{"id":60,"date":"2025-03-19T11:20:44","date_gmt":"2025-03-19T11:20:44","guid":{"rendered":"https:\/\/phr-resources.myservices.space\/?page_id=60"},"modified":"2025-03-19T11:20:44","modified_gmt":"2025-03-19T11:20:44","slug":"patient-supplies","status":"publish","type":"page","link":"https:\/\/phr-resources.myservices.space\/index.php\/patient-supplies\/","title":{"rendered":"Patient Supplies"},"content":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_12_container\" data-token=\"54cdacaaf019d673f369927c684e378e\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_js_validate  frm_ajax_submit  frm_pro_form \" id=\"form_office-supply-order\" data-token=\"54cdacaaf019d673f369927c684e378e\">\n<div class=\"frm_form_fields  frm_page_num_1\">\n<fieldset>\n<legend class=\"frm_screen_reader\">Office Supply Order<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"12\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_12\" id=\"frm_hide_fields_12\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"office-supply-order\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_12\" name=\"frm_submit_entry_12\" value=\"813ba9234b\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/60\" \/><div id=\"frm_field_108_container\" class=\"frm_form_field form-field  frm_inline_container frm_total fr m_first frm_fourth\">\r\n\t<label for=\"field_fj8uy\" id=\"field_fj8uy_label\" class=\"frm_primary_label\">Order Number\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_fj8uy\" name=\"item_meta[108]\" value=\"INV-100\"  data-frmval=\"INV-100\" data-invmsg=\"Order Number is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_109_container\" class=\"frm_form_field form-field  frm_required_field frm_inline_container frm_fourth frm_alignright\">\r\n\t<label for=\"field_duew4\" id=\"field_duew4_label\" class=\"frm_primary_label\">Order Date\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"text\" id=\"field_duew4\" name=\"item_meta[109]\" value=\"04\/12\/2026\"  maxlength=\"10\" data-frmval=\"04\/12\/2026\" data-reqmsg=\"Order Date cannot be blank.\" aria-required=\"true\" data-invmsg=\"Order Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_110_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n\t<label for=\"field_bwi7e\" id=\"field_bwi7e_label\" class=\"frm_primary_label\">Department: \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[110]\" id=\"field_bwi7e\"  data-reqmsg=\"Department:  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Department:  is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Administration\">Administration<\/option><option  value=\"Human Resources\">Human Resources<\/option><option  value=\"Finance\">Finance<\/option><option  value=\"Marketing\">Marketing<\/option><option  value=\"Sales\">Sales<\/option><option  value=\"IT\/Technical Support\">IT\/Technical Support<\/option><option  value=\"Customer Service\">Customer Service<\/option><option  value=\"Research and Development\">Research and Development<\/option><option  value=\"Operations\">Operations<\/option><option  value=\"Legal\">Legal<\/option><option  value=\"Procurement\">Procurement<\/option><option  value=\"Facilities Management\">Facilities Management<\/option><option  value=\"Logistics\">Logistics<\/option><option  value=\"Quality Assurance\">Quality Assurance<\/option><option  value=\"Production\/Manufacturing\">Production\/Manufacturing<\/option>\t<\/select>\n\t\r\n\t<div class=\"frm_description\" id=\"frm_desc_field_bwi7e\">Specify your department or organization to ensure accurate allocation.<\/div>\r\n\t\r\n<\/div>\n<div id=\"frm_field_111_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n\t<label for=\"field_8y1qt\" id=\"field_8y1qt_label\" class=\"frm_primary_label\">Requested By:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_8y1qt\" name=\"item_meta[111]\" value=\"\"  data-reqmsg=\"Requested By: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Requested By: is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_8y1qt\" \/>\r\n\t<div class=\"frm_description\" id=\"frm_desc_field_8y1qt\">Enter the name of the person submitting the order request.