{"id":277,"date":"2018-08-09T12:05:22","date_gmt":"2018-08-09T12:05:22","guid":{"rendered":"http:\/\/deborahalcala.com\/wordpress1\/?page_id=277"},"modified":"2026-08-22T01:57:52","modified_gmt":"2026-08-22T01:57:52","slug":"order-request-form","status":"publish","type":"page","link":"https:\/\/deborahalcala.com\/wordpress1\/order-request-form\/","title":{"rendered":"Order Request Form"},"content":{"rendered":"<p>Feel free to call if you would like to place your order over the phone or have any questions. 214-352-5163 OR email:alcalas@swbell.net <div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f62-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><\/div>\n<form action=\"\/wordpress1\/wp-json\/wp\/v2\/pages\/277#wpcf7-f62-o1\" method=\"post\" class=\"wpcf7-form\" novalidate=\"novalidate\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"62\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.0.3\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f62-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<\/div>\n<p>Thank you very much for your interest in my creations.<\/p>\n<p>-We now accept all major credit\/debit cards.<br \/>\n-Prices do not include shipping and sales tax.<br \/>\n-All payments will be taken over the phone or in person.<\/p>\n<p>Feel free to email me if you have any more questions.<\/p>\n<p>Order Form<\/p>\n<p><label> Your Name (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-name\"><input type=\"text\" name=\"your-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Address (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-address\"><input type=\"text\" name=\"your-address\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> City (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-city\"><input type=\"text\" name=\"your-city\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> State (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-state\"><input type=\"text\" name=\"your-state\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Zip\/Post Code (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-zip\"><input type=\"text\" name=\"your-zip\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Your Email (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Your Phone Number (required)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-number\"><input type=\"text\" name=\"your-number\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Items you are interested in<br \/>\n    <span class=\"wpcf7-form-control-wrap your-items\"><input type=\"text\" name=\"your-items\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Your Message<br \/>\n    <span class=\"wpcf7-form-control-wrap your-message\"><textarea name=\"your-message\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span> <\/label><\/p>\n<p>*After you have submitted your order request form, we will contact via phone to confirm order details, total the price including shipping, handling and tax.<\/p>\n<div class=\"wpcf7-form-control-wrap\"><div data-sitekey=\"6Lc0XbgUAAAAALY9Ru6qzxhEKfQQD7YfQLcxfZlp\" data-size=\"compact\" class=\"wpcf7-form-control g-recaptcha wpcf7-recaptcha\"><\/div>\n<noscript>\n\t<div style=\"width: 302px; height: 422px;\">\n\t\t<div style=\"width: 302px; height: 422px; position: relative;\">\n\t\t\t<div style=\"width: 302px; height: 422px; position: absolute;\">\n\t\t\t\t<iframe src=\"https:\/\/www.google.com\/recaptcha\/api\/fallback?k=6Lc0XbgUAAAAALY9Ru6qzxhEKfQQD7YfQLcxfZlp\" frameborder=\"0\" scrolling=\"no\" style=\"width: 302px; height:422px; border-style: none;\">\n\t\t\t\t<\/iframe>\n\t\t\t<\/div>\n\t\t\t<div style=\"width: 300px; height: 60px; border-style: none; bottom: 12px; left: 25px; margin: 0px; padding: 0px; right: 25px; background: #f9f9f9; border: 1px solid #c1c1c1; border-radius: 3px;\">\n\t\t\t\t<textarea id=\"g-recaptcha-response\" name=\"g-recaptcha-response\" class=\"g-recaptcha-response\" style=\"width: 250px; height: 40px; border: 1px solid #c1c1c1; margin: 10px 25px; padding: 0px; resize: none;\">\n\t\t\t\t<\/textarea>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/noscript>\n<\/div>\n<p><input type=\"submit\" value=\"Send\" class=\"wpcf7-form-control wpcf7-submit\" \/><\/p>\n<div class=\"wpcf7-response-output wpcf7-display-none\"><\/div><\/form><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Feel free to call if you would like to place your order over the phone or have any questions. 214-352-5163 OR email:alcalas@swbell.net<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/deborahalcala.com\/wordpress1\/wp-json\/wp\/v2\/pages\/277"}],"collection":[{"href":"https:\/\/deborahalcala.com\/wordpress1\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/deborahalcala.com\/wordpress1\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/deborahalcala.com\/wordpress1\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/deborahalcala.com\/wordpress1\/wp-json\/wp\/v2\/comments?post=277"}],"version-history":[{"count":6,"href":"https:\/\/deborahalcala.com\/wordpress1\/wp-json\/wp\/v2\/pages\/277\/revisions"}],"predecessor-version":[{"id":1417,"href":"https:\/\/deborahalcala.com\/wordpress1\/wp-json\/wp\/v2\/pages\/277\/revisions\/1417"}],"wp:attachment":[{"href":"https:\/\/deborahalcala.com\/wordpress1\/wp-json\/wp\/v2\/media?parent=277"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}