var mpCurrentScriptmpFrm4693580ff6da4c4b8f9f9844010966b1Container = document.currentScript.parentNode;
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                                mpFormmpFrm4693580ff6da4c4b8f9f9844010966b1Find();
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                                document.addEventListener("DOMContentLoaded", (event) => {
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                                    if (bodyHolder && bodyHolder[0]) {
                                        bodyHolder[0].appendChild(containerDiv);
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                                mpFormmpFrm4693580ff6da4c4b8f9f9844010966b1Find();
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                                var mpFind = document.querySelectorAll("[data-mpid='50297']");
                                if (mpFind.length && !mpFind[0].innerHTML) {
                                    mpFind[0].id = "mpFrm4693580ff6da4c4b8f9f9844010966b1"
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                                Array.from(mpCurrentScriptmpFrm4693580ff6da4c4b8f9f9844010966b1Container.children).forEach(c => {
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                                if (!mpFound) {
                                    var mpOthers = Array.from(mpCurrentScript5ac0d0ecb2a640d6abc3728e3f4cab31Container.children).filter(e => e.dataset && e.dataset.mpid === "50297");
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                            if(checkBoxes)
                            {
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                                    var attr = checkBox.getAttribute('data-prevval');
                                    if (typeof attr !== typeof undefined && attr !== false) 
                                    {
                                        checkBox.value = checkBox.getAttribute("data-prevval");
                                        checkBox.removeAttribute("data-prevval");
                                        checkBox.removeAttribute("checked");
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                        function mpForm5ac0d0ecb2a640d6abc3728e3f4cab31Submit(event)
                        {
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                            let msgHlder = document.getElementById("mpform-5ac0d0ecb2a640d6abc3728e3f4cab31").querySelector('[id=mpmessageholder]');
                            let mpMsg = document.getElementById("mpform-5ac0d0ecb2a640d6abc3728e3f4cab31").querySelector('[id=mpmessage]');

                            let checkBoxes = document.getElementById("mpform-5ac0d0ecb2a640d6abc3728e3f4cab31").querySelectorAll('input[type="checkbox"]');
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                                            checkBox.value = checkBox.getAttribute('data-prevval');
                                        } else {
                                            checkBox.value = 1;
                                        }
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                                        checkBox.setAttribute('data-prevval',checkBox.value);
                                        checkBox.value = 0;
                                    }
                                }
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                            let form_data = Array.from(
                                new FormData(document.getElementById('mpform-5ac0d0ecb2a640d6abc3728e3f4cab31')),
                                function(e) { 
    
                                    return {
                                        name: e[0],
                                        value: e[1]
                                    } 
                                }
                            )

                            try
                            {
                                for(var i = 0; i < checkBoxes.length; i++) {
                                    let checkBox = checkBoxes[i];
                                    let found = form_data.find(f=>f.name == checkBox.name)
                                    if(!found)
                                    {
                                        form_data.push({name: checkBox.name, value: checkBox.checked ? checkBox.value : "0"})
                                    }
                                }
                            }
                            catch(err){}

                            try
                            {
                                form_data.push({
                                    name: "mpTrkH",
                                    value: document.location.host
                                })
                                form_data.push({
                                    name: "mpTrkO",
                                    value: document.location.origin
                                })
                                form_data.push({
                                    name: "mpTrkP",
                                    value: document.location.pathname
                                })
                                form_data.push({
                                    name: "mpTrkQ",
                                    value: document.location.search
                                })
                                form_data.push({
                                    name: "mpTrkUUID",
                                    value: getTrackingId5ac0d0ecb2a640d6abc3728e3f4cab31()
                                })
                            }
                            catch(err){}
                            
                            //check valid telnos
                            var failed = "";
                            if(msgHlder)
                            {
                                msgHlder.style.display = "none";
                            }

                            let telInputs = document.getElementById("mpform-5ac0d0ecb2a640d6abc3728e3f4cab31").querySelectorAll('input[type=TELNO]');
                            if(telInputs)
                            {
                                for(var i = 0; i < telInputs.length; i++) {
                                    let telInput = telInputs[i];
                                    var iti = window.intlTelInputGlobals.getInstance(telInput);
                                    telInput.classList.remove("mpm-field-error");
                                    if(iti.isValidNumber() == false && telInput.value && telInput.value.length)
                                    {
                                        telInput.classList.add("mpm-field-error");
                                        failed = "Please enter a valid telephone number";
                                    } else {
                                        let found = form_data.find(f=> f.name == telInput.name);
                                        if (found) {
                                            found.value = iti.getNumber(); // intenationally formatted version of the number
                                        }
                                    }
                                }
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                            if(failed != "")
                            {
                                mpMsg.innerHTML = failed;
                                msgHlder.style.display = "block";
                                return;
                            }
                            
