www.ditchwitchwest.com
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54.203.103.70
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Submitted URL: https://ditchwltchwest.com/
Effective URL: https://www.ditchwitchwest.com/
Submission: On May 22 via api from US — Scanned from DE
Effective URL: https://www.ditchwitchwest.com/
Submission: On May 22 via api from US — Scanned from DE
Form analysis 30 forms found in the DOM
Name: Equipment Search — GET /used-equipment
<form action="/used-equipment" class="site-search" method="get" name="Equipment Search">
<input name="search" placeholder="Search Inventory" type="text">
<input type="submit" value="">
</form>Name: Equipment Search — GET /used-equipment
<form action="/used-equipment" class="site-search" method="get" name="Equipment Search">
<input name="search" placeholder="Search" type="text">
<input type="submit" value="">
</form>Name: Equipment Search — GET /used-equipment
<form action="/used-equipment" class="site-search" method="get" name="Equipment Search">
<input class="search-field" name="search" placeholder="Search Inventory" type="text">
<input type="submit" value="">
</form>Name: Location Search —
<form class="custom-form" data-abide="" id="location-filters" name="Location Search" novalidate="">
<label>
<strong>Search by city, address, or ZIP</strong>
</label>
<div class="input-group">
<input class="input-group-field" id="address-filter" name="address" pattern="^[a-zA-Z\d\s-,\.]*$" placeholder="City, Address, or Zip" type="text">
<a class="input-group-button button" id="location-filters-submit"><i class="icon-search"></i></a>
<div class="table-row"><span class="form-error"><i class="icon-warning-triangle"></i> Your address contains an illegal character.</span></div>
</div>
<input id="token" name="token" type="hidden" value="">
</form>Name: Filter Locations —
<form class="custom-form map-filter color-checks" name="Filter Locations">
<fieldset>
<legend>
<h6>Filter by operating company</h6>
</legend>
<ul class="no-bullet">
<li>
<input name="op-co" type="checkbox" data-map-op-co="dw" checked="checked" id="op-co-10297" value="10297">
<label class="dw" for="op-co-10297"> Ditch Witch® West </label>
</li>
<li>
<input name="op-co" type="checkbox" data-map-op-co="at" id="op-co-10291" value="10291">
<label class="at" for="op-co-10291"> Agriculture & Turf </label>
</li>
<li>
<input name="op-co" type="checkbox" data-map-op-co="cf" id="op-co-10292" value="10292">
<label class="cf" for="op-co-10292"> Construction & Forestry </label>
</li>
<li>
<input name="op-co" type="checkbox" data-map-op-co="mh" id="op-co-16585" value="16585">
<label class="mh" for="op-co-16585"> Material Handling / Rents </label>
</li>
<li>
<input name="op-co" type="checkbox" data-map-op-co="kw" id="op-co-10296" value="10296">
<label class="kw" for="op-co-10296"> Kenworth </label>
</li>
<li>
<input name="op-co" type="checkbox" data-map-op-co="ep" id="op-co-10295" value="10295">
<label class="ep" for="op-co-10295"> Engineered Products </label>
</li>
</ul>
</fieldset>
</form>Name: Request Quote — /forms/request-quote
<form class="custom-form submission" data-abide="" name="Request Quote" novalidate="" data-form="modal" action="/forms/request-quote" id="requestQuoteForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-6 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="request-quote-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="request-quote-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="request-quote-form-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="request-quote-form-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Your Email<sup>*</sup>
<input aria-describedby="request-quote-form-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="request-quote-form-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number<sup>*</sup>
<input aria-describedby="request-quote-form-person-phone-number-error" class="phoneMask" minlength="14" name="person.phoneNumber" pattern=".{14,}" required="" type="text">
<span class="form-error" id="request-quote-form-person-phone-number-error"><i class="icon-warning-triangle"></i> This field requires 10 digits.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Zipcode<sup>*</sup>
<input aria-describedby="request-quote-form-address-zip-code-error" inputmode="text" maxlength="7" name="address.zipCode" pattern="\d{5}(?:-\d{4})?|[a-zA-Z]\d[a-zA-Z] ?\d[a-zA-Z]\d" required="" type="text">
<span class="form-error" id="request-quote-form-address-zip-code-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Location<sup>*</sup>
<select class="location-select" name="location" required="">
<option selected="selected" value="22251">Tucson, AZ</option>
<option value="22249">Phoenix, AZ</option>
<option value="1128">Billings, MT</option>
<option value="1131">El Cajon, CA</option>
<option value="1132">Corona, CA</option>
<option value="1125">Fowler, CA</option>
<option value="4363">Sacramento, CA</option>
<option value="1126">Newark, CA</option>
<option value="1127">Spokane, WA</option>
<option value="1130">Portland, OR</option>
<option value="1129">Tukwila, WA</option>
<option value="29035">Anchorage, AK</option>
<option value="29036">Kapolei, HI</option>
</select>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Company <input maxlength="100" name="person.company" type="text">
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Machine <input id="categoryOrModel" maxlength="100" name="categoryOrModel" type="text">
</label>
</div>
<div class="small-12 columns">
<label>Additional Comments <textarea cols="4" data-cy="message" name="message" rows="5"></textarea>
</label>
</div>
<div name="captcha_div"></div>
<div class="small-12 columns">
<hr class="margin-top-none">
</div>
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit">Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all</a>
</div>
</div>
</form>Name: Request Service — /forms/request-service
<form action="/forms/request-service" class="custom-form submission" data-abide="" name="Request Service" novalidate="" data-form="modal" id="requestServiceForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-6 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="request-service-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="request-service-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="request-service-form-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="request-service-form-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Your Email<sup>*</sup>
<input aria-describedby="request-service-form-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="request-service-form-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number<sup>*</sup>
<input aria-describedby="request-service-form-person-phone-number-error" class="phoneMask" minlength="14" name="person.phoneNumber" pattern=".{14,}" required="" type="text">
<span class="form-error" id="request-service-form-person-phone-number-error"><i class="icon-warning-triangle"></i> This field requires 10 digits.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Zipcode<sup>*</sup>
<input aria-describedby="request-service-form-address-zip-code-error" inputmode="text" maxlength="7" name="address.zipCode" pattern="\d{5}(?:-\d{4})?|[a-zA-Z]\d[a-zA-Z] ?\d[a-zA-Z]\d" required="" type="text">
<span class="form-error" id="request-service-form-address-zip-code-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Location<sup>*</sup>
<select class="location-select" name="location" required="">
<option selected="selected" value="22251">Tucson, AZ</option>
<option value="22249">Phoenix, AZ</option>
<option value="1128">Billings, MT</option>
<option value="1131">El Cajon, CA</option>
<option value="1132">Corona, CA</option>
<option value="1125">Fowler, CA</option>
<option value="4363">Sacramento, CA</option>
<option value="1126">Newark, CA</option>
<option value="1127">Spokane, WA</option>
<option value="1130">Portland, OR</option>
<option value="1129">Tukwila, WA</option>
<option value="29035">Anchorage, AK</option>
<option value="29036">Kapolei, HI</option>
</select>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Company <input maxlength="100" name="person.company" type="text">
</label>
</div>
<div class="small-12 columns">
<label>Additional Comments <textarea cols="4" name="message" rows="5"></textarea>
</label>
</div>
<div name="captcha_div"></div>
<div class="small-12 columns">
<hr class="margin-top-none">
</div>
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit">Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all</a>
</div>
</div>
</form>Name: Request Parts — /forms/request-parts
<form action="/forms/request-parts" class="custom-form submission" data-abide="" name="Request Parts" novalidate="" data-form="modal" id="requestPartsForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-6 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="request-parts-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="request-parts-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="request-parts-form-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="request-parts-form-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Your Email<sup>*</sup>
<input aria-describedby="request-parts-form-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="request-parts-form-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number<sup>*</sup>
<input aria-describedby="request-parts-form-person-phone-number-error" class="phoneMask" minlength="14" name="person.phoneNumber" pattern=".{14,}" required="" type="text">
<span class="form-error" id="request-parts-form-person-phone-number-error"><i class="icon-warning-triangle"></i> This field requires 10 digits.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Zipcode<sup>*</sup>
<input aria-describedby="request-parts-form-address-zip-code-error" inputmode="text" maxlength="7" name="address.zipCode" pattern="\d{5}(?:-\d{4})?|[a-zA-Z]\d[a-zA-Z] ?\d[a-zA-Z]\d" required="" type="text">
<span class="form-error" id="request-parts-form-address-zip-code-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Location<sup>*</sup>
<select class="location-select" name="location" required="">
