{"id":4849,"date":"2015-10-11T22:51:12","date_gmt":"2015-10-11T22:51:12","guid":{"rendered":"http:\/\/agrawalamerica.com\/?page_id=4849"},"modified":"2015-10-11T22:51:12","modified_gmt":"2015-10-11T22:51:12","slug":"feedback-suggestions","status":"publish","type":"page","link":"http:\/\/agrawalamerica.com\/feedback-suggestions\/","title":{"rendered":"Feedback – Suggestions"},"content":{"rendered":"
\n
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Contact Us<\/legend>\r\n\r\n
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\n
\n
\n
\n
\r\n
Name\r\n
*<\/span>\r\n <\/label>\r\n
\n\r\n
First<\/div>\r\n \r\n<\/div>\n
\r\n
Name\r\n
*<\/span>\r\n <\/label>\r\n
\n\r\n
Last<\/div>\r\n \r\n<\/div>\n
\r\n
Address\r\n
<\/span>\r\n <\/label>\r\n
\n\r\n \r\n \r\n<\/div>\n
\r\n
Address 2\r\n
<\/span>\r\n <\/label>\r\n
\n\r\n \r\n \r\n<\/div>\n
\r\n
City\r\n
<\/span>\r\n <\/label>\r\n
\n\r\n \r\n \r\n<\/div>\n
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State\r\n
<\/span>\r\n <\/label>\r\n
\n\t\t
Alabama<\/option>\n \t\t
Alaska<\/option>\n \t\t
Arizona<\/option>\n \t\t
Arkansas<\/option>\n \t\t
California<\/option>\n \t\t
Colorado<\/option>\n \t\t
Connecticut<\/option>\n \t\t
Delaware<\/option>\n \t\t
District of Columbia<\/option>\n \t\t
Florida<\/option>\n \t\t
Georgia<\/option>\n \t\t
Hawaii<\/option>\n \t\t
Idaho<\/option>\n \t\t
Illinois<\/option>\n \t\t
Indiana<\/option>\n \t\t
Iowa<\/option>\n \t\t
Kansas<\/option>\n \t\t
Kentucky<\/option>\n \t\t
Louisiana<\/option>\n \t\t
Maine<\/option>\n \t\t
Maryland<\/option>\n \t\t
Massachusetts<\/option>\n \t\t
Michigan<\/option>\n \t\t
Minnesota<\/option>\n \t\t
Mississippi<\/option>\n \t\t
Missouri<\/option>\n \t\t
Montana<\/option>\n \t\t
Nebraska<\/option>\n \t\t
Nevada<\/option>\n \t\t
New Hampshire<\/option>\n \t\t
New Jersey<\/option>\n \t\t
New Mexico<\/option>\n \t\t
New York<\/option>\n \t\t
North Carolina<\/option>\n \t\t
North Dakota<\/option>\n \t\t
Ohio<\/option>\n \t\t
Oklahoma<\/option>\n \t\t
Oregon<\/option>\n \t\t
Pennsylvania<\/option>\n \t\t
Rhode Island<\/option>\n \t\t
South Carolina<\/option>\n \t\t
South Dakota<\/option>\n \t\t
Tennessee<\/option>\n \t\t
Texas<\/option>\n \t\t
Utah<\/option>\n \t\t
Vermont<\/option>\n \t\t
Virginia<\/option>\n \t\t
Washington<\/option>\n \t\t
West Virginia<\/option>\n \t\t
Wisconsin<\/option>\n \t\t
Wyoming<\/option>\n <\/select>\n\r\n \r\n \r\n<\/div>\n
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Zip Code\r\n
<\/span>\r\n <\/label>\r\n
\n\r\n \r\n \r\n<\/div>\n
\r\n
Country\r\n
<\/span>\r\n <\/label>\r\n
\n\r\n \r\n \r\n<\/div>\n
\r\n
Home Phone\r\n
<\/span>\r\n <\/label>\r\n
\n\r\n \r\n \r\n<\/div>\n
\r\n
Mobile\r\n
<\/span>\r\n <\/label>\r\n
\n\r\n \r\n \r\n<\/div>\n
\r\n
Email\r\n
*<\/span>\r\n <\/label>\r\n
\n\r\n \r\n \r\n<\/div>\n
\r\n
Category\r\n
*<\/span>\r\n <\/label>\r\n
\n\t\t
Select One<\/option>\n \t\t
Membership<\/option>\n \t\t
Website Related<\/option>\n \t\t
Association Function<\/option>\n \t\t
Association Management<\/option>\n \t\t
Fee Schedule<\/option>\n \t\t
Function Management<\/option>\n \t\t
Suggestion<\/option>\n \t\t
Other<\/option>\n <\/select>\n\r\n \r\n \r\n<\/div>\n
\r\n
Comments\r\n
*<\/span>\r\n <\/label>\r\n
<\/textarea>\n\r\n \r\n \r\n<\/div>\n<div id=\"frm_field_288_container\" class=\"frm_form_field form-field frm_none_container\">\r\n <label class=\"frm_primary_label\">Captcha\r\n <span class=\"frm_required\"><\/span>\r\n <\/label>\r\n <div id=\"field_62n6q32\" class=\"g-recaptcha\" data-sitekey=\"6LencB8pAAAAAEb4pmOGQuYr6YHcxpe5Amh0rZoW\"><\/div>\n\r\n \r\n \r\n<\/div>\n<input type=\"hidden\" id=\"field_m6n71o\" name=\"item_meta[398]\" value=\"\"\/>\n<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n<div class=\"frm_submit\">\r\n\r\n<input type=\"submit\" value=\"Submit\" formnovalidate=\"formnovalidate\" \/>\r\n<img class=\"frm_ajax_loading\" src=\"http:\/\/agrawalamerica.com\/wp-content\/plugins\/formidable\/images\/ajax_loader.gif\" alt=\"Sending\"\/>\r\n\r\n<\/div><\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0},"_links":{"self":[{"href":"http:\/\/agrawalamerica.com\/wp-json\/wp\/v2\/pages\/4849"}],"collection":[{"href":"http:\/\/agrawalamerica.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/agrawalamerica.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/agrawalamerica.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/agrawalamerica.com\/wp-json\/wp\/v2\/comments?post=4849"}],"version-history":[{"count":1,"href":"http:\/\/agrawalamerica.com\/wp-json\/wp\/v2\/pages\/4849\/revisions"}],"predecessor-version":[{"id":4850,"href":"http:\/\/agrawalamerica.com\/wp-json\/wp\/v2\/pages\/4849\/revisions\/4850"}],"wp:attachment":[{"href":"http:\/\/agrawalamerica.com\/wp-json\/wp\/v2\/media?parent=4849"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}