{"id":340,"date":"2020-04-06T09:17:09","date_gmt":"2020-04-06T09:17:09","guid":{"rendered":"https:\/\/jiffygroup.com\/?page_id=340"},"modified":"2024-08-05T14:06:01","modified_gmt":"2024-08-05T12:06:01","slug":"contact-us","status":"publish","type":"page","link":"https:\/\/jiffygroup.com\/pt\/contact-us\/","title":{"rendered":"Question? Please send us a message."},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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novalidate>\t\t\t\t\t<div style=\"display: none !important;\" class=\"akismet-fields-container gf_invisible\" data-prefix=\"ak_\"> \r\n <input type='hidden' class='gforms-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n\t\t\t\t\t\t<label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label>\n\t\t\t\t\t\t<input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"111\" \/>\n\t\t\t\t\t\t<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n\/* ]]> *\/\n<\/script>\n\n\t\t\t\t\t<\/div>\n                        <div class='gform-body gform_body'><ul id='gform_fields_11' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_11_9\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_9'>Country<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_11_9' class='medium gfield_select'  aria-describedby=\"gfield_description_11_9\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='Afghanistan' >Afghanistan<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/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='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and 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Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/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='Cayman Islands' >Cayman Islands<\/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='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo, Republic of the' >Congo, Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/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='Cura\u00e7ao' >Cura\u00e7ao<\/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='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 (Swaziland)' >Eswatini (Swaziland)<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/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='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/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='Heard and McDonald Islands' >Heard and McDonald Islands<\/option><option value='Holy See' >Holy See<\/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='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/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='Macau' >Macau<\/option><option value='Macedonia' >Macedonia<\/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='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/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='Montserrat' >Montserrat<\/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 Caledonia' >New Caledonia<\/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='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Korea' >North Korea<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/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='Pitcairn' >Pitcairn<\/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='R\u00e9union' >R\u00e9union<\/option><option value='Romania' >Romania<\/option><option value='Russia' >Russia<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena' >Saint Helena<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/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='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia' >South Georgia<\/option><option value='South Korea' >South Korea<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen Islands' >Svalbard and Jan Mayen Islands<\/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='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/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='Turks and Caicos Islands' >Turks and Caicos Islands<\/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='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/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='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_9'>Select your country<\/div><\/li><li id=\"field_11_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Please select the option that best represents you<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_10'>\n\t\t\t<li class='gchoice gchoice_11_10_0'>\n\t\t\t\t<input name='input_10' type='radio' value='grower'  id='choice_11_10_0'    \/>\n\t\t\t\t<label for='choice_11_10_0' id='label_11_10_0' class='gform-field-label gform-field-label--type-inline'>I am a professional grower, cultivator or breeder<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_10_1'>\n\t\t\t\t<input name='input_10' type='radio' value='partner'  id='choice_11_10_1'    \/>\n\t\t\t\t<label for='choice_11_10_1' id='label_11_10_1' class='gform-field-label gform-field-label--type-inline'>I would like to become a partner, distributor, or supplier<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_10_2'>\n\t\t\t\t<input name='input_10' type='radio' value='consumer'  id='choice_11_10_2'    \/>\n\t\t\t\t<label for='choice_11_10_2' id='label_11_10_2' class='gform-field-label gform-field-label--type-inline'>I am a consumer, buying Jiffy branded home gardening products from retail<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_11_16\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gf_list_2col gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Please select what is applicable to you<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_11_16'>Multiple answers possible<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_11_16'><li class='gchoice gchoice_11_16_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.1' type='checkbox'  value='Young plant production'  id='choice_11_16_1'   aria-describedby=\"gfield_description_11_16\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_11_16_1' id='label_11_16_1' class='gform-field-label gform-field-label--type-inline'>Young plant production<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_16_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.2' type='checkbox'  value='Vegetables'  id='choice_11_16_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_16_2' id='label_11_16_2' class='gform-field-label gform-field-label--type-inline'>Vegetables<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_16_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.3' type='checkbox'  value='Bedding plants'  id='choice_11_16_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_16_3' id='label_11_16_3' class='gform-field-label gform-field-label--type-inline'>Bedding plants<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_16_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.4' type='checkbox'  value='Nuts'  id='choice_11_16_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_16_4' id='label_11_16_4' class='gform-field-label