<\/div>\r\n\t\r\n<\/div>\n<div id=\"frm_field_112_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n\t<label for=\"field_smpop\" id=\"field_smpop_label\" class=\"frm_primary_label\">Email Address\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"email\" id=\"field_smpop\" name=\"item_meta[112]\" value=\"\"  autocomplete=\"email\"  data-reqmsg=\"Email Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email Address is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_smpop\"\/>\r\n\t<div class=\"frm_description\" id=\"frm_desc_field_smpop\">Provide a valid email address for order confirmation and communication.<\/div>\r\n\t\r\n<\/div>\n<div id=\"frm_field_113_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n\t<label for=\"field_w4ny8\" id=\"field_w4ny8_label\" class=\"frm_primary_label\">Contact Number\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"tel\" id=\"field_w4ny8\" name=\"item_meta[113]\" value=\"\"  data-reqmsg=\"Contact Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"Contact Number is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"   aria-describedby=\"frm_desc_field_w4ny8\"\/>\r\n\t<div class=\"frm_description\" id=\"frm_desc_field_w4ny8\">A phone number that we can reach you at if needed.<\/div>\r\n\t\r\n<\/div>\n<div id=\"frm_field_114_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<div id=\"field_g9fg_label\" class=\"frm_primary_label\">Delivery Address\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<fieldset aria-labelledby=\"field_g9fg_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tDelivery Address<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_114-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_g9fg_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tDelivery Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_g9fg_line1\" value=\"\" name=\"item_meta[114][line1]\"  data-reqmsg=\"Delivery Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Delivery Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_114-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_g9fg_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tDelivery Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_g9fg_line2\" value=\"\" name=\"item_meta[114][line2]\"  data-reqmsg=\"Delivery Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Delivery Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_114-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_g9fg_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCity\t<\/label>\n\t\t<input type=\"text\" id=\"field_g9fg_city\" value=\"\" name=\"item_meta[114][city]\"  data-reqmsg=\"Delivery Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Delivery Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">City<\/div><\/div>\n<div id=\"frm_field_114-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_g9fg_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tState\/Province\t<\/label>\n\t\t<input type=\"text\" id=\"field_g9fg_state\" value=\"\" name=\"item_meta[114][state]\"  data-reqmsg=\"Delivery Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Delivery Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">State\/Province<\/div><\/div>\n<div id=\"frm_field_114-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_g9fg_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tZip\/Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_g9fg_zip\" value=\"\" name=\"item_meta[114][zip]\"  data-reqmsg=\"Delivery Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Delivery Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Zip\/Postal<\/div><\/div>\n<div id=\"frm_field_114-country_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_g9fg_country\" class=\"frm_screen_reader frm_hidden\">\n\t\tCountry\t<\/label>\n\t\t\t<select name=\"item_meta[114][country]\" id=\"field_g9fg_country\"  data-reqmsg=\"Delivery Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Delivery Address is invalid\" aria-invalid=\"false\"   autocomplete=\"country-name\">\n\t\t\t<option value=\"\" class=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Afghanistan\" data-code=\"AF\">Afghanistan<\/option><option  value=\"Aland Islands\" data-code=\"AX\">Aland Islands<\/option><option  value=\"Albania\" data-code=\"AL\">Albania<\/option><option  value=\"Algeria\" data-code=\"DZ\">Algeria<\/option><option  value=\"American Samoa\" data-code=\"AS\">American Samoa<\/option><option  value=\"Andorra\" data-code=\"AD\">Andorra<\/option><option  value=\"Angola\" data-code=\"AO\">Angola<\/option><option  value=\"Anguilla\" data-code=\"AI\">Anguilla<\/option><option  value=\"Antarctica\" data-code=\"AQ\">Antarctica<\/option><option  value=\"Antigua