Contact Form

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Contact Form

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<div class="wpforms-container wpforms-container-full wpforms-render-modern" id="wpforms-4163"><form id="wpforms-form-4163" class="wpforms-validate wpforms-form wpforms-ajax-form" data-formid="4163" method="post" enctype="multipart/form-data" action="/service_category/other-services/" data-token="faa7895f64693b8dc6242e57ca3ef5a5"><noscript class="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</noscript><div class="wpforms-hidden" id="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</div><div class="wpforms-field-container"><div id="wpforms-4163-field_0-container" class="wpforms-field wpforms-field-name" data-field-id="0"><label class="wpforms-field-label" for="wpforms-4163-field_0">Name <span class="wpforms-required-label" aria-hidden="true">*</span></label><input type="text" id="wpforms-4163-field_0" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][0]" aria-errormessage="wpforms-4163-field_0-error" required></div><div id="wpforms-4163-field_1-container" class="wpforms-field wpforms-field-email" data-field-id="1"><label class="wpforms-field-label" for="wpforms-4163-field_1">Email <span class="wpforms-required-label" aria-hidden="true">*</span></label><input type="email" id="wpforms-4163-field_1" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][1]" spellcheck="false" aria-errormessage="wpforms-4163-field_1-error" required></div><div id="wpforms-4163-field_3-container" class="wpforms-field wpforms-field-text" data-field-id="3"><label class="wpforms-field-label" for="wpforms-4163-field_3">Subject <span class="wpforms-required-label" aria-hidden="true">*</span></label><input type="text" id="wpforms-4163-field_3" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][3]" aria-errormessage="wpforms-4163-field_3-error" required></div><div id="wpforms-4163-field_4-container" class="wpforms-field wpforms-field-text" data-field-id="4"><label class="wpforms-field-label" for="wpforms-4163-field_4">Company/Organization</label><input type="text" id="wpforms-4163-field_4" class="wpforms-field-large" name="wpforms[fields][4]" aria-errormessage="wpforms-4163-field_4-error" ></div><div id="wpforms-4163-field_2-container" class="wpforms-field wpforms-field-textarea" data-field-id="2"><label class="wpforms-field-label" for="wpforms-4163-field_2">Comment or Message <span class="wpforms-required-label" aria-hidden="true">*</span></label><textarea id="wpforms-4163-field_2" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][2]" aria-errormessage="wpforms-4163-field_2-error" required></textarea></div><div id="wpforms-4163-field_7-container" class="wpforms-field wpforms-field-checkbox" data-field-id="7"><fieldset><legend class="wpforms-field-label">Consent <span class="wpforms-required-label" aria-hidden="true">*</span></legend><ul id="wpforms-4163-field_7" class="wpforms-field-required"><li class="choice-1 depth-1"><input type="checkbox" id="wpforms-4163-field_7_1" name="wpforms[fields][7][]" value="I agree to the use or processing of my personal information by ASSL for the purpose of fulfilling this request and in accordance with ASSL's <a href="#policies" class="usage-terms"> Terms of usage.</a>" aria-errormessage="wpforms-4163-field_7_1-error" required ><label class="wpforms-field-label-inline" for="wpforms-4163-field_7_1">I agree to the use or processing of my personal information by ASSL for the purpose of fulfilling this request and in accordance with ASSL&#8217;s <a href="#policies" class="usage-terms"> Terms of usage.</a></label></li></ul></fieldset></div></div><div class="wpforms-recaptcha-container wpforms-is-recaptcha" ><div class="g-recaptcha" data-sitekey="6LdImyYoAAAAAFztGWLGKWitFwiQeNZ1LRlIodQe"></div><input type="text" name="g-recaptcha-hidden" class="wpforms-recaptcha-hidden" style="position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;" data-rule-recaptcha="1"></div><div class="wpforms-submit-container" ><input type="hidden" name="wpforms[id]" value="4163"><input type="hidden" name="wpforms[author]" value="1"><button type="submit" name="wpforms[submit]" id="wpforms-submit-4163" class="wpforms-submit" data-alt-text="Sending..." data-submit-text="Submit" aria-live="assertive" value="wpforms-submit">Submit</button><img src="https://assl.co.ke/wp-content/plugins/wpforms-lite/assets/images/submit-spin.svg" class="wpforms-submit-spinner" style="display: none;" width="26" height="26" alt="Loading"></div></form></div>

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