{"html":"\u003carticle class=\"sc-container sc-container-spacious\" id=\"SC-page-contact-us-sales-enquiry\"\u003e\n  \u003col class=\"SC-Breadcrumb sc-mb\"\u003e\n  \u003cli class=\"SC-Breadcrumb_item\"\u003e\n    \u003ca href=\"/\"\u003eHome\u003c/a\u003e\n  \u003c/li\u003e\n    \u003cli class=\"SC-Breadcrumb_item\"\u003e\n      \u003ca href=\"contact-us\"\u003eContact Us\u003c/a\u003e\n    \u003c/li\u003e\n  \u003cli class=\"SC-Breadcrumb_item\"\u003e\n    \u003ca href=\"contact-us-sales-enquiry\"\u003eProduct \u0026amp; Sales Enquiry\u003c/a\u003e\n  \u003c/li\u003e\n\u003c/ol\u003e\n\n\u003cscript type=\"application/ld+json\"\u003e\n  {\n    \"@context\": \"https://schema.org\",\n    \"@type\": \"BreadcrumbList\",\n    \"itemListElement\": [\n      {\n        \"@type\": \"ListItem\",\n        \"position\": 1,\n        \"name\": \"Home\",\n        \"item\": \"https://www.thecpapclinic.com.au/\"\n      },\n      {\n        \"@type\": \"ListItem\",\n        \"position\": 2,\n        \"name\": \"Home\",\n        \"item\": \"https://www.thecpapclinic.com.au/contact-us\"\n      },\n      {\n        \"@type\": \"ListItem\",\n        \"position\": 3,\n        \"name\": \"Product \u0026amp; Sales Enquiry\",\n        \"item\": \"https://www.thecpapclinic.com.au/contact-us-sales-enquiry\"\n      }\n    ]\n  }\n\u003c/script\u003e\n  \u003cdiv class=\"SC-Grid\"\u003e\n      \u003caside class=\"SC-Grid_sidebar\"\u003e\u003cnav class=\"SC-PageNav\"\u003e\n  \u003cdiv class=\"SC-PageNav_content is-hidden\" data-toggle-visibility-target=\"page-sidebar\"\u003e\n      \u003ca href=\"/clinics-old\" class=\"SC-PageNav_link\"\u003e\n        Clinic Locations \u0026amp; Hours Placeholder\n      \u003c/a\u003e\n      \u003ca href=\"/contact-us-sales-enquiry\" class=\"SC-PageNav_link is-current\"\u003e\n        Product \u0026amp; Sales Enquiry\n      \u003c/a\u003e\n      \u003ca href=\"/contact-us-support\" class=\"SC-PageNav_link\"\u003e\n        Sove CPAP Clinic Product Support\n      \u003c/a\u003e\n  \u003c/div\u003e\n  \u003cdiv class=\"SC-PageNav_menu-toggle target-hidden\" data-toggle-visibility=\"page-sidebar\"\u003e\u003csvg class=\"\" width=\"12\" viewBox=\"0 0 100 100\"\u003e\n  \u003cpath d=\"M56.7,75.75 L95.4,37.05 C98.8,33.65 98.8,28.05 95.4,24.65 C92,21.25 86.4,21.25 83,24.65 L50.5,57.05 L18,24.55 C14.6,21.15 9,21.15 5.6,24.55 C3.9,26.25 3,28.55 3,30.75 C3,33.05 3.9,35.25 5.6,36.95 L44.3,75.75 C47.7,79.15 53.3,79.15 56.7,75.75 Z\"\u003e\u003c/path\u003e\n\u003c/svg\u003e\n  \u003c/div\u003e\n\u003c/nav\u003e\n      \u003c/aside\u003e\n    \u003csection class=\"SC-Grid_main rich-text\"\u003e\u003cheader class=\"SC-PageHeader \" \u003e\n    \u003ch1 class=\"SC-PageHeader_heading\"\u003e\n      Product \u0026amp; Sales Enquiry\n    \u003c/h1\u003e\n\u003c/header\u003e\n      \u003cform class=\"productSalesEnquiry\" action=\"https://webto.