{"id":5611,"date":"2023-05-29T11:07:33","date_gmt":"2023-05-29T11:07:33","guid":{"rendered":"https:\/\/ftsboltworld.co.za\/ftsboltworld\/registration\/"},"modified":"2023-05-29T11:07:33","modified_gmt":"2023-05-29T11:07:33","slug":"registration","status":"publish","type":"page","link":"https:\/\/ftsboltworld.co.za\/ftsboltworld\/registration\/","title":{"rendered":"Registration"},"content":{"rendered":"<div class=\"piereg_container pieregWrapper\"><div class=\"pieregformWrapper pieregWrapper\"><div id=\"show_pie_register_error_js\" class=\"piereg_entry-content\"><\/div><div id=\"pie_register_reg_form\"><form enctype=\"multipart\/form-data\" class=\"pie_register_reg_form\" id=\"pie_regiser_form\" method=\"post\" action=\"\/ftsboltworld\/wp-json\/wp\/v2\/pages\/5611\" data-form=\"1\"><input type=\"hidden\" id=\"piereg_registration_form_nonce\" name=\"piereg_registration_form_nonce\" value=\"80c87f49c4\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/ftsboltworld\/wp-json\/wp\/v2\/pages\/5611\" \/><div class=\"fieldset 1\"><h2 id=\"piereg_pie_form_heading\">Warranty Registration Form<\/h2><p id=\"piereg_pie_form_desc\" >Warranty Registration<\/p><\/div><ul id=\"pie_register\"><input type=\"hidden\" value=\"1\" name=\"form_id\" \/><li class=\"fields  label_top  pageFields_1 piereg_li_3\" ><div class=\"fieldset\"><label class=\"label_top\" for=\"date_3\">Date Product Added&nbsp;<span class=\"piereg_field_required_label\">*<\/span><\/label><div class=\"piereg_time date_format_field date_with_icon\"><input readonly id=\"date_3\" name=\"date_3[date][]\" type=\"text\" class=\"input_fields  piereg_validate[required] date_start\" title=\"mm\/dd\/yy\" value=\"\" data-type=\"date\" data-field-visibility-addon=\"0\"\/><input id=\"date_3_format\" type=\"hidden\"  value=\"mm\/dd\/yy\"><input id=\"date_3_firstday\" type=\"hidden\"  value=\"\"><input id=\"date_3_startdate\" type=\"hidden\"  value=\"\"><img decoding=\"async\" id=\"date_3_icon\" class=\"calendar_icon\" src=\"https:\/\/ftsboltworld.co.za\/ftsboltworld\/wp-content\/plugins\/pie-register\/assets\/images\/calendar.png\" \/><\/div><\/div><\/li><li class=\"fields  label_top  pageFields_1 piereg_li_5\" ><div class=\"fieldset\"><label class=\"label_top\" for=\"text_5\">Product Name \/ Model Name&nbsp;<span class=\"piereg_field_required_label\">*<\/span><\/label><input  id=\"text_5\" name=\"text_5\" data-field_id=\"piereg_field_5\" class=\"input_fields  piereg_validate[required]\"   placeholder=\"Z5000 or Z6400\" type=\"text\" value=\"\" \/><\/div><\/li><li class=\"fields  label_top  pageFields_1 piereg_li_6\" ><div class=\"fieldset\"><label>First Name&nbsp;<span class=\"piereg_field_required_label\">*<\/span><\/label><input  value=\"\" placeholder=\"\" data-field_id=\"piereg_field_6\" id=\"name_6_firstname\" name=\"first_name\" class=\"input_fields  piereg_validate[required,custom[alphabetic]] input_fields piereg_name_input_field\"   type=\"text\"  \/><\/div><div class=\"fieldset\"><label>Last Name&nbsp;<span class=\"piereg_field_required_label\">*<\/span><\/label><input  value=\"\" placeholder=\"\" id=\"name_6_lastname\" name=\"last_name\" class=\"input_fields  piereg_validate[required,custom[alphabetic]] input_fields piereg_name_input_field\"   type=\"text\"  \/><\/div><\/li><li class=\"fields  label_top  pageFields_1 piereg_li_8\" ><div class=\"fieldset\"><label class=\"label_top\" for=\"address_8\">Contact Details&nbsp;<span class=\"piereg_field_required_label\">*<\/span><\/label><div class=\"address_main\"><div class=\"address\"><input  type=\"text\" name=\"address_8[address]\" id=\"address_8\" class=\"input_fields  piereg_validate[required]\"   value=\"\"><label>Street Address<\/label><\/div><div class=\"address\"><input  type=\"text\" name=\"address_8[address2]\" id=\"address2_address_8\"  class=\"input_fields  piereg_validate[required]\"   