{"id":121,"date":"2025-04-09T12:57:37","date_gmt":"2025-04-09T12:57:37","guid":{"rendered":"https:\/\/wcc-tech.net\/site\/?page_id=121"},"modified":"2025-05-11T20:26:34","modified_gmt":"2025-05-12T00:26:34","slug":"trouble-report","status":"publish","type":"page","link":"https:\/\/wcc-tech.net\/site\/trouble-report\/","title":{"rendered":"Trouble Report"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#201c44&#8243; background_enable_pattern_style=&#8221;on&#8221; height=&#8221;100px&#8221; custom_margin=&#8221;||||false|false&#8221; da_disable_devices=&#8221;off|off|off&#8221; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221;][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_margin_tablet=&#8221;&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Karla|700|||||||&#8221; text_text_color=&#8221;gcid-fee760fb-ed11-4fdd-945d-eccff5cbb917&#8243; text_font_size=&#8221;42px&#8221; text_orientation=&#8221;center&#8221; text_text_shadow_style=&#8221;preset5&#8243; text_text_shadow_horizontal_length=&#8221;0.04em&#8221; text_text_shadow_vertical_length=&#8221;0.04em&#8221; text_text_shadow_blur_strength=&#8221;0.08em&#8221; text_text_shadow_color=&#8221;gcid-39b1915a-2523-4389-b453-a7d8eb115e18&#8243; global_colors_info=&#8221;{%22gcid-fee760fb-ed11-4fdd-945d-eccff5cbb917%22:%91%22text_text_color%22%93,%22gcid-39b1915a-2523-4389-b453-a7d8eb115e18%22:%91%22text_text_shadow_color%22%93}&#8221;]<\/p>\n<p style=\"text-align: center;\">Trouble Report<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#201c44&#8243; background_enable_pattern_style=&#8221;on&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;37px||50px||false|false&#8221; da_disable_devices=&#8221;off|off|off&#8221; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221;][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; positioning=&#8221;none&#8221; width=&#8221;60%&#8221; width_tablet=&#8221;90%&#8221; width_phone=&#8221;95%&#8221; width_last_edited=&#8221;on|phone&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; vertical_offset=&#8221;-90px&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_code _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; positioning=&#8221;relative&#8221; vertical_offset=&#8221;60px&#8221; custom_margin=&#8221;||||false|false&#8221; custom_margin_tablet=&#8221;||||false|false&#8221; custom_margin_phone=&#8221;||||false|false&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;10px|50px|10px|50px|true|true&#8221; custom_padding_tablet=&#8221;10px|50px|10px|50px|true|true&#8221; custom_padding_phone=&#8221;|5px||5px|true|true&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; width_last_edited=&#8221;on|tablet&#8221; width_tablet=&#8221;&#8221; max_width_last_edited=&#8221;on|tablet&#8221; max_width_tablet=&#8221;&#8221; sticky_enabled=&#8221;0&#8243; width_phone=&#8221;&#8221; max_width_phone=&#8221;&#8221;]<div id=\"quform-93656f\" class=\"quform quform-1 quform-theme-light quform-support-page-caching\"><form id=\"quform-form-93656f\" class=\"quform-form quform-form-1\" action=\"\/site\/wp-json\/wp\/v2\/pages\/121#quform-93656f\" method=\"post\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-options=\"{&quot;id&quot;:1,&quot;uniqueId&quot;:&quot;93656f&quot;,&quot;theme&quot;:&quot;light&quot;,&quot;ajax&quot;:true,&quot;logic&quot;:{&quot;logic&quot;:[],&quot;dependents&quot;:[],&quot;elementIds&quot;:[],&quot;dependentElementIds&quot;:[],&quot;animate&quot;:true},&quot;currentPageId&quot;:1,&quot;errorsIcon&quot;:&quot;&quot;,&quot;updateFancybox&quot;:true,&quot;hasPages&quot;:false,&quot;pages&quot;:[1],&quot;pageProgressType&quot;:&quot;numbers&quot;,&quot;tooltipsEnabled&quot;:true,&quot;tooltipClasses&quot;:&quot;qtip-quform-dark qtip-shadow&quot;,&quot;tooltipMy&quot;:&quot;left center&quot;,&quot;tooltipAt&quot;:&quot;right center&quot;,&quot;isRtl&quot;:false,&quot;scrollOffset&quot;:-50,&quot;scrollSpeed&quot;:800}\"><button class=\"quform-default-submit\" name=\"quform_submit\" type=\"submit\" value=\"submit\" aria-hidden=\"true\" tabindex=\"-1\"><\/button><div class=\"quform-form-inner quform-form-inner-1\"><input type=\"hidden\" name=\"quform_form_id\" value=\"1\" \/><input type=\"hidden\" name=\"quform_form_uid\" value=\"93656f\" \/><input type=\"hidden\" name=\"quform_count\" value=\"1\" \/><input type=\"hidden\" name=\"form_url\" value=\"https:\/\/wcc-tech.net\/site\/wp-json\/wp\/v2\/pages\/121\" \/><input type=\"hidden\" name=\"referring_url\" value=\"\" \/><input type=\"hidden\" name=\"post_id\" value=\"\" \/><input type=\"hidden\" name=\"post_title\" value=\"\" \/><input type=\"hidden\" name=\"quform_current_page_id\" value=\"1\" \/><input type=\"hidden\" name=\"quform_csrf_token\" value=\"8F38etAtPPJCj01mlBqyOOfjFRGeLTDIjuXTBrH4\" \/><div class=\"quform-form-title-description\"><div class=\"quform-form-title\"><div style=\"text-align:center\">Items with an asterisk (*) are required and must be filled out before the form can be submitted.