<option selected="selected" value="22251">Tucson, AZ</option>
<option value="22249">Phoenix, AZ</option>
<option value="1128">Billings, MT</option>
<option value="1131">El Cajon, CA</option>
<option value="1132">Corona, CA</option>
<option value="1125">Fowler, CA</option>
<option value="4363">Sacramento, CA</option>
<option value="1126">Newark, CA</option>
<option value="1127">Spokane, WA</option>
<option value="1130">Portland, OR</option>
<option value="1129">Tukwila, WA</option>
<option value="29035">Anchorage, AK</option>
<option value="29036">Kapolei, HI</option>
</select>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Company <input maxlength="100" name="person.company" type="text">
</label>
</div>
<div class="small-12 columns">
<label>Additional Comments <textarea cols="4" name="message" rows="5"></textarea>
</label>
</div>
<div name="captcha_div"></div>
<input name="requestPartsFormType" type="hidden" value="Request Parts">
<div class="small-12 columns">
<hr class="margin-top-none">
</div>
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit">Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all</a>
</div>
</div>
</form>Name: Request Used Parts — /forms/request-parts
<form action="/forms/request-parts" class="custom-form submission" data-abide="" name="Request Used Parts" novalidate="" data-form="modal" id="requestUsedPartsForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-6 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="request-used-parts-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="request-used-parts-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="request-used-parts-form-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="request-used-parts-form-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Your Email<sup>*</sup>
<input aria-describedby="request-used-parts-form-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="request-used-parts-form-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number<sup>*</sup>
<input aria-describedby="request-used-parts-form-person-phone-number-error" class="phoneMask" minlength="14" name="person.phoneNumber" pattern=".{14,}" required="" type="text">
<span class="form-error" id="request-used-parts-form-person-phone-number-error"><i class="icon-warning-triangle"></i> This field requires 10 digits.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Zipcode<sup>*</sup>
<input aria-describedby="request-used-parts-form-address-zip-code-error" inputmode="text" maxlength="7" name="address.zipCode" pattern="\d{5}(?:-\d{4})?|[a-zA-Z]\d[a-zA-Z] ?\d[a-zA-Z]\d" required="" type="text">
<span class="form-error" id="request-used-parts-form-address-zip-code-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Location<sup>*</sup>
<select class="location-select" name="location" required="">
<option selected="selected" value="22251">Tucson, AZ</option>
<option value="22249">Phoenix, AZ</option>
<option value="1128">Billings, MT</option>
<option value="1131">El Cajon, CA</option>
<option value="1132">Corona, CA</option>
<option value="1125">Fowler, CA</option>
<option value="4363">Sacramento, CA</option>
<option value="1126">Newark, CA</option>
<option value="1127">Spokane, WA</option>
<option value="1130">Portland, OR</option>
<option value="1129">Tukwila, WA</option>
<option value="29035">Anchorage, AK</option>
<option value="29036">Kapolei, HI</option>
</select>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Company <input maxlength="100" name="person.company" type="text">
</label>
</div>
<div class="small-12 columns">
<label>Additional Comments <textarea cols="4" name="message" rows="5"></textarea>
</label>
</div>
<div name="captcha_div"></div>
<input name="requestPartsFormType" type="hidden" value="Request Used Parts">
<div class="small-12 columns">
<hr class="margin-top-none">
</div>
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit">Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all</a>
</div>
</div>
</form>Name: Request Rental — /forms/request-rental
<form action="/forms/request-rental" class="custom-form submission" data-abide="" name="Request Rental" novalidate="" data-form="modal" id="requestRentalForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-6 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="request-rental-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="request-rental-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="request-rental-form-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="request-rental-form-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Your Email<sup>*</sup>
<input aria-describedby="request-rental-form-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="request-rental-form-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number<sup>*</sup>
<input aria-describedby="request-rental-form-person-phone-number-error" class="phoneMask" minlength="14" name="person.phoneNumber" pattern=".{14,}" required="" type="text">
<span class="form-error" id="request-rental-form-person-phone-number-error"><i class="icon-warning-triangle"></i> This field requires 10 digits.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Zipcode<sup>*</sup>
<input aria-describedby="request-rental-form-address-zip-code-error" inputmode="text" maxlength="7" name="address.zipCode" pattern="\d{5}(?:-\d{4})?|[a-zA-Z]\d[a-zA-Z] ?\d[a-zA-Z]\d" required="" type="text">
<span class="form-error" id="request-rental-form-address-zip-code-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Location<sup>*</sup>
<select class="location-select" name="location" required="">
<option selected="selected" value="22251">Tucson, AZ</option>
<option value="22249">Phoenix, AZ</option>
<option value="1128">Billings, MT</option>
<option value="1131">El Cajon, CA</option>
<option value="1132">Corona, CA</option>
<option value="1125">Fowler, CA</option>
<option value="4363">Sacramento, CA</option>
<option value="1126">Newark, CA</option>
<option value="1127">Spokane, WA</option>
<option value="1130">Portland, OR</option>
<option value="1129">Tukwila, WA</option>
<option value="29035">Anchorage, AK</option>
<option value="29036">Kapolei, HI</option>
</select>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Company <input maxlength="100" name="person.company" type="text">
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Rental Type <input maxlength="100" name="rentalType" type="text">
</label>
</div>
<div class="small-12 columns">
<label>Additional Comments <textarea cols="4" name="message" rows="5"></textarea>
</label>
</div>
<div name="captcha_div"></div>
<div class="small-12 columns">
<hr class="margin-top-none">
</div>
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit">Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all</a>
</div>
</div>
</form>Name: Request Precision Ag — /forms/request-precision-ag
<form action="/forms/request-precision-ag" class="custom-form submission" data-abide="" name="Request Precision Ag" novalidate="" data-form="modal" id="requestPrecisionAgForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-6 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="request-precision-ag-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="request-precision-ag-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="request-precision-ag-form-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="request-precision-ag-form-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Your Email<sup>*</sup>
<input aria-describedby="request-precision-ag-form-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="request-precision-ag-form-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number<sup>*</sup>
<input aria-describedby="request-precision-ag-form-person-phone-number-error" class="phoneMask" minlength="14" name="person.phoneNumber" pattern=".{14,}" required="" type="text">
<span class="form-error" id="request-precision-ag-form-person-phone-number-error"><i class="icon-warning-triangle"></i> This field requires 10 digits.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Zipcode<sup>*</sup>
<input aria-describedby="request-precision-ag-form-address-zip-code-error" inputmode="text" maxlength="7" name="address.zipCode" pattern="\d{5}(?:-\d{4})?|[a-zA-Z]\d[a-zA-Z] ?\d[a-zA-Z]\d" required="" type="text">
<span class="form-error" id="request-precision-ag-form-address-zip-code-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Location<sup>*</sup>
<select class="location-select" name="location" required="">
<option selected="selected" value="22251">Tucson, AZ</option>
<option value="22249">Phoenix, AZ</option>
<option value="1128">Billings, MT</option>
<option value="1131">El Cajon, CA</option>
<option value="1132">Corona, CA</option>
<option value="1125">Fowler, CA</option>
<option value="4363">Sacramento, CA</option>
<option value="1126">Newark, CA</option>
<option value="1127">Spokane, WA</option>
<option value="1130">Portland, OR</option>
<option value="1129">Tukwila, WA</option>
<option value="29035">Anchorage, AK</option>
<option value="29036">Kapolei, HI</option>
</select>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Company <input maxlength="100" name="person.company" type="text">
</label>
</div>
<div class="small-12 columns">
<label>Additional Comments <textarea cols="4" name="message" rows="5"></textarea>
</label>
</div>
<div name="captcha_div"></div>
<div class="small-12 columns">
<hr class="margin-top-none">
</div>
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit">Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all</a>
</div>
</div>
</form>Name: Contact Us — /forms/contact
<form action="/forms/contact" class="custom-form submission" data-abide="" name="Contact Us" novalidate="" data-form="modal" id="contactForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-6 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="contact-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="contact-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="contact-form-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="contact-form-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Your Email<sup>*</sup>
