{"html":"\u003carticle class=\"sc-container sc-container-spacious\" id=\"SC-page-home-care-provider-quote\"\u003e\n  \u003cdiv class=\"SC-Grid\"\u003e\n    \u003csection class=\"SC-Grid_main sc-rich-text\"\u003e\u003cheader class=\"SC-PageHeader \" \u003e\n    \u003ch1 class=\"SC-PageHeader_heading\"\u003e\n      Home Care Provider Quote\n    \u003c/h1\u003e\n\u003c/header\u003e\n      \u003csection class=\"SC-ContentBlockContainer\" id=\"SC-ContentBlockContainer-home-care-provider-quote-container\" data-cb=\"home-care-provider-quote-container\"\u003e\n\n  \u003cdiv class=\"SC-ContentBlockContainer_body sc-even-distribution\"\u003e\n      \u003c!-- CB 'request-a-quote-hcp' --\u003e\n\u003c!-- ---------------------------------------------------------------------- --\u003e\n\u003c!-- NOTE: Please add the following \u003cMETA\u003e element to your page \u003cHEAD\u003e. --\u003e\n\u003c!-- If necessary, please modify the charset parameter to specify the --\u003e\n\u003c!-- character set of your HTML page. --\u003e\n\u003c!-- ---------------------------------------------------------------------- --\u003e\n\n\u003cmeta http-equiv=\"Content-type\" content=\"text/html; charset=UTF-8\" /\u003e\n\n\u003c!-- ---------------------------------------------------------------------- --\u003e\n\u003c!-- NOTE: Please add the following \u003cFORM\u003e element to your page. --\u003e\n\u003c!-- ---------------------------------------------------------------------- --\u003e\n\n\u003cscript\u003e\nfunction doSubmit() {\nalert(\"Thanks for your enquiry, we will be in touch soon.\");\nreturn true;\n}\nconst picklistDependency = {\n        'Rental': ['Home Assist - SEVEN (Rental)', 'Home Assist - NOVO (Rental)','Falls Assist - SEVEN (Rental)','Home \u0026 Go Anywhere (Rental)','GPS Rental Bundle'],\n        'Purchase': ['Home Assist - SEVEN (Purchase)', 'Home Assist - NOVO (Purchase)','Falls Assist - SEVEN (Purchase)','Home \u0026 Go Anywhere (Purchase)','GPS LocateMe Watch Self-Monitored Bundle','GPS LocateMe Watch Purchase Bundle','GPS LocateMe Self-Monitored Bundle','GPS LocateMe Purchase Bundle','GO Purchase Bundle']\n    };\n\n    function updateDependentPicklist() {\n        const controllingField = document.getElementById(\"00NOY000001Pb2D\").value;\n        const dependentField = document.getElementById(\"00NOY000001Pb5R\");\n        // Clear existing options\n        dependentField.innerHTML = '\u003coption value=\"\"\u003e--Select--\u003c/option\u003e';\n        // Populate the dependent field based on selected controlling field\n        if (picklistDependency[controllingField]) {\n            picklistDependency[controllingField].forEach(value =\u003e {\n                const option = document.createElement(\"option\");\n                option.value = value;\n                option.text = value;\n                dependentField.appendChild(option);\n            });\n        }\n    }\n\u003c/script\u003e\n\n\u003cform onsubmit=\"return doSubmit();\" action=\"https://webto.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8\" method=\"POST\"\u003e\n\u003cinput type=\"hidden\" name=\"oid\" value=\"00D2w00000MGGeX\" /\u003e\n\u003cinput type=\"hidden\" name=\"retURL\" value=\"https://blueassist.com.au\" /\u003e\n\u003cinput type=\"hidden\" id=\"lead_source\" name=\"lead_source\" value=\"Store\" /\u003e\n\u003cinput type=\"hidden\" id=\"country\" name=\"country\" value=\"AU\" /\u003e\n\u003cinput type=\"hidden\" id=\"0BC2w000000AMk8\" name=\"0BC2w000000AMk8\" value=\"AU\" /\u003e\n\u003cinput type=\"hidden\" id=\"00N2w00000bgu18\" name=\"00N2w00000bgu18\" value=\"Home Care Provider\" /\u003e\n\n\u003c!-- ---------------------------------------------------------------------- --\u003e\n\u003c!