{"id":354,"date":"2026-10-15T13:04:07","date_gmt":"2026-10-15T13:04:07","guid":{"rendered":"https:\/\/forms.tradeocean.co.za\/?post_type=project&#038;p=354"},"modified":"2026-10-16T12:05:46","modified_gmt":"2026-10-16T12:05:46","slug":"trade-fresh-application-for-amendment-to-credit-facility","status":"publish","type":"project","link":"https:\/\/forms.tradeocean.co.za\/index.php\/project\/trade-fresh-application-for-amendment-to-credit-facility\/","title":{"rendered":"Trade Fresh &#8211; Application for Amendment to Credit Facility"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/forms.tradeocean.co.za\/wp-content\/uploads\/2026\/10\/Trade-Fresh-Logo.jpg&#8221; title_text=&#8221;Trade Fresh Logo&#8221; _builder_version=&#8221;4.27.7&#8243; _module_preset=&#8221;default&#8221; width=&#8221;30%&#8221; module_alignment=&#8221;center&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_image][et_pb_text _builder_version=&#8221;4.27.7&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;&#8211;et_global_heading_font|700|||||||&#8221; text_text_color=&#8221;#3a3a3c&#8221; text_font_size=&#8221;38px&#8221; custom_padding=&#8221;||2px|||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p style=\"text-align: center;\">Trade Fresh &#8211; Application for<\/p>\n<p style=\"text-align: center;\">Amendment to Credit Facility<\/p>\n<p>[\/et_pb_text][et_pb_divider divider_position=&#8221;center&#8221; divider_weight=&#8221;2px&#8221; _builder_version=&#8221;4.27.4&#8243; 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data-start-at-zero='1'>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>3<\/span> - Request Details\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_custom' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_custom percentbar_0' style='width:0%; color:#fff; background-color:#e75f12;'><span>0%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_19_1' class='gform_page ' data-js='page-field-id-1' >\n                                    <div class='gform_page_fields'><div id='gform_fields_19' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_19_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_8\" ><label class='gfield_label gform-field-label' for='input_19_8'>Registered Business Name:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_19_8' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_19_253\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_253\" ><label class='gfield_label gform-field-label' for='input_19_253'>Company Registration Number:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_253' id='input_19_253' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_19_210\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_210\" ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_19_172\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_172\" ><H3><b>Reason for Amendment<b\/><H3><\/div><fieldset id=\"field_19_255\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_255\" ><legend class='gfield_label gform-field-label' >Do you request to Amend your Credit Limit, Payment Terms or Both?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_19_255'>\n\t\t\t<div class='gchoice gchoice_19_255_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_255' type='radio' value='Credit Limit'  id='choice_19_255_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_19_255_0' id='label_19_255_0' class='gform-field-label gform-field-label--type-inline'>Credit Limit<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_19_255_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_255' type='radio' value='Payment Terms'  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gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_256\" ><label class='gfield_label gform-field-label' for='input_19_256'>Reason for Amendment:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_256' id='input_19_256' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_19_178\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_178\" ><label class='gfield_label gform-field-label' for='input_19_178'>Credit Limit Requested:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_178' id='input_19_178' type='text' step='any'   value='' class='large'    placeholder='R' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_19_241\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_241\" ><label class='gfield_label gform-field-label' for='input_19_241'>Payment Terms Requested:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_241' id='input_19_241' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='30 Days From Statement Date (Default)' >30 Days From Statement Date (Default)<\/option><option value='30 Days From Invoice Date' >30 Days From Invoice Date<\/option><option value='14 Days From Statement Date' >14 Days From Statement Date<\/option><option value='14 Days From Invoice Date' >14 Days From Invoice Date<\/option><option value='7 Days From Statement Date' >7 Days From Statement Date<\/option><option value='7 Days From Invoice Date' >7 Days From Invoice Date<\/option><option value='Other (Specify below)' >Other (Specify below)<\/option><\/select><\/div><\/div><div id=\"field_19_180\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_180\" ><label class='gfield_label gform-field-label' for='input_19_180'>Specify:<\/label><div class='ginput_container ginput_container_text'><input name='input_180' id='input_19_180' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_19_257\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_257\" ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_19_258\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_258\" ><label class='gfield_label gform-field-label' for='input_19_258'>Security Offered \/ Available?