{"id":6899,"date":"2020-12-05T22:38:42","date_gmt":"2020-12-05T21:38:42","guid":{"rendered":"https:\/\/dihalma.com\/?page_id=6899"},"modified":"2020-12-05T22:38:42","modified_gmt":"2020-12-05T21:38:42","slug":"quotation-form","status":"publish","type":"page","link":"https:\/\/dihalma.com\/en\/collections\/automotive\/quotation-form\/","title":{"rendered":"Request for Quotation"},"content":{"rendered":"<section class=\"wpb-content-wrapper\"><p>[vc_row][vc_column]<div id=\"la_divider69e48d056613d\" class=\"js-el la-divider la-unit-responsive\" data-la_component=\"UnitResponsive\"  data-el_target='#la_divider69e48d056613d'  data-el_media_sizes='{&quot;padding-top&quot;:&quot;lg:60px;&quot;}' ><\/div>\n[\/vc_column][\/vc_row][vc_row][vc_column la_animation_duration=&#8221;1&#8243; la_animation_delay=&#8221;0&#8243; la_animation_iteration_count=&#8221;1&#8243;]<div id=\"la_heading_69e48d0566381\" class=\"la-headings text-left\"><h2 class=\"js-el heading-tag la-unit-responsive letter-spacing--2\" style=\"\" >Request for Quotation Form<\/h2><div class=\"js-el subheading-tag la-unit-responsive\" style=\"\" ><p>(All fields on the form are mandatory)<\/p>\n<\/div><\/div>\n<div id=\"la_divider69e48d05664b7\" class=\"js-el la-divider la-unit-responsive\" data-la_component=\"UnitResponsive\"  data-el_target='#la_divider69e48d05664b7'  data-el_media_sizes='{&quot;padding-top&quot;:&quot;lg:25px;&quot;}' ><\/div>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f6896-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"6896\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/6899#wpcf7-f6896-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"6896\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f6896-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"cf7-style-default\">\n\t<div class=\"row\">\n\t\t<div class=\"col-xs-12\">\n\t\t\t<h4>Intended Brand\n\t\t\t<\/h4>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"marca-car\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"marca-car\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"col-xs-12\">\n\t\t\t<h4>Model and Engine\n\t\t\t<\/h4>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"modelo\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"modelo\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"col-xs-12\">\n\t\t\t<h4>Vehicle status\n\t\t\t<\/h4>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"estado-viatura\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"estado-viatura\"><option value=\"New\">New<\/option><option value=\"Semi-new\">Semi-new<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"col-xs-12\">\n\t\t\t<h4>Applicant's Full Name\n\t\t\t<\/h4>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nome-completo\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"nome-completo\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"col-xs-12\">\n\t\t\t<h4>Client Type\n\t\t\t<\/h4>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tipo-cliente\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"tipo-cliente\"><option value=\"Private\">Private<\/option><option value=\"Company\">Company<\/option><option value=\"Fleet\">Fleet<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<h4>Citizen Card or Passport No.\n\t\t\t<\/h4>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"n-cc\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"n-cc\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<h4>PT Taxpayer Number\n\t\t\t<\/h4>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nif\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"nif\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<h4>Telephone\n\t\t\t<\/h4>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"n-telemovel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"n-telemovel\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<h4>E-mail\n\t\t\t<\/h4>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"e-mail\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"e-mail\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"col-xs-12\">\n\t\t\t<h4>Describe as best as you can, including colors, finishes and options:\n\t\t\t<\/h4>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"descricao\"><textarea cols=\"40\" rows=\"6\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" name=\"descricao\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"col-xs-12\">\n\t\t\t<h4>How did you get to us?\n\t\t\t<\/h4>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"como-encontrou\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"como-encontrou\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"col-xs-12 honra-wrap\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"honra\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"honra\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p>I declare that I understand that I will receive a quote for individual and personalized car sales, so there is no binding character of the DIHALMA Automotive brand.\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"col-xs-12 honra-wrap\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"honra\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"honra\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p>Because there is interest on my part, and because I am interested, I am requesting a Car Purchase Quote, and I now assume the honorable commitment not to disclose any data or information relating to the quotation received.\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"col-xs-12 honra-wrap\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"concordo-termos\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"concordo-termos\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p>I've read and I accept <a href=\"https:\/\/dihalma.com\/privacy-policy\/?lang=en\">Privacy policy<\/a>.\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<p>[anr_nocaptcha g-recaptcha-response]\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"col-xs-12\">\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner btn btn-style-flat btn-color-black font-weight-400\" type=\"submit\" value=\"Send Quotation Request\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\" style=\"margin-top:25px;\">\n\t\t<p>*A copy of this form will be sent to the Customer via email, along with the quote.\n\t\t<\/p>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column][\/vc_row][vc_row][vc_column]<div id=\"la_divider69e48d0568578\" class=\"js-el la-divider la-unit-responsive\" data-la_component=\"UnitResponsive\"  data-el_target='#la_divider69e48d0568578'  data-el_media_sizes='{&quot;padding-top&quot;:&quot;lg:60px;&quot;}' ><\/div>\n[\/vc_column][\/vc_row]<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][\/vc_column][\/vc_row][vc_row][vc_column 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