{"id":6475,"date":"2022-07-03T19:34:43","date_gmt":"2022-07-03T19:34:43","guid":{"rendered":"https:\/\/konnectleads.com\/?page_id=6475"},"modified":"2022-11-04T15:37:16","modified_gmt":"2022-11-04T15:37:16","slug":"publisher-sign-up","status":"publish","type":"page","link":"https:\/\/konnectleads.com\/?page_id=6475","title":{"rendered":"Publisher Sign Up"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"6475\" class=\"elementor elementor-6475\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4f2da5c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4f2da5c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-97803de\" data-id=\"97803de\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-27072a2 elementor-widget elementor-widget-heading\" data-id=\"27072a2\" 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<h1 class=\"elementor-heading-title elementor-size-default\">Publisher Sign Up<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b29b531 elementor-widget elementor-widget-text-editor\" data-id=\"b29b531\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #050505; font-size: 18px; text-align: center;\">Fill in required (*) fields and send your request so we can contact you and discuss the terms of cooperation.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b809272 elementor-widget elementor-widget-text-editor\" data-id=\"b809272\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-8303\"><form id=\"wpforms-form-8303\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"8303\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F6475\" data-token=\"bd37fed6cfb3acfcc3a75afe664053e1\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-page-indicator progress\" data-indicator=\"progress\" data-indicator-color=\"#72b239\" data-scroll=\"1\"><span class=\"wpforms-page-indicator-page-title\" ><\/span><span class=\"wpforms-page-indicator-page-title-sep\" style=\"display:none;\"> &#8211; <\/span><span class=\"wpforms-page-indicator-steps\">Step <span class=\"wpforms-page-indicator-steps-current\">1<\/span> of 2<\/span><div class=\"wpforms-page-indicator-page-progress-wrap\"><div class=\"wpforms-page-indicator-page-progress\" style=\"width:50%;background-color:#72b239\"><\/div><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \"><div id=\"wpforms-8303-field_28-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"28\"><\/div><div id=\"wpforms-8303-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\" for=\"wpforms-8303-field_0\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-8303-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" required><label for=\"wpforms-8303-field_0\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-8303-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" required><label for=\"wpforms-8303-field_0-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-8303-field_9-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-8303-field_9\">Address <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-8303-field_9\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][9][address1]\" required><label for=\"wpforms-8303-field_9\" class=\"wpforms-field-sublabel after \">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-8303-field_9-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][9][address2]\" ><label for=\"wpforms-8303-field_9-address2\" class=\"wpforms-field-sublabel after \">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-8303-field_9-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][9][city]\" required><label for=\"wpforms-8303-field_9-city\" class=\"wpforms-field-sublabel after \">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-8303-field_9-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][9][state]\" required><label for=\"wpforms-8303-field_9-state\" class=\"wpforms-field-sublabel after \">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-8303-field_9-postal\" class=\"wpforms-field-address-postal wpforms-field-required\" name=\"wpforms[fields][9][postal]\" required><label for=\"wpforms-8303-field_9-postal\" class=\"wpforms-field-sublabel after \">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-8303-field_9-country\" class=\"wpforms-field-address-country wpforms-field-required\" name=\"wpforms[fields][9][country]\" required><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albania<\/option><option value=\"DZ\" >Algeria<\/option><option value=\"AS\" >American Samoa<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctica<\/option><option value=\"AG\" >Antigua and Barbuda<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaijan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgium<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivia (Plurinational State of)<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvet Island<\/option><option value=\"BR\" >Brazil<\/option><option value=\"IO\" >British Indian Ocean Territory<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Cambodia<\/option><option value=\"CM\" >Cameroon<\/option><option value=\"CA\" >Canada<\/option><option value=\"KY\" >Cayman Islands<\/option><option value=\"CF\" >Central African Republic<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CX\" >Christmas Island<\/option><option value=\"CC\" >Cocos (Keeling) Islands<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoros<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Democratic Republic of the)<\/option><option value=\"CK\" >Cook Islands<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"HR\" >Croatia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"CY\" >Cyprus<\/option><option