<\/label><div class='ginput_container ginput_container_select'><select name='input_258' id='input_19_258' class='large gfield_select'     aria-invalid=\"false\" ><option value='Yes' >Yes<\/option><option 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jQuery(\"#gform_save_19\").val(1); jQuery(\"#gform_19\").trigger(\"submit\",[true]); }'><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_19_2' class='gform_page' data-js='page-field-id-56' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_19_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_19_182\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_182\" ><H3><b>Upload Documents<b\/><H3><\/div><div id=\"field_19_248\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_248\" ><label class='gfield_label gform-field-label' for='gform_browse_button_19_248'>Bank Code Report:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_19_248'>This document to be requested from your bank for the value and terms of credit requested.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_19_248' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_19_248&quot;,&quot;container&quot;:&quot;gform_multifile_upload_19_248&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_19_248&quot;,&quot;filelist&quot;:&quot;gform_preview_19_248&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/forms.tradeocean.co.za\\\/?gf_page=b7af2b026eb7a80&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/forms.tradeocean.co.za\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/forms.tradeocean.co.za\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:19,&quot;field_id&quot;:248},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_19_248&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_19_248' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_19_248' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_19_248 gfield_description_19_248\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_19_248'>Max. file size: 512 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_19_248'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_19_248' class='ginput_preview_list'><\/div><\/div><div id=\"field_19_247\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_247\" ><label class='gfield_label gform-field-label' for='gform_browse_button_19_247'>Audited Financials:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_19_247'>Required for credit limit close to or exceeding ZAR1,000,000.00<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_19_247' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_19_247&quot;,&quot;container&quot;:&quot;gform_multifile_upload_19_247&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_19_247&quot;,&quot;filelist&quot;:&quot;gform_preview_19_247&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/forms.tradeocean.co.za\\\/?gf_page=b7af2b026eb7a80&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/forms.tradeocean.co.za\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/forms.tradeocean.co.za\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:19,&quot;field_id&quot;:247},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_19_247&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_19_247' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_19_247' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_19_247 gfield_description_19_247\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_19_247'>Max. file size: 512 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_19_247'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_19_247' class='ginput_preview_list'><\/div><\/div><div id=\"field_19_209\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_209\" ><h3 class=\"gsection_title\"><\/h3><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_19_80' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_19\").val(\"1\");  jQuery(\"#gform_19\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_19\").val(\"1\");  jQuery(\"#gform_19\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_19_80' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_19\").val(\"3\");  jQuery(\"#gform_19\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_19\").val(\"3\");  jQuery(\"#gform_19\").trigger(\"submit\",[true]); } ' \/> <button type='button'  id='gform_save_19_3_link' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  onclick='if(window[\"gf_submitting_19\"]){return false;}  if( !jQuery(\"#gform_19\")[0].checkValidity || jQuery(\"#gform_19\")[0].checkValidity()){window[\"gf_submitting_19\"]=true;} jQuery(\"#gform_save_19\").val(1); jQuery(\"#gform_19\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_19\"]){return false;} if( !jQuery(\"#gform_19\")[0].checkValidity || jQuery(\"#gform_19\")[0].checkValidity()){window[\"gf_submitting_19\"]=true;} jQuery(\"#gform_save_19\").val(1); jQuery(\"#gform_19\").trigger(\"submit\",[true]); }'><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_19_3' class='gform_page' data-js='page-field-id-80' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_19_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_19_200\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_200\" >By signing below, the Applicant consents to Trade Fresh (Pty) Ltd (\"The Company\") conducting a credit check with the relevant credit bureaus and obtaining information from trade references and any other pertinent third parties regarding the Applicant's creditworthiness.