<script type="text/javascript">jQuery(document).ready(function($){$(".myaccount-content-top").parent().prepend("<div class='alert alert-info' role='alert'><strong><i class='fas fa-info-circle' style='margin-right: 6px;'></i>Tip: </strong>Are you an existing BTC customer? Click <a href='/register' target='_blank' class='alert-link'>here</a> to register for a website account and get access to additional services.<button type='button' class='close' data-dismiss='alert' aria-label='Close' <span aria-hidden='true'>&times;</span></button></div>");})</script>{"id":15192,"date":"2021-04-28T12:58:21","date_gmt":"2021-04-28T10:58:21","guid":{"rendered":"https:\/\/btcstaging.co.bw\/business\/?page_id=15192"},"modified":"2023-01-09T15:38:59","modified_gmt":"2023-01-09T13:38:59","slug":"service-upgrade-form","status":"publish","type":"page","link":"https:\/\/btcstaging.co.bw\/business\/my-account\/service-upgrade-form\/","title":{"rendered":"Service Upgrade Form"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row full_height=&#8221;yes&#8221; el_class=&#8221;myaccount-row&#8221;][vc_column width=&#8221;1\/6&#8243; el_class=&#8221;myaccount-col left&#8221;][vc_column_text]<nav id=\"bellows-main-45\" class=\"bellows bellows-nojs bellows-main bellows-source-menu bellows-align-full bellows-skin-none bellows-type- bellows-expand-current\"><ul id=\"menu-my-account-menu\" class=\"bellows-nav\" data-bellows-config=\"main\"><li id=\"menu-item-13592\" class=\"icon dashboard bellows-menu-item bellows-menu-item-type-post_type bellows-menu-item-object-page bellows-menu-item-13592 bellows-item-level-0\"><a  href=\"https:\/\/btcstaging.co.bw\/business\/my-account\/\" class=\"bellows-target\"><span class=\"bellows-target-title bellows-target-text\">Dashboard<\/span><\/a><\/li>\n<li id=\"menu-item-15260\" class=\"icon money-alt bellows-menu-item bellows-menu-item-type-custom bellows-menu-item-object-custom bellows-menu-item-has-children bellows-menu-item-15260 bellows-item-level-0\"><a  href=\"#\" class=\"bellows-target\"><span class=\"bellows-target-title bellows-target-text\">Billing<\/span><button class=\"bellows-subtoggle\" aria-label=\"Toggle Submenu\"><i class=\"bellows-subtoggle-icon-expand fa fa-chevron-down\"><\/i><i class=\"bellows-subtoggle-icon-collapse fa fa-chevron-up\"><\/i><\/button><\/a>\n<ul class=\"bellows-submenu\">\n\t<li id=\"menu-item-14361\" class=\"icon money-alt bellows-menu-item bellows-menu-item-type-post_type bellows-menu-item-object-page bellows-menu-item-14361 bellows-item-level-1\"><a  href=\"https:\/\/btcstaging.co.bw\/business\/my-account\/logged-in-pay-bill\/\" class=\"bellows-target\"><span class=\"bellows-target-title bellows-target-text\">Pay Bill<\/span><\/a><\/li>\n\t<li id=\"menu-item-15275\" class=\"icon form bellows-menu-item bellows-menu-item-type-post_type bellows-menu-item-object-page bellows-menu-item-15275 bellows-item-level-1\"><a  href=\"https:\/\/btcstaging.co.bw\/business\/my-account\/invoices\/\" class=\"bellows-target\"><span class=\"bellows-target-title bellows-target-text\">Invoices<\/span><\/a><\/li>\n\t<li id=\"menu-item-15263\" class=\"icon money-alt bellows-menu-item bellows-menu-item-type-post_type bellows-menu-item-object-page bellows-menu-item-15263 bellows-item-level-1\"><a  href=\"https:\/\/btcstaging.co.bw\/business\/my-account\/pay-bill\/\" class=\"bellows-target\"><span class=\"bellows-target-title bellows-target-text\">Instant Pay<\/span><\/a><\/li>\n\t<li id=\"menu-item-15259\" class=\"icon form bellows-menu-item bellows-menu-item-type-post_type bellows-menu-item-object-page bellows-menu-item-15259 bellows-item-level-1\"><a  href=\"https:\/\/btcstaging.co.bw\/business\/my-account\/bill-disputes\/\" class=\"bellows-target\"><span class=\"bellows-target-title bellows-target-text\">Bill Disputes<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li id=\"menu-item-13651\" class=\"icon cart bellows-menu-item bellows-menu-item-type-post_type bellows-menu-item-object-page bellows-menu-item-13651 bellows-item-level-0\"><a  href=\"https:\/\/btcstaging.co.bw\/business\/my-account\/track-your-order\/\" class=\"bellows-target\"><span class=\"bellows-target-title bellows-target-text\">Track your Order<\/span><\/a><\/li>\n<li id=\"menu-item-13557\" class=\"icon form bellows-menu-item bellows-menu-item-type-post_type bellows-menu-item-object-page bellows-menu-item-13557 bellows-item-level-0\"><a  href=\"https:\/\/btcstaging.co.bw\/business\/my-account\/report-a-fault\/\" class=\"bellows-target\"><span class=\"bellows-target-title bellows-target-text\">Report a Fault<\/span><\/a><\/li>\n<li id=\"menu-item-13589\" class=\"icon form bellows-menu-item bellows-menu-item-type-post_type bellows-menu-item-object-page bellows-menu-item-13589 bellows-item-level-0\"><a  href=\"https:\/\/btcstaging.co.bw\/business\/my-account\/online-application-form\/\" class=\"bellows-target\"><span class=\"bellows-target-title bellows-target-text\">New Connection<\/span><\/a><\/li>\n<li id=\"menu-item-15194\" class=\"icon form bellows-menu-item bellows-menu-item-type-post_type bellows-menu-item-object-page bellows-menu-item-15194 bellows-item-level-0\"><a  href=\"https:\/\/btcstaging.co.bw\/business\/my-account\/service-upgrade-form\/\" class=\"bellows-target\"><span class=\"bellows-target-title bellows-target-text\">Service Upgrade<\/span><\/a><\/li>\n<li id=\"menu-item-14845\" class=\"icon globe bellows-menu-item bellows-menu-item-type-post_type bellows-menu-item-object-page bellows-menu-item-has-children bellows-menu-item-14845 bellows-item-level-0\"><a  href=\"https:\/\/btcstaging.co.bw\/business\/my-account\/buy-bundles\/\" class=\"bellows-target\"><span class=\"bellows-target-title bellows-target-text\">Buy Bundles<\/span><button class=\"bellows-subtoggle\" aria-label=\"Toggle Submenu\"><i class=\"bellows-subtoggle-icon-expand fa fa-chevron-down\"><\/i><i class=\"bellows-subtoggle-icon-collapse fa fa-chevron-up\"><\/i><\/button><\/a>\n<ul class=\"bellows-submenu\">\n\t<li id=\"menu-item-15269\" class=\"icon form bellows-menu-item bellows-menu-item-type-post_type bellows-menu-item-object-page bellows-menu-item-15269 bellows-item-level-1\"><a  href=\"https:\/\/btcstaging.co.bw\/business\/my-account\/fast-connect\/\" class=\"bellows-target\"><span class=\"bellows-target-title bellows-target-text\">Fast Connect<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li id=\"menu-item-14360\" class=\"icon smartphone bellows-menu-item bellows-menu-item-type-post_type bellows-menu-item-object-page bellows-menu-item-14360 bellows-item-level-0\"><a  href=\"https:\/\/btcstaging.co.bw\/business\/my-account\/buy-airtime\/\" class=\"bellows-target\"><span class=\"bellows-target-title bellows-target-text\">Buy Airtime<\/span><\/a><\/li>\n<li id=\"menu-item-15144\" class=\"icon user bellows-menu-item bellows-menu-item-type-custom bellows-menu-item-object-custom