</qs-val-input></div>
</div>
<div _ngcontent-jna-c57="" class="row">
<div _ngcontent-jna-c57="" class="col-md-6"><qs-val-input _ngcontent-jna-c57="" label="Email *" errormessage="Please enter email." _nghost-jna-c69="">
<div _ngcontent-jna-c69="" class="form-floating"><input _ngcontent-jna-c69="" class="form-control ng-untouched ng-pristine ng-invalid" id="owner1_email" name="owner1_email" type="text" placeholder="Email *"><label
_ngcontent-jna-c69="" for="owner1_email">Email *</label><!----></div>
</qs-val-input></div>
<div _ngcontent-jna-c57="" class="col-md-6"><qs-val-input _ngcontent-jna-c57="" label="Social Security Number *" errormessage="Please enter social security number." _nghost-jna-c69="">
<div _ngcontent-jna-c69="" class="form-floating"><input _ngcontent-jna-c69="" class="form-control ng-untouched ng-pristine ng-invalid" id="owner1_ssn" name="owner1_ssn" type="text" placeholder="Social Security Number *"><label
_ngcontent-jna-c69="" for="owner1_ssn">Social Security Number *</label><!----></div>
</qs-val-input></div>
</div><address-form _ngcontent-jna-c57="" _nghost-jna-c46="">
<div _ngcontent-jna-c46="" class="row">
<div _ngcontent-jna-c46="" class="col-12"><qs-val-input _ngcontent-jna-c46="" errormessage="Please enter an address." _nghost-jna-c69="">
<div _ngcontent-jna-c69="" class="form-floating"><input _ngcontent-jna-c69="" class="form-control ng-untouched ng-pristine ng-invalid pac-target-input" id="owner1_address1" name="owner1_address1" type="text"
placeholder="Address *" autocomplete="off"><label _ngcontent-jna-c69="" for="owner1_address1">Address *</label><!----></div>
</qs-val-input></div>
</div>
<div _ngcontent-jna-c46="" class="row">
<div _ngcontent-jna-c46="" class="col-sm-8 col-md-5"><qs-val-input _ngcontent-jna-c46="" label="City *" errormessage="Please enter a city." _nghost-jna-c69="">
<div _ngcontent-jna-c69="" class="form-floating"><input _ngcontent-jna-c69="" class="form-control ng-untouched ng-pristine ng-invalid" id="owner1_city" name="owner1_city" type="text" placeholder="City *"><label
_ngcontent-jna-c69="" for="owner1_city">City *</label><!----></div>
</qs-val-input></div>
<div _ngcontent-jna-c46="" class="col-sm-4"><qs-states _ngcontent-jna-c46="" _nghost-jna-c61="" class="ng-tns-c61-3 ng-star-inserted">
<div _ngcontent-jna-c61="" class="form-floating ng-tns-c61-3"><select _ngcontent-jna-c61="" class="form-select ng-tns-c61-3 ng-untouched ng-pristine ng-invalid" id="owner1_state" name="owner1_state">
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="unknown"></option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="AL">Alabama</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="AK">Alaska</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="AZ">Arizona</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="AR">Arkansas</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="CA">California</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="CO">Colorado</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="CT">Connecticut</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="DE">Delaware</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="DC">District Of Columbia</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="FL">Florida</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="GA">Georgia</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="HI">Hawaii</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="ID">Idaho</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="IL">Illinois</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="IN">Indiana</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="IA">Iowa</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="KS">Kansas</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="KY">Kentucky</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="LA">Louisiana</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="ME">Maine</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="MD">Maryland</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="MA">Massachusetts</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="MI">Michigan</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="MN">Minnesota</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="MS">Mississippi</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="MO">Missouri</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="MT">Montana</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="NE">Nebraska</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="NV">Nevada</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="NH">New Hampshire</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="NJ">New Jersey</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="NM">New Mexico</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="NY">New York</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="NC">North Carolina</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="ND">North