<br><br><\/div><\/div><\/div><div class=\"quform-elements quform-elements-1 quform-cf quform-responsive-elements-phone-landscape\"><div class=\"quform-element quform-element-page quform-page-1 quform-page-1_1 quform-cf quform-group-style-plain quform-first-page quform-last-page quform-current-page\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-group quform-element-1_6 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">Customer Contact Information<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-1_8 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-1_9\"><div class=\"quform-element quform-element-text quform-element-1_41 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_41\"><label class=\"quform-label-text\" for=\"quform_1_41_93656f\">First Name<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_41\"><div class=\"quform-input quform-input-text quform-input-1_41 quform-cf\"><input type=\"text\" id=\"quform_1_41_93656f\" name=\"quform_1_41\" class=\"quform-field quform-field-text quform-field-1_41\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-1_40\"><div class=\"quform-element quform-element-text quform-element-1_42 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_42\"><label class=\"quform-label-text\" for=\"quform_1_42_93656f\">Last Name<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_42\"><div class=\"quform-input quform-input-text quform-input-1_42 quform-cf\"><input type=\"text\" id=\"quform_1_42_93656f\" name=\"quform_1_42\" class=\"quform-field quform-field-text quform-field-1_42\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-1_14 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-1_15\"><div class=\"quform-element quform-element-email quform-element-1_18 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_18\"><label class=\"quform-label-text\" for=\"quform_1_18_93656f\">Email address<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-email quform-inner-1_18\"><div class=\"quform-input quform-input-email quform-input-1_18 quform-cf\"><input type=\"email\" id=\"quform_1_18_93656f\" name=\"quform_1_18\" class=\"quform-field quform-field-email quform-field-1_18\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-1_16\"><div class=\"quform-element quform-element-text quform-element-1_20 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_20\"><label class=\"quform-label-text\" for=\"quform_1_20_93656f\">Contact Number<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_20\"><div class=\"quform-input quform-input-text quform-input-1_20 quform-cf\"><input type=\"text\" id=\"quform_1_20_93656f\" name=\"quform_1_20\" class=\"quform-field quform-field-text quform-field-1_20\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-1_24 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-1_25\"><div class=\"quform-element quform-element-text quform-element-1_28 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_28\"><label class=\"quform-label-text\" for=\"quform_1_28_93656f\">Street Address<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_28\"><div class=\"quform-input quform-input-text quform-input-1_28 quform-cf\"><input type=\"text\" id=\"quform_1_28_93656f\" name=\"quform_1_28\" class=\"quform-field quform-field-text quform-field-1_28\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-1_26\"><div class=\"quform-element quform-element-select quform-element-1_27 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_27\"><label class=\"quform-label-text\" for=\"quform_1_27_93656f\">City<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-1_27\"><div class=\"quform-input quform-input-select quform-input-1_27 quform-cf\"><select id=\"quform_1_27_93656f\" name=\"quform_1_27\" class=\"quform-field quform-field-select quform-field-1_27\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Deep River\">Deep River<\/option><option value=\"Chalk River\">Chalk River<\/option><option value=\"Laurentian Hills\">Laurentian Hills<\/option><option value=\"Rolphton\">Rolphton<\/option><option value=\"Rapides des Joachims\">Rapides des Joachims<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-1_7 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">Trouble Report<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-1_21 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-1_22\"><div class=\"quform-element quform-element-select quform-element-1_30 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_30\"><label class=\"quform-label-text\" for=\"quform_1_30_93656f\">Service<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-1_30\"><div class=\"quform-input quform-input-select quform-input-1_30 quform-cf\"><select id=\"quform_1_30_93656f\" name=\"quform_1_30\" class=\"quform-field