value=\"\"><label>Address Line 2<\/label><\/div><div class=\"address\"><div class=\"address2\"><input  type=\"text\" name=\"address_8[city]\" id=\"city_address_8\" class=\"input_fields  piereg_validate[required]\"   value=\"\"><label>City<\/label><\/div><\/div><div class=\"address\"> <div class=\"address2\"><input  id=\"zip_address_8\" name=\"address_8[zip]\" type=\"text\" class=\"input_fields  piereg_validate[required]\"   value=\"\"><label>Zip \/ Postal Code<\/label><\/div><div  class=\"address2\" ><select  id=\"country_address_8\" name=\"address_8[country]\" class=\"input_fields  piereg_validate[required]\" ><option value=\"\">--Please Select --<\/option><option  value=\"Afghanistan\">Afghanistan<\/option><option  value=\"Albania\">Albania<\/option><option  value=\"Algeria\">Algeria<\/option><option  value=\"American Samoa\">American Samoa<\/option><option  value=\"Andorra\">Andorra<\/option><option  value=\"Angola\">Angola<\/option><option  value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option><option  value=\"Argentina\">Argentina<\/option><option  value=\"Armenia\">Armenia<\/option><option  value=\"Australia\">Australia<\/option><option  value=\"Austria\">Austria<\/option><option  value=\"Azerbaijan\">Azerbaijan<\/option><option  value=\"Bahamas\">Bahamas<\/option><option  value=\"Bahrain\">Bahrain<\/option><option  value=\"Bangladesh\">Bangladesh<\/option><option  value=\"Barbados\">Barbados<\/option><option  value=\"Belarus\">Belarus<\/option><option  value=\"Belgium\">Belgium<\/option><option  value=\"Belize\">Belize<\/option><option  value=\"Benin\">Benin<\/option><option  value=\"Bermuda\">Bermuda<\/option><option  value=\"Bhutan\">Bhutan<\/option><option  value=\"Bolivia\">Bolivia<\/option><option  value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option><option  value=\"Botswana\">Botswana<\/option><option  value=\"Brazil\">Brazil<\/option><option  value=\"Brunei\">Brunei<\/option><option  value=\"Bulgaria\">Bulgaria<\/option><option  value=\"Burkina Faso\">Burkina Faso<\/option><option  value=\"Burundi\">Burundi<\/option><option  value=\"Cambodia\">Cambodia<\/option><option  value=\"Cameroon\">Cameroon<\/option><option  value=\"Canada\">Canada<\/option><option  value=\"Cape Verde\">Cape Verde<\/option><option  value=\"Central African Republic\">Central African Republic<\/option><option  value=\"Chad\">Chad<\/option><option  value=\"Chile\">Chile<\/option><option  value=\"China\">China<\/option><option  value=\"Colombia\">Colombia<\/option><option  value=\"Comoros\">Comoros<\/option><option  value=\"Democratic Republic of the Congo\">Democratic Republic of the Congo<\/option><option  value=\"Republic of theCongo\">Republic of theCongo<\/option><option  value=\"Costa Rica\">Costa Rica<\/option><option  value=\"C\u00f4te d&#039;Ivoire\">C\u00f4te d&#039;Ivoire<\/option><option  value=\"Croatia\">Croatia<\/option><option  value=\"Cuba\">Cuba<\/option><option  value=\"Cyprus\">Cyprus<\/option><option  value=\"Czech Republic\">Czech Republic<\/option><option  value=\"Denmark\">Denmark<\/option><option  value=\"Djibouti\">Djibouti<\/option><option  value=\"Dominica\">Dominica<\/option><option  value=\"Dominican Republic\">Dominican Republic<\/option><option  value=\"East Timor\">East Timor<\/option><option  value=\"Ecuador\">Ecuador<\/option><option  value=\"Egypt\">Egypt<\/option><option  value=\"El Salvador\">El Salvador<\/option><option  value=\"Equatorial Guinea\">Equatorial Guinea<\/option><option  value=\"Eritrea\">Eritrea<\/option><option  value=\"Estonia\">Estonia<\/option><option  value=\"Eswatini\">Eswatini<\/option><option  value=\"Ethiopia\">Ethiopia<\/option><option  value=\"Fiji\">Fiji<\/option><option  value=\"Finland\">Finland<\/option><option  value=\"France\">France<\/option><option  value=\"Gabon\">Gabon<\/option><option  