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POST /#wpcf7-f7-p15-o1

<form action="/#wpcf7-f7-p15-o1" method="post" class="wpcf7-form init" aria-label="Contact form" novalidate="novalidate" data-status="init">
  <div style="display: none;"> <input type="hidden" name="_wpcf7" value="7"> <input type="hidden" name="_wpcf7_version" value="6.0"> <input type="hidden" name="_wpcf7_locale" value="en_US"> <input type="hidden" name="_wpcf7_unit_tag"
      value="wpcf7-f7-p15-o1"> <input type="hidden" name="_wpcf7_container_post" value="15"> <input type="hidden" name="_wpcf7_posted_data_hash" value=""> <input type="hidden" name="_wpcf7_recaptcha_response"
      value="03AFcWeA5zCgfZD0P8XdUVJ4KoM6X8S704w7s_2HPjvTZU_FQrnpqcmo5JZsuFAHSvEzLsuuYtltUgWpPGFAaZGh_hSeDkaXMrjoduPcLLL4fZxUsnxwFflqkL_HVtjouf9etT5zwhLAFympahqY2jY0gVx99hLjomyW8PiaGKGOvYo8GoOjnYQMaCqTFLTpyP-Z2u9I-9Kn0xs6AwUY4ks8Au9W6izpwCn-AH0vu78haK9wlwm94crMcIUgBFPZ42xZ5y8-N0SxiWdYCPuOhhbFz5mxKexutLqB42v1gjWqytI8YjkRPgRHuWPAUHn7xRod037f5OVJdFXRhm96f-XMEddExhxnPi7mptnLLeyeeBXJXR00nZ9CdFvz06vYkAfX7OwbCUKVHTjAVVo833rkPDRpA2oO7i1oxSpcGKrMy93-5Sx_0QN4FOKqek9FYSKeqj9XczJ41jL3gguZpCdWZcw-_z7qKCEVmpDVD12STwbZCOGD-Ip34CQlwWKAz-6Cav30fF3XTBu6uar3hRuWhRUluQUE374rpINbPEjvMAgf-kSLeiIy-US_JtVDlnFPcFaavyID_aLGRRJv8vCCQB2g_m_2ePpzxbQ8MZ24XMy5YaWrQhFpy04k5GGGcr43CWtCBJypS0Kj14TZGVLOOZFHtqVnVRH5QXzteQ3Su0jVJPmG_tH-zlbY0hfQFAaB_s9kI_uenJF8jrNJNcHsfdiLVuZKf319fxK_T40LOLW_Rtiq41dj4BHEfXMhCKfQHuRP2yZF9nun1RMAul5UbWfhzh_3u22lLJ-fkCt48eUVQk2bNO25GB5vzBykSQZ-g_9nhPObTJaTbkHCHNGs_8mDTwjcoYxw">
  </div>
  <div class="form-group-wrap">
    <div class="form_group">
      <p><label for="department">Department <span class="required">*</span></label></p>
      <p><span class="wpcf7-form-control-wrap" data-name="department"><select class="wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control" id="department" aria-required="true" aria-invalid="false" name="department">
            <option value="">Please choose department (OSR/PAE)</option>
            <option value="OSR">OSR</option>
            <option value="PAE">PAE</option>
          </select></span></p>
    </div>
    <div class="form_group">
      <p><label for="contact_email">Contact Email <span class="required">*</span></label><br> <span class="wpcf7-form-control-wrap" data-name="your_contact_email"><input size="40" maxlength="400"
            class="wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control" id="contact_email" aria-required="true" aria-invalid="false" value="" type="email" name="your_contact_email"></span></p>
    </div>
    <div class="form_group">
      <p><label for="osr_fname">First Name <span class="required">*</span></label><br> <span class="wpcf7-form-control-wrap" data-name="osr_fname"><input size="40" maxlength="400"
            class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control" id="osr_fname" aria-required="true" aria-invalid="false" value="" type="text" name="osr_fname"></span></p>
    </div>
    <div class="form_group">
      <p><label for="osr_lname">Last Name <span class="required">*</span></label><br> <span class="wpcf7-form-control-wrap" data-name="osr_lname"><input size="40" maxlength="400"
            class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control" id="osr_lname" aria-required="true" aria-invalid="false" value="" type="text" name="osr_lname"></span></p>
    </div>
    <div class="form_group">
      <p><label for="store_number">Store Number <span class="required">*</span></label><br> <span class="wpcf7-form-control-wrap" data-name="store_number"><input size="40" maxlength="400"
            class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control" id="store_number" aria-required="true" aria-invalid="false" value="" type="text" name="store_number"></span></p>
