orf-main-form/index.html at main · designxdevelop/orf-main-form · GitHub

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<form
  id="wf-form-SMB"
  name="wf-form-SMB-Loan-Form"
  data-name="SMB Loan Form"
  method="get"
  data-form="multistep"
  class="ms-hero-formwrap"
  data-wf-page-id="6801200e2c803f58df8d4987"
  data-wf-element-id="eaa0efe0-bde9-59cf-1314-00c2ee789627"
  aria-label="SMB Loan Form"
>
  <div data-form="step" class="form-step" style="">
    <div class="ms-form-fields">
      <div class="ms-step-input_wrap">
        <label for="Funding-Amount" class="hide">How much funding do you need?</label
        ><input
          class="ms-hero-form_input w-input"
          data-wfhsfieldname="FormTextInput-2"
          maxlength="256"
          name="Funding-Amount"
          data-name="Funding Amount"
          placeholder="How much funding do you need?*"
          type="text"
          id="Funding-Amount"
          data-type="dollar"
          required=""
        />
      </div>
      <div class="ms-step-input_wrap">
        <label for="Revenue-per-month" class="hide">What's your average monthly revenue?</label
        ><input
          class="ms-hero-form_input w-input"
          data-wfhsfieldname="FormTextInput-3"
          maxlength="256"
          name="Revenue-per-month"
          data-name="Revenue per month"
          placeholder="What's your average monthly revenue?*"
          type="text"
          id="Revenue-per-month"
          data-type="dollar"
          required=""
        />
      </div>
      <div class="ms-step-input_wrap">
        <label for="Use-of-funds" class="hide">How did you hear about us?</label
        ><select id="Use-of-funds" name="Use-of-funds" data-name="Use of funds" required="" data-wfhsfieldname="FormSelect-4" class="ms-hero-form_input dropdown-field w-select">
          <option value="">What do you need funding for?*</option>
          <option value="Payroll">Payroll</option>
          <option value="Inventory">Inventory</option>
          <option value="Equipment">Equipment</option>
          <option value="Renovations">Renovations</option>
          <option value="Expansion">Expansion</option>
          <option value="Repairs">Repairs</option>
          <option value="Marketing">Marketing</option>
          <option value="Other Business Expense">Other Business Expense</option></select
        ><select class="ms-hero-form_input dropdown-field max-width-full hide">
          <option></option>
        </select>
      </div>
      <div class="ms-step-input_wrap">
        <label for="Timeline-For-Loan" class="hide">How did you hear about us?</label
        ><select id="Timeline-For-Loan" name="Timeline-For-Loan" data-name="Timeline For Loan" required="" data-wfhsfieldname="FormSelect-5" class="ms-hero-form_input dropdown-field w-select">
          <option value="">When do you need the loan?*</option>
          <option value="Now">Now</option>
          <option value="1-3 weeks">1-3 weeks</option>
          <option value="1-3 months">1-3 months</option>
          <option value="More than 3 months">More than 3 months</option>
        </select>
      </div>
      <div class="ms-step-input_wrap">
        <label for="Are-you-an-ecommerce-seller" class="hide">How much funding are you looking for?</label
        ><select id="Are-you-an-ecommerce-seller" name="Are-You-An-Ecommerce-Seller" data-name="Are You An Ecommerce Seller" required="" class="ms-hero-form_input dropdown-field w-select">
          <option value="">Are you an ecommerce seller?*</option>
          <option value="Yes">Yes</option>
          <option value="No">No</option>
        </select>
      </div>
    </div>
    <div class="ms-hero-form-bottom"><a data-form="next-btn" href="#" class="button is-ms-form is-fw w-button disabled" style="opacity: 0.4; pointer-events: none">Next</a></div>
  </div>
  <div data-form="step" class="form-step" style="display: none">
    <div class="ms-form-fields">
      <div class="ms-step-input_wrap">
        <label for="First-Name" class="hide">How much funding are you looking for?</label
        ><input class="ms-hero-form_input w-input" data-wfhsfieldname="FormTextInput-6" maxlength="256" name="First-Name" data-name="First Name" placeholder="First Name*" type="text" id="First-Name" required="" />
      </div>
      <div class="ms-step-input_wrap">
        <label for="Last-Name" class="hide">How much funding are you looking for?</label
        ><input class="ms-hero-form_input w-input" data-wfhsfieldname="FormTextInput-7" maxlength="256" name="Last-Name" data-name="Last Name" placeholder="Last Name*" type="text" id="Last-Name" required="" />
      </div>
      <div class="ms-step-input_wrap">
        <label for="Email" class="hide">How much funding are you looking for?</label
        ><input class="ms-hero-form_input w-input" data-wfhsfieldname="FormTextInput-8" maxlength="256" name="Email" data-name="Email" placeholder="Email*" type="email" id="Email" required="" />
      </div>
      <div class="ms-step-input_wrap">
        <label for="Phone" class="hide">How much funding are you looking for?</label
        ><input class="ms-hero-form_input w-input" data-wfhsfieldname="FormTextInput-9" maxlength="256" name="Phone" data-name="Phone" placeholder="Phone*" type="tel" id="Phone" required="" />
      </div>
    </div>
    <div class="ms-hero-form-bottom"><a data-form="next-btn" href="#" class="button is-ms-form is-fw w-button disabled" style="opacity: 0.4; pointer-events: none">Next</a></div>
  </div>
  <div data-form="step" class="form-step fw-pad-button" style="display: none">
    <div class="ms-form-fields">
