www.stgusa.com Open in urlscan Pro
141.193.213.10  Public Scan

URL: https://www.stgusa.com/
Submission: On January 05 via api from US — Scanned from DE

Form analysis 8 forms found in the DOM

POST https://forms.hsforms.com/submissions/v3/public/submit/formsnext/multipart/23472915/9e80ecfa-6157-4d6e-b03e-090bc3818381

<form id="hsForm_9e80ecfa-6157-4d6e-b03e-090bc3818381" method="POST" accept-charset="UTF-8" enctype="multipart/form-data" novalidate=""
  action="https://forms.hsforms.com/submissions/v3/public/submit/formsnext/multipart/23472915/9e80ecfa-6157-4d6e-b03e-090bc3818381"
  class="hs-form-private hsForm_9e80ecfa-6157-4d6e-b03e-090bc3818381 hs-form-9e80ecfa-6157-4d6e-b03e-090bc3818381 hs-form-9e80ecfa-6157-4d6e-b03e-090bc3818381_81501839-05eb-47a7-87cd-3b564202aa88 hs-form stacked"
  target="target_iframe_9e80ecfa-6157-4d6e-b03e-090bc3818381" data-instance-id="81501839-05eb-47a7-87cd-3b564202aa88" data-form-id="9e80ecfa-6157-4d6e-b03e-090bc3818381" data-portal-id="23472915" data-hs-cf-bound="true">
  <div class="hs_email hs-email hs-fieldtype-text field hs-form-field"><label id="label-email-9e80ecfa-6157-4d6e-b03e-090bc3818381" class="" placeholder="Enter your Email" for="email-9e80ecfa-6157-4d6e-b03e-090bc3818381"><span>Email</span><span
        class="hs-form-required">*</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input id="email-9e80ecfa-6157-4d6e-b03e-090bc3818381" name="email" required="" placeholder="" type="email" class="hs-input" inputmode="email" autocomplete="email" value=""></div>
  </div>
  <div class="hs_recaptcha hs-recaptcha field hs-form-field">
    <div class="input">
      <div class="grecaptcha-badge" data-style="inline" style="width: 256px; height: 60px; box-shadow: gray 0px 0px 5px;">
        <div class="grecaptcha-logo"><iframe title="reCAPTCHA" width="256" height="60" role="presentation" name="a-8ztjogregdxq" frameborder="0" scrolling="no"
            sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
            src="https://www.google.com/recaptcha/enterprise/anchor?ar=1&amp;k=6Ld_ad8ZAAAAAAqr0ePo1dUfAi0m4KPkCMQYwPPm&amp;co=aHR0cHM6Ly93d3cuc3RndXNhLmNvbTo0NDM.&amp;hl=en&amp;v=u-xcq3POCWFlCr3x8_IPxgPu&amp;size=invisible&amp;badge=inline&amp;cb=dvlw2z75hja6"></iframe>
        </div>
        <div class="grecaptcha-error"></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
          style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
      </div><iframe style="display: none;"></iframe>
    </div><input type="hidden" name="g-recaptcha-response" id="hs-recaptcha-response" value="">
  </div>
  <div class="hs_submit hs-submit">
    <div class="hs-field-desc" style="display: none;"></div>
    <div class="actions"><input type="submit" class="hs-button primary large" value="Join"></div>
  </div><input name="hs_context" type="hidden"
    value="{&quot;embedAtTimestamp&quot;:&quot;1704475120509&quot;,&quot;formDefinitionUpdatedAt&quot;:&quot;1703716554259&quot;,&quot;lang&quot;:&quot;en&quot;,&quot;embedType&quot;:&quot;REGULAR&quot;,&quot;disableCookieSubmission&quot;:&quot;true&quot;,&quot;renderRawHtml&quot;:&quot;true&quot;,&quot;userAgent&quot;:&quot;Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/92.0.4515.131 Safari/537.36 Edg/92.0.902.67&quot;,&quot;pageTitle&quot;:&quot;STG Logistics | Integrated Logistics Solutions&quot;,&quot;pageUrl&quot;:&quot;https://www.stgusa.com/&quot;,&quot;isHubSpotCmsGeneratedPage&quot;:false,&quot;contentType&quot;:&quot;standard-page&quot;,&quot;hutk&quot;:&quot;53507affdb4a6f8bc2c263c53d847e7c&quot;,&quot;__hsfp&quot;:1438582883,&quot;__hssc&quot;:&quot;93041602.1.1704475121967&quot;,&quot;__hstc&quot;:&quot;93041602.53507affdb4a6f8bc2c263c53d847e7c.1704475121967.1704475121967.1704475121967.1&quot;,&quot;formTarget&quot;:&quot;#hbspt-form-81501839-05eb-47a7-87cd-3b564202aa88&quot;,&quot;rumScriptExecuteTime&quot;:1483.9000000953674,&quot;rumTotalRequestTime&quot;:1735.3000001907349,&quot;rumTotalRenderTime&quot;:1765.5,&quot;rumServiceResponseTime&quot;:251.40000009536743,&quot;rumFormRenderTime&quot;:30.199999809265137,&quot;locale&quot;:&quot;en&quot;,&quot;timestamp&quot;:1704475121972,&quot;originalEmbedContext&quot;:{&quot;portalId&quot;:&quot;23472915&quot;,&quot;formId&quot;:&quot;9e80ecfa-6157-4d6e-b03e-090bc3818381&quot;,&quot;region&quot;:&quot;na1&quot;,&quot;target&quot;:&quot;#hbspt-form-81501839-05eb-47a7-87cd-3b564202aa88&quot;,&quot;isBuilder&quot;:false,&quot;isTestPage&quot;:false,&quot;isPreview&quot;:false,&quot;isMobileResponsive&quot;:true},&quot;correlationId&quot;:&quot;81501839-05eb-47a7-87cd-3b564202aa88&quot;,&quot;renderedFieldsIds&quot;:[&quot;email&quot;],&quot;captchaStatus&quot;:&quot;LOADED&quot;,&quot;emailResubscribeStatus&quot;:&quot;NOT_APPLICABLE&quot;,&quot;isInsideCrossOriginFrame&quot;:false,&quot;source&quot;:&quot;forms-embed-1.4371&quot;,&quot;sourceName&quot;:&quot;forms-embed&quot;,&quot;sourceVersion&quot;:&quot;1.4371&quot;,&quot;sourceVersionMajor&quot;:&quot;1&quot;,&quot;sourceVersionMinor&quot;:&quot;4371&quot;,&quot;allPageIds&quot;:{},&quot;_debug_embedLogLines&quot;:[{&quot;clientTimestamp&quot;:1704475120580,&quot;level&quot;:&quot;INFO&quot;,&quot;message&quot;:&quot;Retrieved pageContext values which may be overriden by the embed context: {\&quot;pageTitle\&quot;:\&quot;STG Logistics | Integrated Logistics Solutions\&quot;,\&quot;pageUrl\&quot;:\&quot;https://www.stgusa.com/\&quot;,\&quot;userAgent\&quot;:\&quot;Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/92.0.4515.131 Safari/537.36 Edg/92.0.902.67\&quot;,\&quot;isHubSpotCmsGeneratedPage\&quot;:false}&quot;},{&quot;clientTimestamp&quot;:1704475120581,&quot;level&quot;:&quot;INFO&quot;,&quot;message&quot;:&quot;Retrieved countryCode property from normalized embed definition response: \&quot;DE\&quot;&quot;},{&quot;clientTimestamp&quot;:1704475121970,&quot;level&quot;:&quot;INFO&quot;,&quot;message&quot;:&quot;Retrieved analytics values from API response which may be overriden by the embed context: {\&quot;hutk\&quot;:\&quot;53507affdb4a6f8bc2c263c53d847e7c\&quot;,\&quot;contentType\&quot;:\&quot;standard-page\&quot;}&quot;}]}"><iframe
    name="target_iframe_9e80ecfa-6157-4d6e-b03e-090bc3818381" style="display: none;"></iframe>
</form>

GET https://www.stgusa.com/

<form method="get" id="searchform" action="https://www.stgusa.com/" data-hs-cf-bound="true">
  <input type="text" name="s" id="s" placeholder="Find something...">
</form>

