{"id":4030,"date":"2025-11-28T08:38:57","date_gmt":"2025-11-28T08:38:57","guid":{"rendered":"https:\/\/dallasdrink.com\/supplier-registration-form\/"},"modified":"2025-12-25T10:13:54","modified_gmt":"2025-12-25T10:13:54","slug":"supplier-registration-form","status":"publish","type":"page","link":"https:\/\/dallasdrink.com\/en\/supplier-registration-form\/","title":{"rendered":"Supplier Registration Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4030\" class=\"elementor elementor-4030 elementor-2494\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5697a7b e-flex e-con-boxed e-con e-parent\" data-id=\"5697a7b\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-1cf8de0 e-con-full e-flex e-con e-child\" data-id=\"1cf8de0\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6edbba9 elementor-widget elementor-widget-heading\" data-id=\"6edbba9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Supplier Registration Form<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f7b6186 e-con-full e-flex e-con e-child\" data-id=\"f7b6186\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-840ce87 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"840ce87\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previos&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"New form\" aria-label=\"New form\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"4030\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"840ce87\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"\u0646\u0648\u0634\u06cc\u062f\u0646\u06cc \u0647\u0627\u06cc \u062f\u0627\u0644\u0627\u0633 - Supplier Registration Form\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"4030\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_7bcf4e4 elementor-col-100\">\n\t\t\t\t\tInformation\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCompany Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Company Name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_2bc6897 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2bc6897\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCEO Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_2bc6897]\" id=\"form-field-field_2bc6897\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"CEO Name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_1466874 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1466874\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPhone\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_1466874]\" id=\"form-field-field_1466874\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Phone\" required=\"required\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_595724c elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_595724c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRepresentative Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_595724c]\" id=\"form-field-field_595724c\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Representative Name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_677fd22 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_677fd22\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tJob position\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_677fd22]\" id=\"form-field-field_677fd22\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Job position\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_186f444 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_186f444\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPhone\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_186f444]\" id=\"form-field-field_186f444\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Phone\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_5f18d04 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5f18d04\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tField of Activity \/ Products or Services Offered\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_5f18d04]\" id=\"form-field-field_5f18d04\" rows=\"4\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_83d2918 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_83d2918\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHead Office Address\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_83d2918]\" id=\"form-field-field_83d2918\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_555bc11 elementor-col-100\">\n\t\t\t\t\tWork Experience\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_0d13f9b elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0d13f9b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tYears of Operation (years)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_0d13f9b]\" id=\"form-field-field_0d13f9b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" min=\"1\" max=\"99\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_980d678 elementor-col-80\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_980d678\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tKey Clients (Optional)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_980d678]\" id=\"form-field-field_980d678\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Key Clients (Optional)\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_c7116ea elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c7116ea\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAdditional Notes (Optional)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_c7116ea]\" id=\"form-field-field_c7116ea\" rows=\"4\" placeholder=\"Additional Notes...\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_0c21a4a elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0c21a4a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tYour comments or suggestions about Dallas products (optional)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_0c21a4a]\" id=\"form-field-field_0c21a4a\" rows=\"4\" placeholder=\"Description...\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_6948054 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6948054\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow did you become familiar with the company?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Exhibition\" id=\"form-field-field_6948054-0\" name=\"form_fields[field_6948054]\" required=\"required\"> <label for=\"form-field-field_6948054-0\">Exhibition<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Friends\" id=\"form-field-field_6948054-1\" name=\"form_fields[field_6948054]\" required=\"required\"> <label for=\"form-field-field_6948054-1\">Friends<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Media\" id=\"form-field-field_6948054-2\" name=\"form_fields[field_6948054]\" required=\"required\"> <label for=\"form-field-field_6948054-2\">Media<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Urban Advertising\" id=\"form-field-field_6948054-3\" name=\"form_fields[field_6948054]\" required=\"required\"> <label for=\"form-field-field_6948054-3\">Urban Advertising<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Online Advertising\" id=\"form-field-field_6948054-4\" name=\"form_fields[field_6948054]\" required=\"required\"> <label for=\"form-field-field_6948054-4\">Online Advertising<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Google\" id=\"form-field-field_6948054-5\" name=\"form_fields[field_6948054]\" required=\"required\"> <label for=\"form-field-field_6948054-5\">Google<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Other\" id=\"form-field-field_6948054-6\" name=\"form_fields[field_6948054]\" required=\"required\"> <label for=\"form-field-field_6948054-6\">Other<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">send<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5e4b6dd e-flex e-con-boxed e-con e-parent\" data-id=\"5e4b6dd\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3d8b4dc elementor-widget elementor-widget-spacer\" data-id=\"3d8b4dc\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Supplier Registration Form<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4030","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dallasdrink.com\/en\/wp-json\/wp\/v2\/pages\/4030","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dallasdrink.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dallasdrink.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dallasdrink.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dallasdrink.com\/en\/wp-json\/wp\/v2\/comments?post=4030"}],"version-history":[{"count":1,"href":"https:\/\/dallasdrink.com\/en\/wp-json\/wp\/v2\/pages\/4030\/revisions"}],"predecessor-version":[{"id":4031,"href":"https:\/\/dallasdrink.com\/en\/wp-json\/wp\/v2\/pages\/4030\/revisions\/4031"}],"wp:attachment":[{"href":"https:\/\/dallasdrink.com\/en\/wp-json\/wp\/v2\/media?parent=4030"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}