Untitled

<HTML>
  <head>
    <title>Contact Design Packaging INC</title>
<link rel='stylesheet' href='//designpackagin.staging.wpengine.com/wp-content/themes/DesignPackagingInc/style.css' type='text/css' media='all' />
<link rel='stylesheet' href='//designpackaginginc.com/wp-content/themes/DesignPackagingInc/style.css' type='text/css' media='all' />
<script type='text/javascript' src='//designpackagin.staging.wpengine.com/wp-content/themes/DesignPackagingInc/assets/js/ourcustom.js?ver=4.9.2'></script>
<script type='text/javascript' src='//designpackaginginc.com/wp-content/themes/DesignPackagingInc/assets/js/ourcustom.js?ver=4.9.2'></script>
  </head>
<body>
  <NLFORM>
    <h1>How can we help you?</h1>
    <ul id="form_fields">
        <li id="field_1_1"><label>How can we help you?</label><nlcustentity_contactreason></li>
        <li id="field_1_2"><label>Total Quantity</label>
            <div class="input_container">
                <ul>
                    <li><input value="1" name="custentity_totalquantityoption" type="radio" id="custentity_totalquantityoption" class="radio1"><label>0 - 2,999</label></li>
                    <li><input value="2" name="custentity_totalquantityoption" type="radio" id="custentity_totalquantityoption" class="radio1"><label>3,000 - 7,499</label></li>
                    <li><input value="3" name="custentity_totalquantityoption" type="radio" id="custentity_totalquantityoption" class="radio1"><label>7,500 - 24,999</label></li>
                    <li><input value="4" name="custentity_totalquantityoption" type="radio" id="custentity_totalquantityoption" class="radio1"><label>25,000 - 49,999</label></li>
                    <li><input value="5" name="custentity_totalquantityoption" type="radio" id="custentity_totalquantityoption" class="radio1"><label>50,000 - 99,999</label></li>
                    <li><input value="6" name="custentity_totalquantityoption" type="radio" id="custentity_totalquantityoption" class="radio1"><label>100,000 - 1 Million +</label></li>
                    <nlcustentity_totalquantityoption>
                </ul>
            </div>
        </li>
        <li id="field_1_3"><label>First Delivery Timeframe</label>
            <div class="input_container">
                <ul>
                    <li><input value="1" name="custentity_timeframe" type="radio" id="custentity_timeframe" class="radio1"><label>within 12 weeks</label></li>
                    <li><input value="2" name="custentity_timeframe" type="radio" id="custentity_timeframe" class="radio1"><label>between 12-18 weeks</label></li>
                    <li><input value="3" name="custentity_timeframe" type="radio" id="custentity_timeframe" class="radio1"><label>beyond 18 weeks</label></li>
                    <nlcustentity_timeframe>
                </ul>
            </div>
        </li>
        <div class="clear"></div>
        <li id="field_1_4"><label>Additional Comments</label> <nlcomments></li>
        <li id="field_1_5"><label>First Name</label> <NLFIRSTNAME></li>
        <li id="field_1_6"><label>Last Name</label> <NLLASTNAME></li>
        <li id="field_1_7"><label>Company Name</label> <nlcompanyname></li>
        <li id="field_1_8"><label>Email Address</label> <nlemail></li>
        <li id="field_1_9"><label>Phone</label> <nlphone></li>
        <li id="field_1_10"><label>Customer City</label> <nlcustentity2></li>
        <li><input type="submit" value="Sumbit Form"></li>
    </ul>
  </form>

<script>
jQuery(document).ready(function( $ ) {

 $("#custentity_contactreason").change(function(){

   if ($(this).val() == "1") {
    $("#field_1_2, #field_1_3").hide();
    $("#field_1_4").show();
   } else if ($(this).val() == "2") {
    $("#field_1_2, #field_1_3, #field_1_4").show();
   }
  });

});

</script>

</body>
</HTML>