bellows-menu-item-15144 bellows-item-level-0\"><a  href=\"https:\/\/onlineapp.btc.truelaneprojects.co.bw\/index.php\/912493\" class=\"bellows-target\"><span class=\"bellows-target-title bellows-target-text\">KYC<\/span><\/a><\/li>\n<\/ul><\/nav>[\/vc_column_text][\/vc_column][vc_column width=&#8221;5\/6&#8243;][vc_row_inner equal_height=&#8221;yes&#8221; content_placement=&#8221;middle&#8221; el_class=&#8221;myaccount-content-top&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_column_text]<p style=\"text-align:left;color: #006BB4;font-weight: 900;\">Anonymous Access<\/p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_column_text][\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;myaccount-content-bottom&#8221;][vc_column_inner]<style type=\"text\/css\" id=\"131\" data-form-unique-id=\"35323\" ><\/style><div class=\"arf_form ar_main_div_131 arf_form_outer_wrapper \" id=\"arffrm_131_container\"><div id=\"arf_message_error\" class=\"frm_error_style\" style=\"display:none;\"><div class=\"msg-detail\"><div class=\"msg-description-success\">Form Submission is restricted<\/div><\/div><\/div><div id=\"arf_message_success_popup\" style=\"display:none;\"><div class=\"msg-detail\"><div class=\"msg-description-success\">Form is successfully submitted. 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id='arf_pb_field_animation_duration_front_131' name='arf_pb_field_animation_duration_front_131' value='' \/><input type='hidden' id='arf_pb_field_animation_delay_front_131' name='arf_pb_field_animation_delay_front_131' value='' \/><input type='hidden' id='arf_pb_field_animation_inherit_131' name='arf_pb_field_animation_inherit_131' value='0' \/><input type='hidden' id='arf_field_animation_style_front_131' name='arf_field_animation_style_front_131' value='' \/><input type='hidden' id='arf_field_animation_duration_front_131' name='arf_field_animation_duration_front_131' value='' \/><input type='hidden' id='arf_field_animation_delay_front_131' name='arf_field_animation_delay_front_131' value='' \/><input type=\"hidden\" id=\"arf_form_site_wide_131\" value=\"no\" \/><div class=\"allfields\" style=\"visibility:hidden;height:0;\"><div class=\"arf_fieldset arf_standard_form\" id=\"arf_fieldset_35323\"><div class=\"arftitlecontainer\"><div class=\"formtitle_style\">Service Upgrade Request<\/div><div class=\"arf_field_description formdescription_style\">Fill your Company Service Upgrade Request form<\/div><\/div><div class=\"arf_survey_nav\"><div id=\"current_survey_page\" class=\"survey_step\">Step <span id=\"current_survey_page\" class=\"current_survey_page\">1<\/span><span class=\"survey_middle\"> <\/span> of <span id=\"total_survey_page\" class=\"total_survey_page\">3<\/span><\/div><\/div><div style=\"clear:both; margin-top:25px;\"><\/div><div id=\"arf_progress_bar\" style=\"margin-bottom:20px; clear:both;\" class=\"ui-progress-bar\"><div class=\"ui-progressbar-value\" ><span class=\"ui-label\"><\/span><\/div><\/div><input type='hidden' id='arf_previous_page_clickable_131' name='arf_previous_page_clickable_131' value='0' \/><input type='hidden' id='pagebreak_addtimer_131' name='pagebreak_addtimer_131' value='0' \/><div id=\"page_0\" class=\"page_break\"><div id=\"arf_field_642_35323_container\" class=\"    arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_642\" data-field-type=\"html\" data-parent_field=\"0\" style='width: 99.812%'><div class=\"arf_htmlfield_control\"><arftotal><\/arftotal><h6 class=\"form-subheading\">Company Details<\/h6><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_699_35323_container\" class=\"    arfformfield input-field control-group arfmainformfield  arf_field_type_select  top_container  top_container arfformfield  arf_field_699\"  style='width: 99.812%'  data-field-type=\"select\" data-parent_field=\"0\"><label data-type=\"select\" for=\"field_je6fcn_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Are you an existinging BTC customer?<\/label><div class=\" sltstandard_front controls\"  ><div class=\"arf_selectpicker_wrapper\" style=\"min-width:100px; \"><input type=\"text\" autocomplete=\"off\" class=\"arf-selectpicker-input-control \" id=\"field_je6fcn_35323\" name=\"item_meta[699]\" value=\"Yes\"  data-default-val='Yes'  data-field_id='699' ><dl class=\"arf-selectpicker-control  arf_form_field_picker \" data-id=\"field_je6fcn_35323\" data-name=\"item_meta[699]\"><dt><span>Yes <\/span><i class=\"arf-selectpicker-caret\"><\/i><\/dt><dd><ul data-id=\"field_je6fcn_35323\" id=\"\" class=\"\"><li class=\"\" data-pos=\"0\" aria-label=\"Yes\"  data-value=\"Yes\" data-label=\"Yes\">Yes<\/li><li class=\"\" data-pos=\"1\" aria-label=\"No\"  data-value=\"No\" data-label=\"No\">No<\/li><\/ul><\/dd><\/dl><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_643_35323_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_643\"  style='width: 99.812%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_k6oe25_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Company Name<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_k6oe25\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'k6oe25');\"><i class=\"fas fa-building\"><\/i><\/span><input   type=\"text\" id=\"field_k6oe25_35323\"  name=\"item_meta[643]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_644_35323_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_644\"  style='width: 48.029%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_76tpem_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Postal Address<\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_76tpem\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'76tpem');\"><i class=\"fas fa-envelope-open-text\"><\/i><\/span><input   type=\"text\" id=\"field_76tpem_35323\"  name=\"item_meta[644]\"   \/><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_645_35323_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_645\"  style='width: 48.594%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_g7o546_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Physical Address<\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_g7o546\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'g7o546');\"><i class=\"fas fa-map-marked-alt\"><\/i><\/span><input   type=\"text\" id=\"field_g7o546_35323\"  name=\"item_meta[645]\"   \/><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_646_35323_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_646\"  style='width: 47.653%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_pkshup_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >UIN<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input data-validation-regex-regex=\"^[0-9]*$\"  data-validation-regex-message=\"Entered value is invalid\"  type=\"text\" id=\"field_pkshup_35323\"  name=\"item_meta[646]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_647_35323_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_647\"  style='width: 48.782%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_u367gl_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Vat No.