quform-field-select quform-field-1_30\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Internet - Wireless\">Internet - Wireless<\/option><option value=\"Internet - DSL\">Internet - DSL<\/option><option value=\"Phone\">Phone<\/option><option value=\"TV\">TV<\/option><option value=\"Business Service\">Business Service<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-1_23\"><div class=\"quform-element quform-element-select quform-element-1_33 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_33\"><label class=\"quform-label-text\" for=\"quform_1_33_93656f\">Problem<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-1_33\"><div class=\"quform-input quform-input-select quform-input-1_33 quform-cf\"><select id=\"quform_1_33_93656f\" name=\"quform_1_33\" class=\"quform-field quform-field-select quform-field-1_33\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"No Service\">No Service<\/option><option value=\"Slow Service\">Slow Service<\/option><option value=\"Intermittent Service\">Intermittent Service<\/option><option value=\"Move\/Change Order\">Move\/Change Order<\/option><option value=\"Other\">Other<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-textarea quform-element-1_34 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_34\"><label class=\"quform-label-text\" for=\"quform_1_34_93656f\">Report<\/label><\/div><div class=\"quform-inner quform-inner-textarea quform-inner-1_34\"><div class=\"quform-input quform-input-textarea quform-input-1_34 quform-cf\"><textarea id=\"quform_1_34_93656f\" name=\"quform_1_34\" class=\"quform-field quform-field-textarea quform-field-1_34\"><\/textarea><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-1_36 quform-cf quform-group-style-plain\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">Submit Report<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-1_37 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-1_38\"><div class=\"quform-element quform-element-recaptcha quform-element-1_45 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_45\"><label class=\"quform-label-text\">Are you human?<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-recaptcha quform-inner-1_45\"><div class=\"quform-input quform-input-recaptcha quform-input-1_45 quform-cf\"><div class=\"quform-recaptcha\" data-config=\"{&quot;sitekey&quot;:&quot;6Ld0ohkrAAAAAE3XFa9IR3QW15eq7ch08MB11UaK&quot;,&quot;_version&quot;:&quot;v2&quot;,&quot;size&quot;:&quot;normal&quot;,&quot;type&quot;:&quot;image&quot;,&quot;theme&quot;:&quot;light&quot;,&quot;badge&quot;:&quot;bottomright&quot;}\"><\/div><noscript><div><div style=\"width: 302px; height: 422px; position: relative;\"><div style=\"width: 302px; height: 422px; position: absolute;\"><iframe src=\"https:\/\/www.google.com\/recaptcha\/api\/fallback?k=6Ld0ohkrAAAAAE3XFa9IR3QW15eq7ch08MB11UaK\" frameborder=\"0\" scrolling=\"no\" style=\"width: 302px; height:422px; border-style: none;\"><\/iframe><\/div><\/div><div style=\"width: 300px; height: 60px; border-style: none; bottom: 12px; left: 25px; margin: 0px; padding: 0px; right: 25px; background: #f9f9f9; border: 1px solid #c1c1c1; border-radius: 3px;\"><textarea name=\"g-recaptcha-response\" class=\"g-recaptcha-response\" style=\"width: 250px; height: 40px; border: 1px solid #c1c1c1; margin: 10px 25px; padding: 0px; resize: none;\" aria-hidden=\"true\"><\/textarea><\/div><\/div><\/noscript><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-submit quform-element-1_2 quform-cf quform-button-style-theme\"><div class=\"quform-button-submit quform-button-submit-default quform-button-submit-1_2\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-submit\" value=\"submit\"><span class=\"quform-button-text quform-button-submit-text\">Submit<\/span><\/button><\/div><div class=\"quform-loading quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/form><\/div>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Trouble Report<div id=\"quform-e397ef\" class=\"quform quform-1 quform-theme-light quform-support-page-caching\"><form id=\"quform-form-e397ef\" class=\"quform-form quform-form-1\" action=\"\/site\/wp-json\/wp\/v2\/pages\/121#quform-e397ef\" method=\"post\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-options=\"{&quot;id&quot;:1,&quot;uniqueId&quot;:&quot;e397ef&quot;,&quot;theme&quot;:&quot;light&quot;,&quot;ajax&quot;:true,&quot;logic&quot;:{&quot;logic&quot;:[],&quot;dependents&quot;:[],&quot;elementIds&quot;:[],&quot;dependentElementIds&quot;:[],&quot;animate&quot;:true},&quot;currentPageId&quot;:1,&quot;errorsIcon&quot;:&quot;&quot;,&quot;updateFancybox&quot;:true,&quot;hasPages&quot;:false,&quot;pages&quot;:[1],&quot;pageProgressType&quot;:&quot;numbers&quot;,&quot;tooltipsEnabled&quot;:true,&quot;tooltipClasses&quot;:&quot;qtip-quform-dark qtip-shadow&quot;,&quot;tooltipMy&quot;:&quot;left center&quot;,&quot;tooltipAt&quot;:&quot;right