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8\" method=\"POST\"\u003e\n\u003cscript src=\"https://www.google.com/recaptcha/api.js\"\u003e\u003c/script\u003e\n\u003cscript\u003e\n function timestamp() { var response = document.getElementById(\"g-recaptcha-response\"); if (response == null || response.value.trim() == \"\") {var elems = JSON.parse(document.getElementsByName(\"captcha_settings\")[0].value);elems[\"ts\"] = JSON.stringify(new Date().getTime());document.getElementsByName(\"captcha_settings\")[0].value = JSON.stringify(elems); } } setInterval(timestamp, 500); \n\u003c/script\u003e\n\u003cinput type=\"hidden\" name=\"oid\" value=\"00D7F000002ZjsZ\" /\u003e\n\u003cinput type=\"hidden\" name=\"retURL\" value=\"https://www.thecpapclinic.com.au/form-submission-acknowledgement\" /\u003e\n\n\u003cdiv class=\"Field Field-expand\"\u003e\n  \u003clabel class=\"Field_label\" for=\"first_name\"\u003eFirst Name\u003c/label\u003e\n  \u003cinput class=\"Field_input\" id=\"first_name\" maxlength=\"40\" name=\"first_name\" size=\"20\" type=\"text\" required=\"\" /\u003e\n\u003c/div\u003e\n\n\u003cdiv class=\"Field Field-expand\"\u003e\n  \u003clabel class=\"Field_label\" for=\"last_name\"\u003eLast Name\u003c/label\u003e\u003cinput class=\"Field_input\" id=\"last_name\" maxlength=\"80\" name=\"last_name\" size=\"20\" type=\"text\" required=\"\" /\u003e\n\u003c/div\u003e\n\n\n\u003cdiv class=\"Field Field-expand\"\u003e\n  \u003clabel class=\"Field_label\" for=\"company\"\u003eCompany (leave blank if not applicable)\u003c/label\u003e\n  \u003cinput class=\"Field_input\" id=\"company\" maxlength=\"40\" name=\"company\" size=\"20\" type=\"text\" /\u003e\n\u003c/div\u003e\n\n\u003cdiv class=\"Field Field-expand\"\u003e\n  \u003clabel class=\"Field_label\" for=\"zip\"\u003ePostcode\u003c/label\u003e\n  \u003cinput class=\"Field_input\" id=\"zip\" maxlength=\"20\" name=\"zip\" size=\"20\" type=\"text\" /\u003e\n\u003c/div\u003e\n\n\u003cdiv class=\"Field Field-expand\"\u003e\n  \u003clabel class=\"Field_label\" for=\"email\"\u003eEmail\u003c/label\u003e\n  \u003cinput class=\"Field_input\" id=\"email\" maxlength=\"80\" name=\"email\" size=\"20\" type=\"text\" /\u003e\n\u003c/div\u003e\n\n\u003cdiv class=\"Field Field-expand\"\u003e\n  \u003clabel class=\"Field_label\" for=\"phone\"\u003ePhone\u003c/label\u003e\n  \u003cinput class=\"Field_input\" id=\"phone\" maxlength=\"40\" name=\"phone\" size=\"20\" type=\"text\" /\u003e\n\u003c/div\u003e\n\n\u003clabel class=\"Field\" for=\"00N2P000000Zlex\"\u003e\n  \u003cdiv class=\"Field_label\"\u003eEnquiry Type:\u003c/div\u003e\n  \u003cselect id=\"00N2P000000Zlex\" name=\"00N2P000000Zlex\" title=\"Web / Livechat Enquiry Type\" class=\"Field_select\"\u003e\n    \u003coption value=\"\"\u003e--None--\u003c/option\u003e\n    \u003coption value=\"CPAP Payment Plan\"\u003eCPAP Payment Plan\u003c/option\u003e\n    \u003coption value=\"CPAP Sales \u0026amp; Rental\"\u003eCPAP Sales \u0026amp; Rental\u003c/option\u003e\n    \u003coption value=\"Lifestyle / Snoring\"\u003eLifestyle / Snoring\u003c/option\u003e\n    \u003coption value=\"Oxygen / Bi-Level / Ventilation\"\u003eOxygen / Bi-Level / Ventilation\u003c/option\u003e\n\u003coption value=\"Partner With Us\"\u003ePartner With Us\u003c/option\u003e\n    \u003coption value=\"Safety Product / PPE\"\u003eSafety Product / PPE\u003c/option\u003e\n    \u003coption value=\"Sleep Studies\"\u003eSleep Studies\u003c/option\u003e\n    \u003coption value=\"Telehealth\"\u003eTelehealth\u003c/option\u003e\n\u003coption value=\"COVID-19 Rapid Antigen Tests\"\u003eCOVID-19 Rapid Antigen Tests\u003c/option\u003e\n    \u003coption value=\"Others\"\u003eOthers\u003c/option\u003e\n  \u003c/select\u003e\n\u003c/label\u003e\n\n\u003cdiv class=\"Field Field-expand\"\u003e\n  \u003clabel class=\"Field_label\" for=\"00N2P000000Zlf2\"\u003eMessage:\u003c/label\u003e\n  \u003ctextarea placeholder=\"Please tell us your enquiry...\" class=\"Field_input\" id=\"00N2P000000Zlf2\" name=\"00N2P000000Zlf2\" rows=\"10\" cols=\"50\" type=\"text\" style=\"height:auto\" wrap=\"soft\"\u003e\u003c/textarea\u003e\n\u003c/div\u003e\n\n\u003cdiv class=\"Checkbox\" data-billing-checkbox=\"\"\u003e\n  \u003cinput class=\"Checkbox_input\" type=\"checkbox\" id=\"00N2P000000aK7H\" name=\"00N2P000000aK7H\" value=\"1\" required=\"required\" /\u003e\n    \u003clabel class=\"Checkbox_label\" for=\"00N2P000000aK7H\"\u003eI accept Sove CPAP Clinic’s Privacy Policy\u003c/label\u003e\n\u003c/div\u003e\n\u003cdiv style=\"padding: 12px 0;\"\u003e\n\u003cinput type=\"hidden\" name=\"captcha_settings\" value=\"{\u0026quot;keyname\u0026quot;:\u0026quot;ProductSalesEnquiryRecaptcha\u0026quot;,\u0026quot;fallback\u0026quot;:\u0026quot;true\u0026quot;,\u0026quot;orgId\u0026quot;:\u0026quot;00D7F000002ZjsZ\u0026quot;,\u0026quot;ts\u0026quot;:\u0026quot;\u0026quot;}\" /\u003e\n\u003cdiv class=\"g-recaptcha\" data-sitekey=\"6LffSUQdAAAAAH0TpkE9c7bEu6b3dFV8ncrqS34d\"\u003e\u003c/div\u003e\n\u003c/div\u003e\n\n\u003cinput type=\"hidden\" name=\"00N5m000000QEHc\" id=\"00N5m000000QEHc\" value=\"1\" /\u003e\n\u003cinput type=\"hidden\" name=\"lead_source\" id=\"lead_source\" value=\"Web - TCC\" /\u003e\n\u003cinput type=\"submit\" name=\"submit\" value=\"Send Product \u0026amp; Sales Enquiry\" class=\"Button Button-primary Button-expanded-up-to-small\" /\u003e\n    \u003cscript type=\"application/javascript\"\u003e\n        document.querySelector('form.productSalesEnquiry').addEventListener('submit', (ev) =\u003e {\n            var response = grecaptcha.getResponse();\n\n        if(response.length == 0)\n        {\n            ev.preventDefault();\n            alert('Recaptcha must be completed before submitting.');\n        }\n        })\n    \u003c/script\u003e\n\n\u003c/form\u003e\n\n      \u003cdiv\n        class=\"SC-ContentBlock SC-FeaturedPages\"\n        id=\"\"\n        data-cb=\"\"\u003e\n          \u003cdiv class=\"sc-one-to-three-column\"\u003e\n          \n          \u003c/div\u003e\n      \u003c/div\u003e\n    \u003c/section\u003e\n  \u003c/div\u003e\n\u003c/article\u003e","flash":null,"action":null,"notice":null}