<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input data-validation-regex-regex=\"^[0-9]*$\"  data-validation-regex-message=\"Entered value is invalid\"  type=\"text\" id=\"field_u367gl_35323\"  name=\"item_meta[647]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_648_35323_container\" class=\"    arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_648\" data-field-type=\"html\" data-parent_field=\"0\" style='width: 99.812%'><div class=\"arf_htmlfield_control\"><arftotal><\/arftotal><h6 class=\"form-subheading\">Bank Details<\/h6><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_649_35323_container\" class=\"    arfformfield input-field control-group arfmainformfield  arffieldrequired arf_field_type_select  top_container  top_container arfformfield  arf_field_649\"  style='width: 99.812%'  data-field-type=\"select\" data-parent_field=\"0\"><label data-type=\"select\" for=\"field_c9dcrs_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Bank Name<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\" sltstandard_front controls\"  ><div class=\"arf_selectpicker_wrapper\" style=\"min-width:100px; \"><input type=\"text\" autocomplete=\"off\" class=\"arf-selectpicker-input-control \" id=\"field_c9dcrs_35323\" name=\"item_meta[649]\" value=\"\"  data-default-val=''  data-validation-required-message='This field cannot be blank.'  data-field_id='649' ><dl class=\"arf-selectpicker-control  arf_form_field_picker \" data-id=\"field_c9dcrs_35323\" data-name=\"item_meta[649]\"><dt><span> <\/span><i class=\"arf-selectpicker-caret\"><\/i><\/dt><dd><ul data-id=\"field_c9dcrs_35323\" id=\"\" class=\"\"><li class=\"arf_material_outline_sel_data_label\" data-pos=\"0\" aria-label=\"\"  data-value=\"\" data-label=\"\"><\/li><li class=\"\" data-pos=\"1\" aria-label=\"FNBB\"  data-value=\"FNBB\" data-label=\"FNBB\">FNBB<\/li><li class=\"\" data-pos=\"2\" aria-label=\"ABSA\"  data-value=\"ABSA\" data-label=\"ABSA\">ABSA<\/li><li class=\"\" data-pos=\"3\" aria-label=\"standard chartered\"  data-value=\"standard chartered\" data-label=\"standard chartered\">standard chartered<\/li><li class=\"\" data-pos=\"4\" aria-label=\"Bank of Baroda\"  data-value=\"Bank of Baroda\" data-label=\"Bank of Baroda\">Bank of Baroda<\/li><li class=\"\" data-pos=\"5\" aria-label=\"Bank Gaborone\"  data-value=\"Bank Gaborone\" data-label=\"Bank Gaborone\">Bank Gaborone<\/li><li class=\"\" data-pos=\"6\" aria-label=\"First Capital\"  data-value=\"First Capital\" data-label=\"First Capital\">First Capital<\/li><li class=\"\" data-pos=\"7\" aria-label=\"Stanbic\"  data-value=\"Stanbic\" data-label=\"Stanbic\">Stanbic<\/li><li class=\"\" data-pos=\"8\" aria-label=\"Bank SBI\"  data-value=\"Bank SBI\" data-label=\"Bank SBI\">Bank SBI<\/li><li class=\"\" data-pos=\"9\" aria-label=\"BancABC\"  data-value=\"BancABC\" data-label=\"BancABC\">BancABC<\/li><\/ul><\/dd><\/dl><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_650_35323_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_650\"  style='width: 48.029%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_h7fr1q_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Branch<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_h7fr1q_35323\"  name=\"item_meta[650]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_651_35323_container\" class=\"    arfformfield control-group arfmainformfield   arffieldrequired arf_field_type_number  top_container  arf_inline_field_value   top_container arfformfield frm_last_half arf_field_651\"  style='width: 48.594%'  data-field-type=\"number\" data-parent_field=\"0\"><label data-type=\"number\" for=\"field_5hm8rq_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Account No<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input type=\"text\" class=\"arf_number_field\" id=\"field_5hm8rq_35323\" dir=\" ltr\"name=\"item_meta[651]\"  class=\" arf_required \"data-validation-required-message=\"This field cannot be blank.\" onkeydown=\"arfvalidatenumber(this,event);\" \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_652_35323_container\" class=\"    arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_652\" data-field-type=\"html\" data-parent_field=\"0\" style='width: 99.812%'><div class=\"arf_htmlfield_control\"><h6 class=\"form-subheading\">Director's Details<\/h6><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_653_35323_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_653\"  style='width: 48.029%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_aud591_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Name<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_aud591\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'aud591');\"><i class=\"fas fa-user\"><\/i><\/span><input data-validation-regex-regex=\"^[a-zA-Z\\s]*$\"  data-validation-regex-message=\"Entered value is invalid\"  type=\"text\" id=\"field_aud591_35323\"  name=\"item_meta[653]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_654_35323_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_654\"  style='width: 48.594%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_mv3lpe_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Surname<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_mv3lpe\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'mv3lpe');\"><i class=\"fas fa-user\"><\/i><\/span><input data-validation-regex-regex=\"^[a-zA-Z\\s]*$\"  data-validation-regex-message=\"Entered value is invalid\"  type=\"text\" id=\"field_mv3lpe_35323\"  name=\"item_meta[654]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_695_35323_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_695\"  style='width: 48.029%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_a6ybbi_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Cellphone<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_a6ybbi\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'a6ybbi');\"><i class=\"fas fa-mobile-alt\"><\/i><\/span><input data-validation-regex-regex=\"([7])([1-7]{1})([0-9]{6})\"  data-validation-regex-message=\"Entered value is invalid\"  type=\"text\" id=\"field_a6ybbi_35323\"  name=\"item_meta[695]\"  maxlength=\"8\"  minlength=\"8\"  class=\" arf_required \" maxlength=\"8\"  data-validation-required-message=\"This field cannot be blank.