center&quot;,&quot;isRtl&quot;:false,&quot;scrollOffset&quot;:-50,&quot;scrollSpeed&quot;:800}\"><button class=\"quform-default-submit\" name=\"quform_submit\" type=\"submit\" value=\"submit\" aria-hidden=\"true\" tabindex=\"-1\"><\/button><div class=\"quform-form-inner quform-form-inner-1\"><input type=\"hidden\" name=\"quform_form_id\" value=\"1\" \/><input type=\"hidden\" name=\"quform_form_uid\" value=\"e397ef\" \/><input type=\"hidden\" name=\"quform_count\" value=\"2\" \/><input type=\"hidden\" name=\"form_url\" value=\"https:\/\/wcc-tech.net\/site\/wp-json\/wp\/v2\/pages\/121\" \/><input type=\"hidden\" name=\"referring_url\" value=\"\" \/><input type=\"hidden\" name=\"post_id\" value=\"\" \/><input type=\"hidden\" name=\"post_title\" value=\"\" \/><input type=\"hidden\" name=\"quform_current_page_id\" value=\"1\" \/><input type=\"hidden\" name=\"quform_csrf_token\" value=\"8F38etAtPPJCj01mlBqyOOfjFRGeLTDIjuXTBrH4\" \/><div class=\"quform-form-title-description\"><div class=\"quform-form-title\"><div style=\"text-align:center\">Items with an asterisk (*) are required and must be filled out before the form can be submitted.<br><br><\/div><\/div><\/div><div class=\"quform-elements quform-elements-1 quform-cf quform-responsive-elements-phone-landscape\"><div class=\"quform-element quform-element-page quform-page-1 quform-page-1_1 quform-cf quform-group-style-plain quform-first-page quform-last-page quform-current-page\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-group quform-element-1_6 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">Customer Contact Information<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-1_8 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-1_9\"><div class=\"quform-element quform-element-text quform-element-1_41 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_41\"><label class=\"quform-label-text\" for=\"quform_1_41_e397ef\">First Name<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_41\"><div class=\"quform-input quform-input-text quform-input-1_41 quform-cf\"><input type=\"text\" id=\"quform_1_41_e397ef\" name=\"quform_1_41\" class=\"quform-field quform-field-text quform-field-1_41\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-1_40\"><div class=\"quform-element quform-element-text quform-element-1_42 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_42\"><label class=\"quform-label-text\" for=\"quform_1_42_e397ef\">Last Name<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_42\"><div class=\"quform-input quform-input-text quform-input-1_42 quform-cf\"><input type=\"text\" id=\"quform_1_42_e397ef\" name=\"quform_1_42\" class=\"quform-field quform-field-text quform-field-1_42\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-1_14 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-1_15\"><div class=\"quform-element quform-element-email quform-element-1_18 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_18\"><label class=\"quform-label-text\" for=\"quform_1_18_e397ef\">Email address<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-email quform-inner-1_18\"><div class=\"quform-input quform-input-email quform-input-1_18 quform-cf\"><input type=\"email\" id=\"quform_1_18_e397ef\" name=\"quform_1_18\" class=\"quform-field quform-field-email quform-field-1_18\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-1_16\"><div class=\"quform-element quform-element-text quform-element-1_20 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_20\"><label class=\"quform-label-text\" for=\"quform_1_20_e397ef\">Contact Number<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_20\"><div class=\"quform-input quform-input-text quform-input-1_20 quform-cf\"><input type=\"text\" id=\"quform_1_20_e397ef\" name=\"quform_1_20\" class=\"quform-field quform-field-text quform-field-1_20\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-1_24 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-1_25\"><div class=\"quform-element quform-element-text quform-element-1_28 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_28\"><label class=\"quform-label-text\" for=\"quform_1_28_e397ef\">Street Address<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_28\"><div class=\"quform-input quform-input-text quform-input-1_28 quform-cf\"><input type=\"text\" id=\"quform_1_28_e397ef\" name=\"quform_1_28\" class=\"quform-field quform-field-text quform-field-1_28\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-1_26\"><div class=\"quform-element quform-element-select quform-element-1_27 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_27\"><label class=\"quform-label-text\" for=\"quform_1_27_e397ef\">City<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-1_27\"><div class=\"quform-input quform-input-select quform-input-1_27 quform-cf\"><select