value=\"CZ\" >Czech Republic<\/option><option value=\"CI\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"DK\" >Denmark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominican Republic<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egypt<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"GQ\" >Equatorial Guinea<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estonia<\/option><option value=\"SZ\" >Eswatini (Kingdom of)<\/option><option value=\"ET\" >Ethiopia<\/option><option value=\"FK\" >Falkland Islands (Malvinas)<\/option><option value=\"FO\" >Faroe Islands<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"FI\" >Finland<\/option><option value=\"FR\" >France<\/option><option value=\"GF\" >French Guiana<\/option><option value=\"PF\" >French Polynesia<\/option><option value=\"TF\" >French Southern Territories<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"DE\" >Germany<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GR\" >Greece<\/option><option value=\"GL\" >Greenland<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard Island and McDonald Islands<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungary<\/option><option value=\"IS\" >Iceland<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IR\" >Iran (Islamic Republic of)<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Ireland (Republic of)<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italy<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Japan<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordan<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"KP\" >Korea (Democratic People&#039;s Republic of)<\/option><option value=\"KR\" >Korea (Republic of)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"KG\" >Kyrgyzstan<\/option><option value=\"LA\" >Lao People&#039;s Democratic Republic<\/option><option value=\"LV\" >Latvia<\/option><option value=\"LB\" >Lebanon<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libya<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lithuania<\/option><option value=\"LU\" >Luxembourg<\/option><option value=\"MO\" >Macao<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MH\" >Marshall Islands<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexico<\/option><option value=\"FM\" >Micronesia (Federated States of)<\/option><option value=\"MD\" >Moldova (Republic of)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MA\" >Morocco<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NL\" >Netherlands<\/option><option value=\"NC\" >New Caledonia<\/option><option value=\"NZ\" >New Zealand<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NF\" >Norfolk Island<\/option><option value=\"MK\" >North Macedonia (Republic of)<\/option><option value=\"MP\" >Northern Mariana Islands<\/option><option value=\"NO\" >Norway<\/option><option value=\"OM\" >Oman<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestine (State of)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua New Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Poland<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RO\" >Romania<\/option><option value=\"RU\" >Russian Federation<\/option><option value=\"RW\" >Rwanda<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"BL\" >Saint Barth\u00e9lemy<\/option><option value=\"SH\" >Saint Helena, Ascension and Tristan da Cunha<\/option><option value=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"LC\" >Saint Lucia<\/option><option value=\"MF\" >Saint Martin (French part)<\/option><option value=\"PM\" >Saint Pierre and Miquelon<\/option><option value=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"ST\" >Sao Tome and Principe<\/option><option value=\"SA\" >Saudi Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"SX\" >Sint Maarten (Dutch part)<\/option><option value=\"SK\" >Slovakia<\/option><option value=\"SI\" >Slovenia<\/option><option value=\"SB\" >Solomon Islands<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ZA\" >South Africa<\/option><option value=\"GS\" >South Georgia and the South Sandwich Islands<\/option><option value=\"SS\" >South Sudan<\/option><option value=\"ES\" >Spain<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"SE\" >Sweden<\/option><option value=\"CH\" >Switzerland<\/option><option value=\"SY\" >Syrian Arab Republic<\/option><option value=\"TW\" >Taiwan, Republic of China<\/option><option value=\"TJ\" >Tajikistan<\/option><option value=\"TZ\" >Tanzania (United Republic of)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad and Tobago<\/option><option value=\"TN\" >Tunisia<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks and Caicos Islands<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"AE\" >United Arab Emirates<\/option><option value=\"GB\" >United Kingdom of Great Britain and Northern Ireland<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"US\" >United States of America<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatican City State<\/option><option value=\"VE\" >Venezuela (Bolivarian Republic of)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"VG\" >Virgin Islands (British)<\/option><option value=\"VI\" >Virgin Islands (U.S.)