value=\"Gambia\">Gambia<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Germany\">Germany<\/option><option  value=\"Ghana\">Ghana<\/option><option  value=\"Greece\">Greece<\/option><option  value=\"Greenland\">Greenland<\/option><option  value=\"Grenada\">Grenada<\/option><option  value=\"Guam\">Guam<\/option><option  value=\"Guatemala\">Guatemala<\/option><option  value=\"Guinea\">Guinea<\/option><option  value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option  value=\"Guyana\">Guyana<\/option><option  value=\"Haiti\">Haiti<\/option><option  value=\"Honduras\">Honduras<\/option><option  value=\"Hong Kong\">Hong Kong<\/option><option  value=\"Hungary\">Hungary<\/option><option  value=\"Iceland\">Iceland<\/option><option  value=\"India\">India<\/option><option  value=\"Indonesia\">Indonesia<\/option><option  value=\"Iran\">Iran<\/option><option  value=\"Iraq\">Iraq<\/option><option  value=\"Ireland\">Ireland<\/option><option  value=\"Israel\">Israel<\/option><option  value=\"Italy\">Italy<\/option><option  value=\"Jamaica\">Jamaica<\/option><option  value=\"Japan\">Japan<\/option><option  value=\"Jordan\">Jordan<\/option><option  value=\"Kazakhstan\">Kazakhstan<\/option><option  value=\"Kenya\">Kenya<\/option><option  value=\"Kiribati\">Kiribati<\/option><option  value=\"North Korea\">North Korea<\/option><option  value=\"South Korea\">South Korea<\/option><option  value=\"Kuwait\">Kuwait<\/option><option  value=\"Kyrgyzstan\">Kyrgyzstan<\/option><option  value=\"Laos\">Laos<\/option><option  value=\"Latvia\">Latvia<\/option><option  value=\"Lebanon\">Lebanon<\/option><option  value=\"Lesotho\">Lesotho<\/option><option  value=\"Liberia\">Liberia<\/option><option  value=\"Libya\">Libya<\/option><option  value=\"Liechtenstein\">Liechtenstein<\/option><option  value=\"Lithuania\">Lithuania<\/option><option  value=\"Luxembourg\">Luxembourg<\/option><option  value=\"Madagascar\">Madagascar<\/option><option  value=\"Malawi\">Malawi<\/option><option  value=\"Malaysia\">Malaysia<\/option><option  value=\"Maldives\">Maldives<\/option><option  value=\"Mali\">Mali<\/option><option  value=\"Malta\">Malta<\/option><option  value=\"Marshall Islands\">Marshall Islands<\/option><option  value=\"Mauritania\">Mauritania<\/option><option  value=\"Mauritius\">Mauritius<\/option><option  value=\"Mexico\">Mexico<\/option><option  value=\"Micronesia\">Micronesia<\/option><option  value=\"Moldova\">Moldova<\/option><option  value=\"Monaco\">Monaco<\/option><option  value=\"Mongolia\">Mongolia<\/option><option  value=\"Montenegro\">Montenegro<\/option><option  value=\"Morocco\">Morocco<\/option><option  value=\"Mozambique\">Mozambique<\/option><option  value=\"Myanmar\">Myanmar<\/option><option  value=\"Namibia\">Namibia<\/option><option  value=\"Nauru\">Nauru<\/option><option  value=\"Nepal\">Nepal<\/option><option  value=\"Netherlands\">Netherlands<\/option><option  value=\"New Zealand\">New Zealand<\/option><option  value=\"Nicaragua\">Nicaragua<\/option><option  value=\"Niger\">Niger<\/option><option  value=\"Nigeria\">Nigeria<\/option><option  value=\"Norway\">Norway<\/option><option  value=\"Northern Mariana Islands\">Northern Mariana Islands<\/option><option  value=\"Oman\">Oman<\/option><option  value=\"Pakistan\">Pakistan<\/option><option  value=\"Palau\">Palau<\/option><option  value=\"Palestine\">Palestine<\/option><option  value=\"Panama\">Panama<\/option><option  value=\"Papua New Guinea\">Papua New Guinea<\/option><option  value=\"Paraguay\">Paraguay<\/option><option  value=\"Peru\">Peru<\/option><option  value=\"Philippines\">Philippines<\/option><option  value=\"Poland\">Poland<\/option><option  value=\"Portugal\">Portugal<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Qatar\">Qatar<\/option><option  value=\"Republic of North Macedonia\">Republic of North Macedonia<\/option><option  value=\"Romania\">Romania<\/option><option  