and Barbuda\" data-code=\"AG\">Antigua and Barbuda<\/option><option  value=\"Argentina\" data-code=\"AR\">Argentina<\/option><option  value=\"Armenia\" data-code=\"AM\">Armenia<\/option><option  value=\"Aruba\" data-code=\"AW\">Aruba<\/option><option  value=\"Australia\" data-code=\"AU\">Australia<\/option><option  value=\"Austria\" data-code=\"AT\">Austria<\/option><option  value=\"Azerbaijan\" data-code=\"AZ\">Azerbaijan<\/option><option  value=\"Bahamas\" data-code=\"BS\">Bahamas<\/option><option  value=\"Bahrain\" data-code=\"BH\">Bahrain<\/option><option  value=\"Bangladesh\" data-code=\"BD\">Bangladesh<\/option><option  value=\"Barbados\" data-code=\"BB\">Barbados<\/option><option  value=\"Belarus\" data-code=\"BY\">Belarus<\/option><option  value=\"Belgium\" data-code=\"BE\">Belgium<\/option><option  value=\"Belize\" data-code=\"BZ\">Belize<\/option><option  value=\"Benin\" data-code=\"BJ\">Benin<\/option><option  value=\"Bermuda\" data-code=\"BM\">Bermuda<\/option><option  value=\"Bhutan\" data-code=\"BT\">Bhutan<\/option><option  value=\"Bolivia\" data-code=\"BO\">Bolivia<\/option><option  value=\"Bonaire, Sint Eustatius and Saba\">Bonaire, Sint Eustatius and Saba<\/option><option  value=\"Bosnia and Herzegovina\" data-code=\"BA\">Bosnia and Herzegovina<\/option><option  value=\"Botswana\" data-code=\"BW\">Botswana<\/option><option  value=\"Bouvet Island\" data-code=\"BV\">Bouvet Island<\/option><option  value=\"Brazil\" data-code=\"BR\">Brazil<\/option><option  value=\"British Indian Ocean Territory\" data-code=\"IO\">British Indian Ocean Territory<\/option><option  value=\"Brunei\" data-code=\"BN\">Brunei<\/option><option  value=\"Bulgaria\" data-code=\"BG\">Bulgaria<\/option><option  value=\"Burkina Faso\" data-code=\"BF\">Burkina Faso<\/option><option  value=\"Burundi\" data-code=\"BI\">Burundi<\/option><option  value=\"C&ocirc;te d&#039;Ivoire\">C&ocirc;te d&#039;Ivoire<\/option><option  value=\"Cambodia\" data-code=\"KH\">Cambodia<\/option><option  value=\"Cameroon\" data-code=\"CM\">Cameroon<\/option><option  value=\"Canada\" data-code=\"CA\">Canada<\/option><option  value=\"Cape Verde\" data-code=\"CV\">Cape Verde<\/option><option  value=\"Cayman Islands\" data-code=\"KY\">Cayman Islands<\/option><option  value=\"Central African Republic\" data-code=\"CF\">Central African Republic<\/option><option  value=\"Chad\" data-code=\"TD\">Chad<\/option><option  value=\"Chile\" data-code=\"CL\">Chile<\/option><option  value=\"China\" data-code=\"CN\">China<\/option><option  value=\"Christmas Island\" data-code=\"CX\">Christmas Island<\/option><option  value=\"Cocos (Keeling) Islands\">Cocos (Keeling) Islands<\/option><option  value=\"Colombia\" data-code=\"CO\">Colombia<\/option><option  value=\"Comoros\" data-code=\"KM\">Comoros<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Cook Islands\" data-code=\"CK\">Cook Islands<\/option><option  value=\"Costa Rica\" data-code=\"CR\">Costa Rica<\/option><option  value=\"Croatia\" data-code=\"HR\">Croatia<\/option><option  value=\"Cuba\" data-code=\"CU\">Cuba<\/option><option  value=\"Curacao\" data-code=\"CW\">Curacao<\/option><option  value=\"Cyprus\" data-code=\"CY\">Cyprus<\/option><option  value=\"Czech Republic\" data-code=\"CZ\">Czech Republic<\/option><option  value=\"Denmark\" data-code=\"DK\">Denmark<\/option><option  value=\"Djibouti\" data-code=\"DJ\">Djibouti<\/option><option  value=\"Dominica\" data-code=\"DM\">Dominica<\/option><option  value=\"Dominican Republic\" data-code=\"DO\">Dominican Republic<\/option><option  value=\"East Timor\" data-code=\"TL\">East Timor<\/option><option  value=\"Ecuador\" data-code=\"EC\">Ecuador<\/option><option  value=\"Egypt\" data-code=\"EG\">Egypt<\/option><option  value=\"El Salvador\" data-code=\"SV\">El Salvador<\/option><option  value=\"Equatorial Guinea\" data-code=\"GQ\">Equatorial Guinea<\/option><option  value=\"Eritrea\" data-code=\"ER\">Eritrea<\/option><option  value=\"Estonia\" data-code=\"EE\">Estonia<\/option><option  value=\"Ethiopia\" data-code=\"ET\">Ethiopia<\/option><option  value=\"Falkland Islands (Malvinas)\">Falkland Islands (Malvinas)<\/option><option  value=\"Faroe Islands\" data-code=\"FO\">Faroe Islands<\/option><option  value=\"Fiji\" data-code=\"FJ\">Fiji<\/option><option  value=\"Finland\" data-code=\"FI\">Finland<\/option><option  value=\"France\" data-code=\"FR\">France<\/option><option  value=\"French