POST /

<form method="post" enctype="multipart/form-data" id="gform_10" action="/" data-formid="10" novalidate="" data-hs-cf-bound="true">
  <input type="hidden" class="gforms-pum" value="{&quot;closepopup&quot;:false,&quot;closedelay&quot;:0,&quot;openpopup&quot;:false,&quot;openpopup_id&quot;:0}">
  <div class="gform-body gform_body">
    <div id="gform_fields_10" class="gform_fields top_label form_sublabel_below description_below">
      <fieldset id="field_10_1" class="gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_1">
        <legend class="gfield_label gform-field-label">Type of Inspection</legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_1">
            <div class="gchoice gchoice_10_1_0">
              <input class="gfield-choice-input" name="input_1" type="radio" value="Pre" id="choice_10_1_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_1_0" id="label_10_1_0" class="gform-field-label gform-field-label--type-inline">Pre</label>
            </div>
            <div class="gchoice gchoice_10_1_1">
              <input class="gfield-choice-input" name="input_1" type="radio" value="Post" id="choice_10_1_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_1_1" id="label_10_1_1" class="gform-field-label gform-field-label--type-inline">Post</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_3" class="gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_3">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Driver's Full Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_10_3">
          <span id="input_10_3_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
            <input type="text" name="input_3.3" id="input_10_3_3" value="" aria-required="true">
            <label for="input_10_3_3" class="gform-field-label gform-field-label--type-sub ">First</label>
          </span>
          <span id="input_10_3_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
            <input type="text" name="input_3.6" id="input_10_3_6" value="" aria-required="true">
            <label for="input_10_3_6" class="gform-field-label gform-field-label--type-sub ">Last</label>
          </span>
        </div>
      </fieldset>
      <div id="field_10_4"
        class="gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full gw-field-type-date gw-field-dateType-datepicker gw-field-dateFormat-mdy gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_4"><label class="gfield_label gform-field-label" for="input_10_4">Date<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
        <div class="ginput_container ginput_container_date">
          <input name="input_4" id="input_10_4" type="text" value="" class="datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon hasDatepicker initialized" placeholder="mm/dd/yyyy" aria-describedby="input_10_4_date_format"
            aria-invalid="false" aria-required="true">
          <span id="input_10_4_date_format" class="screen-reader-text">MM slash DD slash YYYY</span>
        </div>
        <input type="hidden" id="gforms_calendar_icon_input_10_4" class="gform_hidden" value="https://www.stgusa.com/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg">
      </div>
      <div id="field_10_7" class="gfield gfield--type-number gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_7"><label
          class="gfield_label gform-field-label" for="input_10_7">Trailer Unit #<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
        <div class="ginput_container ginput_container_number"><input name="input_7" id="input_10_7" type="number" step="any" value="" class="large" aria-required="true" aria-invalid="false"></div>
      </div>
      <div id="field_10_8" class="gfield gfield--type-number gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_8"><label
          class="gfield_label gform-field-label" for="input_10_8">Load Number<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
        <div class="ginput_container ginput_container_number"><input name="input_8" id="input_10_8" type="number" step="any" value="" class="large" aria-required="true" aria-invalid="false"></div>
      </div>
      <div id="field_10_9" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_9">
        <h3 class="gsection_title">Front</h3>
      </div>
      <div id="field_10_11"
        class="gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full gw-field-type-date gw-field-dateType-datepicker gw-field-dateFormat-mdy field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_11"><label class="gfield_label gform-field-label" for="input_10_11">Curent FHWA Date:</label>
        <div class="ginput_container ginput_container_date">
          <input name="input_11" id="input_10_11" type="text" value="" class="datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon hasDatepicker initialized" placeholder="mm/dd/yyyy" aria-describedby="input_10_11_date_format"
            aria-invalid="false">
          <span id="input_10_11_date_format" class="screen-reader-text">MM slash DD slash YYYY</span>
        </div>
        <input type="hidden" id="gforms_calendar_icon_input_10_11" class="gform_hidden" value="https://www.stgusa.com/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg">
      </div>
      <fieldset id="field_10_12" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_12">
        <legend class="gfield_label gform-field-label">GLAD Hand Coupling<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_12">
            <div class="gchoice gchoice_10_12_0">
              <input class="gfield-choice-input" name="input_12" type="radio" value="Pass" id="choice_10_12_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_12_0" id="label_10_12_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_12_1">
              <input class="gfield-choice-input" name="input_12" type="radio" value="Fail" id="choice_10_12_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_12_1" id="label_10_12_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_13" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_13">
        <legend class="gfield_label gform-field-label">Clearance Lights<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_13">
            <div class="gchoice gchoice_10_13_0">
              <input class="gfield-choice-input" name="input_13" type="radio" value="Pass" id="choice_10_13_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_13_0" id="label_10_13_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_13_1">
              <input class="gfield-choice-input" name="input_13" type="radio" value="Fail" id="choice_10_13_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_13_1" id="label_10_13_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_14" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_14">
        <legend class="gfield_label gform-field-label">Lighting Plug Connection<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_14">
            <div class="gchoice gchoice_10_14_0">
              <input class="gfield-choice-input" name="input_14" type="radio" value="Pass" id="choice_10_14_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_14_0" id="label_10_14_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_14_1">
              <input class="gfield-choice-input" name="input_14" type="radio" value="Fail" id="choice_10_14_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_14_1" id="label_10_14_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <div id="field_10_15" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_15">
        <h3 class="gsection_title">Left Side</h3>
      </div>
      <fieldset id="field_10_16" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_16">
        <legend class="gfield_label gform-field-label">Sidemarker Lights/Midspan Turn Light<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_16">
            <div class="gchoice gchoice_10_16_0">
              <input class="gfield-choice-input" name="input_16" type="radio" value="Pass" id="choice_10_16_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_16_0" id="label_10_16_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_16_1">
              <input class="gfield-choice-input" name="input_16" type="radio" value="Fail" id="choice_10_16_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_16_1" id="label_10_16_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_17" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_17">
        <legend class="gfield_label gform-field-label">Reflectors and Reflective Tape<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_17">
            <div class="gchoice gchoice_10_17_0">
              <input class="gfield-choice-input" name="input_17" type="radio" value="Pass" id="choice_10_17_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_17_0" id="label_10_17_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_17_1">
              <input class="gfield-choice-input" name="input_17" type="radio" value="Fail" id="choice_10_17_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_17_1" id="label_10_17_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_18" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_18">
        <legend class="gfield_label gform-field-label">Tire and Wheels (Nuts/Pressure)<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_18">
            <div class="gchoice gchoice_10_18_0">
              <input class="gfield-choice-input" name="input_18" type="radio" value="Pass" id="choice_10_18_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_18_0" id="label_10_18_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_18_1">
              <input class="gfield-choice-input" name="input_18" type="radio" value="Fail" id="choice_10_18_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_18_1" id="label_10_18_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_19" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_19">
        <legend class="gfield_label gform-field-label">Door and Trim<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_19">
            <div class="gchoice gchoice_10_19_0">
              <input class="gfield-choice-input" name="input_19" type="radio" value="Pass" id="choice_10_19_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_19_0" id="label_10_19_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_19_1">
              <input class="gfield-choice-input" name="input_19" type="radio" value="Fail" id="choice_10_19_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_19_1" id="label_10_19_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_21" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_21">
        <legend class="gfield_label gform-field-label">Sliding Suspension Lock Pins Portruding Rail<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_21">
            <div class="gchoice gchoice_10_21_0">
              <input class="gfield-choice-input" name="input_21" type="radio" value="Pass" id="choice_10_21_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_21_0" id="label_10_21_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_21_1">
              <input class="gfield-choice-input" name="input_21" type="radio" value="Fail" id="choice_10_21_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_21_1" id="label_10_21_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_20" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_20">
        <legend class="gfield_label gform-field-label">Dolly Legs<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_20">
            <div class="gchoice gchoice_10_20_0">
              <input class="gfield-choice-input" name="input_20" type="radio" value="Pass" id="choice_10_20_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_20_0" id="label_10_20_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_20_1">
              <input class="gfield-choice-input" name="input_20" type="radio" value="Fail" id="choice_10_20_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_20_1" id="label_10_20_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <div id="field_10_22" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_22">
        <h3 class="gsection_title">Rear</h3>
      </div>
      <fieldset id="field_10_23" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_23">
        <legend class="gfield_label gform-field-label">Taillights/Stop Light<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_23">
            <div class="gchoice gchoice_10_23_0">
              <input class="gfield-choice-input" name="input_23" type="radio" value="Pass" id="choice_10_23_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_23_0" id="label_10_23_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_23_1">
              <input class="gfield-choice-input" name="input_23" type="radio" value="Fail" id="choice_10_23_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_23_1" id="label_10_23_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_24" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_24">
        <legend class="gfield_label gform-field-label">Rear Slider<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_24">
            <div class="gchoice gchoice_10_24_0">
              <input class="gfield-choice-input" name="input_24" type="radio" value="Pass" id="choice_10_24_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_24_0" id="label_10_24_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_24_1">
              <input class="gfield-choice-input" name="input_24" type="radio" value="Fail" id="choice_10_24_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_24_1" id="label_10_24_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_25" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_25">
        <legend class="gfield_label gform-field-label">Turn Signals/Flashers<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_25">
            <div class="gchoice gchoice_10_25_0">
              <input class="gfield-choice-input" name="input_25" type="radio" value="Pass" id="choice_10_25_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_25_0" id="label_10_25_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_25_1">
              <input class="gfield-choice-input" name="input_25" type="radio" value="Fail" id="choice_10_25_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_25_1" id="label_10_25_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_26" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_26">
        <legend class="gfield_label gform-field-label">Clearance Lights<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_26">
            <div class="gchoice gchoice_10_26_0">
              <input class="gfield-choice-input" name="input_26" type="radio" value="Pass" id="choice_10_26_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_26_0" id="label_10_26_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_26_1">