      <div class="ms-step-input_wrap">
        <label for="Registered-Business-Name" class="hide">How much funding are you looking for?</label
        ><input
          class="ms-hero-form_input w-input"
          data-wfhsfieldname="FormTextInput-10"
          maxlength="256"
          name="Registered-Business-Name"
          data-name="Registered Business Name"
          placeholder="Registered Business Name*"
          type="text"
          id="Registered-Business-Name"
          required=""
        />
      </div>
      <div class="ms-step-input_wrap">
        <select required="" data-wfhsfieldname="FormSelect-555" class="is-custom-select ms-hero-form_input max-width-full dropdown-field">
          <option disabled="" selected="">Business state*</option>
          <option>Alabama</option>
          <option>Alaska</option>
          <option>Arizona</option>
          <option>Arkansas</option>
          <option>California</option>
          <option>Colorado</option>
          <option>Connecticut</option>
          <option>Delaware</option>
          <option>Florida</option>
          <option>Georgia</option>
          <option>Hawaii</option>
          <option>Idaho</option>
          <option>Illinois</option>
          <option>Indiana</option>
          <option>Iowa</option>
          <option>Kansas</option>
          <option>Kentucky</option>
          <option>Louisiana</option>
          <option>Maine</option>
          <option>Maryland</option>
          <option>Massachusetts</option>
          <option>Michigan</option>
          <option>Minnesota</option>
          <option>Mississippi</option>
          <option>Missouri</option>
          <option>Montana</option>
          <option>Nebraska</option>
          <option>Nevada</option>
          <option>New Hampshire</option>
          <option>New Jersey</option>
          <option>New Mexico</option>
          <option>New York</option>
          <option>North Carolina</option>
          <option>North Dakota</option>
          <option>Ohio</option>
          <option>Oklahoma</option>
          <option>Oregon</option>
          <option>Pennsylvania</option>
          <option>Rhode Island</option>
          <option>South Carolina</option>
          <option>South Dakota</option>
          <option>Tennessee</option>
          <option>Texas</option>
          <option>Utah</option>
          <option>Vermont</option>
          <option>Virginia</option>
          <option>Washington</option>
          <option>West Virginia</option>
          <option>Wisconsin</option>
          <option>Wyoming</option>
        </select>
      </div>
      <div class="ms-step-input_wrap">
        <label for="When-did-you-start-your-business" class="hide">How much funding are you looking for?</label
        ><input
          class="ms-hero-form_input w-input"
          data-wfhsfieldname="FormTextInput-11"
          maxlength="256"
          name="When-did-you-start-your-business"
          data-name="When did you start your business"
          placeholder="When did you start your business? (MM/YY)*"
          type="text"
          id="When-did-you-start-your-business"
          required=""
        />
      </div>
      <div class="ms-step-input_wrap">
        <label for="Industry" class="hide">How did you hear about us?</label
        ><select id="Industry" name="Industry" data-name="Industry" required="" data-wfhsfieldname="FormSelect-12" class="ms-hero-form_input dropdown-field w-select">
          <option value="">Industry*</option>
          <option value="Retail (In-Store or Online)">Retail (In-Store or Online)</option>
          <option value="Restaurants, Cafes &amp; Food Services">Restaurants, Cafes &amp; Food Services</option>
          <option value="Health, Wellness &amp; Medical Services">Health, Wellness &amp; Medical Services</option>
          <option value="Construction, Contracting &amp; Trades">Construction, Contracting &amp; Trades</option>
          <option value="Professional &amp; Business Services">Professional &amp; Business Services</option>
          <option value="Salons, Spas &amp; Personal Care">Salons, Spas &amp; Personal Care</option>
          <option value="Automotive Services &amp; Repair">Automotive Services &amp; Repair</option>
          <option value="Education &amp; Tutoring">Education &amp; Tutoring</option>
          <option value="Entertainment &amp; Events">Entertainment &amp; Events</option>
          <option value="Technology &amp; IT Services">Technology &amp; IT Services</option>
          <option value="Transportation, Delivery &amp; Logistics">Transportation, Delivery &amp; Logistics</option>
          <option value="Real Estate &amp; Property Services">Real Estate &amp; Property Services</option>
          <option value="Legal, Security &amp; Compliance">Legal, Security &amp; Compliance</option>
          <option value="Hospitality &amp; Lodging">Hospitality &amp; Lodging</option>
          <option value="Marketing, Creative &amp; Media">Marketing, Creative &amp; Media</option>
          <option value="Other">Other</option>
        </select>
      </div>
      <input id="utm_campaign" type="hidden" /><input id="utm_source" type="hidden" /><input id="utm_medium" type="hidden" /><input id="utm_term" type="hidden" /><input id="utm_content" type="hidden" />
    </div>
    <div class="ms-hero-form-bottom">
      <input type="submit" data-wait="Please wait..." id="submit" data-form="submit-btn" class="button is-ms-form is-fw w-button disabled" value="Submit" style="display: none; opacity: 0.4; pointer-events: none" />
    </div>
  </div>
</form>