Guiana\" data-code=\"GF\">French Guiana<\/option><option  value=\"French Polynesia\" data-code=\"PF\">French Polynesia<\/option><option  value=\"French Southern Territories\" data-code=\"TF\">French Southern Territories<\/option><option  value=\"Gabon\" data-code=\"GA\">Gabon<\/option><option  value=\"Gambia\" data-code=\"GM\">Gambia<\/option><option  value=\"Georgia\" data-code=\"GE\">Georgia<\/option><option  value=\"Germany\" data-code=\"DE\">Germany<\/option><option  value=\"Ghana\" data-code=\"GH\">Ghana<\/option><option  value=\"Gibraltar\" data-code=\"GI\">Gibraltar<\/option><option  value=\"Greece\" data-code=\"GR\">Greece<\/option><option  value=\"Greenland\" data-code=\"GL\">Greenland<\/option><option  value=\"Grenada\" data-code=\"GD\">Grenada<\/option><option  value=\"Guadeloupe\" data-code=\"GP\">Guadeloupe<\/option><option  value=\"Guam\" data-code=\"GU\">Guam<\/option><option  value=\"Guatemala\" data-code=\"GT\">Guatemala<\/option><option  value=\"Guernsey\" data-code=\"GG\">Guernsey<\/option><option  value=\"Guinea\" data-code=\"GN\">Guinea<\/option><option  value=\"Guinea-Bissau\" data-code=\"GW\">Guinea-Bissau<\/option><option  value=\"Guyana\" data-code=\"GY\">Guyana<\/option><option  value=\"Haiti\" data-code=\"HT\">Haiti<\/option><option  value=\"Heard Island and McDonald Islands\" data-code=\"HM\">Heard Island and McDonald Islands<\/option><option  value=\"Holy See\">Holy See<\/option><option  value=\"Honduras\" data-code=\"HN\">Honduras<\/option><option  value=\"Hong Kong\" data-code=\"HK\">Hong Kong<\/option><option  value=\"Hungary\" data-code=\"HU\">Hungary<\/option><option  value=\"Iceland\" data-code=\"IS\">Iceland<\/option><option  value=\"India\" data-code=\"IN\">India<\/option><option  value=\"Indonesia\" data-code=\"ID\">Indonesia<\/option><option  value=\"Iran\" data-code=\"IR\">Iran<\/option><option  value=\"Iraq\" data-code=\"IQ\">Iraq<\/option><option  value=\"Ireland\" data-code=\"IE\">Ireland<\/option><option  value=\"Isle of Man\" data-code=\"IM\">Isle of Man<\/option><option  value=\"Israel\" data-code=\"IL\">Israel<\/option><option  value=\"Italy\" data-code=\"IT\">Italy<\/option><option  value=\"Jamaica\" data-code=\"JM\">Jamaica<\/option><option  value=\"Japan\" data-code=\"JP\">Japan<\/option><option  value=\"Jersey\" data-code=\"JE\">Jersey<\/option><option  value=\"Jordan\" data-code=\"JO\">Jordan<\/option><option  value=\"Kazakhstan\" data-code=\"KZ\">Kazakhstan<\/option><option  value=\"Kenya\" data-code=\"KE\">Kenya<\/option><option  value=\"Kiribati\" data-code=\"KI\">Kiribati<\/option><option  value=\"Kosovo\" data-code=\"XK\">Kosovo<\/option><option  value=\"Kuwait\" data-code=\"KW\">Kuwait<\/option><option  value=\"Kyrgyzstan\" data-code=\"KG\">Kyrgyzstan<\/option><option  value=\"Laos\" data-code=\"LA\">Laos<\/option><option  value=\"Latvia\" data-code=\"LV\">Latvia<\/option><option  value=\"Lebanon\" data-code=\"LB\">Lebanon<\/option><option  value=\"Lesotho\" data-code=\"LS\">Lesotho<\/option><option  value=\"Liberia\" data-code=\"LR\">Liberia<\/option><option  value=\"Libya\" data-code=\"LY\">Libya<\/option><option  value=\"Liechtenstein\" data-code=\"LI\">Liechtenstein<\/option><option  value=\"Lithuania\" data-code=\"LT\">Lithuania<\/option><option  value=\"Luxembourg\" data-code=\"LU\">Luxembourg<\/option><option  value=\"Macao\" data-code=\"MO\">Macao<\/option><option  value=\"Macedonia\" data-code=\"MK\">Macedonia<\/option><option  value=\"Madagascar\" data-code=\"MG\">Madagascar<\/option><option  value=\"Malawi\" data-code=\"MW\">Malawi<\/option><option  value=\"Malaysia\" data-code=\"MY\">Malaysia<\/option><option  value=\"Maldives\" data-code=\"MV\">Maldives<\/option><option  value=\"Mali\" data-code=\"ML\">Mali<\/option><option  value=\"Malta\" data-code=\"MT\">Malta<\/option><option  value=\"Marshall Islands\" data-code=\"MH\">Marshall Islands<\/option><option  value=\"Martinique\" data-code=\"MQ\">Martinique<\/option><option  value=\"Mauritania\" data-code=\"MR\">Mauritania<\/option><option  value=\"Mauritius\" data-code=\"MU\">Mauritius<\/option><option  value=\"Mayotte\" data-code=\"YT\">Mayotte<\/option><option  value=\"Mexico\" data-code=\"MX\">Mexico<\/option><option  value=\"Micronesia\" data-code=\"FM\">Micronesia<\/option><option  value=\"Moldova\" data-code=\"MD\">Moldova<\/option><option  value=\"Monaco\" data-code=\"MC\">Monaco<\/option><option  