<input aria-describedby="contact-form-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="contact-form-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number<sup>*</sup>
<input aria-describedby="contact-form-person-phone-number-error" class="phoneMask" minlength="14" name="person.phoneNumber" pattern=".{14,}" required="" type="text">
<span class="form-error" id="contact-form-person-phone-number-error"><i class="icon-warning-triangle"></i> This field requires 10 digits.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Zipcode<sup>*</sup>
<input aria-describedby="contact-form-address-zip-code-error" inputmode="text" maxlength="7" name="address.zipCode" pattern="\d{5}(?:-\d{4})?|[a-zA-Z]\d[a-zA-Z] ?\d[a-zA-Z]\d" required="" type="text">
<span class="form-error" id="contact-form-address-zip-code-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Company <input maxlength="100" name="person.company" type="text">
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Location<sup>*</sup>
<select class="location-select" name="location" required="">
<option selected="selected" value="22251">Tucson, AZ</option>
<option value="22249">Phoenix, AZ</option>
<option value="1128">Billings, MT</option>
<option value="1131">El Cajon, CA</option>
<option value="1132">Corona, CA</option>
<option value="1125">Fowler, CA</option>
<option value="4363">Sacramento, CA</option>
<option value="1126">Newark, CA</option>
<option value="1127">Spokane, WA</option>
<option value="1130">Portland, OR</option>
<option value="1129">Tukwila, WA</option>
<option value="29035">Anchorage, AK</option>
<option value="29036">Kapolei, HI</option>
</select>
</label>
</div>
<div class="small-12 columns">
<label>Additional Comments <textarea cols="4" name="message" rows="5"></textarea>
</label>
</div>
<input id="contact-form-product-field" name="product" type="hidden">
<div name="captcha_div"></div>
<div class="small-12 columns">
<hr class="margin-top-none">
</div>
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit">Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all</a>
</div>
</div>
</form>Name: JD Protect — /forms/jdProtect
<form action="/forms/jdProtect" class="custom-form submission" data-abide="" name="JD Protect" novalidate="" data-form="modal" id="jdProtectForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-6 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="jd-protect-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="jd-protect-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="jd-protect-form-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="jd-protect-form-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Your Email<sup>*</sup>
<input aria-describedby="jd-protect-form-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="jd-protect-form-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number<sup>*</sup>
<input aria-describedby="jd-protect-form-person-phone-number-error" class="phoneMask" minlength="14" name="person.phoneNumber" pattern=".{14,}" required="" type="text">
<span class="form-error" id="jd-protect-form-person-phone-number-error"><i class="icon-warning-triangle"></i> This field requires 10 digits.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Zipcode<sup>*</sup>
<input aria-describedby="jd-protect-form-address-zip-code-error" inputmode="text" maxlength="7" name="address.zipCode" pattern="\d{5}(?:-\d{4})?|[a-zA-Z]\d[a-zA-Z] ?\d[a-zA-Z]\d" required="" type="text">
<span class="form-error" id="jd-protect-form-address-zip-code-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Company <input maxlength="100" name="person.company" type="text">
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Location<sup>*</sup>
<select class="location-select" name="location" required="">
<option selected="selected" value="22251">Tucson, AZ</option>
<option value="22249">Phoenix, AZ</option>
<option value="1128">Billings, MT</option>
<option value="1131">El Cajon, CA</option>
<option value="1132">Corona, CA</option>
<option value="1125">Fowler, CA</option>
<option value="4363">Sacramento, CA</option>
<option value="1126">Newark, CA</option>
<option value="1127">Spokane, WA</option>
<option value="1130">Portland, OR</option>
<option value="1129">Tukwila, WA</option>
<option value="29035">Anchorage, AK</option>
<option value="29036">Kapolei, HI</option>
</select>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>I want to learn more about...<sup>*</sup>
<select class="location-select" name="learnMore" required="">
<option value="John Deere Protect">John Deere Protect</option>
<option value="Training">Training</option>
<option value="Topcon">Topcon</option>
<option value="Rebuild">Rebuild</option>
</select>
</label>
</div>
<div class="small-12 columns">
<label>Additional Comments <textarea cols="4" name="message" rows="5"></textarea>
</label>
</div>
<input id="contact-form-product-field" name="product" type="hidden">
<div name="captcha_div"></div>
<div class="small-12 columns">
<hr class="margin-top-none">
</div>
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit">Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all</a>
</div>
</div>
</form>Name: Send Feedback — /forms/feedback
<form action="/forms/feedback" class="custom-form submission" data-abide="" name="Send Feedback" novalidate="" data-form="modal" id="feedbackForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-6 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="feedback-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="feedback-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="feedback-form-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="feedback-form-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Your Email<sup>*</sup>
<input aria-describedby="feedback-form-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="feedback-form-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number<sup>*</sup>
<input aria-describedby="feedback-form-person-phone-number-error" class="phoneMask" minlength="14" name="person.phoneNumber" pattern=".{14,}" required="" type="text">
<span class="form-error" id="feedback-form-person-phone-number-error"><i class="icon-warning-triangle"></i> This field requires 10 digits.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Zipcode<sup>*</sup>
<input aria-describedby="feedback-form-address-zip-code-error" inputmode="text" maxlength="7" name="address.zipCode" pattern="\d{5}(?:-\d{4})?|[a-zA-Z]\d[a-zA-Z] ?\d[a-zA-Z]\d" required="" type="text">
<span class="form-error" id="feedback-form-address-zip-code-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Location<sup>*</sup>
<select class="location-select" name="location" required="">
<option selected="selected" value="22251">Tucson, AZ</option>
<option value="22249">Phoenix, AZ</option>
<option value="1128">Billings, MT</option>
<option value="1131">El Cajon, CA</option>
<option value="1132">Corona, CA</option>
<option value="1125">Fowler, CA</option>
<option value="4363">Sacramento, CA</option>
<option value="1126">Newark, CA</option>
<option value="1127">Spokane, WA</option>
<option value="1130">Portland, OR</option>
<option value="1129">Tukwila, WA</option>
<option value="29035">Anchorage, AK</option>
<option value="29036">Kapolei, HI</option>
</select>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Company <input maxlength="100" name="person.company" type="text">
</label>
</div>
<div class="small-12 columns">
<label>Additional Comments<sup>*</sup>
<textarea cols="4" name="message" required="" rows="5"></textarea>
</label>
</div>
<div name="captcha_div"></div>
<div class="small-12 columns">
<hr class="margin-top-none">
</div>
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit">Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all</a>
</div>
</div>
</form>Name: Body Shop — /forms/body-shop
<form action="/forms/body-shop" class="custom-form submission" data-abide="" name="Body Shop" novalidate="" data-form="modal" id="bodyShopForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-6 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="request-body-shop-quote-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="request-body-shop-quote-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="request-body-shop-quote-form-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="request-body-shop-quote-form-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Your Email<sup>*</sup>
<input aria-describedby="request-body-shop-quote-form-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="request-body-shop-quote-form-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number<sup>*</sup>
<input aria-describedby="request-body-shop-quote-form-person-phone-number-format-error request-body-shop-quote-form-person-phone-number-presence-error" class="phoneMask" minlength="14" name="person.phoneNumber" pattern=".{14,}" required=""
type="text">
<span class="form-error" id="request-body-shop-quote-form-person-phone-number-format-error"><i class="icon-warning-triangle"></i> This field requires 10 digits.</span>
<span class="form-error" id="request-body-shop-quote-form-person-phone-number-presence-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Location<sup>*</sup>
<select class="location-select" name="location" required="">
<option selected="selected" value="22251">Tucson, AZ</option>
<option value="22249">Phoenix, AZ</option>
<option value="1128">Billings, MT</option>
<option value="1131">El Cajon, CA</option>
<option value="1132">Corona, CA</option>
<option value="1125">Fowler, CA</option>
<option value="4363">Sacramento, CA</option>
<option value="1126">Newark, CA</option>
<option value="1127">Spokane, WA</option>
<option value="1130">Portland, OR</option>
<option value="1129">Tukwila, WA</option>
<option value="29035">Anchorage, AK</option>
<option value="29036">Kapolei, HI</option>
</select>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Make <input maxlength="100" name="make" type="text">
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Model <input maxlength="100" name="model" type="text">
</label>
</div>
<div class="small-12 medium-6 columns">
<label>VIN <input maxlength="100" name="vin" type="text">
</label>
</div>
<div class="small-12 columns">