value=\"Russia\">Russia<\/option><option  value=\"Rwanda\">Rwanda<\/option><option  value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option><option  value=\"Saint Lucia\">Saint Lucia<\/option><option  value=\"Saint Vincent and the Grenadines\">Saint Vincent and the Grenadines<\/option><option  value=\"Samoa\">Samoa<\/option><option  value=\"San Marino\">San Marino<\/option><option  value=\"Sao Tome and Principe\">Sao Tome and Principe<\/option><option  value=\"Saudi Arabia\">Saudi Arabia<\/option><option  value=\"Senegal\">Senegal<\/option><option  value=\"Serbia\">Serbia<\/option><option  value=\"Seychelles\">Seychelles<\/option><option  value=\"Sierra Leone\">Sierra Leone<\/option><option  value=\"Singapore\">Singapore<\/option><option  value=\"Slovakia\">Slovakia<\/option><option  value=\"Slovenia\">Slovenia<\/option><option  value=\"Solomon Islands\">Solomon Islands<\/option><option  value=\"Somalia\">Somalia<\/option><option selected=\"selected\" value=\"South Africa\">South Africa<\/option><option  value=\"Spain\">Spain<\/option><option  value=\"Sri Lanka\">Sri Lanka<\/option><option  value=\"Sudan\">Sudan<\/option><option  value=\"Sudan, South\">Sudan, South<\/option><option  value=\"Suriname\">Suriname<\/option><option  value=\"Sweden\">Sweden<\/option><option  value=\"Switzerland\">Switzerland<\/option><option  value=\"Syria\">Syria<\/option><option  value=\"Taiwan\">Taiwan<\/option><option  value=\"Tajikistan\">Tajikistan<\/option><option  value=\"Tanzania\">Tanzania<\/option><option  value=\"Thailand\">Thailand<\/option><option  value=\"Togo\">Togo<\/option><option  value=\"Tonga\">Tonga<\/option><option  value=\"Trinidad and Tobago\">Trinidad and Tobago<\/option><option  value=\"Tunisia\">Tunisia<\/option><option  value=\"Turkey\">Turkey<\/option><option  value=\"Turkmenistan\">Turkmenistan<\/option><option  value=\"Tuvalu\">Tuvalu<\/option><option  value=\"Uganda\">Uganda<\/option><option  value=\"Ukraine\">Ukraine<\/option><option  value=\"United Arab Emirates\">United Arab Emirates<\/option><option  value=\"United Kingdom\">United Kingdom<\/option><option  value=\"United States\">United States<\/option><option  value=\"Uruguay\">Uruguay<\/option><option  value=\"Uzbekistan\">Uzbekistan<\/option><option  value=\"Vanuatu\">Vanuatu<\/option><option  value=\"Vatican City\">Vatican City<\/option><option  value=\"Venezuela\">Venezuela<\/option><option  value=\"Vietnam\">Vietnam<\/option><option  value=\"Virgin Islands, British\">Virgin Islands, British<\/option><option  value=\"Virgin Islands, U.S.\">Virgin Islands, U.S.<\/option><option  value=\"Yemen\">Yemen<\/option><option  value=\"Zambia\">Zambia<\/option><option  value=\"Zimbabwe\">Zimbabwe<\/option><\/select><label>Country<\/label><\/div><\/div><\/div><\/div><\/li><li class=\"fields  label_top  pageFields_1 piereg_li_7\" ><div class=\"fieldset\"><label class=\"label_top\" for=\"text_7\">Company Name&nbsp;<span class=\"piereg_field_required_label\">*<\/span><\/label><input  id=\"text_7\" name=\"text_7\" data-field_id=\"piereg_field_7\" class=\"input_fields  piereg_validate[required]\"   placeholder=\"\" type=\"text\" value=\"\" \/><\/div><\/li><li class=\"fields  label_top  pageFields_1 piereg_li_9\" ><div class=\"fieldset\"><label class=\"label_top\" for=\"text_9\">Contact Person&nbsp;<span class=\"piereg_field_required_label\">*<\/span><\/label><input  id=\"text_9\" name=\"text_9\" data-field_id=\"piereg_field_9\" class=\"input_fields  piereg_validate[required]\"   placeholder=\"\" type=\"text\" value=\"\" \/><\/div><\/li><li class=\"fields  label_top  pageFields_1 piereg_li_1\" ><div class=\"fieldset\"><label class=\"label_top\" for=\"email_1\">Email&nbsp;<span class=\"piereg_field_required_label\">*<\/span><\/label><input  id=\"email_1\" name=\"e_mail\" data-field_id=\"piereg_field_1\" class=\"input_fields  