value=\"Mongolia\" data-code=\"MN\">Mongolia<\/option><option  value=\"Montenegro\" data-code=\"ME\">Montenegro<\/option><option  value=\"Montserrat\" data-code=\"MS\">Montserrat<\/option><option  value=\"Morocco\" data-code=\"MA\">Morocco<\/option><option  value=\"Mozambique\" data-code=\"MZ\">Mozambique<\/option><option  value=\"Myanmar\" data-code=\"MM\">Myanmar<\/option><option  value=\"Namibia\" data-code=\"NA\">Namibia<\/option><option  value=\"Nauru\" data-code=\"NR\">Nauru<\/option><option  value=\"Nepal\" data-code=\"NP\">Nepal<\/option><option  value=\"Netherlands\" data-code=\"NL\">Netherlands<\/option><option  value=\"New Caledonia\" data-code=\"NC\">New Caledonia<\/option><option  value=\"New Zealand\" data-code=\"NZ\">New Zealand<\/option><option  value=\"Nicaragua\" data-code=\"NI\">Nicaragua<\/option><option  value=\"Niger\" data-code=\"NE\">Niger<\/option><option  value=\"Nigeria\" data-code=\"NG\">Nigeria<\/option><option  value=\"Niue\" data-code=\"NU\">Niue<\/option><option  value=\"Norfolk Island\" data-code=\"NF\">Norfolk Island<\/option><option  value=\"North Korea\" data-code=\"KP\">North Korea<\/option><option  value=\"Northern Mariana Islands\" data-code=\"MP\">Northern Mariana Islands<\/option><option  value=\"Norway\" data-code=\"NO\">Norway<\/option><option  value=\"Oman\" data-code=\"OM\">Oman<\/option><option  value=\"Pakistan\" data-code=\"PK\">Pakistan<\/option><option  value=\"Palau\" data-code=\"PW\">Palau<\/option><option  value=\"Palestine\">Palestine<\/option><option  value=\"Panama\" data-code=\"PA\">Panama<\/option><option  value=\"Papua New Guinea\" data-code=\"PG\">Papua New Guinea<\/option><option  value=\"Paraguay\" data-code=\"PY\">Paraguay<\/option><option  value=\"Peru\" data-code=\"PE\">Peru<\/option><option  value=\"Philippines\" data-code=\"PH\">Philippines<\/option><option  value=\"Pitcairn\" data-code=\"PN\">Pitcairn<\/option><option  value=\"Poland\" data-code=\"PL\">Poland<\/option><option  value=\"Portugal\" data-code=\"PT\">Portugal<\/option><option  value=\"Puerto Rico\" data-code=\"PR\">Puerto Rico<\/option><option  value=\"Qatar\" data-code=\"QA\">Qatar<\/option><option  value=\"Reunion\" data-code=\"RE\">Reunion<\/option><option  value=\"Romania\" data-code=\"RO\">Romania<\/option><option  value=\"Russia\" data-code=\"RU\">Russia<\/option><option  value=\"Rwanda\" data-code=\"RW\">Rwanda<\/option><option  value=\"Saint Barthelemy\" data-code=\"BL\">Saint Barthelemy<\/option><option  value=\"Saint Helena, Ascension and Tristan da Cunha\">Saint Helena, Ascension and Tristan da Cunha<\/option><option  value=\"Saint Kitts and Nevis\" data-code=\"KN\">Saint Kitts and Nevis<\/option><option  value=\"Saint Lucia\" data-code=\"LC\">Saint Lucia<\/option><option  value=\"Saint Martin (French part)\">Saint Martin (French part)<\/option><option  value=\"Saint Pierre and Miquelon\" data-code=\"PM\">Saint Pierre and Miquelon<\/option><option  value=\"Saint Vincent and the Grenadines\" data-code=\"VC\">Saint Vincent and the Grenadines<\/option><option  value=\"Samoa\" data-code=\"WS\">Samoa<\/option><option  value=\"San Marino\" data-code=\"SM\">San Marino<\/option><option  value=\"Sao Tome and Principe\" data-code=\"ST\">Sao Tome and Principe<\/option><option  value=\"Saudi Arabia\" data-code=\"SA\">Saudi Arabia<\/option><option  value=\"Senegal\" data-code=\"SN\">Senegal<\/option><option  value=\"Serbia\" data-code=\"RS\">Serbia<\/option><option  value=\"Seychelles\" data-code=\"SC\">Seychelles<\/option><option  value=\"Sierra Leone\" data-code=\"SL\">Sierra Leone<\/option><option  value=\"Singapore\" data-code=\"SG\">Singapore<\/option><option  value=\"Sint Maarten (Dutch part)\">Sint Maarten (Dutch part)<\/option><option  value=\"Slovakia\" data-code=\"SK\">Slovakia<\/option><option  value=\"Slovenia\" data-code=\"SI\">Slovenia<\/option><option  value=\"Solomon Islands\" data-code=\"SB\">Solomon Islands<\/option><option  value=\"Somalia\" data-code=\"SO\">Somalia<\/option><option  value=\"South Africa\" data-code=\"ZA\">South Africa<\/option><option  value=\"South Georgia and the South Sandwich Islands\" data-code=\"GS\">South Georgia and the South Sandwich Islands<\/option><option  value=\"South Korea\" data-code=\"KR\">South Korea<\/option><option  value=\"South Sudan\" data-code=\"SS\">South Sudan<\/option><option  value=\"Spain\" data-code=\"ES\">Spain<\/option><option  value=\"Sri