{"id":239,"date":"2018-05-14T02:43:08","date_gmt":"2018-05-14T02:43:08","guid":{"rendered":"https:\/\/cbinc.com\/form\/?page_id=239"},"modified":"2021-07-11T17:58:53","modified_gmt":"2021-07-11T17:58:53","slug":"contact-form","status":"publish","type":"page","link":"https:\/\/cbinc.com\/form\/contact-form\/","title":{"rendered":"Contact Us"},"content":{"rendered":"<p>[vc_row][vc_column width=&#8221;1\/6&#8243;][\/vc_column][vc_column width=&#8221;2\/3&#8243;][vc_column_text]<\/p>\n<h4 class=\"has-text-align-center has-foreground-color has-text-color\" style=\"text-align: center;\"><strong>Have questions or comments for us? Fill out this form and we will be sure to re-direct your inquiry to the right department.<\/strong><\/h4>\n<p>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/6&#8243;][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1626023351989{padding-bottom: 80px !important;background-color: #0074bd !important;}&#8221;][vc_column width=&#8221;1\/12&#8243;][\/vc_column][vc_column width=&#8221;5\/6&#8243;][vc_empty_space height=&#8221;40px&#8221;]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f4-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"4\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/form\/wp-json\/wp\/v2\/pages\/239#wpcf7-f4-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f4-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:4,&quot;conditions&quot;:[],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false}}\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<div class=\"contact\">\n\t<div class=\"row\">\n\t\t<div class=\"columns columns-6\">\n\t\t\t<p><label>First Name * <span class=\"wpcf7-form-control-wrap\" data-name=\"f-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"f-name\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"columns columns-6\">\n\t\t\t<p><label>Last Name * <span class=\"wpcf7-form-control-wrap\" data-name=\"l-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"l-name\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"columns columns-6\">\n\t\t\t<p><label>Email Address * <span class=\"wpcf7-form-control-wrap\" data-name=\"email-322\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-322\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"columns columns-6\">\n\t\t\t<p><label>Phone <span class=\"wpcf7-form-control-wrap\" data-name=\"tel-744\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-744\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"columns columns-6\">\n\t\t\t<p><label>Address * <span class=\"wpcf7-form-control-wrap\" data-name=\"address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"address\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"columns columns-6\">\n\t\t\t<p><label>City * <span class=\"wpcf7-form-control-wrap\" data-name=\"city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"columns columns-6\">\n\t\t\t<p><label>Province\/State <\/label>\n\t\t\t<\/p>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"stateprovince\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"stateprovince\"><option value=\"--- Canadian Provinces ---\">--- Canadian Provinces ---<\/option><option value=\"Alberta\">Alberta<\/option><option value=\"British Columbia\">British Columbia<\/option><option value=\"Manitoba\">Manitoba<\/option><option value=\"New Brunswick\">New Brunswick<\/option><option value=\"Newfoundland and Labrador\">Newfoundland and Labrador<\/option><option value=\"Northwest Territories\">Northwest Territories<\/option><option value=\"Nova Scotia\">Nova Scotia<\/option><option value=\"Nunavut\">Nunavut<\/option><option value=\"Ontario\">Ontario<\/option><option value=\"Prince Edward Island\">Prince Edward Island<\/option><option value=\"Quebec\">Quebec<\/option><option value=\"Saskatchewan\">Saskatchewan<\/option><option value=\"Yukon\">Yukon<\/option><option value=\"---US STATES---\">---US STATES---<\/option><option value=\"Alaska\">Alaska<\/option><option value=\"Alabama\">Alabama<\/option><option value=\"Arkansas\">Arkansas<\/option><option value=\"American Samoa\">American Samoa<\/option><option value=\"Arizona\">Arizona<\/option><option value=\"California\">California<\/option><option value=\"Colorado\">Colorado<\/option><option value=\"Connecticut\">Connecticut<\/option><option value=\"District of Columbia\">District of Columbia<\/option><option value=\"Delaware\">Delaware<\/option><option value=\"Florida\">Florida<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Guam\">Guam<\/option><option value=\"Hawaii\">Hawaii<\/option><option value=\"Iowa\">Iowa<\/option><option value=\"Idaho\">Idaho<\/option><option value=\"Illinois\">Illinois<\/option><option value=\"Indiana\">Indiana<\/option><option value=\"Kansas\">Kansas<\/option><option value=\"Kentucky\">Kentucky<\/option><option value=\"Louisiana\">Louisiana<\/option><option value=\"Massachusetts\">Massachusetts<\/option><option value=\"Maryland\">Maryland<\/option><option value=\"Maine\">Maine<\/option><option value=\"Michigan\">Michigan<\/option><option value=\"Minnesota\">Minnesota<\/option><option value=\"Missouri\">Missouri<\/option><option value=\"Mississippi\">Mississippi<\/option><option value=\"Montana\">Montana<\/option><option value=\"North Carolina\">North Carolina<\/option><option