-- NOTE: These fields are optional debugging elements. Please uncomment --\u003e\n\u003c!-- these lines if you wish to test in debug mode. --\u003e\n\u003c!-- \u003cinput type=\"hidden\" name=\"debug\" value=1\u003e --\u003e\n\u003c!-- \u003cinput type=\"hidden\" name=\"debugEmail\" --\u003e\n\u003c!-- value=\"support@carnacgroup.com\"\u003e --\u003e\n\u003c!-- ---------------------------------------------------------------------- --\u003e\n\n\u003cdiv style=\"display: flex; justify-content:space-evenly\"\u003e\n\u003cdiv style=\"width:100%; padding: 0 20px\"\u003e\n\n\u003cheader class=\"SC-PageHeader\"\u003e\n\u003ch1 class=\"SC-PageHeader_heading\"\u003eHome Care Provider Details\u003c/h1\u003e\n\u003c/header\u003e\n\n\n\n\u003cdiv class=\"SC-Field SC-Field-expand\"\u003e\n\u003clabel for=\"first_name\" class=\"SC-Field_label\"\u003eCompany\u003c/label\u003e\n\u003cinput required=\"required\" type=\"text\" class=\"SC-Field_input\" id=\"company\" name=\"company\" maxlength=\"40\" /\u003e\n\u003c/div\u003e\n\n\u003cdiv class=\"SC-Field SC-Field-expand\"\u003e\n\u003clabel for=\"email\" class=\"SC-Field_label\"\u003e Email \u003c/label\u003e\n\u003cinput required=\"required\" type=\"email\" class=\"SC-Field_input\" id=\"email\" name=\"email\" maxlength=\"80\" /\u003e\n\u003c/div\u003e\n\n\u003cdiv class=\"SC-Field SC-Field-expand\"\u003e\n\u003clabel for=\"phone\" class=\"SC-Field_label\"\u003e Phone \u003c/label\u003e\n\u003cinput type=\"text\" class=\"SC-Field_input\" id=\"phone\" name=\"phone\" maxlength=\"20\" /\u003e\n\u003c/div\u003e\n\n\u003cheader class=\"SC-PageHeader\"\u003e\n\u003ch2 class=\"SC-PageHeader_subheading\"\u003eAddress\u003c/h2\u003e\n\u003c/header\u003e\n\n\u003cdiv class=\"SC-Field SC-Field-expand\"\u003e\n\u003clabel for=\"street\" class=\"SC-Field_label\"\u003e Street Address \u003c/label\u003e\n\u003ctextarea name=\"street\" class=\"SC-Field_textarea\" style=\"width: 100%\"\u003e\u003c/textarea\u003e\n\u003c/div\u003e\n\n\u003cdiv class=\"SC-Field SC-Field-expand\"\u003e\n\u003clabel for=\"city\" class=\"SC-Field_label\"\u003e City \u003c/label\u003e\n\u003cinput type=\"text\" class=\"SC-Field_input\" id=\"city\" name=\"city\" maxlength=\"40\" /\u003e\n\u003c/div\u003e\n\n\u003cdiv class=\"SC-Field SC-Field-expand\"\u003e\n\u003clabel for=\"state\" class=\"SC-Field_label\"\u003e State \u003c/label\u003e\n\u003cinput type=\"text\" class=\"SC-Field_input\" id=\"state\" name=\"state\" maxlength=\"20\" /\u003e\n\u003c/div\u003e\n\n\u003cdiv class=\"SC-Field SC-Field-expand\"\u003e\n\u003clabel for=\"zip\" class=\"SC-Field_label\"\u003e Post Code \u003c/label\u003e\n\u003cinput type=\"text\" class=\"SC-Field_input\" id=\"zip\" name=\"zip\" maxlength=\"20\" /\u003e\n\u003c/div\u003e\n\n\u003c/div\u003e\n\u003cdiv style=\"width:100%; padding: 0 20px\"\u003e\n\n\u003cheader class=\"SC-PageHeader\"\u003e\n\u003ch1 class=\"SC-PageHeader_heading\"\u003eEnd User Details\u003c/h1\u003e\n\u003c/header\u003e\n\n\u003cdiv class=\"SC-Field SC-Field-expand\"\u003e\n\u003clabel for=\"first_name\" class=\"SC-Field_label\"\u003e First Name \u003c/label\u003e\n\u003cinput required=\"required\" type=\"text\" class=\"SC-Field_input\" id=\"first_name\" name=\"first_name\" maxlength=\"40\" /\u003e\n\u003c/div\u003e\n\n\u003cdiv class=\"SC-Field SC-Field-expand\"\u003e\n\u003clabel for=\"last_name\" class=\"SC-Field_label\"\u003e Last Name \u003c/label\u003e\n\u003cinput required=\"required\" type=\"text\" class=\"SC-Field_input\" id=\"last_name\" name=\"last_name\" maxlength=\"20\" /\u003e\n\u003c/div\u003e\n\n\u003cdiv class=\"SC-Field SC-Field-expand\"\u003e\n\u003clabel for=\"street\" class=\"SC-Field_label\"\u003e Street Address \u003c/label\u003e\n\u003ctextarea name=\"0BC2w000000AMk4street\" id=\"0BC2w000000AMk4street\" class=\"SC-Field_textarea\" style=\"width: 