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Jan 9th, 2017
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  1. <style>
  2. .required:after {
  3. color: #a0a0a0 !important;
  4. }
  5.  
  6. .hide {
  7. display: none !important;
  8. }
  9. </style>
  10. <form action="{{the-corelogic-action-url}}" method="post" target="_blank" class="cta">
  11. <input type="hidden" name="unitNumber" data-swap-value="apartment.name"/>
  12. <input type="hidden" name="leaseTerm" value="{{location_setting.default_lease_term_months}}"/>
  13. <input type="hidden" name="moveInDate" data-swap-value="moveInDate"/>
  14. <input type="hidden" name="buildingId" data-swap-value="apartment.building"/>
  15. <h3>Personal Information</h3>
  16.  
  17. <div class="form-field">
  18. <label for="firstName" class="required hide">First Name</label>
  19. <input type="text" id="p-first-name" class="p-name" name="firstName" maxlength="40" size="20"
  20. pattern="^[a-zA-Z\s\-]{0,40}$" placeholder="First Name*"
  21. title="40 characters max, letters, spaces, and hyphens only please" data-mapping="customer[first_name]"
  22. required>
  23. </div>
  24.  
  25. <div class="form-field">
  26. <label for="lastName" class="required hide">Last Name</label>
  27. <input type="text" id="p-last-name" class="p-name" name="lastName" maxlength="40" pattern="^[a-zA-Z\s\-]{0,40}$"
  28. placeholder="Last Name*" title="40 characters max, letters, spaces, and hyphens only please"
  29. data-mapping="customer[last_name]" required>
  30. </div>
  31.  
  32. <div class="form-field">
  33. <label for="phone" class="required hide">Phone Number</label>
  34. <input type="tel" id="p-tel" class="p-tel" name="phone"
  35. title="10 digit phone number, digits, hyphens, and parenthesis only please" maxlength="14"
  36. placeholder="Phone Number*" pattern="^[0-9 \-()]{1,14}$" data-mapping="customer[phone]" required>
  37. </div>
  38.  
  39. <div class="form-field">
  40. <label for="email" class="required hide">Email</label>
  41. <input type="email" id="u-email" class="u-email" name="email"
  42. pattern="[a-zA-Z0-9._\-\+]+@[a-zA-Z0-9.\-]+\.[a-zA-Z]{2,6}" placeholder="Email*"
  43. data-mapping="customer[email]" required>
  44. </div>
  45. <input type="submit" class="floorplan-card-cta no-cta" value="Send"/>
  46. <span class="form-instruction">* Required Field</span>
  47. </form>
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