value=\"North Dakota\">North Dakota<\/option><option value=\"Nebraska\">Nebraska<\/option><option value=\"New Hampshire\">New Hampshire<\/option><option value=\"New Jersey\">New Jersey<\/option><option value=\"New Mexico\">New Mexico<\/option><option value=\"Nevada\">Nevada<\/option><option value=\"New York\">New York<\/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=\"Virginia\">Virginia<\/option><option value=\"Virgin Islands\">Virgin Islands<\/option><option value=\"Vermont\">Vermont<\/option><option value=\"Washington\">Washington<\/option><option value=\"Wisconsin\">Wisconsin<\/option><option value=\"West Virginia\">West Virginia<\/option><option value=\"Wyoming\">Wyoming<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"columns columns-6\">\n\t\t\t<p><label>Nature of Inquiry <span class=\"wpcf7-form-control-wrap\" data-name=\"inquiry\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"inquiry\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Where to Buy\">Where to Buy<\/option><option value=\"Issue with Product\">Issue with Product<\/option><option value=\"Question about Product\">Question about Product<\/option><option value=\"Safety Data Sheet Inquiry\">Safety Data Sheet Inquiry<\/option><option value=\"Tracking Info for Online Order\">Tracking Info for Online Order<\/option><option value=\"Wholesale Inquiry\">Wholesale Inquiry<\/option><option value=\"Other\">Other<\/option><\/select><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"columns columns-6\">\n\t\t\t<p><label>Zip code <span class=\"wpcf7-form-control-wrap\" data-name=\"zip\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zip\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"columns columns-6\">\n\t\t\t<p><label> Select Brand <span class=\"wpcf7-form-control-wrap\" data-name=\"brand\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"brand\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Dippity Do Men\">Dippity Do Men<\/option><option value=\"Dippity Do\">Dippity Do<\/option><option value=\"Girls with Curls\">Girls with Curls<\/option><option value=\"LaCoupe for Men\">LaCoupe for Men<\/option><option value=\"Orgnx\">Orgnx<\/option><option value=\"Funcare\">Funcare<\/option><option value=\"General inquiry\">General inquiry<\/option><\/select><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"columns columns-12\">\n\t\t\t<p><label>Your Message * <span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-431\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"textarea-431\"><\/textarea><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<p><input type=\"hidden\" name=\"_wpcf7_captcha_challenge_captcha-2\" value=\"3640407943\" \/><img loading=\"lazy\" decoding=\"async\" class=\"wpcf7-form-control wpcf7-captchac wpcf7-captcha-captcha-2\" width=\"72\" height=\"24\" alt=\"captcha\" src=\"https:\/\/cbinc.com\/form\/wp-content\/uploads\/wpcf7_captcha\/3640407943.png\" \/><span class=\"wpcf7-form-control-wrap\" data-name=\"captcha-2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-captchar\" autocomplete=\"off\" aria-invalid=\"false\" placeholder=\"Input captcha code from above\" value=\"\" type=\"text\" name=\"captcha-2\" \/><\/span>\n\t\t<\/p>\n\t\t<div class=\"columns columns-12\">\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner primary\" type=\"submit\" value=\"Send\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[vc_empty_space height=&#8221;40px&#8221;][vc_separator color=&#8221;custom&#8221; accent_color=&#8221;rgba(35,24,52,0.15)&#8221;][\/vc_column][vc_column width=&#8221;1\/12&#8243;][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column width=&#8221;1\/6&#8243;][\/vc_column][vc_column width=&#8221;2\/3&#8243;][vc_column_text] Have questions or comments for us? Fill out this form and we will be sure to re-direct your inquiry to the right department. [\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/6&#8243;][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1626023351989{padding-bottom: 80px !important;background-color: #0074bd !important;}&#8221;][vc_column width=&#8221;1\/12&#8243;][\/vc_column][vc_column width=&#8221;5\/6&#8243;][vc_empty_space height=&#8221;40px&#8221;][vc_empty_space height=&#8221;40px&#8221;][vc_separator color=&#8221;custom&#8221; accent_color=&#8221;rgba(35,24,52,0.15)&#8221;][\/vc_column][vc_column width=&#8221;1\/12&#8243;][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"tmpl\/template-fullwidth.php","meta":{"footnotes":""},"class_list":["post-239","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/cbinc.com\/form\/wp-json\/wp\/v2\/pages\/239","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cbinc.com\/form\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cbinc.com\/form\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cbinc.com\/form\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cbinc.com\/form\/wp-json\/wp\/v2\/comments?post=239"}],"version-history":[{"count":14,"href":"https:\/\/cbinc.com\/form\/wp-json\/wp\/v2\/pages\/239\/revisions"}],"predecessor-version":[{"id":2286,"href":"https:\/\/cbinc.com\/form\/wp-json\/wp\/v2\/pages\/239\/revisions\/2286"}],"wp:attachment":[{"href":"https:\/\/cbinc.com\/form\/wp-json\/wp\/v2\/media?parent=239"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}