Lanka\" data-code=\"LK\">Sri Lanka<\/option><option  value=\"Sudan\" data-code=\"SD\">Sudan<\/option><option  value=\"Suriname\" data-code=\"SR\">Suriname<\/option><option  value=\"Svalbard and Jan Mayen\" data-code=\"SJ\">Svalbard and Jan Mayen<\/option><option  value=\"Swaziland\" data-code=\"SZ\">Swaziland<\/option><option  value=\"Sweden\" data-code=\"SE\">Sweden<\/option><option  value=\"Switzerland\" data-code=\"CH\">Switzerland<\/option><option  value=\"Syria\" data-code=\"SY\">Syria<\/option><option  value=\"Taiwan\" data-code=\"TW\">Taiwan<\/option><option  value=\"Tajikistan\" data-code=\"TJ\">Tajikistan<\/option><option  value=\"Tanzania\" data-code=\"TZ\">Tanzania<\/option><option  value=\"Thailand\" data-code=\"TH\">Thailand<\/option><option  value=\"Timor-Leste\">Timor-Leste<\/option><option  value=\"Togo\" data-code=\"TG\">Togo<\/option><option  value=\"Tokelau\" data-code=\"TK\">Tokelau<\/option><option  value=\"Tonga\" data-code=\"TO\">Tonga<\/option><option  value=\"Trinidad and Tobago\" data-code=\"TT\">Trinidad and Tobago<\/option><option  value=\"Tunisia\" data-code=\"TN\">Tunisia<\/option><option  value=\"Turkey\" data-code=\"TR\">Turkey<\/option><option  value=\"Turkmenistan\" data-code=\"TM\">Turkmenistan<\/option><option  value=\"Turks and Caicos Islands\" data-code=\"TC\">Turks and Caicos Islands<\/option><option  value=\"Tuvalu\" data-code=\"TV\">Tuvalu<\/option><option  value=\"Uganda\" data-code=\"UG\">Uganda<\/option><option  value=\"Ukraine\" data-code=\"UA\">Ukraine<\/option><option  value=\"United Arab Emirates\" data-code=\"AE\">United Arab Emirates<\/option><option  value=\"United Kingdom\" data-code=\"GB\">United Kingdom<\/option><option  value=\"United States\" data-code=\"US\">United States<\/option><option  value=\"United States Minor Outlying Islands\" data-code=\"UM\">United States Minor Outlying Islands<\/option><option  value=\"Uruguay\" data-code=\"UY\">Uruguay<\/option><option  value=\"Uzbekistan\" data-code=\"UZ\">Uzbekistan<\/option><option  value=\"Vanuatu\" data-code=\"VU\">Vanuatu<\/option><option  value=\"Vatican City\">Vatican City<\/option><option  value=\"Venezuela\" data-code=\"VE\">Venezuela<\/option><option  value=\"Vietnam\" data-code=\"VN\">Vietnam<\/option><option  value=\"Virgin Islands, British\">Virgin Islands, British<\/option><option  value=\"Virgin Islands, U.S.\">Virgin Islands, U.S.<\/option><option  value=\"Wallis and Futuna\" data-code=\"WF\">Wallis and Futuna<\/option><option  value=\"Western Sahara\" data-code=\"EH\">Western Sahara<\/option><option  value=\"Yemen\" data-code=\"YE\">Yemen<\/option><option  value=\"Zambia\" data-code=\"ZM\">Zambia<\/option><option  value=\"Zimbabwe\" data-code=\"ZW\">Zimbabwe<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">Country<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_115_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n\t<label for=\"field_c8hgh\" id=\"field_c8hgh_label\" class=\"frm_primary_label\">Preferred Delivery Date\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"text\" id=\"field_c8hgh\" name=\"item_meta[115]\" value=\"\"  maxlength=\"10\" data-reqmsg=\"Preferred Delivery Date cannot be blank.\" aria-required=\"true\" data-invmsg=\"Preferred Delivery Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_c8hgh\"\/>\r\n\t<div class=\"frm_description\" id=\"frm_desc_field_c8hgh\">Select a date when you would like to receive your order.<\/div>\r\n\t\r\n<\/div>\n<div id=\"frm_field_116_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n\t<label for=\"field_zwhe8\" id=\"field_zwhe8_label\" class=\"frm_primary_label\">Delivery Instructions\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_zwhe8\" name=\"item_meta[116]\" value=\"\"  placeholder=\"Example: Leave at front desk with clerk.\" data-reqmsg=\"Delivery Instructions cannot be blank.\" aria-required=\"true\" data-invmsg=\"Delivery Instructions is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_zwhe8\" \/>\r\n\t<div class=\"frm_description\" id=\"frm_desc_field_zwhe8\">Please specify how you would like your order to be delivered.