\" minlength=\"8\" data-validation-minlength-message=\"Invalid minimum characters:\"  \/><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_696_35323_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_696\"  style='width: 48.406%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_q4bw18_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Fixed-line<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_q4bw18\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'q4bw18');\"><i class=\"fas fa-phone-alt\"><\/i><\/span><input data-validation-regex-regex=\"([2-6]{1})([0-9]{5}|[0-9]{6})\"  data-validation-regex-message=\"Entered value is invalid\"  type=\"text\" id=\"field_q4bw18_35323\"  name=\"item_meta[696]\"  maxlength=\"7\"  minlength=\"6\"  class=\" arf_required \" maxlength=\"7\"  data-validation-required-message=\"This field cannot be blank.\" minlength=\"6\" data-validation-minlength-message=\"Invalid minimum characters:\"  \/><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_655_35323_container\" class=\"    arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_655\" data-field-type=\"html\" data-parent_field=\"0\" style='width: 99.812%'><div class=\"arf_htmlfield_control\"><arftotal><\/arftotal><h6 class=\"form-subheading\">Director 2's Details<\/h6><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_656_35323_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_656\"  style='width: 48.029%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_nhlq6y_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Name<\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_nhlq6y\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'nhlq6y');\"><i class=\"fas fa-user\"><\/i><\/span><input   type=\"text\" id=\"field_nhlq6y_35323\"  name=\"item_meta[656]\"   \/><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_657_35323_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_657\"  style='width: 48.594%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_pq9n21_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Surname<\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_pq9n21\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'pq9n21');\"><i class=\"fas fa-user-alt\"><\/i><\/span><input   type=\"text\" id=\"field_pq9n21_35323\"  name=\"item_meta[657]\"   \/><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_658_35323_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_658\"  style='width: 48.029%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_vw8ysl_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Cellphone<\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_vw8ysl\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'vw8ysl');\"><i class=\"fas fa-mobile-alt\"><\/i><\/span><input data-validation-regex-regex=\"([7])([1-7]{1})([0-9]{6})\"  data-validation-regex-message=\"Entered value is invalid\"  type=\"text\" id=\"field_vw8ysl_35323\"  name=\"item_meta[658]\"  maxlength=\"8\"  minlength=\"8\"  maxlength=\"8\" minlength=\"8\" data-validation-minlength-message=\"Invalid minimum characters:\"  \/><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_697_35323_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_697\"  style='width: 48.406%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_6ulbr1_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Fixed-line<\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_6ulbr1\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'6ulbr1');\"><i class=\"fas fa-phone-alt\"><\/i><\/span><input data-validation-regex-regex=\"([2-6]{1})([0-9]{5}|[0-9]{6})\"  data-validation-regex-message=\"Please enter a valid fixed line number\"  type=\"text\" id=\"field_6ulbr1_35323\"  name=\"item_meta[697]\"  maxlength=\"7\"  minlength=\"6\"  maxlength=\"7\" minlength=\"6\" data-validation-minlength-message=\"Invalid minimum characters:\"  \/><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_659_35323_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_659\"  style='width: 48.029%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_tceh0o_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Name<\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_tceh0o\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'tceh0o');\"><i class=\"fas fa-user\"><\/i><\/span><input   type=\"text\" id=\"field_tceh0o_35323\"  name=\"item_meta[659]\"   \/><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_660_35323_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_660\"  style='width: 48.594%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_1yjdkz_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Surname<\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_1yjdkz\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'1yjdkz');\"><i class=\"fas fa-user\"><\/i><\/span><input   type=\"text\" id=\"field_1yjdkz_35323\"  name=\"item_meta[660]\"   \/><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_661_35323_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_phone  top_container  top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_661\"  style='width: 48.029%'  data-field-type=\"phone\" data-parent_field=\"0\"><label data-type=\"phone\" for=\"field_1hcryk_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Contacts<\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_1hcryk\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'1hcryk');\"><i class=\"fas fa-mobile-alt\"><\/i><\/span><input type=\"text\" data-type=\"phone\"  id=\"field_1hcryk_35323\"name=\"item_meta[661]\" maxlength=\"8\"  minlength=\"8\"  data-validation-minlength-message=\"Phone is invalid\" data-validation-number-message=\"Phone is invalid\"\/><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_662_35323_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_email  top_container  arf_inline_field_value   top_container arfformfield frm_last_half arf_field_662\"  style='width: 48.594%'  data-field-type=\"email\" data-parent_field=\"0\"><label data-type=\"email\" for=\"field_90qmf9_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Email<\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_90qmf9\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'90qmf9');\"><i class=\"fas fa-envelope-open-text\"><\/i><\/span><input type=\"text\" id=\"field_90qmf9_35323\" name=\"item_meta[662]\"  data-validation-regex-regex=\"[\\p{L}0-9._-]+@[\\p{L}0-9.-]+\\.