    </div>
    <div class="form_group">
      <p><label for="customer_account">HD Pro Xtra Customers Account #</label><br> <span class="wpcf7-form-control-wrap" data-name="customer_account"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text form-control"
            id="customer_account" aria-invalid="false" value="" type="text" name="customer_account"></span></p>
    </div>
    <div class="form_group">
      <p><label for="company_name_for_order">Company Name For Order <span class="required">*</span></label><br> <span class="wpcf7-form-control-wrap" data-name="company_name_for_order"><input size="40" maxlength="400"
            class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control" id="company_name_for_order" aria-required="true" aria-invalid="false" value="" type="text" name="company_name_for_order"></span></p>
    </div>
    <div class="form_group">
      <p><label for="jobsite_address">Jobsite Address</label><br> <span class="wpcf7-form-control-wrap" data-name="jobsite_address"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text form-control" id="jobsite_address"
            aria-invalid="false" value="" type="text" name="jobsite_address"></span></p>
    </div>
    <div class="form_group">
      <p><label for="jobsite_city">Jobsite City <span class="required">*</span></label><br> <span class="wpcf7-form-control-wrap" data-name="jobsite_city"><input size="40" maxlength="400"
            class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control" id="jobsite_city" aria-required="true" aria-invalid="false" value="" type="text" name="jobsite_city"></span></p>
    </div>
    <div class="form_group">
      <p><label for="onsite_contact">Onsite Contact <span class="required">*</span></label><br> <span class="wpcf7-form-control-wrap" data-name="your_onsite_contact"><input size="40" maxlength="400"
            class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control" id="onsite_contact" aria-required="true" aria-invalid="false" value="" type="text" name="your_onsite_contact"></span></p>
    </div>
  </div>
  <div class="form_group p-o-required">
    <p><label for="p_o_required">P.O. Required? <span class="required">*</span></label><br> <span class="wpcf7-form-control-wrap" data-name="p_o_required__radio_button"><span class="wpcf7-form-control wpcf7-radio p_o_required__radio_button"
          id="p_o_required__radio_button"><span class="wpcf7-list-item first"><label><input type="radio" name="p_o_required__radio_button" value="Yes"><span class="wpcf7-list-item-label">Yes</span></label></span><span
            class="wpcf7-list-item last"><label><input type="radio" name="p_o_required__radio_button" value="No"><span class="wpcf7-list-item-label">No</span></label></span></span></span></p>
  </div>
  <div class="form-group-wrap">
    <div class="form_group">
      <p><label for="your_job_name_or_number">Job Name or Job Number</label><br> <span class="wpcf7-form-control-wrap" data-name="your_job_name_or_number"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text form-control"
            id="your_job_name_or_number" aria-invalid="false" value="" type="text" name="your_job_name_or_number"></span></p>
    </div>
    <div class="form_group">
      <p><label for="contact_email">Preferred Delivery Date <span class="required">*</span></label><br> <span class="wpcf7-form-control-wrap preferred_delivery_date" data-name="preferred_delivery_date"> <input size="40"
            class="wpcf7-form-control wpcf7-datepicker wpcf7-validates-as-required datepicker form-control gmdpcf_datepicker hasDatepicker" id="preferred_delivery_date" min_val="current|plus|0|days" max_val="no_limit" disable_weekdays=""
            aria-required="true" aria-invalid="false" type="text" name="preferred_delivery_date"> </span></p>