piereg_validate[required,custom[email]]\" data-errormessage-custom-error=\"\" placeholder=\"\" type=\"text\" value=\"\" \/><\/div><\/li><li class=\"fields  label_top  pageFields_1 piereg_li_10\" ><div class=\"fieldset\"><label class=\"label_top\" for=\"phone_10\">Phone Number&nbsp;<span class=\"piereg_field_required_label\">*<\/span><\/label><input  id=\"phone_10\" class=\"input_fields  piereg_validate[required,custom[phone_international]]\" data-field_id=\"piereg_field_10\"   placeholder=\"+27 00 000 0000\" name=\"phone_10\" type=\"text\" value=\"\" \/><\/div><\/li><li class=\"fields  label_top  pageFields_1 piereg_li_14\" ><div class=\"fieldset\"><label class=\"label_top\" for=\"date_14\">Purchase Date&nbsp;<span class=\"piereg_field_required_label\">*<\/span><\/label><div class=\"piereg_time date_format_field date_with_icon\"><input readonly id=\"date_14\" name=\"date_14[date][]\" type=\"text\" class=\"input_fields  piereg_validate[required] date_start\" title=\"mm\/dd\/yy\" value=\"\" data-type=\"date\" data-field-visibility-addon=\"0\"\/><input id=\"date_14_format\" type=\"hidden\"  value=\"mm\/dd\/yy\"><input id=\"date_14_firstday\" type=\"hidden\"  value=\"\"><input id=\"date_14_startdate\" type=\"hidden\"  value=\"\"><img decoding=\"async\" id=\"date_14_icon\" class=\"calendar_icon\" src=\"https:\/\/ftsboltworld.co.za\/ftsboltworld\/wp-content\/plugins\/pie-register\/assets\/images\/calendar.png\" \/><\/div><\/div><\/li><li class=\"fields  label_top  pageFields_1 piereg_li_11\" ><div class=\"fieldset\"><label class=\"label_top\" for=\"text_11\">Store Name&nbsp;<span class=\"piereg_field_required_label\">*<\/span><\/label><input  id=\"text_11\" name=\"text_11\" data-field_id=\"piereg_field_11\" class=\"input_fields  piereg_validate[required]\"   placeholder=\"\" type=\"text\" value=\"\" \/><\/div><\/li><li class=\"fields  label_top  pageFields_1 piereg_li_12\" ><div class=\"fieldset\"><label class=\"label_top\" for=\"text_12\">Province&nbsp;<span class=\"piereg_field_required_label\">*<\/span><\/label><input  id=\"text_12\" name=\"text_12\" data-field_id=\"piereg_field_12\" class=\"input_fields  piereg_validate[required]\"   placeholder=\"\" type=\"text\" value=\"\" \/><\/div><\/li><li class=\"fields  label_top  pageFields_1 piereg_li_4\" ><div class=\"fieldset\"><label class=\"label_top\" for=\"upload_4\">Upload Invoice Copy<\/label><input  id=\"upload_4\" name=\"upload_4\" data-field_id=\"piereg_field_4\" class=\"input_fields  piereg_validate[funcCall[checkExtensions],ext[jpg|gif|png|pdf]]\"   type=\"file\"  \/><p class=\"desc style_filetypes\">Allowed File Types: jpg,gif,png,pdf<\/p><\/div><\/li><li class=\"fields  label_top  pageFields_1 piereg_li_\" ><div class=\"fieldset\"><div class=\"pie_wrap_buttons\"><input name=\"pie_submit\" class=\"pie_submit\" type=\"submit\" value=\"Submit\" \/><input name=\"pie_reset\" type=\"reset\" value=\"Reset\" \/><\/div><\/div><\/li><\/ul><\/form><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","footnotes":""},"class_list":["post-5611","page","type-page","status-publish"],"_links":{"self":[{"href":"https:\/\/ftsboltworld.co.za\/ftsboltworld\/wp-json\/wp\/v2\/pages\/5611","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ftsboltworld.co.za\/ftsboltworld\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ftsboltworld.co.za\/ftsboltworld\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ftsboltworld.co.za\/ftsboltworld\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ftsboltworld.co.za\/ftsboltworld\/wp-json\/wp\/v2\/comments?post=5611"}],"version-history":[{"count":0,"href":"https:\/\/ftsboltworld.co.za\/ftsboltworld\/wp-json\/wp\/v2\/pages\/5611\/revisions"}],"wp:attachment":[{"href":"https:\/\/ftsboltworld.co.za\/ftsboltworld\/wp-json\/wp\/v2\/media?parent=5611"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}