Dakota</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="OH">Ohio</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="OK">Oklahoma</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="OR">Oregon</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="PA">Pennsylvania</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="RI">Rhode Island</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="SC">South Carolina</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="SD">South Dakota</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="TN">Tennessee</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="TX">Texas</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="UT">Utah</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="VT">Vermont</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="VA">Virginia</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="WA">Washington</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="WV">West Virginia</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="WI">Wisconsin</option>
<option _ngcontent-jna-c61="" class="ng-tns-c61-3 ng-star-inserted" value="WY">Wyoming</option><!---->
</select><label _ngcontent-jna-c61="" class="ng-tns-c61-3" for="owner1_state">State *</label></div><!---->
</qs-states></div>
<div _ngcontent-jna-c46="" class="col-md-3"><qs-val-input _ngcontent-jna-c46="" label="Zip *" errormessage="Please enter a zip code." _nghost-jna-c69="">
<div _ngcontent-jna-c69="" class="form-floating"><input _ngcontent-jna-c69="" class="form-control ng-untouched ng-pristine ng-invalid" id="owner1_zip" name="owner1_zip" type="text" placeholder="Zip *"><label
_ngcontent-jna-c69="" for="owner1_zip">Zip *</label><!----></div>
</qs-val-input></div>
</div>
</address-form>
<div _ngcontent-jna-c57="" class="row">
<div _ngcontent-jna-c57="" class="col-md-6"><qs-val-input _ngcontent-jna-c57="" label="Mobile Phone *" errormessage="Please enter phone number." _nghost-jna-c69="">
<div _ngcontent-jna-c69="" class="form-floating"><input _ngcontent-jna-c69="" class="form-control ng-untouched ng-pristine ng-invalid" id="owner1_mobilePhone" name="owner1_mobilePhone" type="text"
placeholder="Mobile Phone *"><label _ngcontent-jna-c69="" for="owner1_mobilePhone">Mobile Phone *</label><!----></div>
</qs-val-input></div>
<div _ngcontent-jna-c57="" class="col-md-6"><qs-input _ngcontent-jna-c57="" label="Home Phone" field="homePhone" _nghost-jna-c60="">
<div _ngcontent-jna-c60="" class="form-floating"><input _ngcontent-jna-c60="" class="form-control ng-untouched ng-pristine ng-valid" id="owner1_homePhone" type="text" placeholder="Home Phone"><label _ngcontent-jna-c60=""
for="owner1_homePhone">Home Phone</label></div>
</qs-input></div>
</div>
</div>
</owner-info>
<div class="container">
<div class="row"><p-divider class="p-element">
<div role="separator" class="p-divider p-component p-divider-horizontal p-divider-solid p-divider-left">
<div class="p-divider-content"></div>
</div>
</p-divider>
<div class="col-12"><qs-terms _nghost-jna-c68="">
<div _ngcontent-jna-c68="">
<div _ngcontent-jna-c68="" class="form-check"><input _ngcontent-jna-c68="" type="checkbox" value="" id="terms" name="terms" class="form-check-input ng-untouched ng-pristine ng-invalid"><label _ngcontent-jna-c68="" for="terms"
class="form-check-label"> Please accept the <a _ngcontent-jna-c68="" href="javascript:void(0)">QuickSpark terms and conditions</a> to continue. </label></div><p-dialog _ngcontent-jna-c68=""
header="QuickSpark Terms and Conditions" class="p-element ng-tns-c67-4 ng-star-inserted"><!----></p-dialog>
</div>
</qs-terms></div>
<div class="col-6 text-left"><button name="prevStep2" class="btn btn-primary">Previous</button></div>
<div class="col-6 text-right"><input name="app-submit" type="submit" value="Submit" class="btn btn-primary pull-right" disabled="disabled"></div>
</div>
</div>
</div><!---->
</div><!---->
</div>
</div>
</p-card></div>
</form>Text Content
Apply for Financing now! No obligation by Applying. Instant Credit Decisions! Minimum Amount to Finance is $1,000.00 * 1Step 1 * 2Step 2 * 3Step 3 BUSINESS INFO Business Name * DBA Name Sole ProprietorshipPartnershipLLCCorporationNon-ProfitMunicipalFederalBusiness Type * Time in Business Years Months No Biz Credit YetExcellentFairPoorBusiness Credit Federal Tax Id Business Address * City * AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState * Zip * Business Phone * Fax Website Comments LizBillSales Contact Next EQUIPMENT INFO Name of Equipment Equipment Cost * New Used Description * Ship to Address Same as Business Address Other Address Ship to Address City * AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState * Zip * Equipment Location Same as Business Address Other Address Equipment Location City * AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState * Zip * Previous Next OWNER INFO First Name * Last Name * Title Ownership % * Email * Social Security Number * Address * City * AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState * Zip * Mobile Phone * Home Phone Please accept the QuickSpark terms and conditions to continue. Previous © 2022 QuickSpark