100%\"\u003e\u003c/textarea\u003e\n\u003c/div\u003e\n\n\u003cdiv class=\"SC-Field SC-Field-expand\"\u003e\n\u003clabel for=\"city\" class=\"SC-Field_label\"\u003e City \u003c/label\u003e\n\u003cinput type=\"text\" class=\"SC-Field_input\" id=\"0BC2w000000AMk5city\" name=\"0BC2w000000AMk5city\" maxlength=\"40\" /\u003e\n\u003c/div\u003e\n\n\u003cdiv class=\"SC-Field SC-Field-expand\"\u003e\n\u003clabel for=\"state\" class=\"SC-Field_label\"\u003e State \u003c/label\u003e\n\u003cselect class=\"SC-Field_select\" id=\"0BC2w000000AMk7\" name=\"0BC2w000000AMk7\"\u003e\n\u003coption value=\"\"\u003e--None--\u003c/option\u003e\n\u003coption value=\"ACT\"\u003eACT\u003c/option\u003e\n\u003coption value=\"NSW\"\u003eNSW\u003c/option\u003e\n\u003coption value=\"NT\"\u003eNT\u003c/option\u003e\n\u003coption value=\"QLD\"\u003eQLD\u003c/option\u003e\n\u003coption value=\"SA\"\u003eSA\u003c/option\u003e\n\u003coption value=\"TAS\"\u003eTAS\u003c/option\u003e\n\u003coption value=\"VIC\"\u003eVIC\u003c/option\u003e\n\u003coption value=\"WA\"\u003eWA\u003c/option\u003e\n\u003c/select\u003e\n\u003c/div\u003e\n\n\u003cdiv class=\"SC-Field SC-Field-expand\"\u003e\n\u003clabel for=\"zip\" class=\"SC-Field_label\"\u003e Post Code \u003c/label\u003e\n\u003cinput type=\"text\" class=\"SC-Field_input\" id=\"0BC2w000000AMk6zip\" name=\"0BC2w000000AMk6zip\" maxlength=\"20\" /\u003e\n\u003c/div\u003e\n\n\u003c!-- Controlling Picklist Field --\u003e\n\u003cdiv class=\"SC-Field SC-Field-expand\"\u003e\n\u003clabel for=\"00NOY000001Pb2D\" class=\"SC-Field_label\"\u003eBundle Type\u003c/label\u003e\n\u003cselect id=\"00NOY000001Pb2D\" name=\"00NOY000001Pb2D\" class=\"SC-Field_select\" onchange=\"updateDependentPicklist()\"\u003e\n\u003coption value=\"\"\u003e--Select--\u003c/option\u003e\n\u003coption value=\"Rental\"\u003eRental\u003c/option\u003e\n\u003coption value=\"Purchase\"\u003ePurchase\u003c/option\u003e\n\u003c/select\u003e\n\u003c/div\u003e\n\u003c!-- Dependent Picklist Field --\u003e\n\u003cdiv class=\"SC-Field SC-Field-expand\"\u003e\n\u003clabel for=\"00NOY000001Pb5R\" class=\"SC-Field_label\"\u003eBundle\u003c/label\u003e\n\u003cselect id=\"00NOY000001Pb5R\" name=\"00NOY000001Pb5R\" class=\"SC-Field_select\"\u003e\n\u003coption value=\"\"\u003e--Select--\u003c/option\u003e\n\u003c/select\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\n\u003cp\u003e\nBlueassist needs the contact information you provide to us to contact you\nabout our products and services. You may unsubscribe from these\ncommunications at any time. For information on how to unsubscribe, as well\nas our privacy practices and commitment to protecting your privacy, please\nreview our\n\u003ca href=\"https://blueassist.com.au/privacy-policy\"\u003ePrivacy Policy\u003c/a\u003e.\n\u003c/p\u003e\n\n\u003cdiv style=\"display:flex; justify-content: center\"\u003e\n\n\u003cinput class=\"SC-Button SC-Button-primary SC-Button-expanded-up-to-small\" type=\"submit\" name=\"submit\" /\u003e\n\u003c/div\u003e\n\n\u003c/form\u003e\n\n  \u003c/div\u003e\n\u003c/section\u003e\n\u003c!-- Calendly badge widget begin --\u003e\n\u003clink href=\"https://assets.calendly.com/assets/external/widget.css\" rel=\"stylesheet\" /\u003e\n\n\u003cscript src=\"https://assets.calendly.com/assets/external/widget.js\" type=\"text/javascript\" async=\"\"\u003e\u003c/script\u003e\n\n\u003cscript type=\"text/javascript\"\u003ewindow.onload = function() { Calendly.initBadgeWidget({ url: 'https://calendly.com/nuttag', text: 'Schedule time with me', color: '#00ff6c', textColor: '#1a1a1a', branding: true }); }\u003c/script\u003e\n\n\u003c!-- Calendly badge widget end --\u003e\n\n    \u003c/section\u003e\n  \u003c/div\u003e\n\u003c/article\u003e","flash":null,"action":null,"notice":null}