<label>Company <input maxlength="45" name="person.company" type="text">
</label>
</div>
<div class="small-12 columns">
<label>Are you currently working with an insurance company? If so, provide the company and claim number. <textarea cols="4" name="insuranceCompany" rows="5"></textarea>
</label>
</div>
<div class="small-12 columns">
<label>Description of damage<sup>*</sup>
<textarea aria-describedby="request-body-shop-quote-form-message-error" cols="4" name="message" required="" rows="5"></textarea>
<span class="form-error" id="request-body-shop-quote-form-message-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 columns">
<label>How will the truck be brought to the Body Shop? <small>i.e. towed, driven in, other</small>
<textarea cols="4" name="transportationMethod" rows="5"></textarea>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Do you need assistance with a tow?</label>
<input class="margin-bottom-none" id="assistance-yes" name="needsAssistance" type="radio" value="true"><label for="assistance-yes">Yes</label><br>
<input checked="" id="assistance-no" name="needsAssistance" type="radio" value="false"><label for="assistance-no">No</label>
</div>
<div name="captcha_div"></div>
<div class="small-12 columns">
<hr class="margin-top-none">
</div>
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit">Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all</a>
</div>
</div>
</form>Name: Technician Program — /forms/technician-application
<form action="/forms/technician-application" class="custom-form submission" data-abide="" name="Technician Program" novalidate="" data-form="modal" id="technicianApplicationProgramForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-6 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="technician-application-program-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="technician-application-program-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="technician-application-program-form-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="technician-application-program-form-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number<sup>*</sup>
<input aria-describedby="technician-application-program-form-person-phone-number-error" class="phoneMask" minlength="14" name="person.phoneNumber" pattern=".{14,}" required="" type="text">
<span class="form-error" id="technician-application-program-form-person-phone-number-error"><i class="icon-warning-triangle"></i> This field requires 10 digits.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Company <input maxlength="100" name="person.company" type="text">
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Can this number receive text messages? <select name="receiveText">
<option value="true">Yes</option>
<option value="false">No</option>
</select>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Your Email<sup>*</sup>
<input aria-describedby="technician-application-program-form-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="technician-application-program-form-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Alternative Phone Number <input aria-describedby="technician-application-program-form-alternative-phone-number-error" class="phoneMask" minlength="14" name="alternativePhoneNumber" pattern=".{14,}" type="text">
<span class="form-error" id="technician-application-program-form-alternative-phone-number-error"><i class="icon-warning-triangle"></i> This field requires 10 digits.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Address<sup>*</sup>
<input maxlength="100" name="address.street" required="" type="text">
</label>
</div>
<div class="small-12 columns">
<label>High school/College <textarea cols="4" name="education" rows="5"></textarea>
</label>
</div>
<div class="small-12 columns">
<label>Graduation Year <textarea cols="4" name="graduationYear" rows="5"></textarea>
</label>
</div>
<div class="small-12 columns">
<label>Which Company Technician Program are you looking for?<sup>*</sup>
<br>
<input id="constructionForestryCheckbox" name="programs[]" type="checkbox" value="Pape Machinery Construction & Forestry">
<label class="margin-top-tiny" for="constructionForestryCheckbox">Papé Machinery Construction & Forestry</label>
<br>
<input id="agricultureTurfCheckbox" name="programs[]" type="checkbox" value="Pape Machinery Agriculture & Turf">
<label for="agricultureTurfCheckbox">Papé Machinery Agriculture & Turf</label>
<br>
<input id="materialHandlingCheckbox" name="programs[]" type="checkbox" value="Pape Material Handling">
<label for="materialHandlingCheckbox">Papé Material Handling</label>
<br>
<input id="kenworthCheckbox" name="programs[]" type="checkbox" value="Pape Kenworth">
<label for="kenworthCheckbox">Papé Kenworth</label>
</label>
</div>
<div name="captcha_div"></div>
<div class="small-12 columns">
<hr class="margin-top-none">
</div>
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit">Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all</a>
</div>
</div>
</form>Name: Technician Interest — /forms/technician-application
<form action="/forms/technician-application" class="custom-form submission" data-abide="" name="Technician Interest" novalidate="" data-form="modal" id="technicianApplicationInterestForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-6 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="technician-application-interest-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="technician-application-interest-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="technician-application-interest-form-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="technician-application-interest-form-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number<sup>*</sup>
<input aria-describedby="technician-application-interest-form-person-phone-number-error" class="phoneMask" minlength="14" name="person.phoneNumber" pattern=".{14,}" required="" type="text">
<span class="form-error" id="technician-application-interest-form-person-phone-number-error"><i class="icon-warning-triangle"></i> This field requires 10 digits.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Email<sup>*</sup>
<input aria-describedby="technician-application-interest-form-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="technician-application-interest-form-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Company <input maxlength="100" name="person.company" type="text">
</label>
</div>
<div class="small-12 columns">
<label>Which company are you interested in working for?<sup>*</sup>
<br>
<input id="technicianInterestKenworthCheckbox" name="programs[]" type="checkbox" value="Papé Kenworth">
<label for="technicianInterestKenworthCheckbox">Papé Kenworth</label>
<br>
<input id="technicianInterestMaterialHandlingCheckbox" name="programs[]" type="checkbox" value="Papé Material Handling">
<label for="technicianInterestMaterialHandlingCheckbox">Papé Material Handling</label>
<br>
<input id="technicianInterestAgricultureTurfCheckbox" name="programs[]" type="checkbox" value="Papé Machinery Agriculture & Turf">
<label for="technicianInterestAgricultureTurfCheckbox">Papé Machinery Agriculture & Turf</label>
<br>
<input id="technicianInterestConstructionForestryCheckbox" name="programs[]" type="checkbox" value="Papé Machinery Construction & Forestry">
<label class="margin-top-tiny" for="technicianInterestConstructionForestryCheckbox">Papé Machinery Construction & Forestry</label>
<br>
<input id="technicianInterestDitchWitchWestCheckbox" name="programs[]" type="checkbox" value="Ditch Witch West">
<label class="margin-top-tiny" for="technicianInterestDitchWitchWestCheckbox">Ditch Witch West</label>
</label>
</div>
<div class="small-12 medium-8 columns">
<label>What city/area are you interested in working?<sup>*</sup>
<input aria-describedby="technician-application-interest-form-address-city-error" maxlength="45" name="address.city" required="" type="text">
<span class="form-error" id="technician-application-interest-form-address-city-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div name="captcha_div"></div>
<div class="small-12 columns">
<hr class="margin-top-none">
</div>
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit">Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all</a>
</div>
</div>
</form>Name: Donation Request — /forms/sponsorship
<form action="/forms/sponsorship" class="custom-form submission" data-abide="" name="Donation Request" novalidate="" data-form="modal" id="sponsorshipForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 columns">
<label>Company<sup>*</sup>
<input aria-describedby="sponsorship-form-company-error" maxlength="100" name="company" required="" type="text">
<span class="form-error" id="sponsorship-form-company-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="sponsorship-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="sponsorship-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="sponsorship-form-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="sponsorship-form-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Website<sup>*</sup>
<input aria-describedby="sponsorship-form-website-error" maxlength="100" name="website" required="" type="text">
<span class="form-error" id="sponsorship-form-website-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Mailing Address<sup>*</sup>
<input aria-describedby="sponsorship-form-mailing-address-error" maxlength="45" name="mailingAddress" required="" type="text">
<span class="form-error" id="sponsorship-form-mailing-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-5 columns">
<label>City<sup>*</sup>
<input aria-describedby="sponsorship-form-address-city-error" maxlength="45" name="address.city" required="" type="text">
<span class="form-error" id="sponsorship-form-address-city-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-4 columns">
<label>State<sup>*</sup>
<input aria-describedby="sponsorship-form-address-state-error" maxlength="45" name="address.state" required="" type="text">
<span class="form-error" id="sponsorship-form-address-state-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-3 columns">
<label>Zip Code<sup>*</sup>
<input aria-describedby="sponsorship-form-address-zip-code-error" maxlength="45" name="address.zipCode" required="" type="text">