                            let button = document.getElementById("mpform-5ac0d0ecb2a640d6abc3728e3f4cab31").querySelector('button');
                            if(button)
                            {
                                button.disabled = true;
                                button.opacity = "0.5";
                            }

                            mpMsg.innerHTML = 'Sending your details...';
                            

                            var xhr = new XMLHttpRequest();
                            xhr.open("POST", "https://api.transpond.io/form?am=42971&fid=50297", true);
                            
                            xhr.onreadystatechange = function () {
                                if (xhr.readyState === 4 && xhr.status === 200) {
                                    mpForm5ac0d0ecb2a640d6abc3728e3f4cab31Check();
                                    button.disabled = false;
                                    button.style.opacity = "1";
                                    mpMsg.innerHTML = "";
                                    msgHlder.style.display = "block";
        
                                    let response = JSON.parse(xhr.responseText);
                                    if (!response || (!response.download && !response.downloads)) {
                                        try {
                                            document.getElementById('mpform-5ac0d0ecb2a640d6abc3728e3f4cab31').reset();
                                        } catch(e) {}
                                    }
                                    
                                    if(response)
                                    {
                                        if (response.redirect) {
                                            window.location.href = response.redirect;
                                        } 
                                        else if (response.message) 
                                        {
                                            if (response.download) window.open(response.download, '_blank');
                                            if (response.downloads && response.downloads.length) {
                                                const parent = button.parentElement;
                                                
                                                response.downloads.forEach(link => {
                                                    const hiddenButton = document.getElementById("mpform-5ac0d0ecb2a640d6abc3728e3f4cab31").querySelector("a[href='" + link.replace + "']");
                                                    if (hiddenButton) {
                                                        hiddenButton.href = link.link;
                                                        hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'block';
                                                    }
                                                });
                                                parent.style.display = "none";
                                            }
                                            mpMsg.innerHTML = response.message;
                                        }
                                        else if (response.replace)
                                        {
                                            document.getElementById('mpform-5ac0d0ecb2a640d6abc3728e3f4cab31').innerHTML = response.form
                                        }
                                    }
                                    
                                }
                                else
                                {
            
                                    mpForm5ac0d0ecb2a640d6abc3728e3f4cab31Check();
                                    button.disabled = false;
                                    button.style.opacity = "1";
                                    mpMsg.innerHTML = "";
                                    msgHlder.style.display = "block";
                                    var error = "Error submitting form";
                                    if (xhr.responseText) {
                                        const errorJson = JSON.parse(xhr.responseText);
                                        if(errorJson.error && typeof errorJson.error === 'string') {
                                            error = errorJson.error;
                                        }
                                    }
                                    mpMsg.innerHTML = error;
                                    
                                }
                            };

                            let urlEncodedDataPairs = [];
                            form_data.forEach((m, i) => {
                                let name = m.name;
                                if (name === 'capsule_note') {
                                    name += '_' + i;
                                }
                                urlEncodedDataPairs.push(encodeURIComponent(name)+ "=" + encodeURIComponent(m.value));
                            });
                            const urlEncodedData = urlEncodedDataPairs.join('&').replace(/%20/g, '+');
                            xhr.setRequestHeader('Content-type', 'application/x-www-form-urlencoded');
                            xhr.send(urlEncodedData);
                            
                            return;
                        }
                        
                        
                    
                        function getTrackingId5ac0d0ecb2a640d6abc3728e3f4cab31() {
                            try {
                                let uuid = document.cookie.match('(^|;)\s*mpz\s*=\s*([^;]+)')?.pop() || '';
                                if(!uuid) {
                                    let found = document.cookie.split(';').find(c => c.indexOf('mpz=') > -1);
                                    if (found) uuid = found.split('=')[1];
                                }
                                return uuid;
                            } catch(e) { }
                        };