<\/div><div id=\"field_19_223\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_223\" >The Applicant understands that this agreement becomes binding once accepted and signed by duly authorized representatives of both the Applicant and The Company.<\/div><div id=\"field_19_236\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_236\" >The Applicant certifies that all information provided is accurate and truthful.<\/div><div id=\"field_19_205\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_205\" ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_19_190\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_190\" ><H3><b>Duly Authorised Representative Signature:<b\/><H3><\/div><fieldset id=\"field_19_188\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_188\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Full Names:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_19_188'>\n                            \n                            <span id='input_19_188_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_19_188_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_188.3' id='input_19_188_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_19_188_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_19_188_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_188.6' id='input_19_188_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_19_159\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_159\" ><label class='gfield_label gform-field-label' for='input_19_159'>Email Address:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_159' id='input_19_159' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_19_193\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_193\" ><label class='gfield_label gform-field-label' for='input_19_193'>Capacity:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_193' id='input_19_193' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_19_160\" class=\"gfield gfield--type-fg_ls_signature gfield--input-type-fg_ls_signature gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_160\" ><label class='gfield_label gform-field-label' for='input_19_160'>Signature:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='legalsigning-field-signature' id='legalsigning-field-signature-160' data-config='{\"availableModes\":[\"draw\",\"type\"],\"availableFonts\":[\"caveat\",\"dancing-script\",\"homemade-apple\",\"permanent-marker\",\"rock-salt\"],\"nameType\":\"full\",\"dotSize\":\"1\",\"backgroundColor\":\"#FFFFFF\",\"penColor\":\"#000000\",\"height\":150,\"width\":\"1080\"}'><\/div><input type='hidden' name='input_160' value='' \/><\/div><div id=\"field_19_230\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_230\" ><label class='gfield_label gform-field-label' for='input_19_230'>Date:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_230' id='input_19_230' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_19_230_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_19_230_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_19_230' class='gform_hidden' value='https:\/\/forms.tradeocean.co.za\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_19_199\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_199\" ><h3 class=\"gsection_title\"><\/h3><\/div><\/div><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_19' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='if(window[\"gf_submitting_19\"]){return false;}  if( !jQuery(\"#gform_19\")[0].checkValidity || jQuery(\"#gform_19\")[0].checkValidity()){window[\"gf_submitting_19\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_19\"]){return false;} if( !jQuery(\"#gform_19\")[0].checkValidity || jQuery(\"#gform_19\")[0].checkValidity()){window[\"gf_submitting_19\"]=true;}  jQuery(\"#gform_19\").trigger(\"submit\",[true]); }' \/> <input type='submit' id='gform_submit_button_19' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_19\"]){return false;}  if( !jQuery(\"#gform_19\")[0].checkValidity || jQuery(\"#gform_19\")[0].checkValidity()){window[\"gf_submitting_19\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_19\"]){return false;} if( !jQuery(\"#gform_19\")[0].checkValidity || jQuery(\"#gform_19\")[0].checkValidity()){window[\"gf_submitting_19\"]=true;}  jQuery(\"#gform_19\").trigger(\"submit\",[true]); }' \/> <button type='button'  id='gform_save_19_footer_link' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  onclick='if(window[\"gf_submitting_19\"]){return false;}  if( !jQuery(\"#gform_19\")[0].checkValidity || jQuery(\"#gform_19\")[0].checkValidity()){window[\"gf_submitting_19\"]=true;} jQuery(\"#gform_save_19\").val(1); jQuery(\"#gform_19\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_19\"]){return false;} if( !jQuery(\"#gform_19\")[0].checkValidity || jQuery(\"#gform_19\")[0].checkValidity()){window[\"gf_submitting_19\"]=true;} jQuery(\"#gform_save_19\").val(1); jQuery(\"#gform_19\").trigger(\"submit\",[true]); }'><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue later<\/button>\n            <input type='hidden' class='gform_hidden' name='is_submit_19' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='19' \/>\n            <input type='hidden' class='gform_hidden' name='gform_save' id='gform_save_19' value='' \/>\n                             <input type='hidden' class='gform_hidden' name='gform_resume_token' id='gform_resume_token_19' value='' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_19' value='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' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_19' id='gform_target_page_number_19' value='2' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_19' id='gform_source_page_number_19' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            <input type='hidden' name='gform_uploaded_files' id='gform_uploaded_files_19' value='' \/>\n        <\/div>\n                        <\/div><\/div>\n                        <\/form>\n                        <\/div><script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 19, 'https:\/\/forms.tradeocean.co.za\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', false );jQuery('#gform_ajax_frame_19').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_19');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_19').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) 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attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>\n[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Trade Fresh &#8211; Application for Amendment to Credit Facility\n                <div class='gf_browser_gecko gform_wrapper gform-theme gform-theme--foundation gform-theme--framework gform-theme--orbital' data-form-theme='orbital' data-form-index='1' id='gform_wrapper_19' style='display:none'><style>#gform_wrapper_19[data-form-index=\"1\"].gform-theme,[data-parent-form=\"19_1\"]{--gf-color-primary: #204ce5;--gf-color-primary-rgb: 32, 76, 229;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #001AB3;--gf-color-primary-lighter: #527EFF;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #112337;--gf-color-secondary-contrast-rgb: 17, 35, 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0.1);--gf-color-in-ctrl-light-rgb: 17, 35, 55;--gf-color-in-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-in-ctrl-light-lighter: #F5F5F5;--gf-color-in-ctrl-dark: #585e6a;--gf-color-in-ctrl-dark-rgb: 88, 94, 106;--gf-color-in-ctrl-dark-darker: #112337;--gf-color-in-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-radius: 3px;--gf-font-size-secondary: 14px;--gf-font-size-tertiary: 13px;--gf-icon-ctrl-number: url(\"data:image\/svg+xml,%3Csvg width='8' height='14' viewBox='0 0 8 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M4 0C4.26522 5.96046e-08 4.51957 0.105357 4.70711 0.292893L7.70711 3.29289C8.09763 3.68342 8.09763 4.31658 7.70711 4.70711C7.31658 5.09763 6.68342 5.09763 6.29289 4.70711L4 2.41421L1.70711 4.70711C1.31658 5.09763 0.683417 5.09763 0.292893 4.70711C-0.0976311 4.31658 -0.097631 3.68342 0.292893 3.29289L3.29289 0.292893C3.48043 0.105357 3.73478 0 4 0ZM0.292893 9.29289C0.683417 8.90237 1.31658 8.90237 1.70711 9.29289L4 11.5858L6.29289 9.29289C6.68342 8.90237 7.31658 8.90237 7.70711 9.29289C8.09763 9.68342 8.09763 10.3166 7.70711 10.7071L4.70711 13.7071C4.31658 14.0976 3.68342 14.0976 3.29289 13.7071L0.292893 10.7071C-0.0976311 10.3166 -0.0976311 9.68342 0.292893 9.29289Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-select: url(\"data:image\/svg+xml,%3Csvg width='10' height='6' viewBox='0 0 10 6' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M0.292893 0.292893C0.683417 -0.097631 1.31658 -0.097631 1.70711 0.292893L5 3.58579L8.29289 0.292893C8.68342 -0.0976311 9.31658 -0.0976311 9.70711 0.292893C10.0976 0.683417 10.0976 1.31658 9.70711 1.70711L5.70711 5.70711C5.31658 6.09763 4.68342 6.09763 4.29289 5.70711L0.292893 1.70711C-0.0976311 1.31658 -0.0976311 0.683418 0.292893 0.292893Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-search: url(\"data:image\/svg+xml,%3Csvg version='1.1' xmlns='http:\/\/www.w3.org\/2000\/svg' width='640' height='640'%3E%3Cpath d='M256 128c-70.692 0-128 57.308-128 128 0 70.691 57.308 128 128 128 70.691 0 128-57.309 128-128 0-70.692-57.309-128-128-128zM64 256c0-106.039 85.961-192 192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_19' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_19'  action='\/index.php\/wp-json\/wp\/v2\/project\/354#gf_19' data-formid='19' novalidate>\n        <div id='gf_progressbar_wrapper_19' class='gf_progressbar_wrapper' data-start-at-zero='1'>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>3<\/span> - Request Details\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_custom' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_custom