              <input class="gfield-choice-input" name="input_26" type="radio" value="Fail" id="choice_10_26_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_26_1" id="label_10_26_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_27" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_27">
        <legend class="gfield_label gform-field-label">ID Light<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_27">
            <div class="gchoice gchoice_10_27_0">
              <input class="gfield-choice-input" name="input_27" type="radio" value="Pass" id="choice_10_27_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_27_0" id="label_10_27_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_27_1">
              <input class="gfield-choice-input" name="input_27" type="radio" value="Fail" id="choice_10_27_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_27_1" id="label_10_27_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_28" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_28">
        <legend class="gfield_label gform-field-label">Reflectors and Reflective Tape<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_28">
            <div class="gchoice gchoice_10_28_0">
              <input class="gfield-choice-input" name="input_28" type="radio" value="Pass" id="choice_10_28_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_28_0" id="label_10_28_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_28_1">
              <input class="gfield-choice-input" name="input_28" type="radio" value="Fail" id="choice_10_28_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_28_1" id="label_10_28_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_29" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_29">
        <legend class="gfield_label gform-field-label">Tire and Wheels (Nuts/Pressure)<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_29">
            <div class="gchoice gchoice_10_29_0">
              <input class="gfield-choice-input" name="input_29" type="radio" value="Pass" id="choice_10_29_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_29_0" id="label_10_29_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_29_1">
              <input class="gfield-choice-input" name="input_29" type="radio" value="Fail" id="choice_10_29_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_29_1" id="label_10_29_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_30" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_30">
        <legend class="gfield_label gform-field-label">Rear Impact Guard<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_30">
            <div class="gchoice gchoice_10_30_0">
              <input class="gfield-choice-input" name="input_30" type="radio" value="Pass" id="choice_10_30_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_30_0" id="label_10_30_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_30_1">
              <input class="gfield-choice-input" name="input_30" type="radio" value="Fail" id="choice_10_30_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_30_1" id="label_10_30_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_31" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_31">
        <legend class="gfield_label gform-field-label">Doors, Airbags<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_31">
            <div class="gchoice gchoice_10_31_0">
              <input class="gfield-choice-input" name="input_31" type="radio" value="Pass" id="choice_10_31_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_31_0" id="label_10_31_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_31_1">
              <input class="gfield-choice-input" name="input_31" type="radio" value="Fail" id="choice_10_31_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_31_1" id="label_10_31_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_32" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_32">
        <legend class="gfield_label gform-field-label">Mud Flaps<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_32">
            <div class="gchoice gchoice_10_32_0">
              <input class="gfield-choice-input" name="input_32" type="radio" value="Pass" id="choice_10_32_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_32_0" id="label_10_32_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_32_1">
              <input class="gfield-choice-input" name="input_32" type="radio" value="Fail" id="choice_10_32_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_32_1" id="label_10_32_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <div id="field_10_33" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_33">
        <h3 class="gsection_title">Right Side</h3>
      </div>
      <fieldset id="field_10_34" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_34">
        <legend class="gfield_label gform-field-label">Sidemarker Lights/Midspan Turn Light<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_34">
            <div class="gchoice gchoice_10_34_0">
              <input class="gfield-choice-input" name="input_34" type="radio" value="Pass" id="choice_10_34_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_34_0" id="label_10_34_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_34_1">
              <input class="gfield-choice-input" name="input_34" type="radio" value="Fail" id="choice_10_34_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_34_1" id="label_10_34_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_35" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_35">
        <legend class="gfield_label gform-field-label">Reflectors and Reflective Tape<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_35">
            <div class="gchoice gchoice_10_35_0">
              <input class="gfield-choice-input" name="input_35" type="radio" value="Pass" id="choice_10_35_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_35_0" id="label_10_35_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_35_1">
              <input class="gfield-choice-input" name="input_35" type="radio" value="Fail" id="choice_10_35_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_35_1" id="label_10_35_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_36" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_36">
        <legend class="gfield_label gform-field-label">Tire and Wheels (Nuts/Pressure)<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_36">
            <div class="gchoice gchoice_10_36_0">
              <input class="gfield-choice-input" name="input_36" type="radio" value="Pass" id="choice_10_36_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_36_0" id="label_10_36_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_36_1">
              <input class="gfield-choice-input" name="input_36" type="radio" value="Fail" id="choice_10_36_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_36_1" id="label_10_36_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_37" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_37">
        <legend class="gfield_label gform-field-label">Door and Trim<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_37">
            <div class="gchoice gchoice_10_37_0">
              <input class="gfield-choice-input" name="input_37" type="radio" value="Pass" id="choice_10_37_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_37_0" id="label_10_37_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_37_1">
              <input class="gfield-choice-input" name="input_37" type="radio" value="Fail" id="choice_10_37_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_37_1" id="label_10_37_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_38" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_38">
        <legend class="gfield_label gform-field-label">Sliding Suspension Lock Pins Portruding Rail<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_38">
            <div class="gchoice gchoice_10_38_0">
              <input class="gfield-choice-input" name="input_38" type="radio" value="Pass" id="choice_10_38_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_38_0" id="label_10_38_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_38_1">
              <input class="gfield-choice-input" name="input_38" type="radio" value="Fail" id="choice_10_38_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_38_1" id="label_10_38_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <div id="field_10_39" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_39">
        <h3 class="gsection_title">Tires</h3>
      </div>
      <fieldset id="field_10_41" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_41">
        <legend class="gfield_label gform-field-label">Bald Spots<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_41">
            <div class="gchoice gchoice_10_41_0">
              <input class="gfield-choice-input" name="input_41" type="radio" value="Pass" id="choice_10_41_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_41_0" id="label_10_41_0" class="gform-field-label gform-field-label--type-inline">Pass</label>
            </div>
            <div class="gchoice gchoice_10_41_1">
              <input class="gfield-choice-input" name="input_41" type="radio" value="Fail" id="choice_10_41_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_41_1" id="label_10_41_1" class="gform-field-label gform-field-label--type-inline">Fail</label>
            </div>
          </div>
        </div>
      </fieldset>
      <div id="field_10_42" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_42">
        <h3 class="gsection_title"></h3>
      </div>
      <div id="field_10_43" class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_43">Any Condition Marked as "FAIL" needs to include an explanation below. Photos must also be provided.</div>
      <div id="field_10_44" class="gfield gfield--type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_44"><label
          class="gfield_label gform-field-label" for="input_10_44">File</label>
        <div class="ginput_container ginput_container_fileupload"><input type="hidden" name="MAX_FILE_SIZE" value="52428800"><input name="input_44" id="input_10_44" type="file" class="large" aria-describedby="gfield_upload_rules_10_44"
            onchange="javascript:gformValidateFileSize( this, 52428800 );"><span class="gfield_description gform_fileupload_rules" id="gfield_upload_rules_10_44">Max. file size: 50 MB.</span>
          <div class="gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty" id="live_validation_message_10_44"></div>
        </div>
      </div>
    </div>
  </div>
  <div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_10" class="gform_button button" value="Submit"
      onclick="if(window[&quot;gf_submitting_10&quot;]){return false;}  if( !jQuery(&quot;#gform_10&quot;)[0].checkValidity || jQuery(&quot;#gform_10&quot;)[0].checkValidity()){window[&quot;gf_submitting_10&quot;]=true;}  "
      onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_10&quot;]){return false;} if( !jQuery(&quot;#gform_10&quot;)[0].checkValidity || jQuery(&quot;#gform_10&quot;)[0].checkValidity()){window[&quot;gf_submitting_10&quot;]=true;}  jQuery(&quot;#gform_10&quot;).trigger(&quot;submit&quot;,[true]); }">
    <input type="hidden" class="gform_hidden" name="is_submit_10" value="1">
    <input type="hidden" class="gform_hidden" name="gform_submit" value="10">
    <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
    <input type="hidden" class="gform_hidden" name="state_10"
      value="WyJ7XCIxXCI6W1wiY2M3MTFlNTgwZTY4NjMyOGZjMDI3NzQ4ZDU5ZGE2YjdcIixcIjI0YTYxYWQ5ZjdlZmUwODk0YzU3OGQ4NDU4ODMyMGVhXCJdLFwiMTJcIjpbXCJhZDRhODQyNzU5YTcwZTkyM2QxMzU5ZjUxY2Q1YzBmOVwiLFwiOGZmZGJkNGNkZWM0MGU2OWNkYmEzYzlmY2QyOWE5ODFcIl0sXCIxM1wiOltcImFkNGE4NDI3NTlhNzBlOTIzZDEzNTlmNTFjZDVjMGY5XCIsXCI4ZmZkYmQ0Y2RlYzQwZTY5Y2RiYTNjOWZjZDI5YTk4MVwiXSxcIjE0XCI6W1wiYWQ0YTg0Mjc1OWE3MGU5MjNkMTM1OWY1MWNkNWMwZjlcIixcIjhmZmRiZDRjZGVjNDBlNjljZGJhM2M5ZmNkMjlhOTgxXCJdLFwiMTZcIjpbXCJhZDRhODQyNzU5YTcwZTkyM2QxMzU5ZjUxY2Q1YzBmOVwiLFwiOGZmZGJkNGNkZWM0MGU2OWNkYmEzYzlmY2QyOWE5ODFcIl0sXCIxN1wiOltcImFkNGE4NDI3NTlhNzBlOTIzZDEzNTlmNTFjZDVjMGY5XCIsXCI4ZmZkYmQ0Y2RlYzQwZTY5Y2RiYTNjOWZjZDI5YTk4MVwiXSxcIjE4XCI6W1wiYWQ0YTg0Mjc1OWE3MGU5MjNkMTM1OWY1MWNkNWMwZjlcIixcIjhmZmRiZDRjZGVjNDBlNjljZGJhM2M5ZmNkMjlhOTgxXCJdLFwiMTlcIjpbXCJhZDRhODQyNzU5YTcwZTkyM2QxMzU5ZjUxY2Q1YzBmOVwiLFwiOGZmZGJkNGNkZWM0MGU2OWNkYmEzYzlmY2QyOWE5ODFcIl0sXCIyMVwiOltcImFkNGE4NDI3NTlhNzBlOTIzZDEzNTlmNTFjZDVjMGY5XCIsXCI4ZmZkYmQ0Y2RlYzQwZTY5Y2RiYTNjOWZjZDI5YTk4MVwiXSxcIjIwXCI6W1wiYWQ0YTg0Mjc1OWE3MGU5MjNkMTM1OWY1MWNkNWMwZjlcIixcIjhmZmRiZDRjZGVjNDBlNjljZGJhM2M5ZmNkMjlhOTgxXCJdLFwiMjNcIjpbXCJhZDRhODQyNzU5YTcwZTkyM2QxMzU5ZjUxY2Q1YzBmOVwiLFwiOGZmZGJkNGNkZWM0MGU2OWNkYmEzYzlmY2QyOWE5ODFcIl0sXCIyNFwiOltcImFkNGE4NDI3NTlhNzBlOTIzZDEzNTlmNTFjZDVjMGY5XCIsXCI4ZmZkYmQ0Y2RlYzQwZTY5Y2RiYTNjOWZjZDI5YTk4MVwiXSxcIjI1XCI6W1wiYWQ0YTg0Mjc1OWE3MGU5MjNkMTM1OWY1MWNkNWMwZjlcIixcIjhmZmRiZDRjZGVjNDBlNjljZGJhM2M5ZmNkMjlhOTgxXCJdLFwiMjZcIjpbXCJhZDRhODQyNzU5YTcwZTkyM2QxMzU5ZjUxY2Q1YzBmOVwiLFwiOGZmZGJkNGNkZWM0MGU2OWNkYmEzYzlmY2QyOWE5ODFcIl0sXCIyN1wiOltcImFkNGE4NDI3NTlhNzBlOTIzZDEzNTlmNTFjZDVjMGY5XCIsXCI4ZmZkYmQ0Y2RlYzQwZTY5Y2RiYTNjOWZjZDI5YTk4MVwiXSxcIjI4XCI6W1wiYWQ0YTg0Mjc1OWE3MGU5MjNkMTM1OWY1MWNkNWMwZjlcIixcIjhmZmRiZDRjZGVjNDBlNjljZGJhM2M5ZmNkMjlhOTgxXCJdLFwiMjlcIjpbXCJhZDRhODQyNzU5YTcwZTkyM2QxMzU5ZjUxY2Q1YzBmOVwiLFwiOGZmZGJkNGNkZWM0MGU2OWNkYmEzYzlmY2QyOWE5ODFcIl0sXCIzMFwiOltcImFkNGE4NDI3NTlhNzBlOTIzZDEzNTlmNTFjZDVjMGY5XCIsXCI4ZmZkYmQ0Y2RlYzQwZTY5Y2RiYTNjOWZjZDI5YTk4MVwiXSxcIjMxXCI6W1wiYWQ0YTg0Mjc1OWE3MGU5MjNkMTM1OWY1MWNkNWMwZjlcIixcIjhmZmRiZDRjZGVjNDBlNjljZGJhM2M5ZmNkMjlhOTgxXCJdLFwiMzJcIjpbXCJhZDRhODQyNzU5YTcwZTkyM2QxMzU5ZjUxY2Q1YzBmOVwiLFwiOGZmZGJkNGNkZWM0MGU2OWNkYmEzYzlmY2QyOWE5ODFcIl0sXCIzNFwiOltcImFkNGE4NDI3NTlhNzBlOTIzZDEzNTlmNTFjZDVjMGY5XCIsXCI4ZmZkYmQ0Y2RlYzQwZTY5Y2RiYTNjOWZjZDI5YTk4MVwiXSxcIjM1XCI6W1wiYWQ0YTg0Mjc1OWE3MGU5MjNkMTM1OWY1MWNkNWMwZjlcIixcIjhmZmRiZDRjZGVjNDBlNjljZGJhM2M5ZmNkMjlhOTgxXCJdLFwiMzZcIjpbXCJhZDRhODQyNzU5YTcwZTkyM2QxMzU5ZjUxY2Q1YzBmOVwiLFwiOGZmZGJkNGNkZWM0MGU2OWNkYmEzYzlmY2QyOWE5ODFcIl0sXCIzN1wiOltcImFkNGE4NDI3NTlhNzBlOTIzZDEzNTlmNTFjZDVjMGY5XCIsXCI4ZmZkYmQ0Y2RlYzQwZTY5Y2RiYTNjOWZjZDI5YTk4MVwiXSxcIjM4XCI6W1wiYWQ0YTg0Mjc1OWE3MGU5MjNkMTM1OWY1MWNkNWMwZjlcIixcIjhmZmRiZDRjZGVjNDBlNjljZGJhM2M5ZmNkMjlhOTgxXCJdLFwiNDFcIjpbXCJhZDRhODQyNzU5YTcwZTkyM2QxMzU5ZjUxY2Q1YzBmOVwiLFwiOGZmZGJkNGNkZWM0MGU2OWNkYmEzYzlmY2QyOWE5ODFcIl19IiwiN2EwM2FlNjBiYjE5YTgxMTNkOWEyZGQ4OWIwZDMwYjAiXQ==">
    <input type="hidden" class="gform_hidden" name="gform_target_page_number_10" id="gform_target_page_number_10" value="0">
    <input type="hidden" class="gform_hidden" name="gform_source_page_number_10" id="gform_source_page_number_10" value="1">
    <input type="hidden" name="gform_field_values" value="">
  </div>
  <input type="hidden" name="pum_form_popup_id" value="52105">
</form>