[\\p{L}]+\" data-validation-regex-message=\"Email is invalid\"  \/><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_825\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_825\" class=\"arf_heading_div  \"><h2 class='arf_sec_heading_field pos_top  ' style='display:block'; data-field-type='section' ><\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_826_35323_container\" class=\"    arfformfield input-field control-group arfmainformfield  arf_field_type_select  top_container  top_container arfformfield  arf_field_826\"  style='width: 100%'  data-field-type=\"select\" data-parent_field=\"825\"><label data-type=\"select\" for=\"field_lq9twu_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Additional Service<\/label><div class=\" sltstandard_front controls\"  ><div class=\"arf_selectpicker_wrapper\" style=\"min-width:100px; \"><input type=\"text\" autocomplete=\"off\" class=\"arf-selectpicker-input-control \" id=\"field_lq9twu_35323\" name=\"item_meta[826]\" value=\"Upgrade\"  data-default-val='Upgrade'  data-field_id='826'  onchange='arf_cl_apply_v3(35323,[\"701\"]);' ><dl class=\"arf-selectpicker-control  arf_form_field_picker \" data-id=\"field_lq9twu_35323\" data-name=\"item_meta[826]\"><dt><span>Upgrade <\/span><i class=\"arf-selectpicker-caret\"><\/i><\/dt><dd><ul data-id=\"field_lq9twu_35323\" id=\"\" class=\"\"><li class=\"\" data-pos=\"0\" aria-label=\"Upgrade\"  data-value=\"Upgrade\" data-label=\"Upgrade\">Upgrade<\/li><li class=\"\" data-pos=\"1\" aria-label=\"New Connection\"  data-value=\"New Connection\" data-label=\"New Connection\">New Connection<\/li><\/ul><\/dd><\/dl><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_701\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_701\" class=\"arf_heading_div  \"><h2 class='arf_sec_heading_field pos_top  ' style='display:block'; data-field-type='section' >Existing Package Details<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_702_35323_container\" class=\"     arfformfield control-group arfmainformfield   arffieldrequired arf_field_type_arf_switch  top_container  top_container arfformfield  arf_field_702\"  style='width: 100%' data-field-type=\"arf_switch\" data-parent_field=\"701\"><label data-type=\"arf_switch\" for=\"field_i58eww_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Specify existing account details<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"arf_input_field_switch_wrapper controls \" ><label class=\"arf_js_field_switch_label\" for=\"switch_field_i58eww-35323\" aria-label=\"Account\"><span>Account&nbsp;<\/span><\/label><span class=\"arf_js_field_switch_wrapper\"><input type=\"checkbox\" data-type=\"arf_switch_input\"  id=\"switch_field_i58eww-35323\" name=\"switch_item_meta[702]\" class=\"js-field_switch arf_hide_opacity arf_field_switch_input arf_switch_input\"  value=\"account\" data-leftval=\"account\" data-rightval=\"telephone\"   data-validation-required-message=\"This field cannot be blank.\"\/ ><span class=\"arf_js_field_switch\"><\/span><input type=\"hidden\" data-type=\"arf_switch\" id=\"field_i58eww-35323\" name=\"item_meta[702]\" value=\"account\" class=\"arf_hidden_field_switch\" onChange='arf_cl_apply_v3(35323,[\"704\",\"703\"]);'\/ ><\/span> <label class=\"arf_js_field_switch_label\" for=\"switch_field_i58eww-35323\" aria-label=\"Telephone\"><span>&nbsp;Telephone<\/span><\/label><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_703_35323_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_703\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"701\" ><label data-type=\"text\" for=\"field_wuahki_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Account Number<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_wuahki\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'wuahki');\"><i class=\"fas fa-exclamation-circle\"><\/i><\/span><input data-validation-regex-regex=\"^[0-9]*$\"  data-validation-regex-message=\"Entered value is invalid\"  type=\"text\" id=\"field_wuahki_35323\"  name=\"item_meta[703]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_704_35323_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_704\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"701\" ><label data-type=\"text\" for=\"field_fpudgu_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Telephone Number<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_fpudgu\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'fpudgu');\"><i class=\"fas fa-phone-alt\"><\/i><\/span><input data-validation-regex-regex=\"([2-6]{1})([0-9]{5}|[0-9]{6})\"  data-validation-regex-message=\"Entered value is invalid\"  type=\"text\" id=\"field_fpudgu_35323\"  name=\"item_meta[704]\"  maxlength=\"7\"  minlength=\"6\"  class=\" arf_required \" maxlength=\"7\"  data-validation-required-message=\"This field cannot be blank.\" minlength=\"6\" data-validation-minlength-message=\"Invalid minimum characters:\"  \/><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_705_35323_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_705\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"701\"><label data-type=\"textarea\" for=\"field_mvlkog_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Existing Package<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[705]\" id=\"field_mvlkog_35323\"  rows=\"3\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><div style='clear:both;height:1px;'>&nbsp;<\/div><\/div><div class=\"arfsubmitbutton arf_submit_div _container\" id=\"arf_submit_div_0\" ><input type=\"submit\" class=\"next_btn\" name=\"next\" value=\"Next\" \/><\/div><div id=\"page_1\" class=\"page_break\" style=\"display:none;\"><div style=\"clear:both;\"><\/div><div id=\"arf_field_664_35323_container\" class=\"    arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_664\" data-field-type=\"html\" data-parent_field=\"0\" style='width: 50.282%'><div class=\"arf_htmlfield_control\"><arftotal><\/arftotal><h6 class=\"form-subheading\">Fixed & Broadband services<\/h6><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_665_35323_container\" class=\"    arfformfield control-group arfmainformfield   arf_field_type_number  top_container  arf_inline_field_value   top_container arfformfield frm_first_fourth arf_field_665\"  style='width: 97.562%'  data-field-type=\"number\" data-parent_field=\"0\"><label data-type=\"number\" for=\"field_vp1x76_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Prepaid<\/label><div class=\"controls\"   ><input type=\"text\" class=\"arf_number_field\" id=\"field_vp1x76_35323\" dir=\" ltr\"name=\"item_meta[665]\"  placeholder=\"No. of lines\"  onkeydown=\"arfvalidatenumber(this,event);\" \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_666_35323_container\" class=\"    arfformfield control-group arfmainformfield   arf_field_type_number  top_container  arf_inline_field_value   top_container arfformfield frm_fourth arf_field_666\"  style='width: 97.562%'  data-field-type=\"number\" data-parent_field=\"0\"><label data-type=\"number\" for=\"field_2wzyai_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Postpaid<\/label><div class=\"controls\"   ><input type=\"text\" class=\"arf_number_field\" id=\"field_2wzyai_35323\" dir=\" ltr\"name=\"item_meta[666]\"  placeholder=\"No. of lines\"  onkeydown=\"arfvalidatenumber(this,event);\" \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_667_35323_container\" class=\"    arfformfield control-group arfmainformfield   arf_field_type_number  top_container  arf_inline_field_value   top_container arfformfield frm_fourth arf_field_667\"  style='width: 47.279%'  data-field-type=\"number\" data-parent_field=\"0\"><label data-type=\"number\" for=\"field_76rjc2_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Internal Extensions<\/label><div class=\"controls\"   ><input type=\"text\" class=\"arf_number_field\" id=\"field_76rjc2_35323\" dir=\" ltr\"name=\"item_meta[667]\"  placeholder=\"No. of lines\"  onkeydown=\"arfvalidatenumber(this,event);\" \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_668_35323_container\" class=\"    arfformfield control-group arfmainformfield   arf_field_type_number  top_container  arf_inline_field_value   top_container arfformfield frm_last_fourth arf_field_668\"  style='width: 47.844%'  data-field-type=\"number\" data-parent_field=\"0\"><label data-type=\"number\" for=\"field_rxpt4p_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >External Extension<\/label><div class=\"controls\"   ><input type=\"text\" class=\"arf_number_field\" id=\"field_rxpt4p_35323\" dir=\" ltr\"name=\"item_meta[668]\"  placeholder=\"No. of lines\"  onkeydown=\"arfvalidatenumber(this,event);\" \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_669_35323_container\" class=\"    arfformfield input-field control-group arfmainformfield  arffieldrequired arf_field_type_select  top_container  top_container arfformfield frm_first_half arf_field_669\"  style='width: 98.312%'  data-field-type=\"select\" data-parent_field=\"0\"><label data-type=\"select\" for=\"field_sif92q_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >ADSL<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\" sltstandard_front controls\"  ><div class=\"arf_selectpicker_wrapper\" style=\"min-width:100px; \"><input type=\"text\" autocomplete=\"off\" class=\"arf-selectpicker-input-control \" id=\"field_sif92q_35323\" name=\"item_meta[669]\" value=\"\"  data-default-val=''  data-validation-required-message='This field cannot be blank.'  data-field_id='669' ><dl class=\"arf-selectpicker-control  arf_form_field_picker \" data-id=\"field_sif92q_35323\" data-name=\"item_meta[669]\"><dt><span> <\/span><i class=\"arf-selectpicker-caret\"><\/i><\/dt><dd><ul data-id=\"field_sif92q_35323\" id=\"\" class=\"\"><li class=\"arf_material_outline_sel_data_label\" data-pos=\"0\" aria-label=\"\"  data-value=\"\" data-label=\"\"><\/li><li class=\"\" data-pos=\"1\" aria-label=\"12 months\"  data-value=\"12 months\" data-label=\"12 months\">12 months<\/li><li class=\"\" data-pos=\"2\" aria-label=\"24 months\"  data-value=\"24 months\" data-label=\"24 months\">24 months<\/li><\/ul><\/dd><\/dl><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_670_35323_container\" class=\"    arfformfield input-field control-group arfmainformfield  arffieldrequired arf_field_type_select  top_container  top_container arfformfield frm_last_half arf_field_670\"  style='width: 48.029%'  data-field-type=\"select\" data-parent_field=\"0\"><label data-type=\"select\" for=\"field_cg4o1h_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >WDSL<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\" sltstandard_front controls\"  ><div class=\"arf_selectpicker_wrapper\" style=\"min-width:100px; \"><input type=\"text\" autocomplete=\"off\" class=\"arf-selectpicker-input-control \" id=\"field_cg4o1h_35323\" name=\"item_meta[670]\" value=\"\"  data-default-val=''  data-validation-required-message='This field cannot be blank.'  data-field_id='670' ><dl class=\"arf-selectpicker-control  arf_form_field_picker \" data-id=\"field_cg4o1h_35323\" data-name=\"item_meta[670]\"><dt><span> <\/span><i class=\"arf-selectpicker-caret\"><\/i><\/dt><dd><ul data-id=\"field_cg4o1h_35323\" id=\"\" class=\"\"><li class=\"arf_material_outline_sel_data_label\" data-pos=\"0\" aria-label=\"\"  data-value=\"\" data-label=\"\"><\/li><li class=\"\" data-pos=\"1\" aria-label=\"12 Months\"  data-value=\"12 Months\" data-label=\"12 Months\">12 Months<\/li><li class=\"\" data-pos=\"2\" aria-label=\"24 Months\"  data-value=\"24 Months\" data-label=\"24 Months\">24 Months<\/li><\/ul><\/dd><\/dl><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_671_35323_container\" class=\"    arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_671\" data-field-type=\"html\" data-parent_field=\"0\" style='width: 50.094%'><div class=\"arf_htmlfield_control\"><arftotal><\/arftotal><h6 class=\"form-subheading\">Mobile Services<\/h6><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_672_35323_container\" class=\"    arfformfield control-group arfmainformfield   arf_field_type_number  top_container  arf_inline_field_value   top_container arfformfield frm_first_fourth arf_field_672\"  style='width: 47.279%'  data-field-type=\"number\" data-parent_field=\"0\"><label data-type=\"number\" for=\"field_uo3umi_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Prepaid<\/label><div class=\"controls\"   ><input type=\"text\" class=\"arf_number_field\" id=\"field_uo3umi_35323\" dir=\" ltr\"name=\"item_meta[672]\"  placeholder=\"No. of lines\"  onkeydown=\"arfvalidatenumber(this,event);\" \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_673_35323_container\" class=\"    arfformfield control-group arfmainformfield   arf_field_type_number  top_container  arf_inline_field_value   top_container arfformfield frm_fourth arf_field_673\"  style='width: 47.656%'  data-field-type=\"number\" data-parent_field=\"0\"><label data-type=\"number\" for=\"field_tt1pnu_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Postpaid<\/label><div class=\"controls\"   ><input type=\"text\" class=\"arf_number_field\" id=\"field_tt1pnu_35323\" dir=\" ltr\"name=\"item_meta[673]\"  placeholder=\"No. of lines\"  onkeydown=\"arfvalidatenumber(this,event);\" \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_674_35323_container\" class=\"    arfformfield control-group arfmainformfield   arf_field_type_number  top_container  arf_inline_field_value   top_container arfformfield frm_fourth arf_field_674\"  style='width: 97.562%'  data-field-type=\"number\" data-parent_field=\"0\"><label data-type=\"number\" for=\"field_w0x6ds_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Internal Extensions<\/label><div class=\"controls\"   ><input type=\"text\" class=\"arf_number_field\" id=\"field_w0x6ds_35323\" dir=\" ltr\"name=\"item_meta[674]\"  placeholder=\"No. of lines\"  onkeydown=\"arfvalidatenumber(this,event);\" \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_675_35323_container\" class=\"    arfformfield control-group arfmainformfield   arf_field_type_number  top_container  arf_inline_field_value   top_container arfformfield frm_last_fourth arf_field_675\"  style='width: 47.279%'  data-field-type=\"number\" data-parent_field=\"0\"><label data-type=\"number\" for=\"field_v1pghi_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >External Extension<\/label><div class=\"controls\"   ><input type=\"text\" class=\"arf_number_field\" id=\"field_v1pghi_35323\" dir=\" ltr\"name=\"item_meta[675]\"  placeholder=\"No. of lines\"  onkeydown=\"arfvalidatenumber(this,event);\" \/><\/div><\/div><div style=\"clear:both;\"><\/div><div