percentbar_0' style='width:0%; color:#fff; background-color:#e75f12;'><span>0%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_19_1' class='gform_page ' data-js='page-field-id-1' >\n                                    <div class='gform_page_fields'><div id='gform_fields_19' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_19_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_8\" ><label class='gfield_label gform-field-label' for='input_19_8'>Registered Business Name:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_19_8' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_19_253\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_253\" ><label class='gfield_label gform-field-label' for='input_19_253'>Company Registration Number:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_253' id='input_19_253' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_19_210\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_210\" ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_19_172\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_172\" ><H3><b>Reason for Amendment<b\/><H3><\/div><fieldset id=\"field_19_255\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_255\" ><legend class='gfield_label gform-field-label' >Do you request to Amend your Credit Limit, Payment Terms or Both?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_19_255'>\n\t\t\t<div class='gchoice gchoice_19_255_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_255' type='radio' value='Credit Limit'  id='choice_19_255_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_19_255_0' id='label_19_255_0' class='gform-field-label gform-field-label--type-inline'>Credit Limit<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_19_255_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_255' type='radio' value='Payment Terms'  id='choice_19_255_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_19_255_1' id='label_19_255_1' class='gform-field-label gform-field-label--type-inline'>Payment Terms<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_19_255_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_255' type='radio' value='Both'  id='choice_19_255_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_19_255_2' id='label_19_255_2' class='gform-field-label gform-field-label--type-inline'>Both<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_19_211\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_211\" ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_19_256\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_256\" ><label class='gfield_label gform-field-label' for='input_19_256'>Reason for Amendment:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_256' id='input_19_256' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_19_178\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_178\" ><label class='gfield_label gform-field-label' for='input_19_178'>Credit Limit Requested:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_178' id='input_19_178' type='text' step='any'   value='' class='large'    placeholder='R' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_19_241\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_241\" ><label class='gfield_label gform-field-label' for='input_19_241'>Payment Terms Requested:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_241' id='input_19_241' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='30 Days From Statement Date (Default)' >30 Days From Statement Date (Default)<\/option><option value='30 Days From Invoice Date' >30 Days From Invoice Date<\/option><option value='14 Days From Statement Date' >14 Days From Statement Date<\/option><option value='14 Days From Invoice Date' >14 Days From Invoice Date<\/option><option value='7 Days From Statement Date' >7 Days From Statement Date<\/option><option value='7 Days From Invoice Date' >7 Days From Invoice Date<\/option><option value='Other (Specify below)' >Other (Specify below)<\/option><\/select><\/div><\/div><div id=\"field_19_180\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_180\" ><label class='gfield_label gform-field-label' for='input_19_180'>Specify:<\/label><div class='ginput_container ginput_container_text'><input name='input_180' id='input_19_180' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_19_257\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_257\" ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_19_258\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_258\" ><label class='gfield_label gform-field-label' for='input_19_258'>Security Offered \/ Available?<\/label><div class='ginput_container ginput_container_select'><select name='input_258' id='input_19_258' class='large gfield_select'     aria-invalid=\"false\" ><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_19_260\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_260\" ><label class='gfield_label gform-field-label' for='input_19_260'>How long have we been doing business?