POST /

<form method="post" enctype="multipart/form-data" id="gform_8" action="/" data-formid="8" novalidate="" data-hs-cf-bound="true">
  <input type="hidden" class="gforms-pum" value="{&quot;closepopup&quot;:false,&quot;closedelay&quot;:0,&quot;openpopup&quot;:false,&quot;openpopup_id&quot;:0}">
  <div class="gform-body gform_body">
    <div id="gform_fields_8" class="gform_fields top_label form_sublabel_below description_below">
      <div id="field_8_1" class="gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_8_1"><label class="gfield_label gform-field-label"
          for="input_8_1">Company Name</label>
        <div class="ginput_container ginput_container_text"><input name="input_1" id="input_8_1" type="text" value="" class="large" aria-invalid="false"> </div>
      </div>
      <div id="field_8_3" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_8_3"><label
          class="gfield_label gform-field-label" for="input_8_3">First Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_3" id="input_8_3" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
      </div>
      <div id="field_8_4" class="gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_8_4"><label
          class="gfield_label gform-field-label" for="input_8_4">E-mail<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_4" id="input_8_4" type="email" value="" class="large" aria-required="true" aria-invalid="false">
        </div>
      </div>
      <div id="field_8_5" class="gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_8_5"><label
          class="gfield_label gform-field-label" for="input_8_5">Phone Number<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
        <div class="ginput_container ginput_container_phone"><input name="input_5" id="input_8_5" type="tel" value="" class="large" aria-required="true" aria-invalid="false"></div>
      </div>
      <fieldset id="field_8_12" class="gfield gfield--type-checkbox gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_8_12">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Best Contact Method?<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_checkbox">
          <div class="gfield_checkbox" id="input_8_12">
            <div class="gchoice gchoice_8_12_1">
              <input class="gfield-choice-input" name="input_12.1" type="checkbox" value="Phone" id="choice_8_12_1">
              <label for="choice_8_12_1" id="label_8_12_1" class="gform-field-label gform-field-label--type-inline">Phone</label>
            </div>
            <div class="gchoice gchoice_8_12_2">
              <input class="gfield-choice-input" name="input_12.2" type="checkbox" value="Email" id="choice_8_12_2">
              <label for="choice_8_12_2" id="label_8_12_2" class="gform-field-label gform-field-label--type-inline">Email</label>
            </div>
          </div>
        </div>
      </fieldset>
      <div id="field_8_6"
        class="gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-half gw-field-type-date gw-field-dateType-datepicker gw-field-dateFormat-mdy gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_8_6"><label class="gfield_label gform-field-label" for="input_8_6">Pick Up Date<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
        <div class="ginput_container ginput_container_date">
          <input name="input_6" id="input_8_6" type="text" value="" class="datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon hasDatepicker initialized" placeholder="mm/dd/yyyy" aria-describedby="input_8_6_date_format"
            aria-invalid="false" aria-required="true"><img class="ui-datepicker-trigger" src="https://www.stgusa.com/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg" alt="Select date" title="Select date">
          <span id="input_8_6_date_format" class="screen-reader-text">MM slash DD slash YYYY</span>
        </div>
        <input type="hidden" id="gforms_calendar_icon_input_8_6" class="gform_hidden" value="https://www.stgusa.com/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg">
      </div>
      <fieldset id="field_8_13" class="gfield gfield--type-address gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_8_13">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Origin City/State<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_complex ginput_container has_city has_state ginput_container_address gform-grid-row" id="input_8_13">
          <span class="ginput_left address_city ginput_address_city gform-grid-col" id="input_8_13_3_container">
            <input type="text" name="input_13.3" id="input_8_13_3" value="" aria-required="true">
            <label for="input_8_13_3" id="input_8_13_3_label" class="gform-field-label gform-field-label--type-sub ">City</label>
          </span><span class="ginput_right address_state ginput_address_state gform-grid-col" id="input_8_13_4_container">
            <select name="input_13.4" id="input_8_13_4" aria-required="true" class="custom-select custom-select-lg has-placeholder">
              <option value="" selected="selected"></option>
              <option value="Alabama">Alabama</option>
              <option value="Alaska">Alaska</option>
              <option value="American Samoa">American Samoa</option>
              <option value="Arizona">Arizona</option>
              <option value="Arkansas">Arkansas</option>
              <option value="California">California</option>
              <option value="Colorado">Colorado</option>
              <option value="Connecticut">Connecticut</option>
              <option value="Delaware">Delaware</option>
              <option value="District of Columbia">District of Columbia</option>
              <option value="Florida">Florida</option>
              <option value="Georgia">Georgia</option>
              <option value="Guam">Guam</option>
              <option value="Hawaii">Hawaii</option>
              <option value="Idaho">Idaho</option>
              <option value="Illinois">Illinois</option>
              <option value="Indiana">Indiana</option>
              <option value="Iowa">Iowa</option>
              <option value="Kansas">Kansas</option>
              <option value="Kentucky">Kentucky</option>
              <option value="Louisiana">Louisiana</option>
              <option value="Maine">Maine</option>
              <option value="Maryland">Maryland</option>
              <option value="Massachusetts">Massachusetts</option>
              <option value="Michigan">Michigan</option>
              <option value="Minnesota">Minnesota</option>
              <option value="Mississippi">Mississippi</option>
              <option value="Missouri">Missouri</option>
              <option value="Montana">Montana</option>
              <option value="Nebraska">Nebraska</option>
              <option value="Nevada">Nevada</option>
              <option value="New Hampshire">New Hampshire</option>
              <option value="New Jersey">New Jersey</option>
              <option value="New Mexico">New Mexico</option>
              <option value="New York">New York</option>
              <option value="North Carolina">North Carolina</option>
              <option value="North Dakota">North Dakota</option>
              <option value="Northern Mariana Islands">Northern Mariana Islands</option>
              <option value="Ohio">Ohio</option>
              <option value="Oklahoma">Oklahoma</option>
              <option value="Oregon">Oregon</option>
              <option value="Pennsylvania">Pennsylvania</option>
              <option value="Puerto Rico">Puerto Rico</option>
              <option value="Rhode Island">Rhode Island</option>
              <option value="South Carolina">South Carolina</option>
              <option value="South Dakota">South Dakota</option>
              <option value="Tennessee">Tennessee</option>
              <option value="Texas">Texas</option>
              <option value="Utah">Utah</option>
              <option value="U.S. Virgin Islands">U.S. Virgin Islands</option>
              <option value="Vermont">Vermont</option>
              <option value="Virginia">Virginia</option>
              <option value="Washington">Washington</option>
              <option value="West Virginia">West Virginia</option>
              <option value="Wisconsin">Wisconsin</option>
              <option value="Wyoming">Wyoming</option>
              <option value="Armed Forces Americas">Armed Forces Americas</option>
              <option value="Armed Forces Europe">Armed Forces Europe</option>
              <option value="Armed Forces Pacific">Armed Forces Pacific</option>
            </select>
            <label for="input_8_13_4" id="input_8_13_4_label" class="gform-field-label gform-field-label--type-sub ">State</label>
          </span><input type="hidden" class="gform_hidden" name="input_13.6" id="input_8_13_6" value="United States">
          <div class="gf_clear gf_clear_complex"></div>
        </div>
      </fieldset>
      <fieldset id="field_8_14" class="gfield gfield--type-address gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_8_14">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Destination City/State<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_complex ginput_container has_city has_state ginput_container_address gform-grid-row" id="input_8_14">
          <span class="ginput_left address_city ginput_address_city gform-grid-col" id="input_8_14_3_container">
            <input type="text" name="input_14.3" id="input_8_14_3" value="" aria-required="true">
            <label for="input_8_14_3" id="input_8_14_3_label" class="gform-field-label gform-field-label--type-sub ">City</label>
          </span><span class="ginput_right address_state ginput_address_state gform-grid-col" id="input_8_14_4_container">
            <select name="input_14.4" id="input_8_14_4" aria-required="true" class="custom-select custom-select-lg has-placeholder">
              <option value="" selected="selected"></option>
              <option value="Alabama">Alabama</option>
              <option value="Alaska">Alaska</option>
              <option value="American Samoa">American Samoa</option>
              <option value="Arizona">Arizona</option>
              <option value="Arkansas">Arkansas</option>
              <option value="California">California</option>
              <option value="Colorado">Colorado</option>
              <option value="Connecticut">Connecticut</option>
              <option value="Delaware">Delaware</option>
              <option value="District of Columbia">District of Columbia</option>
              <option value="Florida">Florida</option>
              <option value="Georgia">Georgia</option>
              <option value="Guam">Guam</option>
              <option value="Hawaii">Hawaii</option>
              <option value="Idaho">Idaho</option>
              <option value="Illinois">Illinois</option>
              <option value="Indiana">Indiana</option>
              <option value="Iowa">Iowa</option>
              <option value="Kansas">Kansas</option>
              <option value="Kentucky">Kentucky</option>
              <option value="Louisiana">Louisiana</option>
              <option value="Maine">Maine</option>
              <option value="Maryland">Maryland</option>
              <option value="Massachusetts">Massachusetts</option>
              <option value="Michigan">Michigan</option>
              <option value="Minnesota">Minnesota</option>
              <option value="Mississippi">Mississippi</option>
              <option value="Missouri">Missouri</option>
              <option value="Montana">Montana</option>
              <option value="Nebraska">Nebraska</option>
              <option value="Nevada">Nevada</option>
              <option value="New Hampshire">New Hampshire</option>
              <option value="New Jersey">New Jersey</option>
              <option value="New Mexico">New Mexico</option>
              <option value="New York">New York</option>
              <option value="North Carolina">North Carolina</option>
              <option value="North Dakota">North Dakota</option>
              <option value="Northern Mariana Islands">Northern Mariana Islands</option>
              <option value="Ohio">Ohio</option>
              <option value="Oklahoma">Oklahoma</option>
              <option value="Oregon">Oregon</option>
              <option value="Pennsylvania">Pennsylvania</option>
              <option value="Puerto Rico">Puerto Rico</option>
              <option value="Rhode Island">Rhode Island</option>
              <option value="South Carolina">South Carolina</option>
              <option value="South Dakota">South Dakota</option>
              <option value="Tennessee">Tennessee</option>
              <option value="Texas">Texas</option>
              <option value="Utah">Utah</option>
              <option value="U.S. Virgin Islands">U.S. Virgin Islands</option>
              <option value="Vermont">Vermont</option>
              <option value="Virginia">Virginia</option>
              <option value="Washington">Washington</option>
              <option value="West Virginia">West Virginia</option>
              <option value="Wisconsin">Wisconsin</option>
              <option value="Wyoming">Wyoming</option>
              <option value="Armed Forces Americas">Armed Forces Americas</option>
              <option value="Armed Forces Europe">Armed Forces Europe</option>
              <option value="Armed Forces Pacific">Armed Forces Pacific</option>
            </select>
            <label for="input_8_14_4" id="input_8_14_4_label" class="gform-field-label gform-field-label--type-sub ">State</label>
          </span><input type="hidden" class="gform_hidden" name="input_14.6" id="input_8_14_6" value="United States">
          <div class="gf_clear gf_clear_complex"></div>
        </div>
      </fieldset>
      <div id="field_8_10" class="gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_8_10"><label class="gfield_label gform-field-label"
          for="input_8_10">Weight</label>
        <div class="ginput_container ginput_container_text"><input name="input_10" id="input_8_10" type="text" value="" class="large" aria-invalid="false"> </div>
      </div>
      <div id="field_8_9" class="gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_8_9"><label class="gfield_label gform-field-label"
          for="input_8_9">Commodity</label>
        <div class="ginput_container ginput_container_text"><input name="input_9" id="input_8_9" type="text" value="" class="large" aria-invalid="false"> </div>
      </div>
      <div id="field_8_11" class="gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_8_11"><label class="gfield_label gform-field-label"
          for="input_8_11">Special Requests</label>
        <div class="ginput_container ginput_container_textarea"><textarea name="input_11" id="input_8_11" class="textarea large" aria-invalid="false" rows="10" cols="50"></textarea></div>
      </div>
    </div>
  </div>
  <div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_8" class="gform_button button" value="Submit"
      onclick="if(window[&quot;gf_submitting_8&quot;]){return false;}  if( !jQuery(&quot;#gform_8&quot;)[0].checkValidity || jQuery(&quot;#gform_8&quot;)[0].checkValidity()){window[&quot;gf_submitting_8&quot;]=true;}  "
      onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_8&quot;]){return false;} if( !jQuery(&quot;#gform_8&quot;)[0].checkValidity || jQuery(&quot;#gform_8&quot;)[0].checkValidity()){window[&quot;gf_submitting_8&quot;]=true;}  jQuery(&quot;#gform_8&quot;).trigger(&quot;submit&quot;,[true]); }">
    <input type="hidden" class="gform_hidden" name="is_submit_8" value="1">
    <input type="hidden" class="gform_hidden" name="gform_submit" value="8">
    <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
    <input type="hidden" class="gform_hidden" name="state_8" value="WyJ7XCIxMi4xXCI6XCIxYzQxYmRmYjQzNTlmZDg1N2Y2MjhiMjkxYWQ0ZDY0OVwiLFwiMTIuMlwiOlwiOWRlYmRjOWIyMTE4Nzk5YzlkYjU1NmNjMzlhODk3ZTVcIn0iLCI5MWE5ZGMxNGJjYWIyMTgzZGFhMjMzZDg5Y2M1ZTBhNCJd">
    <input type="hidden" class="gform_hidden" name="gform_target_page_number_8" id="gform_target_page_number_8" value="0">
    <input type="hidden" class="gform_hidden" name="gform_source_page_number_8" id="gform_source_page_number_8" value="1">
    <input type="hidden" name="gform_field_values" value="">
  </div>
  <input type="hidden" name="pum_form_popup_id" value="52081">
</form>