<span class="form-error" id="sponsorship-form-address-zip-code-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Your Email<sup>*</sup>
<input aria-describedby="sponsorship-form-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="sponsorship-form-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number<sup>*</sup>
<input aria-describedby="sponsorship-form-person-phone-number-error" class="phoneMask" minlength="14" name="person.phoneNumber" pattern=".{14,}" required="" type="text">
<span class="form-error" id="sponsorship-form-person-phone-number-error"><i class="icon-warning-triangle"></i> This field requires 10 digits.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Event Name<sup>*</sup>
<input aria-describedby="sponsorship-form-event-name-error" maxlength="100" name="eventName" required="" type="text">
<span class="form-error" id="sponsorship-form-event-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Event Date<sup>*</sup>
<input aria-describedby="sponsorship-form-event-date-error" date-picker="" name="eventDate" required="" type="text">
<span class="form-error" id="sponsorship-form-event-date-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Event Location<sup>*</sup>
<input aria-describedby="sponsorship-form-event-location-error" maxlength="100" name="eventLocation" required="" type="text">
<span class="form-error" id="sponsorship-form-event-location-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 columns">
<label>Please give a brief description of the Event/Program<sup>*</sup>
<textarea aria-describedby="sponsorship-form-brief-description-error" name="briefDescription" required="" rows="5"></textarea>
<span class="form-error" id="sponsorship-form-brief-description-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 columns">
<label>What are the different levels of sponsorship<sup>*</sup>
<textarea aria-describedby="sponsorship-form-different-levels-error" name="differentLevels" required="" rows="5"></textarea>
<span class="form-error" id="sponsorship-form-different-levels-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 columns">
<label>How does the event/program support the mission/goals of The Papé Group?<sup>*</sup>
<textarea aria-describedby="sponsorship-form-support-mission-error" name="supportMission" required="" rows="5"></textarea>
<span class="form-error" id="sponsorship-form-support-mission-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 columns">
<label>Is this event open to the public?<sup>*</sup></label>
<input class="margin-bottom-none" id="openToPublic-yes" name="openToPublic" type="radio" value="true"><label for="openToPublic-yes">Yes</label><br>
<input checked="" id="openToPublic-no" name="openToPublic" type="radio" value="false"><label for="openToPublic-no">No</label>
</div>
<div class="small-12 columns">
<label>Have you submitted a request with us before?<sup>*</sup></label>
<input class="margin-bottom-none" id="submittedBefore-yes" name="submittedBefore" type="radio" value="true"><label for="submittedBefore-yes">Yes</label><br>
<input checked="" id="submittedBefore-no" name="submittedBefore" type="radio" value="false"><label for="submittedBefore-no">No</label>
</div>
<div class="small-12 columns">
<label>Please describe the target audience<sup>*</sup>
<input aria-describedby="sponsorship-form-target-audience-error" maxlength="100" name="targetAudience" required="" type="text">
<span class="form-error" id="sponsorship-form-target-audience-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 columns">
<label>Estimated Audience<sup>*</sup>
<input aria-describedby="sponsorship-form-estimated-audience-error" maxlength="100" name="estimatedAudience" required="" type="text">
<span class="form-error" id="sponsorship-form-estimated-audience-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 columns">
<label>Has your organization previously been sponsored by Papé?<sup>*</sup></label>
<input class="margin-bottom-none" id="sponsoredByPape-yes" name="sponsoredByPape" type="radio" value="true"><label for="sponsoredByPape-yes">Yes</label><br>
<input checked="" id="sponsoredByPape-no" name="sponsoredByPape" type="radio" value="false"><label for="sponsoredByPape-no">No</label>
</div>
<div class="small-12 columns">
<label>If yes, please describe <textarea aria-describedby="sponsorship-form-describe-sponsored-by-pape-error" name="describeSponsoredByPape" rows="5"></textarea>
<span class="form-error" id="sponsorship-form-describe-sponsored-by-pape-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 columns">
<label>List of current sponsors <textarea aria-describedby="sponsorship-form-current-sponsors-error" name="currentSponsors" rows="5"></textarea>
<span class="form-error" id="sponsorship-form-current-sponsors-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 columns">
<label>If approved, will Papé have the opportunity to participate?<sup>*</sup></label>
<input class="margin-bottom-none" id="haveOpportunityParticipate-yes" name="haveOpportunityParticipate" type="radio" value="true"><label for="haveOpportunityParticipate-yes">Yes</label><br>
<input checked="" id="haveOpportunityParticipate-no" name="haveOpportunityParticipate" type="radio" value="false"><label for="haveOpportunityParticipate-no">No</label>
</div>
<div class="small-12 columns">
<label>If approved, will Papé have the opportunity to place signage onsite?<sup>*</sup></label>
<input class="margin-bottom-none" id="haveOpportunityPlaceSignage-yes" name="haveOpportunityPlaceSignage" type="radio" value="true"><label for="haveOpportunityPlaceSignage-yes">Yes</label><br>
<input checked="" id="haveOpportunityPlaceSignage-no" name="haveOpportunityPlaceSignage" type="radio" value="false"><label for="haveOpportunityPlaceSignage-no">No</label>
</div>
<div class="small-12 columns">
<label>If approved, will there be an ad or artwork for Papé to submit?<sup>*</sup></label>
<input class="margin-bottom-none" id="haveAdOrArtwork-yes" name="haveAdOrArtwork" type="radio" value="true"><label for="haveAdOrArtwork-yes">Yes</label><br>
<input checked="" id="haveAdOrArtwork-no" name="haveAdOrArtwork" type="radio" value="false"><label for="haveAdOrArtwork-no">No</label>
</div>
<div class="small-12 columns">
<label for="upload-attachment">Attachment <sup>*</sup>
<div class="input-group" upload-attachment-group="">
<input aria-describedby="sponsorship-form-attachment-error" class="input-group-field" placeholder="No file selected" readonly="readonly" required="" type="text" upload-attachment-original="">
<input name="attachmentName" required="" type="hidden" upload-attachment-name="">
<div class="input-group-button">
<span class="button dark-gray" upload-attachment=""><i class="icon-upload"></i> Upload Attachment</span>
</div>
</div>
</label>
<span class="form-error" id="sponsorship-form-attachment-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</div>
<div class="small-12 columns">
<label>Message<sup>*</sup>
<textarea aria-describedby="sponsorship-form-message-error" name="message" required="" rows="5"></textarea>
<span class="form-error" id="sponsorship-form-message-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div name="captcha_div"></div>
<div class="small-12 columns">
<hr class="margin-top-none">
</div>
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit">Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all</a>
</div>
</div>
</form>Name: Contact Us — /forms/pape-career
<form action="/forms/pape-career" class="custom-form submission" data-abide="" name="Contact Us" novalidate="" data-form="modal" id="careerForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-6 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="career-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="career-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="career-form-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="career-form-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Your Email<sup>*</sup>
<input aria-describedby="career-form-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="career-form-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number<sup>*</sup>
<input aria-describedby="career-form-person-phone-number-error" class="phoneMask" minlength="14" name="person.phoneNumber" pattern=".{14,}" required="" type="text">
<span class="form-error" id="career-form-person-phone-number-error"><i class="icon-warning-triangle"></i> This field requires 10 digits.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Zipcode<sup>*</sup>
<input aria-describedby="career-form-address-zip-code-error" inputmode="text" maxlength="7" name="address.zipCode" pattern="\d{5}(?:-\d{4})?|[a-zA-Z]\d[a-zA-Z] ?\d[a-zA-Z]\d" required="" type="text">
<span class="form-error" id="career-form-address-zip-code-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Location<sup>*</sup>
<select class="location-select" name="location" required="">
<option selected="selected" value="22251">Tucson, AZ</option>
<option value="22249">Phoenix, AZ</option>
<option value="1128">Billings, MT</option>
<option value="1131">El Cajon, CA</option>
<option value="1132">Corona, CA</option>
<option value="1125">Fowler, CA</option>
<option value="4363">Sacramento, CA</option>
<option value="1126">Newark, CA</option>
<option value="1127">Spokane, WA</option>
<option value="1130">Portland, OR</option>
<option value="1129">Tukwila, WA</option>
<option value="29035">Anchorage, AK</option>
<option value="29036">Kapolei, HI</option>
<option value="Other">Other</option>
</select>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Company <input maxlength="100" name="person.company" type="text">
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Desired Location<sup>*</sup>
<select class="location-select" name="desiredLocation" required="">
<option selected="selected" value="22251">Tucson, AZ</option>
<option value="22249">Phoenix, AZ</option>
<option value="1128">Billings, MT</option>
<option value="1131">El Cajon, CA</option>
<option value="1132">Corona, CA</option>
<option value="1125">Fowler, CA</option>
<option value="4363">Sacramento, CA</option>
<option value="1126">Newark, CA</option>
<option value="1127">Spokane, WA</option>