style='clear:both;height:1px;'>&nbsp;<\/div><\/div><div class=\"arfsubmitbutton arf_submit_div _container\" id=\"arf_submit_div_1\" style=\"display:none;\"><input type=\"button\" name=\"previous\" class=\"previous_btn\" onclick=\"go_previous('0', '131', 'no', 'tf7dmi', '35323');\" value=\"Previous\" \/><input type=\"submit\" class=\"next_btn\" name=\"next\" value=\"Next\" \/><\/div><div id=\"page_2\" class=\"page_break\" style=\"display:none;\"><div style=\"clear:both;\"><\/div><div id=\"arf_field_677_35323_container\" class=\"    arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_677\" data-field-type=\"html\" data-parent_field=\"0\" style='width: 49.529%'><div class=\"arf_htmlfield_control\"><arftotal><\/arftotal><h6 class=\"form-subheading\">Hosted Services<\/h6><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_678_35323_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_678\"  style='width: 49.906%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_emyf5b_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Domain Name Registration<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_emyf5b\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'emyf5b');\"><i class=\"fas fa-globe-africa\"><\/i><\/span><input   type=\"text\" id=\"field_emyf5b_35323\"  name=\"item_meta[678]\"  class=\" arf_required \" data-validation-required-message=\"Please enter Domain Name\"   \/><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_679_35323_container\" class=\"    arfformfield input-field control-group arfmainformfield  arffieldrequired arf_field_type_select  top_container  top_container arfformfield  arf_field_679\"  style='width: 49.529%'  data-field-type=\"select\" data-parent_field=\"0\"><label data-type=\"select\" for=\"field_c7ohd_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Domain Hosting<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\" sltstandard_front controls\"  ><div class=\"arf_selectpicker_wrapper\" style=\"min-width:100px; \"><input type=\"text\" autocomplete=\"off\" class=\"arf-selectpicker-input-control \" id=\"field_c7ohd_35323\" name=\"item_meta[679]\" value=\"Include Hosting\"  data-default-val='Include Hosting'  data-validation-required-message='This field cannot be blank.'  data-field_id='679'  onchange='arf_cl_apply_v3(35323,[\"680\",\"681\",\"682\",\"683\",\"684\",\"685\",\"686\"]);' ><dl class=\"arf-selectpicker-control  arf_form_field_picker \" data-id=\"field_c7ohd_35323\" data-name=\"item_meta[679]\"><dt><span>Include Hosting <\/span><i class=\"arf-selectpicker-caret\"><\/i><\/dt><dd><ul data-id=\"field_c7ohd_35323\" id=\"\" class=\"\"><li class=\"\" data-pos=\"0\" aria-label=\"Exclude Hosting\"  data-value=\"Exclude Hosting\" data-label=\"Exclude Hosting\">Exclude Hosting<\/li><li class=\"\" data-pos=\"1\" aria-label=\"Include Hosting\"  data-value=\"Include Hosting\" data-label=\"Include Hosting\">Include Hosting<\/li><\/ul><\/dd><\/dl><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_680_35323_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_680\"  style='width: 48.594%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_vxpp9c_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Server 1 IP Address<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_vxpp9c_35323\"  name=\"item_meta[680]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_681_35323_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_681\"  style='width: 48.029%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_xory28_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Server 1 Name<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_xory28_35323\"  name=\"item_meta[681]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_682_35323_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_682\"  style='width: 48.594%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_jduovs_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Server 2 IP Address<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_jduovs_35323\"  name=\"item_meta[682]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_683_35323_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_683\"  style='width: 98.5%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_xu2rrx_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Server 2 Name<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_xu2rrx_35323\"  name=\"item_meta[683]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_684_35323_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_684\"  style='width: 98.5%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_zztxbs_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Server 3 IP Address<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_zztxbs_35323\"  name=\"item_meta[684]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_685_35323_container\" class=\"    arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_685\"  style='width: 98.5%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_5k1cxz_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Server 3 Name<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_5k1cxz_35323\"  name=\"item_meta[685]\"  class=\" arf_required \" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_686_35323_container\" class=\"    arfformfield control-group arfmainformfield  arf_horizontal_radio  arffieldrequired arf_field_type_checkbox   top_container  top_container arfformfield  arf_field_686\"  style='width: 99.812%'  data-field-type=\"checkbox\" data-parent_field=\"0\"><label data-type=\"checkbox\" for=\"field_xejmcw_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Web and Email hosting<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"setting_checkbox controls arf_standard_checkbox\" style=\"padding-top:5px;\" ><div class=\"arf_checkbox_style \" id=\"frm_checkbox_686-0\"><div class='arf_checkbox_input_wrapper '><input type=\"checkbox\" name=\"item_meta[686][]\" data-type=\"checkbox\" id=\"field_686-0-35323\" value=\"Mail Relaying\" data-label=\"Mail Relaying\"    class=\" arf_required \"data-validation-minchecked-minchecked=\"1\" data-validation-minchecked-message=\"This field cannot be blank.