<\/label><div class='ginput_container ginput_container_text'><input name='input_260' id='input_19_260' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_19_213\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_213\" ><h3 class=\"gsection_title\"><\/h3><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_19_56' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_19\").val(\"2\");  jQuery(\"#gform_19\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_19\").val(\"2\");  jQuery(\"#gform_19\").trigger(\"submit\",[true]); } ' \/> <button type='button'  id='gform_save_19_2_link' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  onclick='if(window[\"gf_submitting_19\"]){return false;}  if( !jQuery(\"#gform_19\")[0].checkValidity || jQuery(\"#gform_19\")[0].checkValidity()){window[\"gf_submitting_19\"]=true;} jQuery(\"#gform_save_19\").val(1); jQuery(\"#gform_19\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_19\"]){return false;} if( !jQuery(\"#gform_19\")[0].checkValidity || jQuery(\"#gform_19\")[0].checkValidity()){window[\"gf_submitting_19\"]=true;} jQuery(\"#gform_save_19\").val(1); jQuery(\"#gform_19\").trigger(\"submit\",[true]); }'><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_19_2' class='gform_page' data-js='page-field-id-56' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_19_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_19_182\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_182\" ><H3><b>Upload Documents<b\/><H3><\/div><div id=\"field_19_248\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_248\" ><label class='gfield_label gform-field-label' for='gform_browse_button_19_248'>Bank Code Report:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_19_248'>This document to be requested from your bank for the value and terms of credit requested.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_19_248' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_19_248&quot;,&quot;container&quot;:&quot;gform_multifile_upload_19_248&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_19_248&quot;,&quot;filelist&quot;:&quot;gform_preview_19_248&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/forms.tradeocean.co.za\\\/?gf_page=b7af2b026eb7a80&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/forms.tradeocean.co.za\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/forms.tradeocean.co.za\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:19,&quot;field_id&quot;:248},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_19_248&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_19_248' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_19_248' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_19_248 gfield_description_19_248\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_19_248'>Max. file size: 512 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_19_248'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_19_248' class='ginput_preview_list'><\/div><\/div><div id=\"field_19_247\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_247\" ><label class='gfield_label gform-field-label' for='gform_browse_button_19_247'>Audited Financials:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_19_247'>Required for credit limit close to or exceeding ZAR1,000,000.00<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_19_247' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_19_247&quot;,&quot;container&quot;:&quot;gform_multifile_upload_19_247&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_19_247&quot;,&quot;filelist&quot;:&quot;gform_preview_19_247&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/forms.tradeocean.co.za\\\/?gf_page=b7af2b026eb7a80&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/forms.tradeocean.co.za\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/forms.tradeocean.co.za\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:19,&quot;field_id&quot;:247},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_19_247&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_19_247' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_19_247' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_19_247 gfield_description_19_247\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_19_247'>Max. file size: 512 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_19_247'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_19_247' class='ginput_preview_list'><\/div><\/div><div id=\"field_19_209\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_209\" ><h3 class=\"gsection_title\"><\/h3><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_19_80' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_19\").val(\"1\");  jQuery(\"#gform_19\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_19\").val(\"1\");  jQuery(\"#gform_19\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_19_80' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_19\").val(\"3\");  jQuery(\"#gform_19\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_19\").val(\"3\");  jQuery(\"#gform_19\").trigger(\"submit\",[true]); } ' \/> <button type='button'  id='gform_save_19_3_link' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  onclick='if(window[\"gf_submitting_19\"]){return false;}  if( !jQuery(\"#gform_19\")[0].checkValidity || jQuery(\"#gform_19\")[0].checkValidity()){window[\"gf_submitting_19\"]=true;} jQuery(\"#gform_save_19\").val(1); jQuery(\"#gform_19\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_19\"]){return false;} if( !jQuery(\"#gform_19\")[0].checkValidity || jQuery(\"#gform_19\")[0].checkValidity()){window[\"gf_submitting_19\"]=true;} jQuery(\"#gform_save_19\").val(1); jQuery(\"#gform_19\").trigger(\"submit\",[true]); }'><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_19_3' class='gform_page' data-js='page-field-id-80' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_19_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_19_200\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_200\" >By signing below, the Applicant consents to Trade Fresh (Pty) Ltd (\"The Company\") conducting a credit check with the relevant credit bureaus and obtaining information from trade references and any other pertinent third parties regarding the Applicant's creditworthiness.