                        function mpmFormInit5ac0d0ecb2a640d6abc3728e3f4cab31 ()
                        {
                            var subscriberData = undefined;
                            var form = '<style>.mpm-field-error {border-color: red !important;}</style><form name="mpForm-5ac0d0ecb2a640d6abc3728e3f4cab31" method="post" id="mpform-5ac0d0ecb2a640d6abc3728e3f4cab31" class="mpform" onSubmit="mpForm5ac0d0ecb2a640d6abc3728e3f4cab31Submit(event)"><style type="text/css">                     @font-face {                        font-family: Asap;                        src: url(https://cdn1.ourmailsender.com/fonts/asap/Asap-Regular.ttf);                      }                      </style>                    <style type="text/css">                     @font-face {                        font-family: Inter;                        src: url(https://cdn1.ourmailsender.com/fonts/inter/Inter-Regular.ttf);                      }                      </style>                    <style type="text/css">                     @font-face {                        font-family: Play;                        src: url(https://cdn1.ourmailsender.com/fonts/play/Play-Regular.ttf);                      }                      </style>                    <style>.mpm-container a {color:#c2c2c2; text-decoration:underline; }.mpm-container h1 {color:#000000; font-size:40px; font-style:normal; text-align:left; font-family:arial; font-weight:bold; line-height:150%; letter-spacing:normal; }.mpm-container h2 {color:#c2c2c2; font-size:30px; font-style:normal; text-align:left; font-family:arial; font-weight:bold; line-height:150%; letter-spacing:normal; }.mpm-container h3 {color:#000000; font-size:20px; font-style:normal; text-align:left; font-family:arial; font-weight:bold; line-height:150%; letter-spacing:normal; }.mpm-container h4 {color:#000000; font-size:14px; font-style:italic; text-align:left; font-family:arial; font-weight:bold; line-height:100%; letter-spacing:normal; }#mpmInnerForm input::placeholder {color:#a9acb4; }#mpmInnerForm textarea::placeholder {color:#a9acb4; opacity:1; }#mpmInnerForm input::-moz-placeholder {color:#a9acb4; }#mpmInnerForm textarea::-moz-placeholder {color:#a9acb4; opacity:1; }.mpm-container a[x-apple-data-detectors] {color:inherit!important; font-size:inherit !important; font-family:inherit !important; font-weight:inherit !important; line-height:inherit !important; text-decoration:none !important; }#mpmInnerForm input:-ms-input-placeholder {color:#a9acb4; }#mpmInnerForm input::webkit-input-placeholder {color:#a9acb4; }.mpm-container  a[href^=tel], .mpm-container  [href^=sms] {color:inherit; cursor:default; text-decoration:none; }.mpm-container h1,  .mpm-container h2, .mpm-container h3, .mpm-container h4, .mpm-container h5,  .mpm-container h6 {margin:0; display:block; padding:0; }</style><div class="mpm-container" style="width: 100%; height: 100%; padding: 0px; box-sizing: border-box; background-size: cover; background-color: #ffffff; background-image: url(); background-repeat: no-repeat; background-position: center; "><div id="mpmInnerForm" style="margin: 0 auto; max-width: 100%; border-style: none; border-width: 2px; border-radius: 10px; background-size: cover; background-color: #FFFFFF; background-image: url(); background-repeat: no-repeat; background-position: center; "><div class="mpm-row" style="padding: 20px; "><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: normal; "><h3><span style="color: #1f8c8c; font-size: 14px; font-family: Helvetica;">FIRST NAME*</span></h3></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-898936" type="TEXT" style="color: #000000; width: 100%; display: block; font-size: 14px; box-sizing: border-box; margin-top: 10px; font-family: arial; font-weight: normal; margin-left: 0; padding-top: 10px; border-color: #e9e7e8; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 15px; border-radius: 3px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" placeholder="First Name"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: normal; "><h3><span style="color: #1f8c8c; font-size: 14px; font-family: Helvetica;" data-mce-style="color: #1f8c8c; font-size: 14px; font-family: Helvetica;">LAST NAME*</span></h3></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-898937" type="TEXT" style="color: #000000; width: 100%; display: block; font-size: 14px; box-sizing: border-box; margin-top: 10px; font-family: arial; font-weight: normal; margin-left: 0; padding-top: 10px; border-color: #e9e7e8; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 15px; border-radius: 3px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" placeholder="Last Name"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: normal; "><h3><span style="color: #1f8c8c; font-size: 14px; font-family: Helvetica;">EMAIL*</span></h3></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="emailAddress" type="text" style="color: #000000; width: 100%; display: block; font-size: 14px; box-sizing: border-box; margin-top: 10px; font-family: arial; font-weight: normal; margin-left: 0; padding-top: 10px; border-color: #e9e7e8; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 10px; border-radius: 3px; margin-bottom: 30px; padding-right: 15px; padding-bottom: 10px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" placeholder="Email Address"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: normal; "><h3><span style="color: #1f8c8c; font-size: 14px; font-family: Helvetica;">PHONE*</span></h3></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-898953" type="TELNO" style="color: #000000; width: 100%; display: block; font-size: 14px; box-sizing: border-box; margin-top: 10px; font-family: arial; font-weight: normal; margin-left: 0; padding-top: 10px; border-color: #e9e7e8; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 15px; border-radius: 3px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" placeholder="Phone Number"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: normal; "><h3><span style="color: #1f8c8c; font-size: 14px; font-family: Helvetica;">SUBURB*</span></h3></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-902109" type="TEXT" style="color: #000000; width: 100%; display: block; font-size: 14px; box-sizing: border-box; margin-top: 10px; font-family: arial; font-weight: normal; margin-left: 0; padding-top: 10px; border-color: #e9e7e8; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 15px; border-radius: 3px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" required="required" placeholder="Suburb"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: normal; "><h3><span style="color: #1f8c8c; font-size: 14px; font-family: Helvetica;">I AM*</span></h3></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 10px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-902110" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value="0"/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">A Residential Customer</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 10px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-902111" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value="0"/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">A Commercial Customer</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: normal; "><h3><span style="color: #1f8c8c; font-size: 14px; font-family: Helvetica;">COMPANY NAME*</span></h3></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="companyName" type="text" style="color: #000000; width: 100%; display: block; font-size: 14px; box-sizing: border-box; margin-top: 10px; font-family: arial; font-weight: normal; margin-left: 0; padding-top: 10px; border-color: #e9e7e8; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 15px; border-radius: 3px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" required="required" placeholder="Company"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: normal; "><h3><span style="color: #1f8c8c; font-size: 14px; font-family: Helvetica;">WHICH SERVICE ARE YOU LOOKING FOR?