<option value="1130">Portland, OR</option>
<option value="1129">Tukwila, WA</option>
<option value="29035">Anchorage, AK</option>
<option value="29036">Kapolei, HI</option>
<option value="Other">Other</option>
</select>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Category<sup>*</sup>
<select name="category" required="">
<option value="Entry level Technician">Entry level Technician</option>
<option value="Technician">Technician</option>
<option value="Sales">Sales</option>
<option value="Parts">Parts</option>
<option value="Management">Management</option>
<option value="Other">Other</option>
</select>
</label>
</div>
<div class="small-12 columns">
<label>Additional Comments <textarea cols="4" name="message" rows="5"></textarea>
</label>
</div>
<div name="captcha_div"></div>
<div class="small-12 columns">
<hr class="margin-top-none">
</div>
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit">Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all</a>
</div>
</div>
</form>Name: Power Systems Contact Us — /forms/power-systems-contact
<form action="/forms/power-systems-contact" class="custom-form submission" data-abide="" name="Power Systems Contact Us" novalidate="" data-form="modal" id="powerSystemsContactForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-6 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="power-systems-contact-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="power-systems-contact-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="power-systems-contact-form-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="power-systems-contact-form-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Your Email<sup>*</sup>
<input aria-describedby="power-systems-contact-form-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="power-systems-contact-form-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number<sup>*</sup>
<input aria-describedby="power-systems-contact-form-person-phone-number-error" class="phoneMask" minlength="14" name="person.phoneNumber" pattern=".{14,}" required="" type="text">
<span class="form-error" id="power-systems-contact-form-person-phone-number-error"><i class="icon-warning-triangle"></i> This field requires 10 digits.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Zipcode<sup>*</sup>
<input aria-describedby="power-systems-contact-form-address-zip-code-error" inputmode="text" maxlength="7" name="address.zipCode" pattern="\d{5}(?:-\d{4})?|[a-zA-Z]\d[a-zA-Z] ?\d[a-zA-Z]\d" required="" type="text">
<span class="form-error" id="power-systems-contact-form-address-zip-code-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Company <input maxlength="100" name="person.company" type="text">
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Location<sup>*</sup>
<select class="location-select" name="location" required="">
<option selected="selected" value="22251">Tucson, AZ</option>
<option value="22249">Phoenix, AZ</option>
<option value="1128">Billings, MT</option>
<option value="1131">El Cajon, CA</option>
<option value="1132">Corona, CA</option>
<option value="1125">Fowler, CA</option>
<option value="4363">Sacramento, CA</option>
<option value="1126">Newark, CA</option>
<option value="1127">Spokane, WA</option>
<option value="1130">Portland, OR</option>
<option value="1129">Tukwila, WA</option>
<option value="29035">Anchorage, AK</option>
<option value="29036">Kapolei, HI</option>
</select>
</label>
</div>
<div class="small-12 columns">
<label>Additional Comments <textarea cols="4" name="message" rows="5"></textarea>
</label>
</div>
<div name="captcha_div"></div>
<div class="small-12 columns">
<hr class="margin-top-none">
</div>
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit">Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all</a>
</div>
</div>
</form>Name: In Store Form — /forms/in-store-form
<form action="/forms/in-store-form" class="custom-form submission" data-abide="" name="In Store Form" novalidate="" data-form="modal" id="inStoreForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-6 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="in-store-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="in-store-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="in-store-form-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="in-store-form-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Your Email<sup>*</sup>
<input aria-describedby="in-store-form-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="in-store-form-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number<sup>*</sup>
<input aria-describedby="in-store-form-person-phone-number-error" class="phoneMask" minlength="14" name="person.phoneNumber" pattern=".{14,}" required="" type="text">
<span class="form-error" id="in-store-form-person-phone-number-error"><i class="icon-warning-triangle"></i> This field requires 10 digits.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Zip Code<sup>*</sup>
<input aria-describedby="in-store-form-address-zip-code-error" inputmode="text" maxlength="7" name="address.zipCode" pattern="\d{5}(?:-\d{4})?|[a-zA-Z]\d[a-zA-Z] ?\d[a-zA-Z]\d" required="" type="text">
<span class="form-error" id="in-store-form-address-zip-code-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Location<sup>*</sup>
<select class="location-select" name="location" required="">
<option value="24914">Santa Maria, CA</option>
<option value="13505">Valencia, CA</option>
<option value="1185">Oxnard, CA</option>
<option value="1188">City of Industry, CA</option>
<option value="13502">City of Industry, CA</option>
<option value="13504">Fontana, CA</option>
<option value="1191">Fontana, CA</option>
<option value="1196">Anaheim, CA</option>
<option value="13503">Escondido, CA</option>
<option value="1194">El Centro, CA</option>
</select>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Company Name <input maxlength="100" name="person.company" type="text">
</label>
</div>
<div class="small-12 medium-12 columns">
<label>Product(s) I'm interested in <textarea cols="4" name="productsInterest" rows="5"></textarea>
</label>
</div>
<div class="small-12 columns">
<label>Preferred Contact Method<sup>*</sup>
<br>
<input id="preferredContactMethodTelephoneInStore" name="preferredContactMethod" type="radio" value="Contact by Phone">
<label for="preferredContactMethodTelephoneInStore">Contact by Phone</label>
<br>
<input id="preferredContactMethodEmailInStore" name="preferredContactMethod" type="radio" value="Contact by Email">
<label for="preferredContactMethodEmailInStore">Contact by Email</label>
</label>
</div>
<div name="captcha_div"></div>
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit">Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all</a>
</div>
</div>
</form>Name: Electrification Form — /forms/electrification-form
<form action="/forms/electrification-form" class="custom-form submission" data-abide="" name="Electrification Form" novalidate="" data-form="modal" id="electrificationForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-6 columns">
<label>First Name<sup>*</sup>
<input maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Last Name<sup>*</sup>
<input maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Your Email<sup>*</sup>
<input maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number<sup>*</sup>
<input class="phoneMask" minlength="14" name="person.phoneNumber" pattern=".{14,}" required="" type="text">
<span class="form-error"><i class="icon-warning-triangle"></i> This field requires 10 digits.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Zip Code<sup>*</sup>
<input inputmode="text" maxlength="7" name="address.zipCode" pattern="\d{5}(?:-\d{4})?|[a-zA-Z]\d[a-zA-Z] ?\d[a-zA-Z]\d" required="" type="text">
<span class="form-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Location<sup>*</sup>
<select class="location-select" name="location" required="">
<option selected="selected" value="22251">Tucson, AZ</option>
<option value="22249">Phoenix, AZ</option>
<option value="1128">Billings, MT</option>
<option value="1131">El Cajon, CA</option>
<option value="1132">Corona, CA</option>
<option value="1125">Fowler, CA</option>
<option value="4363">Sacramento, CA</option>
<option value="1126">Newark, CA</option>
<option value="1127">Spokane, WA</option>
<option value="1130">Portland, OR</option>
<option value="1129">Tukwila, WA</option>
<option value="29035">Anchorage, AK</option>
<option value="29036">Kapolei, HI</option>
</select>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Company Name <input maxlength="100" name="person.company" type="text">
</label>
</div>
<div class="small-12 medium-12 columns">
<label>Product(s) I'm interested in <textarea cols="4" name="productsInterest" rows="5"></textarea>
</label>
</div>
<div class="small-12 columns">
<label>Preferred Contact Method<sup>*</sup>
<br>
<input id="preferredContactMethodTelephoneElectrification" name="preferredContactMethod" type="radio" value="Contact by Phone">
<label for="preferredContactMethodTelephoneElectrification">Contact by Phone</label>
<br>
<input id="preferredContactMethodEmailElectrification" name="preferredContactMethod" type="radio" value="Contact by Email">
<label for="preferredContactMethodEmailElectrification">Contact by Email</label>
</label>
</div>
<div name="captcha_div"></div>
<div class="small-12 columns">
<hr class="margin-top-none">
</div>
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit">Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all</a>
</div>
</div>
</form>Name: Giveaway Submission — /forms/contest-product-interest
<form action="/forms/contest-product-interest" class="custom-form submission" data-abide="" name="Giveaway Submission" novalidate="" data-form="modal" id="contestProductInterestForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-6 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="contest-product-interest-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="contest-product-interest-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="contest-product-interest-form-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="contest-product-interest-form-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Email Address<sup>*</sup>