<\/div>\r\n\t\r\n<\/div>\n<div id=\"frm_field_117_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Order Details Section<\/h3>\r\n\r\n<input type=\"hidden\" name=\"item_meta[117][form]\" value=\"11\" class=\"frm_dnc\" \/>\n\t\t\t<div id=\"frm_section_117-0\" class=\"frm_repeat_sec frm_repeat_117 frm_first_repeat frm_grid_container\">\n<input type=\"hidden\" name=\"item_meta[117][row_ids][]\" value=\"0\" \/><input type=\"hidden\" name=\"item_meta[117][0][0]\" value=\"\" \/><div id=\"frm_field_104-117-0_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm3 frm_first frm_field_104_container\">\r\n\t<label for=\"field_6qcx1-0\" id=\"field_6qcx1-0_label\" class=\"frm_primary_label\">Select Item\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[117][0][104]\" id=\"field_6qcx1-0\"  data-sectionid=\"117\"  data-reqmsg=\"Select Item cannot be blank.\" aria-required=\"true\" data-invmsg=\"Select Item is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Ballpoint Pens - 2.00\">Ballpoint Pens<\/option><option  value=\"Gel Pens - 2.00\">Gel Pens<\/option><option  value=\"Mechanical Pencils - 2.00\">Mechanical Pencils<\/option><option  value=\"Highlighters - 2.00\">Highlighters<\/option><option  value=\"Permanent Markers - 2.00\">Permanent Markers<\/option><option  value=\"Dry Erase Markers - 2.00\">Dry Erase Markers<\/option><option  value=\"Notebooks - 2.00\">Notebooks<\/option><option  value=\"Legal Pads - 2.00\">Legal Pads<\/option><option  value=\"Sticky Notes - 2.00\">Sticky Notes<\/option><option  value=\"Printer Paper - 2.00\">Printer Paper<\/option><option  value=\"Envelopes - 2.00\">Envelopes<\/option><option  value=\"File Folders - 2.00\">File Folders<\/option><option  value=\"Hanging File Folders - 2.00\">Hanging File Folders<\/option><option  value=\"Binders - 2.00\">Binders<\/option><option  value=\"Binder Clips - 2.00\">Binder Clips<\/option><option  value=\"Paper Clips - 2.00\">Paper Clips<\/option><option  value=\"Staplers - 2.00\">Staplers<\/option><option  value=\"Staples - 2.00\">Staples<\/option><option  value=\"Tape Dispensers - 2.00\">Tape Dispensers<\/option><option  value=\"Transparent Tape - 2.00\">Transparent Tape<\/option><option  value=\"Correction Tape - 2.00\">Correction Tape<\/option><option  value=\"Scissors - 2.00\">Scissors<\/option><option  value=\"Rulers - 2.00\">Rulers<\/option><option  value=\"Desk Organizers - 2.00\">Desk Organizers<\/option><option  value=\"Desk Calendars - 2.00\">Desk Calendars<\/option><option  value=\"Whiteboards - 2.00\">Whiteboards<\/option><option  value=\"Cork Boards - 2.00\">Cork Boards<\/option><option  value=\"Push Pins - 2.00\">Push Pins<\/option><option  value=\"Rubber Bands - 2.00\">Rubber Bands<\/option><option  value=\"Glue Sticks - 2.00\">Glue Sticks<\/option><option  value=\"Desktop Organizers - 2.00\">Desktop Organizers<\/option><option  value=\"Filing Cabinets - 2.00\">Filing Cabinets<\/option><option  value=\"Desk Chairs - 2.00\">Desk Chairs<\/option><option  value=\"Office Desks - 2.00\">Office Desks<\/option><option  value=\"Monitor Stands - 2.00\">Monitor Stands<\/option><option  value=\"Keyboard Trays - 2.00\">Keyboard Trays<\/option><option  value=\"Mouse Pads - 2.00\">Mouse Pads<\/option><option  value=\"Wrist Rests - 2.00\">Wrist Rests<\/option><option  value=\"USB Flash Drives - 2.00\">USB Flash Drives<\/option><option  value=\"External Hard Drives - 2.00\">External Hard Drives<\/option><option  value=\"Surge Protectors - 2.00\">Surge Protectors<\/option><option  value=\"Power Strips - 2.00\">Power Strips<\/option><option  value=\"Ethernet Cables - 2.00\">Ethernet Cables<\/option><option  value=\"Wireless Routers - 2.00\">Wireless Routers<\/option><option  value=\"Headsets - 2.00\">Headsets<\/option><option  value=\"Conference Phones - 2.00\">Conference Phones<\/option><option  value=\"Laminators - 2.00\">Laminators<\/option><option  value=\"Shredders - 2.00\">Shredders<\/option><option  value=\"Postage Meters - 2.00\">Postage Meters<\/option><option  value=\"Label Makers - 2.00\">Label Makers<\/option><option  value=\"Paper Trimmers - 2.00\">Paper Trimmers<\/option><option  value=\"Hole Punchers - 2.00\">Hole Punchers<\/option><option  value=\"Business Card Holders - 2.00\">Business Card Holders<\/option><option  value=\"Badge Holders - 2.00\">Badge Holders<\/option><option  value=\"Lanyards - 2.00\">Lanyards<\/option><option  value=\"Presentation Boards - 2.00\">Presentation Boards<\/option><option  value=\"Projectors - 2.00\">Projectors<\/option><option  value=\"Screen Cleaners - 2.00\">Screen Cleaners<\/option><option  value=\"Air Fresheners - 2.00\">Air Fresheners<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_105-117-0_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm3 frm_field_105_container\">\r\n\t<label for=\"field_mntnq-0\" id=\"field_mntnq-0_label\" class=\"frm_primary_label\">Item Quantity\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_mntnq-0\" name=\"item_meta[117][0][105]\" value=\"\" data-sectionid=\"117\"  data-reqmsg=\"Item Quantity cannot be blank.