<form id="increaseInsuranceCoverageModalForm" style="padding: 0 2em;" onsubmit="return false" novalidate="" data-hs-cf-bound="true">
  <input id="increaseInsuranceCoverageModalFormCfsCode" type="hidden" name="cfsCode">
  <input id="increaseInsuranceCoverageModalFormFileNo" type="hidden" name="fileNo">
  <input id="increaseInsuranceCoverageModalFormLotNo" type="hidden" name="lotNo">
  <input id="increaseInsuranceCoverageModalFormCommodity" type="hidden" name="commodity">
  <!-- <input type="hidden" id="pickUpDate" name="puDate" value="<%= TextUtils.html(estimatedCharges.getPuDate()) %>" /> -->
  <input type="hidden" id="addInsPremiumCost" name="addInsPremiumCost" value="">
  <div class="row">
    <div class="col-sm-12 pt-3 pb-0">
      <label style="font-weight:bold;color:#00415a;" class="mb-2">Additional Coverage Amount Above $10,000:</label>
      <div class="input-group">
        <div class="input-group-prepend">
          <span class="input-group-text" style="font-size: 14px;">$</span>
        </div>
        <input class="form-control" id="increaseInsuranceCoverageModalFormAmount" placeholder="5000" name="increaseInsuranceCoverageModalFormAmount" style="font-size: 14px; padding: 1.1em .5em 1.1em;" type="number" required="">
        <div class="input-group-append">
          <span class="input-group-text" style="font-size: 14px;">.00</span>
        </div>
        <div class="invalid-feedback">Minimum additional coverage amount is $100 and Maximum coverage is $800,000.</div>
      </div>
    </div>
  </div>
  <div class="row pt-3">
    <div class="col-sm-12 py-0">
      <div class="row form-group d-flex justify-content-center align-items-center">
        <div class="col-12 pt-0 text-center pb-2 d-none" id="increaseInsuranceCoverageModalFormResultMessage">
          <h7 style="font-weight:bold;font-size: medium;" class="text-danger">Additional Insurance Premium Cost: <span id="increaseInsuranceCoverageModalFormAdditionalChargeAmount">$5</span>
            <i class="fas fa-shield-alt ml-2" aria-hidden="true"></i>
          </h7>
        </div>
        <div class="col-12 py-0 text-center">
          <h7 style="color:#00415a; font-size: small;" class="text-secondary">Please read STG's claim policy via the following link: <a href="https://www.stgusa.com/terms-and-conditions/" target="_blank">Terms &amp; Conditions</a></h7>
        </div>
      </div>
    </div>
  </div>
</form>

<form id="truckMateQuoteModalFormStep1" onsubmit="return false" novalidate="" data-hs-cf-bound="true">
  <div class="row px-4 form-group">
    <div class="col-6 col-lg-4 text-left pb-1">
      <label for="truckMateQuoteModalFormNotifyName" class="col-form-label pb-0">Name:<span class="text-danger">*</span></label>
      <input type="text" class="form-control" id="truckMateQuoteModalFormNotifyName" placeholder="Full Name" required="">
      <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
      <div class="invalid-feedback"> Name required. </div>
    </div>
    <div class="col-6 col-lg-4 text-left pb-1">
      <label for="truckMateQuoteModalFormNotifyEmail" class="col-form-label pb-0">Email:<span class="text-danger">*</span></label>
      <input type="email" class="form-control" id="truckMateQuoteModalFormNotifyEmail" placeholder="Email" required="">
      <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
      <div class="invalid-feedback"> Email required. </div>
    </div>
    <div class="col-6 col-lg-4 text-left pb-1">
      <label for="truckMateQuoteModalFormNotifyPhone" class="col-form-label pb-0">Phone:<span class="text-danger">*</span></label>
      <input type="tel" class="form-control" id="truckMateQuoteModalFormNotifyPhone" placeholder="Phone" maxlength="12" onkeyup="formatPhone(this);" required="">
      <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
      <div class="invalid-feedback"> Phone required. </div>
    </div>
    <div class="col-6 text-left pb-1">
      <label for="truckMateQuoteModalFormNotifyCompanyName" class="col-form-label pb-0">Company Name:</label>
      <input type="text" class="form-control" id="truckMateQuoteModalFormNotifyCompanyName" placeholder="Company Name">
      <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
      <div class="invalid-feedback"> Please provide valid company name. </div>
    </div>
    <div class="col-6 col-lg-3 text-left pb-1">
      <label for="truckMateQuoteModalFormShipFromStep1Zipcode" class="col-form-label pb-0">Ship from Zipcode:<span class="text-danger">*</span></label>
      <input class="form-control" id="truckMateQuoteModalFormShipFromStep1Zipcode" placeholder="Ship from Zipcode" size="5" maxlength="5" pattern="[0-9]{5}" type="text" required="">
      <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
      <div class="invalid-feedback"> Required field. </div>
    </div>
    <div class="col-6 col-lg-3 text-left pb-1">
      <label for="truckMateQuoteModalFormShipToStep1Zipcode" class="col-form-label pb-0">Ship to Zipcode:<span class="text-danger">*</span></label>
      <input class="form-control" id="truckMateQuoteModalFormShipToStep1Zipcode" placeholder="Ship to Zipcode" size="5" maxlength="5" pattern="[0-9]{5}" type="text" required="">
      <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
      <div class="invalid-feedback"> Required field. </div>
    </div>
    <div class="col-6 col-lg-3 text-left pb-1">
      <label for="truckMateQuoteModalFormTruckLoad" class="col-form-label pb-0"> Truck Load Type:<span class="text-danger">*</span>
      </label>
      <select class="form-control custom-select custom-select-lg has-placeholder" id="truckMateQuoteModalFormTruckLoad" placeholder="" required="">
        <option value="">---</option>
        <option value="LTL">LTL</option>
        <option value="FTL">FTL</option>
      </select>
      <!--                                        <input th:value="${importManifestLotHdr.pieceTypeReceived}" class="form-control" id="updateLotFormReceivedType" placeholder="-&#45;&#45;" name="pieceTypeReceived" readonly></input>-->
      <!--                                        <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
      <div class="invalid-feedback"> Type required. </div>
    </div>
    <div class="col-6 col-lg-3 text-left pb-1">
      <label for="truckMateQuoteModalFormPounds" class="col-form-label pb-0">Total Weight in LBS:<span class="text-danger">*</span></label>
      <input type="number" class="form-control" id="truckMateQuoteModalFormPounds" placeholder="# of LBS" size="10" maxlength="10" min="1" required="">
      <div class="invalid-feedback"> Please provide pounds. </div>
    </div>
    <div class="col-6 col-lg-3 text-left pb-1">
      <label for="truckMateQuoteModalFormPieces" class="col-form-label pb-0">Total Pieces:<span class="text-danger">*</span></label>
      <input type="number" class="form-control" id="truckMateQuoteModalFormPieces" placeholder="# of Pieces" size="10" maxlength="10" min="1" required="">
      <div class="invalid-feedback"> Please provide piece count. </div>
    </div>
    <div class="col-6 col-lg-3 text-left pb-1">
      <div class="d-flex justify-content-between" style="padding-top: 6px; padding-bottom: 4px;">
        <label for="truckMateQuoteModalFormCBM" class="col-form-label p-0">CBM:<span class="text-danger">*</span></label>
        <label for="truckMateQuoteModalFormCBM" class="col-form-label p-0 text-right">
          <a href="https://www.cbmcalculator.com/" class="text-primary" target="_blank">CBM Calculator <i class="fas fa-calculator" aria-hidden="true"></i></a>
        </label>
      </div>
      <input type="number" step=".01" class="form-control" id="truckMateQuoteModalFormCBM" placeholder="Volume in CBM" size="10" maxlength="10" min="0.01" required="">
      <div class="invalid-feedback"> Please provide cbm. </div>
    </div>
    <div class="col-6 col-lg-3 text-left pb-1">
      <label for="truckMateQuoteModalFormPallets" class="col-form-label pb-0">Pallet Count:<span class="text-danger">*</span></label>
      <input type="number" class="form-control" id="truckMateQuoteModalFormPallets" placeholder="" size="10" maxlength="10" required="">
      <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
      <div class="invalid-feedback"> Please provide piece count. </div>
    </div>
    <div class="col-12 col-lg-9 d-flex flex-row justify-content-center align-items-center pt-4 pb-1">
      <strong style="font-size: 9pt; margin-right: 8px; color: #868d93!important;">Shipment contains hazardous material:<span class="text-danger">*</span></strong>
      <div class="form-check form-check-inline">
        <input class="form-check-input" type="radio" id="truckMateQuoteModalFormHazmatYes" value="Y" name="truckMateQuoteModalFormHazmat" required="">
        <label class="form-check-label text-secondary ml-0" style="font-size: 12px;" for="truckMateQuoteModalFormHazmatYes">yes</label>
      </div>
      <div class="form-check form-check-inline">
        <input class="form-check-input" type="radio" id="truckMateQuoteModalFormHazmatNo" value="N" name="truckMateQuoteModalFormHazmat" required="">
        <label class="form-check-label text-secondary ml-0" style="font-size: 12px;" for="truckMateQuoteModalFormHazmatNo">no</label>
        <div class="invalid-feedback mt-0 ml-3"> Hazardous required. </div>
      </div>
    </div>
    <div class="col-6 text-left d-flex align-items-center flex-wrap qq-accessorials">
      <div class="col-12 p-0" style="display:flex; flex-direction: column; justify-content: start;">
        <label class="col-form-label pb-0">Accessorials:</label>
      </div>
      <div class="col-12 p-0">
        <hr class="mt-2 mb-0" style="border-top: 1px solid #ced4da !important;">
      </div>
      <div class="form-check col-12 col-lg-6 pl-4 text-left d-flex align-items-center">
        <input type="checkbox" class="form-check-input mt-2" value="APPOINT" id="APPOINT" name="truckMateQuoteModalFormAccessorials">
        <label class="form-check-label text-secondary" for="APPOINT" style="margin-left: 6px; margin-top: 6px;">
          <span style="font-size: 9pt;color: #868d93!important;">Appointment</span>
          <br>
        </label>
      </div>
      <div class="form-check col-12 col-lg-6 pl-4 text-left d-flex align-items-center">
        <input type="checkbox" class="form-check-input mt-2" value="LIFTGATE" id="LIFTGATE" name="truckMateQuoteModalFormAccessorials">
        <label class="form-check-label text-secondary" for="LIFTGATE" style="margin-left: 6px; margin-top: 6px;">
          <span style="font-size: 9pt;color: #868d93!important;">Lift Gate</span>
          <br>
        </label>
      </div>
      <div class="form-check col-12 col-lg-6 pl-4 text-left d-flex align-items-center">
        <input type="checkbox" class="form-check-input mt-2" value="LIMITACCS" id="LIMITACCS" name="truckMateQuoteModalFormAccessorials">
        <label class="form-check-label text-secondary" for="LIMITACCS" style="margin-left: 6px; margin-top: 6px;">
          <span style="font-size: 9pt;color: #868d93!important;">Limited Access</span>
          <br>
        </label>
      </div>
      <div class="form-check col-12 col-lg-6 pl-4 text-left d-flex align-items-center">
        <input type="checkbox" class="form-check-input mt-2" value="RESIDENT" id="RESIDENT" name="truckMateQuoteModalFormAccessorials">
        <label class="form-check-label text-secondary" for="RESIDENT" style="margin-left: 6px; margin-top: 6px;">
          <span style="font-size: 9pt;color: #868d93!important;">Residential</span>
          <br>
        </label>
      </div>
    </div>
    <div class="col-6 text-left pt-0">
      <div>
        <label for="truckMateQuoteModalFormComments" class="col-form-label pt-0 pb-2">Comments:</label>
        <textarea class="form-control" id="truckMateQuoteModalFormComments" rows="3" placeholder="" size="100" maxlength="100" cols="20"></textarea>
        <p style="font-size: x-small; color: grey;" class="col pt-1 pr-0 text-right m-0">
          <span id="notesCharCount">0</span>/100 characters
        </p>
      </div>
    </div>
  </div>
</form>