<input aria-describedby="contest-product-interest-form-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="contest-product-interest-form-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number<sup>*</sup>
<input aria-describedby="contest-product-interest-form-person-phone-number-error" minlength="7" name="person.phoneNumber" required="" type="text">
<span class="form-error" id="contest-product-interest-form-person-phone-number-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-4 columns">
<label>City<sup>*</sup>
<input aria-describedby="contest-product-interest-form-address-city-error" maxlength="45" name="address.city" required="" type="text">
<span class="form-error" id="contest-product-interest-form-address-city-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-4 columns">
<label>Select State<sup>*</sup>
<select name="address.state" required="">
<option disabled="disabled" selected="selected"></option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District Of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
</label>
</div>
<div class="small-12 medium-4 columns">
<label>Zip Code<sup>*</sup>
<input aria-describedby="contest-product-interest-form-address-zip-code-error" maxlength="45" name="address.zipCode" required="" type="text">
<span class="form-error" id="contest-product-interest-form-address-zip-code-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-12 columns">
<label>I am interested in receiving email newsletters about the following products:<sup>*</sup></label>
<input name="productsAndInterests[]" type="checkbox" value="John Deere Lawn or Agriculture" id="johnDeereAgriculture1">
<label class="margin-top-tiny" for="johnDeereAgriculture1">John Deere Lawn or Agriculture</label>
<br>
<input name="productsAndInterests[]" type="checkbox" value="John Deere Construction Equipment" id="johnDeereConstruction1">
<label for="johnDeereConstruction1">John Deere Construction Equipment</label>
<br>
<input name="productsAndInterests[]" type="checkbox" value="Kenworth Trucks" id="kenworthTrucks1">
<label for="kenworthTrucks1">Kenworth Trucks</label>
<br>
<input name="productsAndInterests[]" type="checkbox" value="Hyster®, Yale® or Material Handling" id="materialHandling1">
<label for="materialHandling1">Hyster®, Yale® or Material Handling</label>
<br>
<input name="productsAndInterests[]" type="checkbox" value="Ditch Witch® Equipment" id="ditchWitch1">
<label for="ditchWitch1">Ditch Witch® Equipment</label>
</div>
<div name="captcha_div"></div>
<div class="small-12 columns">
<hr class="margin-top-none">
</div>
<div class="small-12 columns">
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit"> Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all
</a>
</div>
</div>
</div>
</form>Name: Vaccination Status Survey — /forms/vaccination-status-survey
<form action="/forms/vaccination-status-survey" class="custom-form submission" data-abide="" name="Vaccination Status Survey" novalidate="" data-form="modal" id="vaccinationStatusSurveyForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-12 columns">
<label>Name<sup>*</sup>
<input aria-describedby="vaccination-status-survey-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="vaccination-status-survey-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-12 columns">
<label>Member ID<sup>*</sup>
<input aria-describedby="vaccination-status-survey-form-member-id-error" maxlength="100" name="memberID" required="" type="text">
<span class="form-error" id="vaccination-status-survey-form-member-id-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-12 columns">
<label>Select 1 of the following<sup>*</sup></label>
<input class="margin-bottom-none" name="vaccinationStatus" type="radio" value="I'm not fully vaccinated but I'm in process." id="checkbox1ID1"><label for="checkbox1ID1">I'm not fully vaccinated but I'm in process.</label><br>
<input class="margin-bottom-none" name="vaccinationStatus" type="radio" value="I have no plan to take the COVID-19 vaccine." id="checkbox2ID1"><label for="checkbox2ID1">I have no plan to take the COVID-19 vaccine.</label><br>
<input class="margin-bottom-none" name="vaccinationStatus" type="radio" value="I'm not fully vaccinated, please send me a religious/medical exemption form." id="checkbox3ID1"><label for="checkbox3ID1">I'm not fully vaccinated, please send me a
religious/medical exemption form.</label>
</div>
<div name="captcha_div"></div>
<div class="small-12 columns">
<hr class="margin-top-none">
</div>
<div class="small-12 columns">
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit"> Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all
</a>
</div>
</div>
</div>
</form>Name: General Newsletter — /forms/newsletter-signup
<form action="/forms/newsletter-signup" class="custom-form submission" data-abide="" name="General Newsletter" novalidate="" data-form="modal" id="generalNewsletterSignupForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="success-message" role="alert" style="display: none;">
<div class="success callout">
<p><i class="icon-check"></i> Thank you for submitting.</p>
</div>
</div>
<div class="row">
<div class="small-12 medium-12 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="general-newsletter-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="general-newsletter-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-12 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="general-newsletter-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="general-newsletter-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-12 columns">
<label>Email<sup>*</sup>
<input aria-describedby="general-newsletter-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="general-newsletter-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Company <input maxlength="100" name="person.company" type="text">
</label>
</div>
<div class="small-12 medium-12 columns">
<label>Select from the following</label>
<input class="margin-bottom-none" name="domain[]" type="checkbox" value="Papé Group" id="checkbox1ID2"><label for="checkbox1ID2">Papé Group</label><br>
<input class="margin-bottom-none" name="domain[]" type="checkbox" value="Ditch Witch West" id="checkbox2ID2"><label for="checkbox2ID2">Ditch Witch West</label><br>
<input class="margin-bottom-none" name="domain[]" type="checkbox" value="Papé Kenworth" id="checkbox3ID2"><label for="checkbox3ID2">Papé Kenworth</label><br>
<input class="margin-bottom-none" name="domain[]" type="checkbox" value="Papé Material Handling" id="checkbox4ID1"><label for="checkbox4ID1">Papé Material Handling</label><br>
<input class="margin-bottom-none" name="domain[]" type="checkbox" value="Papé Machinery Construction & Forestry" id="checkbox5ID1"><label for="checkbox5ID1">Papé Machinery Construction & Forestry</label><br>
<input class="margin-bottom-none" name="domain[]" type="checkbox" value="Papé Machinery Agriculture & Turf" id="checkbox6ID1"><label for="checkbox6ID1">Papé Machinery Agriculture & Turf</label>
</div>
<div name="captcha_div"></div>
<div class="small-12 columns">
<hr class="margin-top-none">
</div>
<div class="small-12 columns">
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit"> Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all
</a>
</div>
</div>
</div>
</form>Name: Hawaii Newsletter — /forms/newsletter-signup
<form action="/forms/newsletter-signup" class="custom-form submission" data-abide="" name="Hawaii Newsletter" novalidate="" data-form="modal" id="hawaiiNewsletterSignupForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-12 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="hawaii-newsletter-signup-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="hawaii-newsletter-signup-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-12 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="hawaii-newsletter-signup-form-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="hawaii-newsletter-signup-form-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-12 columns">
<label>Email<sup>*</sup>
<input aria-describedby="hawaii-newsletter-signup-form-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="hawaii-newsletter-signup-form-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Zipcode<sup>*</sup>
<input aria-describedby="hawaii-newsletter-signup-form-address-zip-code-error" inputmode="text" maxlength="7" name="address.zipCode" pattern="\d{5}(?:-\d{4})?|[a-zA-Z]\d[a-zA-Z] ?\d[a-zA-Z]\d" required="" type="text">
<span class="form-error" id="hawaii-newsletter-signup-form-address-zip-code-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number <input aria-describedby="hawaii-newsletter-signup-form-person-phone-number-error" maxlength="45" name="person.phoneNumber" required="" type="text">
<span class="form-error" id="hawaii-newsletter-signup-form-person-phone-number-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Company <input maxlength="100" name="person.company" type="text">
</label>
</div>
<div class="small-12 medium-12 columns">
<label>Sign up for our email newsletter [options below]:</label>
<input class="margin-bottom-none" name="domain[]" type="checkbox" value="Papé Machinery Construction & Forestry" id="checkbox1ID3"><label for="checkbox1ID3">Papé Machinery Construction & Forestry</label><br>
<input class="margin-bottom-none" name="domain[]" type="checkbox" value="Papé Machinery Agriculture & Turf" id="checkbox2ID3"><label for="checkbox2ID3">Papé Machinery Agriculture & Turf</label><br>
<input class="margin-bottom-none" name="domain[]" type="checkbox" value="Papé Material Handling" id="checkbox3ID3"><label for="checkbox3ID3">Papé Material Handling</label><br>
</div>
<div name="captcha_div"></div>
<div class="small-12 columns">
<hr class="margin-top-none">
</div>
<div class="small-12 columns">
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit"> Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all
</a>
</div>
</div>
</div>
</form>Name: Request Dealer Transfer Form — /forms/request-dealer-transfer
