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<form class="form-content" id="rsvpForm" method="POST">
  <input type="hidden" name="action" value="palecek_rsvp_submission">
  <input type="hidden" name="nonce" value="c86beb9bd4">
  <section class="intro">
    <img src="https://info.palecek.com/wp-content/themes/pelecek-helpcenter/assets/rsvp/img/palecek-and-veranda.png" class="img-brands" height="50" alt="PALECEK Teams Up with Veranda">
    <h1>PALECEK’s 50th anniversary &amp; Grand Opening Celebration</h1>
    <h3>PALECEK’s New Showroom</h3>
    <p> 200 North Hamilton Street, Suite 200<br> High Point, NC 27260 </p>
    <h3>Friday, April 12, 2024</h3>
    <p>4:00PM - 7:00PM</p>
    <div class="form-item">
      <label for="company">Company Name</label>
      <input id="company" name="company" class="form-control" type="text" required="">
    </div>
    <div class="form-group grid-form">
      <div class="form-item full">
        <label for="addressStreet">Company Address</label>
        <input id="addressStreet" class="form-control" type="text" name="street" placeholder="Street Address" required="">
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      <div class="form-item">
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        </select>
      </div>
      <div class="form-item">
        <input id="addressZip" class="form-control" type="text" name="zip" placeholder="Zip" required="">
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    </div>
    <div class="form-item select">
      <label for="attendees">Number of Attendees</label>
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        <option value="0"></option>
        <option value="1">1</option>
        <option value="2">2</option>
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  </section>
  <section class="attendees"></section>
  <button class="btn btn-submit disabled" id="submitRsvpData">Submit</button>
  <div id="rsvpSubmitResponse">
  </div>
</form>

Text Content

PALECEK’S 50TH ANNIVERSARY & GRAND OPENING CELEBRATION


PALECEK’S NEW SHOWROOM

200 North Hamilton Street, Suite 200
High Point, NC 27260


FRIDAY, APRIL 12, 2024

4:00PM - 7:00PM

Company Name
Company Address

State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware
District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas
Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi
Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York
North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South
Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West
Virginia Wisconsin Wyoming

Number of Attendees 1 2 3 4 5 6 7 8 9 10

Submit



THANK YOU FOR CONFIRMING YOUR ATTENDANCE

We look forward to welcoming you to our new showroom for our Grand Opening &
50th Anniversary Celebration on April 12th from 4pm to 7pm.


PALECEK’S NEW SHOWROOM

200 North Hamilton Street, Suite 200
High Point, NC 27260