    </div>
    <div class="form_group">
      <p><label for="size_of_unit">Size of Unit <span class="required">*</span></label><br> <span class="wpcf7-form-control-wrap" data-name="size_of_unit"><select class="wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control"
            id="size_of_unit" aria-required="true" aria-invalid="false" name="size_of_unit">
            <option value="">Please choose size of unit</option>
            <option value="8x10">8x10</option>
            <option value="8x20">8x20</option>
            <option value="8x40">8x40</option>
            <option value="Misc">Misc</option>
            <option value="Sale">Sale</option>
            <option value="Other">Other</option>
          </select></span></p>
    </div>
    <div class="form_group">
      <p><label for="trailer_type">Trailer Type <span class="required">*</span></label></p>
      <p><span class="wpcf7-form-control-wrap" data-name="trailer-type"><select class="wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control" id="trailer_type" aria-required="true" aria-invalid="false" name="trailer-type">
            <option value="">Please select type of trailer</option>
            <option value="Misc">Misc</option>
            <option value="Office Trailer">Office Trailer</option>
            <option value="Other">Other</option>
            <option value="Purchase Price">Purchase Price</option>
            <option value="Storage Container">Storage Container</option>
          </select></span></p>
    </div>
  </div>
  <div class="form_group check-mark">
    <p><span class="wpcf7-form-control-wrap" data-name="acceptance-834"><span class="wpcf7-form-control wpcf7-acceptance"><span class="wpcf7-list-item"><label><input type="checkbox" name="acceptance-834" value="1" class="acceptance"
                aria-invalid="false"><span
                class="wpcf7-list-item-label"><b>This Order Will Not Be Placed Until Confirmed By A Cassone Sales Account Manager.Please Allow 24 Hours To Recieve A Final Quote To Approve To Place Order.New Accounts Will Need To Complete A credit Application And Recieve Credit Approval</b>.</span></label></span></span></span>
    </p>
  </div>
  <div class="form_group mandatory__text">
    <p><span class="required">*</span> Marked Fields Are Mandatory.</p>
  </div>
  <div class="form_group submit-btn">
    <p><input class="wpcf7-form-control wpcf7-submit has-spinner submit_buton" type="submit" value="Submit" disabled=""><span class="wpcf7-spinner"></span></p>
  </div>
  <div class="short__not">
    <p> This is not an order until confirmed by a sale staff. Please Allow 48 Hours to receive quote. Thank you.</p>
  </div>
  <div class="wpcf7-response-output" aria-hidden="true"></div>
</form>

Text Content

FILL OUT TO PLACE AN ORDER


HOME DEPOT

Contact for any Question
 * hd@cassone.com

 * 800-680-8844/631-585-7800

 * 631-585-7895

Department *

Please choose department (OSR/PAE)OSRPAE

Contact Email *


First Name *


Last Name *


Store Number *


HD Pro Xtra Customers Account #


Company Name For Order *


Jobsite Address


Jobsite City *


Onsite Contact *


P.O. Required? *
YesNo

Job Name or Job Number


Preferred Delivery Date *


Size of Unit *
Please choose size of unit8x108x208x40MiscSaleOther

Trailer Type *

Please select type of trailerMiscOffice TrailerOtherPurchase PriceStorage
Container

This Order Will Not Be Placed Until Confirmed By A Cassone Sales Account
Manager.Please Allow 24 Hours To Recieve A Final Quote To Approve To Place
Order.New Accounts Will Need To Complete A credit Application And Recieve Credit
Approval.

* Marked Fields Are Mandatory.



This is not an order until confirmed by a sale staff. Please Allow 48 Hours to
receive quote. Thank you.