*</span></h3></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 10px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-902112" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value="0"/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">Residential Designs and Permits</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 10px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-902113" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value="0"/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">Septic Systems Installations</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 10px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-902114" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value="0"/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">Septic Systems Services</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 10px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-902115" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value="0"/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">Septic Systems Repairs and Maintenance</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 10px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-902116" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value="0"/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">Septic Systems Pumping and Cleaning</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 10px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-902117" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value="0"/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">Designs and Permits</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 10px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-902118" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value="0"/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">Installations</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 10px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-902119" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value="0"/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">Routine Services</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 10px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-902120" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value="0"/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">Repairs and Maintenance</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 10px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-902121" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value="0"/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">Pumping and Cleaning</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: normal; "><h3><span style="color: #1f8c8c; font-size: 14px; font-family: Helvetica;">HOW DID YOU HEAR ABOUT US?*</span></h3></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 10px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-902122" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value="0"/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">Referral</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 10px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-902123" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value="0"/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">Internet Search</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 10px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-902124" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #e9e7e8; border-style: solid; border-width: 1px; border-radius: 3px; background-color: #FFFFFF; " value="0"/></td><td valign="top"><div style="color: #000000; font-size: 14px; text-align: left; font-family: arial; ">Existing Customer</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: normal; "><h3><span style="color: #1f8c8c; font-size: 14px; font-family: Helvetica;">MESSAGE*</span></h3></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-902125" type="TEXT" style="color: #000000; width: 100%; display: block; font-size: 14px; box-sizing: border-box; margin-top: 10px; font-family: arial; font-weight: normal; margin-left: 0; padding-top: 10px; border-color: #e9e7e8; border-style: solid; border-width: 1px; margin-right: 0; padding-left: 15px; border-radius: 3px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #FFFFFF; -webkit-appearance: none; " width="100%" required="required" placeholder="Your Message"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; align-items: center; flex-direction: column; "><button class="" style="color: #1f8c8c; width: 100%; cursor: pointer; display: block; font-size: 14px; box-sizing: border-box; margin-top: 30px; text-align: center; word-break: break-word; font-family: arial; font-weight: normal; margin-left: 0px; padding-top: 10px; border-color: #1f8c8c; border-style: solid; border-width: 1px; margin-right: 0px; padding-left: 10px; border-radius: 3px; margin-bottom: 30px; padding-right: 10px; padding-bottom: 10px; background-color: #ffffff; " width="100%">Submit</button></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #000000; position: relative; font-size: 14px; font-family: arial; font-weight: normal; "><p><span style="color: #777777;"><small class="">This site is protected by reCAPTCHA and the Google&nbsp;<a style="color: #777777;" href="https://policies.google.com/privacy">Privacy Policy</a>&nbsp;and&nbsp;<a style="color: #777777;" href="https://policies.google.com/terms">Terms of Service</a>&nbsp;apply.</small></span></p><p><span style="color: #777777;"><small class="">Your information is being collected by Septic Systems Australia and will be used and held in accordance with our&nbsp;<a style="color: #777777;" href="https://www.septicsystemsaustralia.com.au/privacy-policy/">Privacy Policy</a>. Information you provide will be used to help us and our third party suppliers, as appropriate, respond to your enquiry and provide you with services and may be used for any other purpose described in our Privacy Policy. If you do not provide this information, we may not be able to assist you. To access or change your information, or if you have any questions, please contact our privacy officer&nbsp;<a style="color: #777777;" href="mailto:info@septicsystemsaustralia.com.au">info@septicsystemsaustralia.com.au</a>.</small></span></p></div></div><div id="mpmessageholder" class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 0px; margin-left: 0px; margin-right: 0px; margin-bottom: 10px; flex-direction: column; "><div id="mpmessage" class="mpmessageholder" style="color: #a9acb4; position: relative; font-size: 14px; text-align: center; font-family: arial; padding-top: 0px; padding-left: 0px; padding-right: 0px; padding-bottom: 0px; "></div></div></div></div></div></form>';
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