{"id":113,"date":"2024-07-30T18:23:26","date_gmt":"2024-07-30T18:23:26","guid":{"rendered":"https:\/\/www.asbury.org\/bethany-village\/?post_type=block&#038;p=113"},"modified":"2024-08-21T18:20:53","modified_gmt":"2024-08-21T18:20:53","slug":"contact-us-form","status":"publish","type":"block","link":"https:\/\/www.asbury.org\/bethany-village\/block\/contact-us-form\/","title":{"rendered":"Contact Us Form"},"content":{"rendered":"\r\n        <!-- START: FountainSL\/Block: acf\/devguide -->\r\n        <div class=\"ftn-block devguide\" style=\"\">\r\n            \n<div class='devguide'>\n    <div class=\"blockcontainer\">\n        <div class=\"innercontainer\">\n        \n        <div class=\"imgs open\">\n            <img style='height:100%; max-width: 1600px' src='https:\/\/www.asbury.org\/bethany-village\/wp-content\/uploads\/sites\/7\/2024\/07\/Screenshot-2024-07-19-at-1.18.49\u202fPM.png' \/>\n        <\/div>\n\n\n\n\n\n        <\/div>\n    \n    <\/div>\n<\/div>\n<div class=\"fieldset closednotes\">\n<ul><li>Desktop Container Type &#8211; desktop_container_type (select)<\/li><li>Padding &#8211; padding (group)<ul><li>padding-top &#8211; padding-top (text)<li>padding-bottom &#8211; padding-bottom (text)<li>padding-left &#8211; padding-left (text)<li>padding-right &#8211; padding-right (text)<\/ul><\/li><li>Margin &#8211; margin (group)<ul><li>margin-top &#8211; margin-top (text)<li>margin-bottom &#8211; margin-bottom (text)<li>margin-left &#8211; margin-left (text)<li>margin-right &#8211; margin-right (text)<\/ul><\/li><li>Background &#8211; background (group)<ul><li>Background Color &#8211; background_color (color_picker)<li>Background Image &#8211; background_image (image)<li>Background Video &#8211; background_video (file)<li>Mobile Background Image &#8211; mobile_background_image (image)<li>Background Gradient &#8211; background_gradient (group)<\/ul><\/li><li>Copy Options &#8211; copy_options (group)<ul><li>Header &#8211; header (text)<li>header tag &#8211; header_tag (select)<li>header class(es) &#8211; header_classes (text)<li>Subheader &#8211; subheader (text)<li>subhead tag &#8211; subhead_tag (select)<li>subhead class(es) &#8211; subhead_classes (text)<\/ul><\/li><li>Content &#8211; blockcontent (wysiwyg)<\/li><li>CTA &#8211; cta (group)<ul><li>CTA link &#8211; cta_link (link)<li>cta class(es) &#8211; cta_classes (text)<\/ul><\/li><li>Sample Image &#8211; sample_image (image)<\/li><li>Tabs &#8211; tabs (repeater)<ul><li>name &#8211; name (text)<li>Tab Content &#8211; tab_content (flexible_content)<\/ul><\/li><\/ul><br><br>\n      <b>Notes<\/b><br>\n\n      <h2>Technical Considerations<\/h2><div><p>Sample<\/p>\n<\/div><br><h2>Questions<\/h2><div><p>Test<\/p>\n<\/div><br><\/div>\n\n<script src=\"https:\/\/www.asbury.org\/bethany-village\/wp-content\/themes\/fountainsl\/blocks\/devguide\/script.js\"><\/script>\r\n        <\/div>\r\n        <!-- END: FountainSL\/Block: acf\/devguide -->\r\n        \n\n\r\n        <!-- START: FountainSL\/Block: acf\/contactusform -->\r\n        <div class=\"ftn-block contactusform\" style=\"\">\r\n            <div class='contactusform'>\n    \n    <div class='contactusform'>\n        <div class=\"container\">\n            <div class=\"grid\">\n                <div class=\"col-sm-3\">\n\n                    <div class=\"tab\">\n                                                                        <button class=\"tablinks\" onclick=\"openTab(event, 'Contact Us')\"\n                            id=\"defaultOpen\">Contact Us<\/button>\n                                                <button class=\"tablinks\" onclick=\"openTab(event, 'Tab 2')\"\n                            id=\"\">Tab 2<\/button>\n                                                                    <\/div>\n\n                <\/div>\n\n                <div class=\"col-sm-9 formRight\">\n\n\n                                                            <div id=\"Contact Us\" class=\"tabcontent maincopy\">\n\n                                                \n\n                                                <p>SAMPLE<\/p>\n                        \n\n\n                        \n\n\n\n\n\n                                                \n\n                        \n                            <div class=\"form\">\r\n    <script src=\"https:\/\/www.google.com\/recaptcha\/api.js?render=6Lf0xJcqAAAAALQKvBQjqswPWm3fl-YW-6yFqT8Z\"><\/script>\r\n    <div class=\"activedemand-wrapper label-placement-inside\" id=\"69e15212354ad\">\r\n        <form language=\"en\" autocomplete=\"off\" enctype=\"multipart\/form-data\" action=\"https:\/\/bethany-village.asbury.org\/submit\/form\/136211\"\r\n            method=\"POST\" class=\"ad-form-check activedemand activedemand-setup\">\r\n            <div class=\"form row-body grid\">\r\n                <div class=\"activedemand-page activedemand-page-0\">\r\n                    <div class=\"container-fluid\">\r\n                        <div class=\"grid 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class=\"column-inner cta-content-area sortable-column\">\r\n        <div id=\"ff69e1521239d07\" class=\"ad-form-field\">\r\n            <div class=\"\">\r\n                <label for=\"69e1521239d07_form[11_1]\" class=\"activedemand-label sr-only\">\r\n                    Last Name <span class=\"required\">*<\/span>                <\/label>\r\n                                <input placeholder=\"Last Name*\" type=\"text\"\r\n                    class=\"form-control activedemand-input\" id=\"69e1521239d07_form[11_1]\"\r\n                    name=\"form[11_1]\" required                     \/>\r\n                            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n<\/div>\r\n                            <div class=\"ad-input col-lg-6 col-md-6 col-sm-6 col-xs-12 column column-0\" id=\"69e1521239d33\">\r\n    <div class=\"column-inner cta-content-area sortable-column\">\r\n        <div id=\"ff69e1521239d33\" class=\"ad-form-field\">\r\n            <div class=\"\">\r\n                <label for=\"69e1521239d33_form[31_2]\" class=\"activedemand-label sr-only\">\r\n                    Phone Number                <\/label>\r\n                                <input placeholder=\"Phone Number\" type=\"tel\"\r\n                    class=\"form-control activedemand-input\" id=\"69e1521239d33_form[31_2]\"\r\n                    name=\"form[31_2]\"                     pattern=\"\\(\\d{3}\\) \\d{3}\\-\\d{4}\"  \/>\r\n                            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n<\/div>\r\n                            <div class=\"ad-input col-lg-6 col-md-6 col-sm-6 col-xs-12 column column-0\" id=\"69e1521239d59\">\r\n    <div class=\"column-inner cta-content-area sortable-column\">\r\n        <div id=\"ff69e1521239d59\" class=\"ad-form-field\">\r\n            <div class=\"\">\r\n                <label for=\"69e1521239d59_form[21_3]\" class=\"activedemand-label sr-only\">\r\n                    Email Address <span class=\"required\">*<\/span>                <\/label>\r\n                                <input placeholder=\"Email Address*\" type=\"email\"\r\n                    class=\"form-control activedemand-input\" id=\"69e1521239d59_form[21_3]\"\r\n                    name=\"form[21_3]\" required                    pattern=\"\\S+\\@\\S+\"  \/>\r\n                            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n<\/div>\r\n                            <div class=\"ad-input col-lg-12 col-md-12 col-sm-12 col-xs-12 column\">\r\n    <div class=\"column-inner cta-content-area sortable-column\">\r\n        <div id=\"69e1521239d80\" class=\"ad-form-field\">\r\n            <select id=\"69e1521239d80_form[221_4]\"\r\n                class=\"form-control activedemand-select\"\r\n                name=\"form[221_4]\"                 data-theme=\"fontawesome-stars\" data-reverse=\"false\" data-values=\"false\">\r\n                <option value=\"\" class=\"oplaceholder\" disabled selected>\r\n                    Who are you inquiring for?      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