<form id="truckMateQuoteModalFormStep2" onsubmit="return false" novalidate="" data-hs-cf-bound="true">
  <div class="row px-2">
    <div class="col-sm-4 pb-4">
      <div class="row">
        <div class="col-4" style="display:flex; flex-direction: column; justify-content: center;">
          <h7 class="text-left" style="font-weight:bold; color:#00415a;">Payor</h7>
        </div>
        <div class="col-8">
          <hr style="border-top: 1px solid #ced4da !important;">
        </div>
      </div>
      <div class="row form-group">
        <div class="col-12 text-left py-1 d-flex flex-column">
          <label for="truckMateQuoteModalFormPayorContact" class="col-form-label pb-0">Contact:<span class="text-danger">*</span></label>
          <input class="form-control" id="truckMateQuoteModalFormPayorContact" placeholder="Contact" required="">
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> Contact required. </div>
        </div>
        <div class="col-12 text-left pb-1">
          <label for="truckMateQuoteModalFormPayorCompanyName" class="col-form-label pb-0">Company Name:<span class="text-danger">*</span></label>
          <input class="form-control" id="truckMateQuoteModalFormPayorCompanyName" placeholder="Company Name" required="">
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> Company required. </div>
        </div>
        <div class="col-12 text-left pb-1">
          <label for="truckMateQuoteModalFormPayorAddress" class="col-form-label pb-0">Address:<span class="text-danger">*</span></label>
          <input class="form-control" id="truckMateQuoteModalFormPayorAddress" placeholder="Address" required="">
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> Address required. </div>
        </div>
        <div class="col-12 text-left pb-1">
          <label for="truckMateQuoteModalFormPayorCity" class="col-form-label pb-0">City:<span class="text-danger">*</span></label>
          <input class="form-control" id="truckMateQuoteModalFormPayorCity" placeholder="City" required="">
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> City required. </div>
        </div>
        <div class="col-12 col-lg-6 text-left pb-1">
          <label for="truckMateQuoteModalFormPayorState" class="col-form-label pb-0">State:<span class="text-danger">*</span></label>
          <select type="text" class="form-control custom-select custom-select-lg has-placeholder" id="truckMateQuoteModalFormPayorState" required="">
            <option value="">State</option>
            <option value="AL">AL</option>
            <option value="AK">AK</option>
            <option value="AR">AR</option>
            <option value="AZ">AZ</option>
            <option value="CA">CA</option>
            <option value="CO">CO</option>
            <option value="CT">CT</option>
            <option value="DC">DC</option>
            <option value="DE">DE</option>
            <option value="FL">FL</option>
            <option value="GA">GA</option>
            <option value="HI">HI</option>
            <option value="IA">IA</option>
            <option value="ID">ID</option>
            <option value="IL">IL</option>
            <option value="IN">IN</option>
            <option value="KS">KS</option>
            <option value="KY">KY</option>
            <option value="LA">LA</option>
            <option value="MA">MA</option>
            <option value="MD">MD</option>
            <option value="ME">ME</option>
            <option value="MI">MI</option>
            <option value="MN">MN</option>
            <option value="MO">MO</option>
            <option value="MS">MS</option>
            <option value="MT">MT</option>
            <option value="NC">NC</option>
            <option value="NE">NE</option>
            <option value="NH">NH</option>
            <option value="NJ">NJ</option>
            <option value="NM">NM</option>
            <option value="NV">NV</option>
            <option value="NY">NY</option>
            <option value="ND">ND</option>
            <option value="OH">OH</option>
            <option value="OK">OK</option>
            <option value="OR">OR</option>
            <option value="PA">PA</option>
            <option value="RI">RI</option>
            <option value="SC">SC</option>
            <option value="SD">SD</option>
            <option value="TN">TN</option>
            <option value="TX">TX</option>
            <option value="UT">UT</option>
            <option value="VT">VT</option>
            <option value="VA">VA</option>
            <option value="WA">WA</option>
            <option value="WI">WI</option>
            <option value="WV">WV</option>
            <option value="WY">WY</option>
          </select>
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> State required. </div>
        </div>
        <div class="col-12 col-lg-6 text-left pb-1">
          <label for="truckMateQuoteModalFormPayorZip" class="col-form-label pb-0">Zip:<span class="text-danger">*</span></label>
          <input class="form-control" id="truckMateQuoteModalFormPayorZip" placeholder="Zip" size="5" maxlength="5" pattern="[0-9]{5}" type="text" required="">
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> Zip required. </div>
        </div>
        <div class="col-12 text-left pb-1">
          <label for="truckMateQuoteModalFormPayorEmail" class="col-form-label pb-0">Email:</label>
          <input type="email" class="form-control" id="truckMateQuoteModalFormPayorEmail" placeholder="Email">
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> Email required. </div>
        </div>
        <div class="col-12 text-left pb-1">
          <label for="truckMateQuoteModalFormShipFromPhone" class="col-form-label pb-0">Phone:</label>
          <input class="form-control" id="truckMateQuoteModalFormPayorPhone" placeholder="Phone" onkeyup="formatPhone(this);" size="12" maxlength="12">
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> Phone required. </div>
        </div>
      </div>
    </div>
    <div class="col-sm-4 pb-4">
      <div class="row">
        <div class="col-4" style="display:flex; flex-direction: column; justify-content: center;">
          <h7 class="text-left" style="font-weight:bold; color:#00415a;">Origin</h7>
        </div>
        <div class="col-8">
          <hr style="border-top: 1px solid #ced4da !important;">
        </div>
      </div>
      <div class="row form-group">
        <div class="col-12 text-left py-1 d-flex flex-column">
          <label for="truckMateQuoteModalFormShipFromContact" class="col-form-label pb-0">Contact:<span class="text-danger">*</span></label>
          <input class="form-control" id="truckMateQuoteModalFormShipFromContact" placeholder="Contact" required="">
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> Contact required. </div>
        </div>
        <div class="col-12 text-left pb-1">
          <label for="truckMateQuoteModalFormShipFromCompanyName" class="col-form-label pb-0">Company Name:<span class="text-danger">*</span></label>
          <input class="form-control" id="truckMateQuoteModalFormShipFromCompanyName" placeholder="Company Name" required="">
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> Company required. </div>
        </div>
        <div class="col-12 text-left pb-1">
          <label for="truckMateQuoteModalFormShipFromAddress" class="col-form-label pb-0">Address:<span class="text-danger">*</span></label>
          <input class="form-control" id="truckMateQuoteModalFormShipFromAddress" placeholder="Address" required="">
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> Address required. </div>
        </div>
        <div class="col-12 text-left pb-1">
          <label for="truckMateQuoteModalFormShipFromCity" class="col-form-label pb-0">City:<span class="text-danger">*</span></label>
          <input class="form-control" id="truckMateQuoteModalFormShipFromCity" placeholder="City" required="">
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> City required. </div>
        </div>
        <div class="col-12 col-lg-6 text-left pb-1">
          <label for="truckMateQuoteModalFormShipFromState" class="col-form-label pb-0">State:<span class="text-danger">*</span></label>
          <select type="text" class="form-control custom-select custom-select-lg has-placeholder" id="truckMateQuoteModalFormShipFromState" required="">
            <option value="">State</option>
            <option value="AL">AL</option>
            <option value="AK">AK</option>
            <option value="AR">AR</option>
            <option value="AZ">AZ</option>
            <option value="CA">CA</option>
            <option value="CO">CO</option>
            <option value="CT">CT</option>
            <option value="DC">DC</option>
            <option value="DE">DE</option>
            <option value="FL">FL</option>
            <option value="GA">GA</option>
            <option value="HI">HI</option>
            <option value="IA">IA</option>
            <option value="ID">ID</option>
            <option value="IL">IL</option>
            <option value="IN">IN</option>
            <option value="KS">KS</option>
            <option value="KY">KY</option>
            <option value="LA">LA</option>
            <option value="MA">MA</option>
            <option value="MD">MD</option>
            <option value="ME">ME</option>
            <option value="MI">MI</option>
            <option value="MN">MN</option>
            <option value="MO">MO</option>
            <option value="MS">MS</option>
            <option value="MT">MT</option>
            <option value="NC">NC</option>
            <option value="NE">NE</option>
            <option value="NH">NH</option>
            <option value="NJ">NJ</option>
            <option value="NM">NM</option>
            <option value="NV">NV</option>
            <option value="NY">NY</option>
            <option value="ND">ND</option>
            <option value="OH">OH</option>
            <option value="OK">OK</option>
            <option value="OR">OR</option>
            <option value="PA">PA</option>
            <option value="RI">RI</option>
            <option value="SC">SC</option>
            <option value="SD">SD</option>
            <option value="TN">TN</option>
            <option value="TX">TX</option>
            <option value="UT">UT</option>
            <option value="VT">VT</option>
            <option value="VA">VA</option>
            <option value="WA">WA</option>
            <option value="WI">WI</option>
            <option value="WV">WV</option>
            <option value="WY">WY</option>
          </select>
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> State required. </div>
        </div>
        <div class="col-12 col-lg-6 text-left pb-1">
          <label for="truckMateQuoteModalFormShipFromZip" class="col-form-label pb-0">Zip:<span class="text-danger">*</span></label>
          <input class="form-control" id="truckMateQuoteModalFormShipFromZip" placeholder="Zip" size="5" maxlength="5" pattern="[0-9]{5}" type="text" disabled="" required="">
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> Zip required. </div>
        </div>
        <div class="col-12 text-left pb-1">
          <label for="truckMateQuoteModalFormShipFromEmail" class="col-form-label pb-0">Email:</label>
          <input type="email" class="form-control" id="truckMateQuoteModalFormShipFromEmail" placeholder="Email">
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> Email required. </div>
        </div>
        <div class="col-12 text-left pb-1">
          <label for="truckMateQuoteModalFormShipFromPhone" class="col-form-label pb-0">Phone:</label>
          <input class="form-control" id="truckMateQuoteModalFormShipFromPhone" placeholder="Phone" onkeyup="formatPhone(this);" size="12" maxlength="12">
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> Phone required. </div>
        </div>
      </div>
    </div>
    <div class="col-sm-4 pb-4">
      <div class="row">
        <div class="col-6" style="display:flex; flex-direction: column; justify-content: center;">
          <h7 class="text-left" style="font-weight:bold; color:#00415a;">Destination</h7>
        </div>
        <div class="col-6">
          <hr style="border-top: 1px solid #ced4da !important;">
        </div>
      </div>
      <div class="row form-group">
        <div class="col-12 text-left py-1 d-flex flex-column">
          <label for="truckMateQuoteModalFormShipToContact" class="col-form-label pb-0">Contact:<span class="text-danger">*</span></label>
          <input class="form-control" id="truckMateQuoteModalFormShipToContact" placeholder="Contact" required="">
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> Contact required. </div>
        </div>
        <div class="col-12 text-left pb-1">
          <label for="truckMateQuoteModalFormShipToCompanyName" class="col-form-label pb-0">Company Name:<span class="text-danger">*</span></label>
          <input class="form-control" id="truckMateQuoteModalFormShipToCompanyName" placeholder="Company Name" required="">
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> Company required. </div>
        </div>
        <div class="col-12 text-left pb-1">
          <label for="truckMateQuoteModalFormShipToAddress" class="col-form-label pb-0">Address:<span class="text-danger">*</span></label>
          <input class="form-control" id="truckMateQuoteModalFormShipToAddress" placeholder="Address" required="">
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> Address required. </div>
        </div>
        <div class="col-12 text-left pb-1">
          <label for="truckMateQuoteModalFormShipToCity" class="col-form-label pb-0">City:<span class="text-danger">*</span></label>
          <input class="form-control" id="truckMateQuoteModalFormShipToCity" placeholder="City" required="">
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> City required. </div>
        </div>
        <div class="col-12 col-lg-6 text-left pb-1">
          <label for="truckMateQuoteModalFormShipToState" class="col-form-label pb-0">State:<span class="text-danger">*</span></label>
          <select type="text" class="form-control custom-select custom-select-lg has-placeholder" id="truckMateQuoteModalFormShipToState" name="truckMateQuoteModalFormShipToState" required="">
            <option value="">State</option>
            <option value="AL">AL</option>
            <option value="AK">AK</option>
            <option value="AR">AR</option>
            <option value="AZ">AZ</option>
            <option value="CA">CA</option>
            <option value="CO">CO</option>
            <option value="CT">CT</option>
            <option value="DC">DC</option>
            <option value="DE">DE</option>
            <option value="FL">FL</option>
            <option value="GA">GA</option>
            <option value="HI">HI</option>
            <option value="IA">IA</option>
            <option value="ID">ID</option>
            <option value="IL">IL</option>
            <option value="IN">IN</option>
            <option value="KS">KS</option>
            <option value="KY">KY</option>
            <option value="LA">LA</option>
            <option value="MA">MA</option>
            <option value="MD">MD</option>
            <option value="ME">ME</option>
            <option value="MI">MI</option>
            <option value="MN">MN</option>
            <option value="MO">MO</option>
            <option value="MS">MS</option>
            <option value="MT">MT</option>
            <option value="NC">NC</option>
            <option value="NE">NE</option>
            <option value="NH">NH</option>
            <option value="NJ">NJ</option>
            <option value="NM">NM</option>
            <option value="NV">NV</option>
            <option value="NY">NY</option>
            <option value="ND">ND</option>
            <option value="OH">OH</option>
            <option value="OK">OK</option>
            <option value="OR">OR</option>
            <option value="PA">PA</option>
            <option value="RI">RI</option>
            <option value="SC">SC</option>
            <option value="SD">SD</option>
            <option value="TN">TN</option>
            <option value="TX">TX</option>
            <option value="UT">UT</option>
            <option value="VT">VT</option>
            <option value="VA">VA</option>
            <option value="WA">WA</option>
            <option value="WI">WI</option>
            <option value="WV">WV</option>
            <option value="WY">WY</option>
          </select>
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> State required. </div>
        </div>
        <div class="col-12 col-lg-6 text-left pb-1">
          <label for="truckMateQuoteModalFormShipToZip" class="col-form-label pb-0">Zip:<span class="text-danger">*</span></label>
          <input class="form-control" id="truckMateQuoteModalFormShipToZip" placeholder="Zip" size="5" maxlength="5" pattern="[0-9]{5}" type="text" disabled="" required="">
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> Zip required. </div>
        </div>
        <div class="col-12 text-left pb-1">
          <label for="truckMateQuoteModalFormShipToEmail" class="col-form-label pb-0">Email:</label>
          <input type="email" class="form-control" id="truckMateQuoteModalFormShipToEmail" placeholder="Email">
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> Email required. </div>
        </div>
        <div class="col-12 text-left pb-1">
          <label for="truckMateQuoteModalFormShipToPhone" class="col-form-label pb-0">Phone:</label>
          <input class="form-control" id="truckMateQuoteModalFormShipToPhone" placeholder="Phone" onkeyup="formatPhone(this);" name="" size="12" maxlength="12">
          <!--                                            <div class="valid-feedback"><i class="fas fa-check-circle"></i></div>-->
          <div class="invalid-feedback"> Phone required. </div>
        </div>
      </div>
    </div>
  </div>
</form>