\" style=''  \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_686-0-35323\" aria-label=\"Mail Relaying\">Mail Relaying<\/label><\/div><div class=\"arf_checkbox_style \" id=\"frm_checkbox_686-1\"><div class='arf_checkbox_input_wrapper '><input type=\"checkbox\" name=\"item_meta[686][]\" data-type=\"checkbox\" id=\"field_686-1-35323\" value=\"Web Hosting\" data-label=\"Web Hosting\"    class=\" arf_required \" style=''  \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_686-1-35323\" aria-label=\"Web Hosting\">Web Hosting<\/label><\/div><div class=\"arf_checkbox_style \" id=\"frm_checkbox_686-2\"><div class='arf_checkbox_input_wrapper '><input type=\"checkbox\" name=\"item_meta[686][]\" data-type=\"checkbox\" id=\"field_686-2-35323\" value=\"Mail Hosting\" data-label=\"Mail Hosting\"    class=\" arf_required \" style=''  \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_686-2-35323\" aria-label=\"Mail Hosting\">Mail Hosting<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_687_35323_container\" class=\"    arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_687\" data-field-type=\"html\" data-parent_field=\"0\" style='width: 24.482%'><div class=\"arf_htmlfield_control\"><arftotal><\/arftotal><h6 class=\"form-subheading\">Technical Contact<\/h6><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_688_35323_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_688\"  style='width: 23.547%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_dwjqn4_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Name<\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_dwjqn4\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'dwjqn4');\"><i class=\"fas fa-user-alt\"><\/i><\/span><input   type=\"text\" id=\"field_dwjqn4_35323\"  name=\"item_meta[688]\"   \/><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_689_35323_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_689\"  style='width: 23.17%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_yu85gq_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Surname<\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_yu85gq\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'yu85gq');\"><i class=\"fas fa-user-alt\"><\/i><\/span><input   type=\"text\" id=\"field_yu85gq_35323\"  name=\"item_meta[689]\"   \/><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_690_35323_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_690\"  style='width: 23.735%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_wl09iu_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Title\/Position<\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_wl09iu\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'wl09iu');\"><i class=\"fas fa-street-view\"><\/i><\/span><input   type=\"text\" id=\"field_wl09iu_35323\"  name=\"item_meta[690]\"   \/><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_691_35323_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_691\"  style='width: 48.029%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_5s6hvb_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Organization<\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_5s6hvb\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'5s6hvb');\"><i class=\"fas fa-building\"><\/i><\/span><input   type=\"text\" id=\"field_5s6hvb_35323\"  name=\"item_meta[691]\"   \/><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_692_35323_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_692\"  style='width: 48.594%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_np7swl_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Postal Address<\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_np7swl\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'np7swl');\"><i class=\"fas fa-address-book\"><\/i><\/span><input   type=\"text\" id=\"field_np7swl_35323\"  name=\"item_meta[692]\"   \/><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_693_35323_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_693\"  style='width: 98.312%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_j9vxaa_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Street Address<\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_j9vxaa\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'j9vxaa');\"><i class=\"fas fa-map-marked-alt\"><\/i><\/span><input   type=\"text\" id=\"field_j9vxaa_35323\"  name=\"item_meta[693]\"   \/><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_698_35323_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_698\"  style='width: 22.982%' data-field-type=\"text\" data-parent_field=\"0\" ><label data-type=\"text\" for=\"field_b896dj_35323\" class=\"arf_main_label arf_main_label_14px\" aria-label = >Phone<\/label><div class=\"controls\"   ><div class=\"arf_prefix_suffix_wrapper  arf_prefix_only  \"><span id=\"arf_prefix_b896dj\" class=\"arf_prefix\" onclick=\"arfFocusInputField(this,'b896dj');\"><i class=\"fas fa-phone-alt\"><\/i><\/span><input data-validation-regex-regex=\"([2-6]{1})([0-9]{5}|[0-9]{6})\"  data-validation-regex-message=\"Entered value is invalid\"  type=\"text\" id=\"field_b896dj_35323\"  name=\"item_meta[698]\"  maxlength=\"8\"  minlength=\"6\"  maxlength=\"8\" minlength=\"6\" data-validation-minlength-message=\"Invalid minimum characters:\"  \/><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_694_35323_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_email  top_container  arf_inline_field_value   top_container arfformfield frm_last_half arf_field_694\"  style='width: 23.547%'  data-field-type=\"email\" 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onclick=\"go_previous('1', '131', 'no', 'tf7dmi', '35323');\"  \/><input type=\"hidden\" data-jqvalidate=\"false\" value=\"2\" name=\"last_page_id\" data-id=\"last_page_id\" \/><input type=\"hidden\" data-jqvalidate=\"false\" value=\"1\" name=\"is_submit_form_131\" data-id=\"is_submit_form_131\" \/><input type=\"hidden\" data-jqvalidate=\"false\" data-last=\"2\" value=\"2\" name=\"last_show_page_131\" data-id=\"last_show_page_131\" \/><input type=\"hidden\" data-jqvalidate=\"false\" value=\"1\" data-val=\"1\" data-hide=\",\" data-max=\"2\" name=\"submit_form_131\" data-id=\"submit_form_131\" \/><input type=\"hidden\" data-jqvalidate=\"false\" value=\",\" name=\"get_hidden_pages_131\" data-id=\"get_hidden_pages_131\" \/><button class=\"arf_submit_btn  arf_submit_btn_flat   btn-info arfstyle-button  unknown\"  id=\"arf_submit_btn_35323\" name=\"arf_submit_btn_35323\" data-style=\"zoom-in\"  ><span class=\"arfsubmitloader\"><\/span><span class=\"arfstyle-label\">Submit<\/span><\/button><\/div><\/div><div style=\"clear:both\"><\/div><div id=\"brand-div\" class=\"brand-div _container\" style=\"margin-top:30px; font-size:12px !important; color: #444444 !important; display:block !important; visibility: visible !important;\">Powered by&#32;<a href=\"https:\/\/codecanyon.net\/item\/arforms-exclusive-wordpress-form-builder-plugin\/6023165?ref=reputeinfosystems\" target=\"_blank\" style=\"color:#0066cc !important; font-size:12px !important; display:inline !important; visibility:visible !important;\">ARForms<\/a><span style=\"color:#FF0000 !important; font-size:12px !important; display:inline !important; visibility: visible !important;\">&nbsp;&nbsp;(Unlicensed)<\/span><\/div><\/div><!-- arf_fieldset --><\/div><!-- allfields --><\/form><script type='text\/javascript' data-cfasync='false'>if(!window['arf_conditional_logic']){window['arf_conditional_logic'] = new Array();}window['arf_conditional_logic'][35323] = 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