<form action="/forms/request-dealer-transfer" class="custom-form submission" data-abide="" name="Request Dealer Transfer Form" novalidate="" data-form="modal" id="requestDealerTransferForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-6 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="request-dealer-transfer-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="request-dealer-transfer-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="request-dealer-transfer-form-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="request-dealer-transfer-form-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Your Email<sup>*</sup>
<input aria-describedby="request-dealer-transfer-form-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="request-dealer-transfer-form-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number<sup>*</sup>
<input aria-describedby="request-dealer-transfer-form-person-phone-number-error" maxlength="45" name="person.phoneNumber" required="" type="text">
<span class="form-error" id="request-dealer-transfer-form-person-phone-number-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Model<sup>*</sup>
<input aria-describedby="request-dealer-transfer-form-model-error" maxlength="256" name="model" required="" type="text">
<span class="form-error" id="request-dealer-transfer-form-model-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Serial Number<sup>*</sup>
<input aria-describedby="request-dealer-transfer-form-serial-number-error" maxlength="100" name="serialNumber" required="" type="text">
<span class="form-error" id="request-dealer-transfer-form-serial-number-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div name="captcha_div"></div>
<div class="small-12 columns">
<button class="button margin-top-tiny" data-cy-button="submit" type="submit" value="Submit">Submit <i class="icon-arrow-long-right"></i></button>
</div>
</div>
</form>Name: Contact Us — /forms/zero-emissions-contact
<form action="/forms/zero-emissions-contact" autocomplete="off" class="custom-form submission" data-abide="" name="Contact Us" novalidate="" data-form="modal" id="zeroEmissionsContactForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-6 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="zero-emissions-contact-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="zero-emissions-contact-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="zero-emissions-contact-form-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="zero-emissions-contact-form-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Your Email<sup>*</sup>
<input aria-describedby="zero-emissions-contact-form-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="zero-emissions-contact-form-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number<sup>*</sup>
<input aria-describedby="zero-emissions-contact-form-person-phone-number-error" class="phoneMask" minlength="14" name="person.phoneNumber" pattern=".{14,}" required="" type="text">
<span class="form-error" id="zero-emissions-contact-form-person-phone-number-error"><i class="icon-warning-triangle"></i> This field requires 10 digits.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Street<sup>*</sup>
<input aria-describedby="zero-emissions-contact-form-address-street-error" autocomplete="off" maxlength="100" name="address.street" required="" type="text">
<span class="form-error" id="zero-emissions-contact-form-address-street-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>City<sup>*</sup>
<input aria-describedby="zero-emissions-contact-form-address-city-error" autocomplete="off" maxlength="45" name="address.city" required="" type="text">
<span class="form-error" id="zero-emissions-contact-form-address-city-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>State/Province<sup>*</sup>
<select name="address.state" required="">
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District Of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Zipcode<sup>*</sup>
<input aria-describedby="zero-emissions-contact-form-address-zip-code-error" autocomplete="off" inputmode="text" maxlength="7" name="address.zipCode" pattern="\d{5}(?:-\d{4})?|[a-zA-Z]\d[a-zA-Z] ?\d[a-zA-Z]\d" required="" type="text">
<span class="form-error" id="zero-emissions-contact-form-address-zip-code-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Company<sup>*</sup>
<input aria-describedby="zero-emissions-contact-form-person-company-error" maxlength="100" name="person.company" required="" type="text">
<span class="form-error" id="zero-emissions-contact-form-person-company-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Location<sup>*</sup>
<select class="location-select" name="location" required="">
<option selected="selected" value="22251">Tucson, AZ</option>
<option value="22249">Phoenix, AZ</option>
<option value="1128">Billings, MT</option>
<option value="1131">El Cajon, CA</option>
<option value="1132">Corona, CA</option>
<option value="1125">Fowler, CA</option>
<option value="4363">Sacramento, CA</option>
<option value="1126">Newark, CA</option>
<option value="1127">Spokane, WA</option>
<option value="1130">Portland, OR</option>
<option value="1129">Tukwila, WA</option>
<option value="29035">Anchorage, AK</option>
<option value="29036">Kapolei, HI</option>
</select>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Annual Revenue<sup>*</sup>
<input aria-describedby="zero-emissions-contact-form-annual-revenue-error" maxlength="18" name="annualRevenue" pattern="^\d{0,18}$" required="" title="Only Digits" type="text">
<span class="form-error" id="zero-emissions-contact-form-annual-revenue-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Vocation<sup>*</sup>
<input aria-describedby="zero-emissions-contact-form-vocation-error" maxlength="120" name="vocation" required="" type="text">
<span class="form-error" id="zero-emissions-contact-form-vocation-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Gross Vehicle Weight Rating<sup>*</sup>
<input aria-describedby="zero-emissions-contact-form-weight-rating-error" maxlength="18" name="weightRating" pattern="^\d{0,18}$" required="" title="Only Digits" type="text">
<span class="form-error" id="zero-emissions-contact-form-weight-rating-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Fleet Class<sup>*</sup>
<select name="fleetClass" required="">
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
</select>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Fleet Size<sup>*</sup>
<input aria-describedby="zero-emissions-contact-form-fleet-size-error" maxlength="18" name="fleetSize" pattern="^\d{0,18}$" required="" title="Only Digits" type="text">
<span class="form-error" id="zero-emissions-contact-form-fleet-size-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 columns">
<label>Additional Comments <textarea cols="4" name="message" rows="5"></textarea>
</label>
</div>
<input id="contact-form-product-field" name="product" type="hidden">
<div name="captcha_div"></div>
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit">Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all</a>
</div>
</div>
</form>Name: QR Mailer Form — /forms/qr-mailer-form
<form action="/forms/qr-mailer-form" class="custom-form submission" data-abide="" name="QR Mailer Form" novalidate="" data-form="modal" id="qrMailerForm">
<div class="alert callout" data-abide-error="" role="alert" style="display: none;">
<p><i class="icon-warning-triangle"></i> There are some errors in your form.</p>
</div>
<div class="row">
<div class="small-12 medium-6 columns">
<label>First Name<sup>*</sup>
<input aria-describedby="qr-mailer-form-person-first-name-error" maxlength="100" name="person.firstName" required="" type="text">
<span class="form-error" id="qr-mailer-form-person-first-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Last Name<sup>*</sup>
<input aria-describedby="qr-mailer-form-person-last-name-error" maxlength="100" name="person.lastName" required="" type="text">
<span class="form-error" id="qr-mailer-form-person-last-name-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Your Email<sup>*</sup>
<input aria-describedby="qr-mailer-form-person-email-address-error" maxlength="100" name="person.emailAddress" pattern="email" required="" type="text">
<span class="form-error" id="qr-mailer-form-person-email-address-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Phone Number<sup>*</sup>
<input aria-describedby="qr-mailer-form-person-phone-number-error" class="phoneMask" minlength="14" name="person.phoneNumber" pattern=".{14,}" required="" type="text">
<span class="form-error" id="qr-mailer-form-person-phone-number-error"><i class="icon-warning-triangle"></i> This field requires 10 digits.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Zip Code<sup>*</sup>
<input aria-describedby="qr-mailer-form-address-zip-code-error" inputmode="text" maxlength="7" name="address.zipCode" pattern="\d{5}(?:-\d{4})?|[a-zA-Z]\d[a-zA-Z] ?\d[a-zA-Z]\d" required="" type="text">
<span class="form-error" id="qr-mailer-form-address-zip-code-error"><i class="icon-warning-triangle"></i> This field is required.</span>
</label>
</div>
<div class="small-12 medium-6 columns">
<label>Location<sup>*</sup>
<select class="location-select" name="location" required="">
</select>
</label>
</div>
<div class="small-12 medium-12 columns">
<label>Product(s) I'm interested in <textarea cols="4" name="productsInterest" rows="5"></textarea>
</label>
</div>
<div name="captcha_div"></div>
<div class="small-12 columns">
<button class="button" data-cy-button="submit" type="submit" value="Submit">Submit <i class="icon-arrow-long-right"></i></button>
<a class="clear-inputs float-right font-bold padding-top-small"><i class="icon-close"></i> Clear all</a>
</div>
</div>
</form><form data-abide="" id="change-location-zip" novalidate="">
<div class="input-group">
<input data-geocode-token="" name="token" type="hidden" value="">
<input class="input-group-field" inputmode="numeric" maxlength="5" name="zipCode" pattern="[0-9]{5}" placeholder="Zip Code" required="" type="text">
<span class="form-error"><i class="icon-warning-triangle"></i> Please enter a 5-digit US zip code.</span>
</div>
<div class="button submit primary">
<div class="enter-zip"><span class="target">Submit</span></div>
</div>
</form>Text Content
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