<form id="traceOrderForm" onsubmit="return false" novalidate="" data-hs-cf-bound="true">
  <div class="input-group px-3 py-3">
    <select class="input-group-prepend custom-select px-4 py-3 custom-select-lg has-placeholder" id="searchType" style="height: auto; font-size:medium;">
      <option value="BOL">Bill of Lading</option>
      <option value="FREIGHTBILL">Freight Bill</option>
      <option value="CUSTREFERNCE">Customer Reference Number</option>
      <option value="WEBCONFIRM">Web Confirmation Number</option>
      <option value="HOUSEBILL">House Bill</option>
      <option value="AMSHBL">AMS HBL</option>
      <option value="JOBLOT">Job Lot Number</option>
      <option value="CARRIERPRO">Carrier Pro</option>
      <option value="QUOTE">Quote Number</option>
    </select>
    <input style="font-size:medium;" class="form-control px-4" id="searchParam" type="text" placeholder="Search Number" required="">
    <div id="searchParamInvalidMessage" class="invalid-feedback text-right"> Not valid. </div>
    <!-- <input  class="form-control"name='Submit' type='button' value='Submit' > -->
  </div>
</form>

Text Content

Menu
 * About
   * Contact
   * Our Team
   * Safety
   * Notices
   * News
   * Events
   * Integration
   * Data & Analysis
   * Cybersecurity
 * Our Services
   * Drayage
   * Intermodal
   * Transloading
   * Over the Road – FTL, LTL
   * Expedited
   * Air
   * Ocean
   * STG Shield
   * Shared and Contract Warehousing
   * E-Commerce Fulfillment
   * Value Added
 * Work With Us
   * Careers
   * Drayage Drive with Us
 * Locations
   * Alabama
     * Auburn
   * California
     * City of Industry
     * Fontana
     * La Mirada 
     * Long Beach
     * Los Angeles
     * Oakland
     * Santa Fe Springs
     * Walnut
   * Florida
     * Everglades – CFS
     * Fort Lauderdale – CES/FTZ
   * Georgia
     * Atlanta-Fairburn
     * Atlanta-Forest Park
     * Savannah
   * Illinois
     * Bensenville Exports
     * Bensenville Imports
     * Elk Grove Village
   * New Jersey
     * North Bergen
   * Ohio
     * Columbus
   * Oregon
     * Portland
   * South Carolina
     * Charleston
   * Texas
     * Dallas
     * Houston
   * Washington
     * Seattle
 * Quoting & Inquiries
   * Get an OTR Quick Quote
   * Trace Order
   * Contact
 * Tracking
   * CFS – Air, CES, Ocean and LTL
   * CLS – Contract Logistics
   * CTS – Freight Force
   * Intermodal – Drayage & Rail
   * StackTrain

 * CORPORATE HEADQUARTERS
   
   951 Thorndale Avenue
   Bensenville, IL 60106

 * TELEPHONE
   
   Tel: 630.581.0519

 * GENERAL EMAIL
   
   info@stgusa.com



NOTICE: STG OAK, LAX AND LGB UPDATED WINDOW HOURS



NOTICE: STG LOGISTICS UPCOMING UPDATES 2024



NOTICE: STG CFS HOLIDAY SCHEDULE



NOTICE: POWER HAS BEEN RESTORED AT STG COLUMBUS



NOTICE: APPOINTMENTS CANCELLED AT APM TERMINAL TODAY



NOTICE: POWER OUTAGE AT STG COLUMBUS FACILITY



NOTICE: STG OAK, LAX AND LGB UPDATED WINDOW HOURS



NOTICE: STG LOGISTICS UPCOMING UPDATES 2024



NOTICE: STG CFS HOLIDAY SCHEDULE



NOTICE: POWER HAS BEEN RESTORED AT STG COLUMBUS



NOTICE: APPOINTMENTS CANCELLED AT APM TERMINAL TODAY



NOTICE: POWER OUTAGE AT STG COLUMBUS FACILITY



NOTICE: STG OAK, LAX AND LGB UPDATED WINDOW HOURS




NORTH AMERICA’S LEADING
COAST TO COAST LOGISTICS PROVIDER

offering a complete port to door supply chain solution.

Get an OTR Quote
Manage & Track Shipments


OUR PEOPLE ARE THE DIFFERENCE

It’s more than just a sentence – it is the secret of our success. It’s not about
the buildings, the trucks or the containers (sure we have those), but the people
who are focused on delivering exceptional customer service. We empower them with
industry leading visibility and inventory management tools and state-of-the-art
technology and equipment on the warehouse floor and in the office.

Combined, they create a solution that leads the industry and one our competitors
cannot match in the United States.

Learn About Our Team



WAREHOUSING

Your freight is unique to you. We recognize that whether we’re providing
traditional CFS consolidation and deconsolidation services
for air and ocean freight or complex omnichannel distribution combining
transloading, short and long term warehousing, inventory management and first or
final mile
transportation, STG engineers customized solutions for every client.

