Genevieve W
4th December 2019
<!-- Change or deletion of the name attributes in the input tag will lead to empty values on record submission-->
<form action='https://forms.zohopublic.com/charactersforhirellc/form/Provideusyourdetails/formperma/Eke-X_WbFsxoWA_kfanGMH-RXS6aM5QrCfXCytN0Jg4/htmlRecords/submit' name='form' id='form' method='POST' accept-charset='UTF-8' enctype='multipart/form-data'>
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<input type="hidden" name="utm_content" value=""/>
<h2>Request a Quote</h2>
<p></p>
<!--Single Line-->
<label>
First Name
<em>*</em>
</label>
<input type="text" name="SingleLine3" value="" fieldType=1 maxlength="255" placeholder="" />
<!--Single Line-->
<label>
Last Name
<em>*</em>
</label>
<input type="text" name="SingleLine" value="" fieldType=1 maxlength="255" placeholder="" />
<!--Single Line-->
<label>
Company
</label>
<input type="text" name="SingleLine1" value="" fieldType=1 maxlength="255" placeholder="" />
<!--Email-->
<label> Email
<em>*</em>
</label>
<input type="text" maxlength="255" name="Email" value="" fieldType=9 placeholder="" />
<!--Phone-->
<label> Phone
<em>*</em>
</label>
<input type="text" compname="PhoneNumber" name="PhoneNumber_countrycode" phoneFormat="1" isCountryCodeEnabled=false maxlength="20" value="" fieldType=11 id="international_PhoneNumber_countrycode" placeholder="" />
<label>Number</label>
<!--Single Line-->
<label>
International Phone
</label>
<input type="text" name="SingleLine8" value="" fieldType=1 maxlength="255" placeholder="" />
<!--Single Line-->
<label>
Best time to call
<em>*</em>
</label>
<input type="text" name="SingleLine12" value="" fieldType=1 maxlength="255" placeholder="" />
<!--Dropdown-->
<label>
Lead Source
<em>*</em>
</label>
<select name="Dropdown1">
<option selected="true" value="-Select-">-Select-</option>
<option value="Advertisement">Advertisement</option>
<option value="Google">Google</option>
<option value="Client Referral">Client Referral</option>
<option value="Yahoo">Yahoo</option>
<option value="Bing">Bing</option>
<option value="Twitter">Twitter</option>
<option value="Facebook">Facebook</option>
<option value="Yelp">Yelp</option>
<option value="YouTube">YouTube</option>
<option value="Previous Client">Previous Client</option>
<option value="Sales Email Alias">Sales Email Alias</option>
<option value="Yext">Yext</option>
<option value="Parent">Parent</option>
<option value="Trade Show">Trade Show</option>
<option value="Event Planner">Event Planner</option>
<option value="News Story">News Story</option>
<option value="Chat">Chat</option>
</select>
<!--Dropdown-->
<label>
Event Type
<em>*</em>
</label>
<select name="Dropdown10">
<option selected="true" value="-Select-">-Select-</option>
<option value="Anniversary">Anniversary</option>
<option value="Baby Shower">Baby Shower</option>
<option value="Bachelor Party">Bachelor Party</option>
<option value="Bachelorette Party">Bachelorette Party</option>
<option value="Baptismal">Baptismal</option>
<option value="BarBat Mitzvah">BarBat Mitzvah</option>
<option value="Birthday">Birthday</option>
<option value="Bridal Shower">Bridal Shower</option>
<option value="Camp Event">Camp Event</option>
<option value="Celebration of Life">Celebration of Life</option>
<option value="Christmas Party">Christmas Party</option>
<option value="Confidential Event">Confidential Event</option>
<option value="Corporate">Corporate</option>
<option value="Entertainment Industry">Entertainment Industry</option>
<option value="Film/TV Casting">Film/TV Casting</option>
<option value="Fundraiser">Fundraiser</option>
<option value="Gender Reveal">Gender Reveal</option>
<option value="Government">Government</option>
<option value="Graduation Party">Graduation Party</option>
<option value="Halloween">Halloween</option>