\" aria-required=\"true\" data-invmsg=\"Item Quantity is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"10\" step=\"1\" \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_106-117-0_container\" class=\"frm_form_field form-field  frm_top_container frm3 frm_field_106_container\">\r\n\t<label for=\"field_12ie6-0\" id=\"field_12ie6-0_label\" class=\"frm_primary_label\">Urgency Level\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[117][0][106]\" id=\"field_12ie6-0\"  data-sectionid=\"117\"  data-invmsg=\"Urgency Level is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Standard\">Standard<\/option><option  value=\"Priority - 1.00\">Priority<\/option><option  value=\"Express - 2.00\">Express<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_107-117-0_container\" class=\"frm_form_field form-field  frm_top_container frm3 frm_field_107_container\">\r\n\t<label for=\"field_ufd3b-0\" id=\"field_ufd3b-0_label\" class=\"frm_primary_label\">Total\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<p class=\"frm_total_formatted\" data-prepend=\"\" data-append=\"\"><\/p><div class=\"frm_input_group frm_with_box frm_hidden\"><input type=\"number\" id=\"field_ufd3b-0\" name=\"item_meta[117][0][107]\" value=\"\" data-sectionid=\"117\"  data-invmsg=\"Total is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/><\/div>\r\n\t\r\n\t\r\n<\/div>\n<div class=\"frm_form_field frm_hidden_container frm_repeat_buttons \"><a href=\"#\" class=\"frm_add_form_row frm_button\" data-parent=\"117\" aria-label=\"Add\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>plus1<\/title>\n\t<path d=\"M11 5H9v4H5v2h4v4h2v-4h4V9h-4V5zm-1-5a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Add Item<\/a>\n<a href=\"#\" class=\"frm_remove_form_row frm_button\" data-key=\"0\" data-parent=\"117\" aria-label=\"Remove\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>minus1<\/title>\n\t<path d=\"M5 9v2h10V9H5zm5-9a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Remove Item<\/a> <\/div><\/div>\n\r\n<\/div>\n<input type=\"hidden\" name=\"frm_page_order_12\" id=\"frm_page_order_12\" value=\"24\" \/><input type=\"hidden\" name=\"item_meta[120]\" id=\"field_dqsvy\" value=\"\"     \/>\n<input type=\"hidden\" name=\"item_meta[121]\" id=\"field_a75gp\" value=\"\"     \/>\n<input type=\"hidden\" name=\"item_meta[122]\" id=\"field_9ajjl\" value=\"\"     \/>\n<input type=\"hidden\" name=\"item_meta[123]\" id=\"field_6gcd1\" value=\"\"     \/>\n<input type=\"hidden\" name=\"item_meta[124]\" id=\"field_submit112\" value=\"\"     \/>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_134_container\">\n\t\t\t<label for=\"field_79qvs\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_79qvs\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[134]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"\/TP7vIIC9bq77xF1G7RJKoJZXBBBxlunmJg11KMjcct\/SXKsCXOHHkW5rtFPNImx\" \/><div class=\"frm_submit frm_flex\">\r\n<button class=\"frm_button_submit\" type=\"submit\"  formnovalidate=\"formnovalidate\">Next: Order Summary<\/button>\r\n\r\n\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-60","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/phr-resources.myservices.space\/index.php\/wp-json\/wp\/v2\/pages\/60","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/phr-resources.myservices.space\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/phr-resources.myservices.space\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/phr-resources.myservices.space\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/phr-resources.myservices.space\/index.php\/wp-json\/wp\/v2\/comments?post=60"}],"version-history":[{"count":1,"href":"https:\/\/phr-resources.myservices.space\/index.php\/wp-json\/wp\/v2\/pages\/60\/revisions"}],"predecessor-version":[{"id":62,"href":"https:\/\/phr-resources.myservices.space\/index.php\/wp-json\/wp\/v2\/pages\/60\/revisions\/62"}],"wp:attachment":[{"href":"https:\/\/phr-resources.myservices.space\/index.php\/wp-json\/wp\/v2\/media?parent=60"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}