<\/div><div id=\"field_19_223\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_223\" >The Applicant understands that this agreement becomes binding once accepted and signed by duly authorized representatives of both the Applicant and The Company.<\/div><div id=\"field_19_236\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_236\" >The Applicant certifies that all information provided is accurate and truthful.<\/div><div id=\"field_19_205\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_205\" ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_19_190\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_190\" ><H3><b>Duly Authorised Representative Signature:<b\/><H3><\/div><fieldset id=\"field_19_188\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_188\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Full Names:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_19_188'>\n                            \n                            <span id='input_19_188_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_19_188_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_188.3' id='input_19_188_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_19_188_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_19_188_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_188.6' id='input_19_188_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_19_159\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_159\" ><label class='gfield_label gform-field-label' for='input_19_159'>Email Address:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_159' id='input_19_159' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_19_193\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_193\" ><label class='gfield_label gform-field-label' for='input_19_193'>Capacity:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_193' id='input_19_193' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_19_160\" class=\"gfield gfield--type-fg_ls_signature gfield--input-type-fg_ls_signature gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_160\" ><label class='gfield_label gform-field-label' for='input_19_160'>Signature:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='legalsigning-field-signature' id='legalsigning-field-signature-160' data-config='{\"availableModes\":[\"draw\",\"type\"],\"availableFonts\":[\"caveat\",\"dancing-script\",\"homemade-apple\",\"permanent-marker\",\"rock-salt\"],\"nameType\":\"full\",\"dotSize\":\"1\",\"backgroundColor\":\"#FFFFFF\",\"penColor\":\"#000000\",\"height\":150,\"width\":\"1080\"}'><\/div><input type='hidden' name='input_160' value='' \/><\/div><div id=\"field_19_230\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_230\" ><label class='gfield_label gform-field-label' for='input_19_230'>Date:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_230' id='input_19_230' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_19_230_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_19_230_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_19_230' class='gform_hidden' value='https:\/\/forms.tradeocean.co.za\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_19_199\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_19_199\" ><h3 class=\"gsection_title\"><\/h3><\/div><\/div><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_19' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='if(window[\"gf_submitting_19\"]){return false;}  if( !jQuery(\"#gform_19\")[0].checkValidity || jQuery(\"#gform_19\")[0].checkValidity()){window[\"gf_submitting_19\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_19\"]){return false;} if( !jQuery(\"#gform_19\")[0].checkValidity || jQuery(\"#gform_19\")[0].checkValidity()){window[\"gf_submitting_19\"]=true;}  jQuery(\"#gform_19\").trigger(\"submit\",[true]); }' \/> <input type='submit' id='gform_submit_button_19' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_19\"]){return false;}  if( !jQuery(\"#gform_19\")[0].checkValidity || jQuery(\"#gform_19\")[0].checkValidity()){window[\"gf_submitting_19\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_19\"]){return false;} if( !jQuery(\"#gform_19\")[0].checkValidity || jQuery(\"#gform_19\")[0].checkValidity()){window[\"gf_submitting_19\"]=true;}  jQuery(\"#gform_19\").trigger(\"submit\",[true]); }' \/> <button type='button'  id='gform_save_19_footer_link' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  onclick='if(window[\"gf_submitting_19\"]){return false;}  if( !jQuery(\"#gform_19\")[0].checkValidity || 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