<option value="Holiday Party">Holiday Party</option>
<option value="July 4th Event">July 4th Event</option>
<option value="Marriage Proposal">Marriage Proposal</option>
<option value="Non-Profit Event">Non-Profit Event</option>
<option value="Prank">Prank</option>
<option value="Religious">Religious</option>
<option value="School Function">School Function</option>
<option value="Social Event">Social Event</option>
<option value="St. Patrick's Day">St. Patrick's Day</option>
<option value="Stag Party">Stag Party</option>
<option value="Sweet 16">Sweet 16</option>
<option value="Trade Show">Trade Show</option>
<option value="Wedding">Wedding</option>
</select>
<!--Date-->
<label> Date of Event
<em>*</em>
</label>
<input type="text" name="Date" value="" maxlength="25" placeholder="" /><label>MM/dd/yyyy</label>
<!--Single Line-->
<label>
Characters/Talent/Props
<em>*</em>
</label>
<input type="text" name="SingleLine22" value="" fieldType=1 maxlength="255" placeholder="" />
<!--Multi Line-->
<label> Event Description
<em>*</em>
</label>
<textarea name="MultiLine" maxlength="65535" placeholder="" ></textarea>
<!--Single Line-->
<label>
Venue City
<em>*</em>
</label>
<input type="text" name="SingleLine20" value="" fieldType=1 maxlength="255" placeholder="" />
<!--Single Line-->
<label>
Venue State
<em>*</em>
</label>
<input type="text" name="SingleLine21" value="" fieldType=1 maxlength="255" placeholder="" />
<!--Dropdown-->
<label>
What is your budget?
<em>*</em>
</label>
<select name="Dropdown11">
<option selected="true" value="-Select-">-Select-</option>
<option value="$975-1875">$975-1875</option>
<option value="$1875-2875">$1875-2875</option>
<option value="$2875-3875">$2875-3875</option>
<option value="$3875-5000">$3875-5000</option>
<option value="Over $5000">Over $5000</option>
</select>
<!--Image Upload-->
<label>Lead Image
</label>
<input type="file" accept="image/*" name="ImageUpload" checktype="c1"/>
<!--Terms and Conditions-->
<label>
Terms and Conditions
<em>*</em>
</label>
<div class="tempContDiv " elemid="tempcontdiv"><div class="termsContainer">
<div><input class="checkBoxType flLeft" name="TermsConditions" type="checkbox"><label><div>By clicking here you agree to receive account notifications via SMS text message. Message frequency varies. Message and data rates may apply. Text help to (800) 452-6700, Reply stop to Opt-Out. View our data policy at <a href="https://charactersforhire.com" target="_blank" rel="noopener noreferrer">https://charactersforhire.com</a><br></div><div><br></div><div>Go here for privacy policy: <a href="https://charactersforhire.com/privacy-policy-menu/" target="_blank" rel="noopener noreferrer">https://charactersforhire.com/privacy-policy-menu/</a><br></div><div><br></div><div><span class="colour" style="color: rgb(255, 0, 0)"><b>WARNING:</b></span><span class="colour" style="color: rgb(255, 0, 0)"><br></span></div><div><span class="colour" style="color: rgb(255, 0, 0)">By submitting this form, your IP Address will be recorded. If you are submitting fraudulent data or impersonating someone else, you will be prosecuted under the Computer and Internet Fraud Act - Sec 18 U.S.C. § 1028 Identity Theft and Assumption Deterrence Act of 1998 - If this is a legitimate request, feel free to hit the submit button.</span><br></div><div><br></div><div><span class="size" style="font-size: 18.6667px">AFTER SUBMITTING YOUR FORM, PLEASE CALL </span><span class="colour" style="color: rgb(255, 0, 0)"><b><span class="size" style="font-size: 18.6667px">(800) 452-6700</span></b></span><span class="size" style="font-size: 18.6667px"> OR YOUR LOCAL SERVICE AREA TO SPEAK TO A SERVICE REPRESENTATIVE.</span><br></div></label></div></div></div>
<button type="submit"><em>Submit</em></button></form>