gform-field-label--type-inline'>Nuts<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_16_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.5' type='checkbox'  value='Fruits'  id='choice_11_16_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_16_5' id='label_11_16_5' class='gform-field-label gform-field-label--type-inline'>Fruits<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_16_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.6' type='checkbox'  value='Forestry'  id='choice_11_16_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_16_6' id='label_11_16_6' class='gform-field-label gform-field-label--type-inline'>Forestry<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_16_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.7' type='checkbox'  value='Cut flowers'  id='choice_11_16_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_16_7' id='label_11_16_7' class='gform-field-label gform-field-label--type-inline'>Cut flowers<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_16_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.8' type='checkbox'  value='Nursery stock'  id='choice_11_16_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_16_8' id='label_11_16_8' class='gform-field-label gform-field-label--type-inline'>Nursery stock<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_16_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.9' type='checkbox'  value='Nursery'  id='choice_11_16_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_16_9' id='label_11_16_9' class='gform-field-label gform-field-label--type-inline'>Nursery<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_16_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.11' type='checkbox'  value='House plants'  id='choice_11_16_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_16_11' id='label_11_16_11' class='gform-field-label gform-field-label--type-inline'>House plants<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_16_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.12' type='checkbox'  value='Perennials'  id='choice_11_16_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_16_12' id='label_11_16_12' class='gform-field-label gform-field-label--type-inline'>Perennials<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_16_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.13' type='checkbox'  value='Annuals'  id='choice_11_16_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_16_13' id='label_11_16_13' class='gform-field-label gform-field-label--type-inline'>Annuals<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_16_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.14' type='checkbox'  value='Landscaping'  id='choice_11_16_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_16_14' id='label_11_16_14' class='gform-field-label gform-field-label--type-inline'>Landscaping<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_16_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.15' type='checkbox'  value='Research'  id='choice_11_16_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_16_15' id='label_11_16_15' class='gform-field-label gform-field-label--type-inline'>Research<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_16_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.16' type='checkbox'  value='CEA'  id='choice_11_16_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_16_16' id='label_11_16_16' class='gform-field-label gform-field-label--type-inline'>Controlled Environment Agriculture (CEA)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_16_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.17' type='checkbox'  value='Other'  id='choice_11_16_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_16_17' id='label_11_16_17' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_11_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Please indicate what your question is about<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_18'>\n\t\t\t<li class='gchoice gchoice_11_18_0'>\n\t\t\t\t<input name='input_18' type='radio' value='Pricing \/ Quotation'  id='choice_11_18_0'    \/>\n\t\t\t\t<label for='choice_11_18_0' id='label_11_18_0' class='gform-field-label gform-field-label--type-inline'>Pricing \/ Quotation<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_18_1'>\n\t\t\t\t<input name='input_18' type='radio' value='Product information'  id='choice_11_18_1'    \/>\n\t\t\t\t<label for='choice_11_18_1' id='label_11_18_1' class='gform-field-label gform-field-label--type-inline'>Product information<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_18_2'>\n\t\t\t\t<input name='input_18' type='radio' value='Sample request'  id='choice_11_18_2'    \/>\n\t\t\t\t<label for='choice_11_18_2' id='label_11_18_2' class='gform-field-label gform-field-label--type-inline'>Sample request<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_18_3'>\n\t\t\t\t<input name='input_18' type='radio' value='Other'  id='choice_11_18_3'    \/>\n\t\t\t\t<label for='choice_11_18_3' id='label_11_18_3' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_11_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_17'>Please describe your job title<\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_11_17' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_11_21\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gf_list_2col field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Products of interest<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_11_21'><li class='gchoice gchoice_11_21_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.1' type='checkbox'  value='Growbags'  id='choice_11_21_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_21_1' id='label_11_21_1' class='gform-field-label gform-field-label--type-inline'>Growbags<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_21_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.2' type='checkbox'  value='Growblocks'  id='choice_11_21_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_21_2' id='label_11_21_2' class='gform-field-label gform-field-label--type-inline'>Growblocks<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_21_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.3' type='checkbox'  value='Pellets'  id='choice_11_21_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_21_3' id='label_11_21_3' class='gform-field-label gform-field-label--type-inline'>Pellets<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_21_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.4' type='checkbox'  value='Pots'  id='choice_11_21_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_21_4' id='label_11_21_4' class='gform-field-label gform-field-label--type-inline'>Pots<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_21_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.5' type='checkbox'  value='Substrates'  id='choice_11_21_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_21_5' id='label_11_21_5' class='gform-field-label