id=\"quform_1_27_e397ef\" name=\"quform_1_27\" class=\"quform-field quform-field-select quform-field-1_27\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Deep River\">Deep River<\/option><option value=\"Chalk River\">Chalk River<\/option><option value=\"Laurentian Hills\">Laurentian Hills<\/option><option value=\"Rolphton\">Rolphton<\/option><option value=\"Rapides des Joachims\">Rapides des Joachims<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-1_7 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">Trouble Report<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-1_21 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-1_22\"><div class=\"quform-element quform-element-select quform-element-1_30 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_30\"><label class=\"quform-label-text\" for=\"quform_1_30_e397ef\">Service<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-1_30\"><div class=\"quform-input quform-input-select quform-input-1_30 quform-cf\"><select id=\"quform_1_30_e397ef\" name=\"quform_1_30\" class=\"quform-field quform-field-select quform-field-1_30\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Internet - Wireless\">Internet - Wireless<\/option><option value=\"Internet - DSL\">Internet - DSL<\/option><option value=\"Phone\">Phone<\/option><option value=\"TV\">TV<\/option><option value=\"Business Service\">Business Service<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-1_23\"><div class=\"quform-element quform-element-select quform-element-1_33 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_33\"><label class=\"quform-label-text\" for=\"quform_1_33_e397ef\">Problem<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-1_33\"><div class=\"quform-input quform-input-select quform-input-1_33 quform-cf\"><select id=\"quform_1_33_e397ef\" name=\"quform_1_33\" class=\"quform-field quform-field-select quform-field-1_33\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"No Service\">No Service<\/option><option value=\"Slow Service\">Slow Service<\/option><option value=\"Intermittent Service\">Intermittent Service<\/option><option value=\"Move\/Change Order\">Move\/Change Order<\/option><option value=\"Other\">Other<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-textarea quform-element-1_34 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_34\"><label class=\"quform-label-text\" for=\"quform_1_34_e397ef\">Report<\/label><\/div><div class=\"quform-inner quform-inner-textarea quform-inner-1_34\"><div class=\"quform-input quform-input-textarea quform-input-1_34 quform-cf\"><textarea id=\"quform_1_34_e397ef\" name=\"quform_1_34\" class=\"quform-field quform-field-textarea quform-field-1_34\"><\/textarea><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-1_36 quform-cf quform-group-style-plain\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">Submit Report<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-1_37 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-1_38\"><div class=\"quform-element quform-element-recaptcha quform-element-1_45 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_45\"><label class=\"quform-label-text\">Are you human?<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-recaptcha quform-inner-1_45\"><div class=\"quform-input quform-input-recaptcha quform-input-1_45 quform-cf\"><div class=\"quform-recaptcha\" data-config=\"{&quot;sitekey&quot;:&quot;6Ld0ohkrAAAAAE3XFa9IR3QW15eq7ch08MB11UaK&quot;,&quot;_version&quot;:&quot;v2&quot;,&quot;size&quot;:&quot;normal&quot;,&quot;type&quot;:&quot;image&quot;,&quot;theme&quot;:&quot;light&quot;,&quot;badge&quot;:&quot;bottomright&quot;}\"><\/div><noscript><div><div style=\"width: 302px; height: 422px; position: relative;\"><div style=\"width: 302px; height: 422px; position: absolute;\"><iframe src=\"https:\/\/www.google.com\/recaptcha\/api\/fallback?k=6Ld0ohkrAAAAAE3XFa9IR3QW15eq7ch08MB11UaK\" 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quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/form><\/div><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-121","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/wcc-tech.net\/site\/wp-json\/wp\/v2\/pages\/121","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wcc-tech.net\/site\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/wcc-tech.net\/site\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/wcc-tech.net\/site\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wcc-tech.net\/site\/wp-json\/wp\/v2\/comments?post=121"}],"version-history":[{"count":11,"href":"https:\/\/wcc-tech.net\/site\/wp-json\/wp\/v2\/pages\/121\/revisions"}],"predecessor-version":[{"id":2357,"href":"https:\/\/wcc-tech.net\/site\/wp-json\/wp\/v2\/pages\/121\/revisions\/2357"}],"wp:attachment":[{"href":"https:\/\/wcc-tech.net\/site\/wp-json\/wp\/v2\/media?parent=121"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}