Shared & Contract Warehousing
Value Added Services


CARGO HANDLING

Shipment visibility and data are important, but so is knowing how to handle the
cargo both before and after it arrives. STG’s company history is rooted in CFS
operations – planning, receiving, segregating, repalletizing and shipping out
everything from single PO or SKU full containers through the most complex
buyer’s consolidations.

With facilities at every major US port of entry, STG can plan, recover and
transload cargo to rapidly move it to the next stop in your supply chain.

Air Cargo Handling
Ocean Cargo Handling
STG Shield: Loss Protection



DRAYAGE & INTERMODAL SERVICES

STG Logistics is an asset carrier that partners with leading transportation
providers to offer competitive and reliable services. We offer traditional
transportation management services and maintain specialized equipment to
accommodate custom shipping needs.

Our intermodal, drayage, STG Drayage and STG Express services, deliver shipments
of all sizes nationwide, with the added benefit of competitive pricing and
complete visibility from overseas to the recipient. Our goal is to provide a
comprehensive and efficient delivery solution for each of our clients.

More about Drayage
More about Intermodal


TECHNOLOGY

STG’s technology connects you with your cargo in more ways than you can count.

STG has always been ahead of the curve when it comes to technology. We believe
that robust technology is key to manage inventory which is ordered, in-transit
and in our system.

To that end, we have aligned our technology with our customers’ requirement to
improve visibility, minimize errors and reduce costs. STG’s more than sixty
combined years managing warehouses has taught us what our customer want and need
to know. Our custom-developed platforms integrated with best-in-class cloud
provider solutions will connect to any ERP, e-commerce or inventory or warehouse
management system.

Learn About Our Integrations


LOCATIONS

We operate the largest network of Customs bonded warehouses in North America,
with immediate access to every major air and vessel port of entry. We continue
to expand our domestic warehousing locations and combined with yard space for
ocean containers and intermodal trailers across the country, STG works with
clients to optimize their supply chains to put cargo close to customers, saving
on final mile transportation costs.

Filters

Clear Done
AllCaliforniaFloridaGeorgiaIllinoisNevadaNew JerseyNew YorkOhioOregonSouth
CarolinaTexasWashington





BECOME AN STG DIFFERENCE MAKER!

With competitive benefits, a focus on diversity and inclusion, flexible hours
and opportunities for advancement and relocation, STG is looking for people to
join us. Whether you’re looking for a job that fits your schedule or a career in
the professional logistics industry, learn more about our culture and check our
nationwide job postings today. #OurPeopleAreTheDifference

View Open Positions & Apply


 * CORPORATE HEADQUARTERS
   
   951 Thorndale Avenue
   Bensenville, IL 60106

 * TELEPHONE
   
   Tel: 630.581.0519

 * GENERAL EMAIL
   
   info@stgusa.com

JOIN OUR NEWSLETTER

Email*



 * 
 * 
 * 
 * 

 * PRIVACY POLICY
 * INTERMODAL PRIVACY POLICY
 * TERMS & CONDITIONS

© 2024 STG USA. All Rights Reserved.

 * About
   * Contact
   * Our Team
   * Safety
   * Notices
   * News
   * Events
   * Integration
   * Data & Analysis
   * Cybersecurity
 * Our Services
   * Drayage
   * Intermodal
   * Transloading
   * Over the Road – FTL, LTL
   * Expedited
   * Air
   * Ocean
   * STG Shield
   * Shared and Contract Warehousing
   * E-Commerce Fulfillment
   * Value Added
 * Work With Us
   * Careers
   * Drayage Drive with Us
 * Locations
   * Alabama
     * Auburn
   * California
     * City of Industry
     * Fontana
     * La Mirada 
     * Long Beach
     * Los Angeles
     * Oakland
     * Santa Fe Springs
     * Walnut
   * Florida
     * Everglades – CFS
     * Fort Lauderdale – CES/FTZ
   * Georgia
     * Atlanta-Fairburn
     * Atlanta-Forest Park
     * Savannah
   * Illinois
     * Bensenville Exports
     * Bensenville Imports
     * Elk Grove Village
   * New Jersey
     * North Bergen
   * Ohio
     * Columbus
   * Oregon
     * Portland
   * South Carolina
     * Charleston
   * Texas
     * Dallas
     * Houston
   * Washington
     * Seattle
 * Quoting & Inquiries
   * Get an OTR Quick Quote
   * Trace Order
   * Contact
 * Tracking
   * CFS – Air, CES, Ocean and LTL
   * CLS – Contract Logistics
   * CTS – Freight Force
   * Intermodal – Drayage & Rail
   * StackTrain




PRE & POST TRAILER INSPECTION FORM



Type of Inspection
Pre
Post
Driver's Full Name(Required)
First Last
Date(Required)
MM slash DD slash YYYY
Trailer Unit #(Required)

Load Number(Required)



FRONT

Curent FHWA Date:
MM slash DD slash YYYY
GLAD Hand Coupling(Required)
Pass
Fail
Clearance Lights(Required)
Pass
Fail
Lighting Plug Connection(Required)
Pass
Fail


LEFT SIDE

Sidemarker Lights/Midspan Turn Light(Required)
Pass
Fail
Reflectors and Reflective Tape(Required)
Pass
Fail
Tire and Wheels (Nuts/Pressure)(Required)
Pass
Fail
Door and Trim(Required)
Pass
Fail
Sliding Suspension Lock Pins Portruding Rail(Required)
Pass
Fail
Dolly Legs(Required)
Pass
Fail


REAR

Taillights/Stop Light(Required)
Pass
Fail
Rear Slider(Required)
Pass
Fail
Turn Signals/Flashers(Required)
Pass
Fail
Clearance Lights(Required)
Pass
Fail
ID Light(Required)
Pass
Fail
Reflectors and Reflective Tape(Required)
Pass
Fail
Tire and Wheels (Nuts/Pressure)(Required)
Pass
Fail
Rear Impact Guard(Required)
Pass
Fail
Doors, Airbags(Required)
Pass
Fail
Mud Flaps(Required)
Pass
Fail


RIGHT SIDE

Sidemarker Lights/Midspan Turn Light(Required)
Pass
Fail
Reflectors and Reflective Tape(Required)
Pass
Fail
Tire and Wheels (Nuts/Pressure)(Required)
Pass
Fail
Door and Trim(Required)
Pass
Fail
Sliding Suspension Lock Pins Portruding Rail(Required)
Pass
Fail


TIRES

Bald Spots(Required)
Pass
Fail




Any Condition Marked as "FAIL" needs to include an explanation below. Photos
must also be provided.
File
Max. file size: 50 MB.


×


REQUEST A QUOTE



Company Name

First Name(Required)

E-mail(Required)

Phone Number(Required)

Best Contact Method?(Required)
Phone
Email
Pick Up Date(Required)
MM slash DD slash YYYY
Origin City/State(Required)
City AlabamaAlaskaAmerican
SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of
ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana
IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest
VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces
Pacific State

Destination City/State(Required)
City AlabamaAlaskaAmerican
SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of
ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana
IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest
VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces
Pacific State

Weight

Commodity

Special Requests


×

ADD ADDITIONAL INSURANCE COVERAGE

Additional Coverage Amount Above $10,000:
$
.00
Minimum additional coverage amount is $100 and Maximum coverage is $800,000.
Additional Insurance Premium Cost: $5
Please read STG's claim policy via the following link: Terms & Conditions
Cancel Get Price Add Additional Insurance

SUCCESS

Add Successful!


WQ1623

Order Form

×


WQ1623

Order Form

Name:*
Name required.
Email:*
Email required.
Phone:*
Phone required.
Company Name:
Please provide valid company name.
Ship from Zipcode:*
Required field.
Ship to Zipcode:*
Required field.
Truck Load Type:* --- LTL FTL
Type required.
Total Weight in LBS:*
Please provide pounds.
Total Pieces:*
Please provide piece count.
CBM:* CBM Calculator
Please provide cbm.
Pallet Count:*
Please provide piece count.
Shipment contains hazardous material:*
yes
no
Hazardous required.
Accessorials:

--------------------------------------------------------------------------------

Appointment

Lift Gate

Limited Access

Residential

Comments:

0/100 characters

Payor

--------------------------------------------------------------------------------

Contact:*
Contact required.
Company Name:*
Company required.
Address:*
Address required.
City:*
City required.
State:* State AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME
MI MN MO MS MT NC NE NH NJ NM NV NY ND OH OK OR PA RI SC SD TN TX UT VT VA WA WI
WV WY
State required.
Zip:*
Zip required.
Email:
Email required.
Phone:
Phone required.
Origin

--------------------------------------------------------------------------------

Contact:*
Contact required.
Company Name:*
Company required.
Address:*
Address required.
City:*
City required.
State:* State AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME
MI MN MO MS MT NC NE NH NJ NM NV NY ND OH OK OR PA RI SC SD TN TX UT VT VA WA WI
WV WY
State required.
Zip:*
Zip required.
Email:
Email required.
Phone:
Phone required.
Destination

--------------------------------------------------------------------------------

Contact:*
Contact required.
Company Name:*
Company required.
Address:*
Address required.
City:*
City required.
State:* State AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME
MI MN MO MS MT NC NE NH NJ NM NV NY ND OH OK OR PA RI SC SD TN TX UT VT VA WA WI
WV WY
State required.
Zip:*
Zip required.
Email:
Email required.
Phone:
Phone required.
Shipment Detail

--------------------------------------------------------------------------------

STG LOGISTICS

STG Logistics

info@stgusa.com

908.858.5383

From Zip

90805

To Zip

90745

Pounds

500

Pieces

1

CBM

2.5

Pallets

YES

Hazardous

1

Accessorials

APPOINT,LIFTGATE,RESIDENT,LIMITACCS

Comments

I AM INTERESTED IN GETTING MORE INFORMATION. PLEASE CONTACT ASAP. I WOULD LIKE
TO DO BUSINESS IMMEDIATELY.

Quote ID:

YOU HAVE RECEIVED YOUR QUOTE!

--------------------------------------------------------------------------------

Insurance:
$25.00
Addtl Ins:
$0.00

--------------------------------------------------------------------------------


$73.62

Disclaimer: All rates are based on customer provided information. If there are
any variations to shipment specifications or services required, the customer
will be responsible for these changes. Quotes can only be guaranteed for 30 days
on LTL Shipments. All Truck Load rates must be confirmed at the time of booking.
Transit times are estimated and not guaranteed. Payment terms are net 30 days.
Base insurance coverage is $10,000 with zero deductible. Additional Insurance
above $10,000 will be subject to a deductible. Please refer to Insurance
Certificate for details.



WE NEED MORE INFORMATION TO PROPERLY QUOTE THIS SHIPMENT.

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PLEASE CALL STG BROKERAGE AT
1-888-STG-DOOR
TO RECEIVE A QUOTE TODAY.

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QUOTEID: WQ1324

Disclaimer: All rates are based on customer provided information. If there are
any variations to shipment specifications or services required, the customer
will be responsible for these changes. Quotes can only be guaranteed for 30 days
on LTL Shipments. All Truck Load rates must be confirmed at the time of booking.
Transit times are estimated and not guaranteed. Payment terms are net 30 days.



Any questions? Please call 888-STG-DOOR (888-784-3667)

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