gform-field-label--type-inline'>Substrates<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_21_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.6' type='checkbox'  value='Preforma'  id='choice_11_21_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_21_6' id='label_11_21_6' class='gform-field-label gform-field-label--type-inline'>Preforma<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_11_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Please specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_19'>\n\t\t\t<li class='gchoice gchoice_11_19_0'>\n\t\t\t\t<input name='input_19' type='radio' value='Human resources'  id='choice_11_19_0'    \/>\n\t\t\t\t<label for='choice_11_19_0' id='label_11_19_0' class='gform-field-label gform-field-label--type-inline'>Human resources<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_19_1'>\n\t\t\t\t<input name='input_19' type='radio' value='Events, advertising or marketing'  id='choice_11_19_1'    \/>\n\t\t\t\t<label for='choice_11_19_1' id='label_11_19_1' class='gform-field-label gform-field-label--type-inline'>Events, advertising or marketing<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_19_2'>\n\t\t\t\t<input name='input_19' type='radio' value='Supplier'  id='choice_11_19_2'    \/>\n\t\t\t\t<label for='choice_11_19_2' id='label_11_19_2' class='gform-field-label gform-field-label--type-inline'>Supplier<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_19_3'>\n\t\t\t\t<input name='input_19' type='radio' value='Distributor'  id='choice_11_19_3'    \/>\n\t\t\t\t<label for='choice_11_19_3' id='label_11_19_3' class='gform-field-label gform-field-label--type-inline'>Distributor<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_19_4'>\n\t\t\t\t<input name='input_19' type='radio' value='Logistic partner or supplier'  id='choice_11_19_4'    \/>\n\t\t\t\t<label for='choice_11_19_4' id='label_11_19_4' class='gform-field-label gform-field-label--type-inline'>Logistic partner or supplier<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_11_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >My question is about<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_20'>\n\t\t\t<li class='gchoice gchoice_11_20_0'>\n\t\t\t\t<input name='input_20' type='radio' value='Product information'  id='choice_11_20_0'    \/>\n\t\t\t\t<label for='choice_11_20_0' id='label_11_20_0' class='gform-field-label gform-field-label--type-inline'>Product information<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_20_1'>\n\t\t\t\t<input name='input_20' type='radio' value='How to use'  id='choice_11_20_1'    \/>\n\t\t\t\t<label for='choice_11_20_1' id='label_11_20_1' class='gform-field-label gform-field-label--type-inline'>How to use<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_20_2'>\n\t\t\t\t<input name='input_20' type='radio' value='A product that I bought'  id='choice_11_20_2'    \/>\n\t\t\t\t<label for='choice_11_20_2' id='label_11_20_2' class='gform-field-label gform-field-label--type-inline'>A product that I bought<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_11_22\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_22'>Where did you purchase your Jiffy product?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_11_22' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_11_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_7'>Company name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_11_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_11_5\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_11_5'>\n                            \n                            <span id='input_11_5_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.3' id='input_11_5_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_11_5_3' class='gform-field-label gform-field-label--type-sub '>First name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_11_5_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.6' id='input_11_5_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_11_5_6' class='gform-field-label gform-field-label--type-sub '>Last name<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_11_12\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address details<\/label>    \n                    <div class='ginput_complex ginput_container has_city has_zip ginput_container_address gform-grid-row' id='input_11_12' >\n                        <span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_11_12_3_container' >\n                                    <input type='text' name='input_12.3' id='input_11_12_3' value=''    aria-required='false'    \/>\n                                    <label for='input_11_12_3' id='input_11_12_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_12.4' id='input_11_12_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_11_12_5_container' >\n                                    <input type='text' name='input_12.5' id='input_11_12_5' value=''    aria-required='false'    \/>\n                                    <label for='input_11_12_5' id='input_11_12_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_12.6' id='input_11_12_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_11_13\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address details state<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_state ginput_container_address gform-grid-row' id='input_11_13' >\n                        <span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_11_13_4_container' >\n                                        <input type='text' name='input_13.4' id='input_11_13_4' value=''      aria-required='true'    \/>\n                                        <label for='input_11_13_4' id='input_11_13_4_label' class='gform-field-label gform-field-label--type-sub '>State (required)<\/label>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_13.6' id='input_11_13_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_11_14\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address details<\/label>    \n                    <div class='ginput_complex ginput_container has_city ginput_container_address gform-grid-row' id='input_11_14' >\n                        <span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_11_14_3_container' >\n                                    <input type='text' name='input_14.3' id='input_11_14_3' value=''    aria-required='false'    \/>\n                                    <label for='input_11_14_3' id='input_11_14_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_14.4' id='input_11_14_4' value=''\/><input type='hidden' class='gform_hidden' name='input_14.6' id='input_11_14_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_11_15\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address details ZIP<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_zip ginput_container_address gform-grid-row' id='input_11_15' >\n                        <input type='hidden' class='gform_hidden' name='input_15.4' id='input_11_15_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_11_15_5_container' >\n                      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