<\/option><option value=\"WF\" >Wallis and Futuna<\/option><option value=\"EH\" >Western Sahara<\/option><option value=\"YE\" >Yemen<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"AX\" >\u00c5land Islands<\/option><\/select><label for=\"wpforms-8303-field_9-country\" class=\"wpforms-field-sublabel after \">Country<\/label><\/div><\/div><\/div><div id=\"wpforms-8303-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-8303-field_1\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-8303-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><div id=\"wpforms-8303-field_7-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-8303-field_7\">Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-8303-field_7\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][7]\" required><\/div><div id=\"wpforms-8303-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-8303-field_4\">Company <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-8303-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/div><div id=\"wpforms-8303-field_6-container\" class=\"wpforms-field wpforms-field-url\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-8303-field_6\">Website \/ URL <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"url\" id=\"wpforms-8303-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-8303-field_10-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-8303-field_10\">What&#039;s the Best Way to Contact You? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-8303-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" required=\"required\"><option value=\"--Please Select--\" >&#8211;Please Select&#8211;<\/option><option value=\"Phone\" >Phone<\/option><option value=\"Email\" >Email<\/option><option value=\"Skype\" >Skype<\/option><\/select><\/div><div id=\"wpforms-8303-field_12-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"12\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-8303-field_12\">What is your Skype screen name? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-8303-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" required><\/div><div id=\"wpforms-8303-field_27-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"27\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"1\" data-formid=\"8303\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2 last \" style=\"display:none;\"><div id=\"wpforms-8303-field_11-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-8303-field_11\">How Long have you been in PPC Industry? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-8303-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required=\"required\"><option value=\"--Please Select--\" >&#8211;Please Select&#8211;<\/option><option value=\"0-6 Months\" >0-6 Months<\/option><option value=\"6-12 Months\" >6-12 Months<\/option><option value=\"1-3 Years\" >1-3 Years<\/option><option value=\"3+ Years\" >3+ Years<\/option><\/select><\/div><div id=\"wpforms-8303-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-8303-field_2\">Any 3 Industry References. <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-8303-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/textarea><div class=\"wpforms-field-description\">Name, Company, and Contact<\/div><\/div><div id=\"wpforms-8303-field_16-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-trigger\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-8303-field_16\">Choose Verticals <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-8303-field_16\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_16_4\" name=\"wpforms[fields][16][]\" value=\"Auto Insurance\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_16_4\">Auto Insurance<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_16_5\" name=\"wpforms[fields][16][]\" value=\"Credit Repair\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_16_5\">Credit Repair<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_16_6\" name=\"wpforms[fields][16][]\" value=\"Debt Settlement\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_16_6\">Debt Settlement<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_16_7\" name=\"wpforms[fields][16][]\" value=\"Final Expense\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_16_7\">Final Expense<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_16_8\" name=\"wpforms[fields][16][]\" value=\"Home Insurance\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_16_8\">Home Insurance<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_16_9\" name=\"wpforms[fields][16][]\" value=\"Health Insurance\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_16_9\">Health Insurance<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_16_10\" name=\"wpforms[fields][16][]\" value=\"Life Insurance\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_16_10\">Life Insurance<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_16_11\" name=\"wpforms[fields][16][]\" value=\"Medicare\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_16_11\">Medicare<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_16_12\" name=\"wpforms[fields][16][]\" value=\"Solar\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_16_12\">Solar<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_16_13\" name=\"wpforms[fields][16][]\" value=\"Tax Relief\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_16_13\">Tax Relief<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_16_14\" name=\"wpforms[fields][16][]\" value=\"Other\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_16_14\">Other<\/label><\/li><\/ul><\/div><div id=\"wpforms-8303-field_17-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"17\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-8303-field_17\">Mention <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-8303-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" required><\/div><div id=\"wpforms-8303-field_20-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-8303-field_20\">Type of Leads. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-8303-field_20\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_20_4\" name=\"wpforms[fields][20][]\" value=\"Inbounds\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_20_4\">Inbounds<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_20_5\" name=\"wpforms[fields][20][]\" value=\"Live Transfers\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_20_5\">Live Transfers<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_20_6\" name=\"wpforms[fields][20][]\" value=\"Call Back Leads\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_20_6\">Call Back Leads<\/label><\/li><\/ul><\/div><div id=\"wpforms-8303-field_21-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-8303-field_21\">Origin <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-8303-field_21\" class=\"wpforms-field-required\"><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_21_7\" name=\"wpforms[fields][21][]\" value=\"Onshore\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_21_7\">Onshore<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_21_8\" name=\"wpforms[fields][21][]\" value=\"Nearshore\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_21_8\">Nearshore<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_21_9\" name=\"wpforms[fields][21][]\" value=\"Offshore\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_21_9\">Offshore<\/label><\/li><\/ul><\/div><div id=\"wpforms-8303-field_22-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-8303-field_22\">Traffic Source <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-8303-field_22\" class=\"wpforms-field-required\"><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_22_10\" name=\"wpforms[fields][22][]\" value=\"SEO\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_22_10\">SEO<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_22_11\" name=\"wpforms[fields][22][]\" value=\"TV\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_22_11\">TV<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_22_12\" name=\"wpforms[fields][22][]\" value=\"Radio\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_22_12\">Radio<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_22_13\" name=\"wpforms[fields][22][]\" value=\"Social Media Marketing\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_22_13\">Social Media Marketing<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_22_14\" name=\"wpforms[fields][22][]\" value=\"Call Center\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_22_14\">Call Center<\/label><\/li><li class=\"choice-15 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_22_15\" name=\"wpforms[fields][22][]\" value=\"Native\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_22_15\">Native<\/label><\/li><li class=\"choice-16 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_22_16\" name=\"wpforms[fields][22][]\" value=\"Other\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_22_16\">Other<\/label><\/li><\/ul><\/div><div id=\"wpforms-8303-field_23-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-8303-field_23\">Your Traffic Journey <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-8303-field_23\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][23]\" required><\/textarea><div class=\"wpforms-field-description\">(Mention any O&#038;O sites if you have)<\/div><\/div><div id=\"wpforms-8303-field_8-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"8\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-8303-field_8\">Checkboxes<\/label><ul id=\"wpforms-8303-field_8\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-8303-field_8_1\" name=\"wpforms[fields][8][]\" value=\"I have read and agree to &lt;a href=\/advertiser-publisher-terms-conditions&gt;TERMS &amp; CONDITIONS&lt;\/a&gt; and the &lt;a href=\/privacy-policy&gt;PRIVACY POLICY&lt;\/a&gt;\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8303-field_8_1\">I have read and agree to <a href=\"\/advertiser-publisher-terms-conditions\">TERMS &amp; CONDITIONS<\/a> and the <a href=\"\/privacy-policy\">PRIVACY POLICY<\/a><\/label><\/li><\/ul><\/div><div id=\"wpforms-8303-field_29-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"29\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><\/div><\/div><\/div><\/div><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"8303\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-8303\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/konnectleads.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container --><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Publisher Sign Up Fill in required (*) fields and send your request so we can contact you and discuss the terms of cooperation.<\/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-6475","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/konnectleads.com\/index.php?rest_route=\/wp\/v2\/pages\/6475","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/konnectleads.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/konnectleads.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/konnectleads.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/konnectleads.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6475"}],"version-history":[{"count":0,"href":"https:\/\/konnectleads.com\/index.php?rest_route=\/wp\/v2\/pages\/6475\/revisions"}],"wp:attachment":[{"href":"https:\/\/konnectleads.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6475"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}