<p> </p> <h4>Please fill out the form below if you have any inquires or issues.</h4> <form id="contactForm" class="form"> <div id="error_div" class="form-field inquiry"><label class="form-label" for="contact_inquiry">What is your inquiry? <small class="question rederror">Required</small></label><select id="contactus_inquiry" class="form-select" name="contactus_inquiry" data-label="inquiry" data-field-type="contactus_inquiry"> <option value="">Choose Options</option> <option value="Pattern">Pattern</option> <option value="Kit">Kit</option> <option value="Fabric Show">Fabric Show</option> <option value="Other">Other</option> </select></div> <div class="form-row form-row--half"> <div class="form-group form-field fullname"><label class="form-label" for="contact_fullname">Full Name</label> <input id="contact_fullname" class="form-input" name="contact_fullname" type="text" /></div> <div class="form-group form-field fullname"><label class="form-label" for="contact_phone">Phone Number</label> <input id="contact_phone" class="form-input" name="contact_phone" type="tel" /></div> <div class="form-field email-id"><label class="form-label" for="contact_email">Email Address <small>Required</small> </label> <input id="contact_email" class="form-input" name="contact_email" type="text" value="" /></div> <div class="form-field orderno"><label class="form-label" for="contact_orderno">Order Number</label> <input id="contact_orderno" class="form-input" name="contact_orderno" type="text" /></div> <div class="form-field company"><label class="form-label" for="contact_companyname">Company Name</label> <input id="contact_companyname" class="form-input" name="contact_companyname" type="text" /></div> <div class="form-field rma"><label class="form-label" for="contact_rma">RMA Number</label> <input id="contact_rma" class="form-input" name="contact_rma" type="text" /></div> <div class="form-field"><label class="form-label" for="contact_city">City</label> <input id="contact_city" class="form-input" name="contact_city" type="text" /></div> <div class="form-field"><label class="form-label" for="contact_state">State/Province</label><select id="contactus_state" class="form-select" name="contactus_state" data-label="State/Province" data-field-type="State"> <option value="">Choose a State/Province</option> <option value="Alabama">Alabama</option> <option value="Alaska">Alaska</option> <option value="American Samoa">American Samoa</option> <option value="Arizona">Arizona</option> <option value="Arkansas">Arkansas</option> <option value="Armed Forces Africa">Armed Forces Africa</option> <option value="Armed Forces Americas">Armed Forces Americas</option> <option value="Armed Forces Canada">Armed Forces Canada</option> <option value="Armed Forces Europe">Armed Forces Europe</option> <option value="Armed Forces Middle East">Armed Forces Middle East</option> <option value="Armed Forces Pacific">Armed Forces Pacific</option> <option value="California">California</option> <option value="Colorado">Colorado</option> <option value="Connecticut">Connecticut</option> <option value="Delaware">Delaware</option> <option value="District of Columbia">District of Columbia</option> <option value="Federated States Of Micronesia">Federated States Of Micronesia</option> <option value="Florida">Florida</option> <option value="Georgia">Georgia</option> <option value="Guam">Guam</option> <option value="Hawaii">Hawaii</option> <option value="Idaho">Idaho</option> <option value="Illinois">Illinois</option> <option value="Indiana">Indiana</option> <option value="Iowa">Iowa</option> <option value="Kansas">Kansas</option> <option value="Kentucky">Kentucky</option> <option value="Louisiana">Louisiana</option> <option value="Maine">Maine</option> <option value="Marshall Islands">Marshall Islands</option> <option value="Maryland">Maryland</option> <option value="Massachusetts">Massachusetts</option> <option value="Michigan">Michigan</option> <option value="Minnesota">Minnesota</option> <option value="Mississippi">Mississippi</option> <option value="Missouri">Missouri</option> <option value="Montana">Montana</option> <option value="Nebraska">Nebraska</option> <option value="Nevada">Nevada</option> <option value="New Hampshire">New Hampshire</option> <option value="New Jersey">New Jersey</option> <option value="New Mexico">New Mexico</option> <option value="New York">New York</option> <option value="North Carolina">North Carolina</option> <option value="North Dakota">North Dakota</option> <option value="Northern Mariana Islands">Northern Mariana Islands</option> <option value="Ohio">Ohio</option> <option value="Oklahoma">Oklahoma</option> <option value="Oregon">Oregon</option> <option value="Palau">Palau</option> <option value="Pennsylvania">Pennsylvania</option> <option value="Puerto Rico">Puerto Rico</option> <option value="Rhode Island">Rhode Island</option> <option value="South Carolina">South Carolina</option> <option value="South Dakota">South Dakota</option> <option value="Tennessee">Tennessee</option> <option value="Texas">Texas</option> <option value="Utah">Utah</option> <option value="Vermont">Vermont</option> <option value="Virgin Islands">Virgin Islands</option> <option value="Virginia">Virginia</option> <option value="Washington">Washington</option> <option value="West Virginia">West Virginia</option> <option value="Wisconsin">Wisconsin</option> <option value="Wyoming">Wyoming</option> </select></div> </div> <div class="form-field comment"><label class="form-label" for="contact_question">Comments/Questions <small>Required</small> </label> <textarea id="contact_question" class="form-input" cols="50" name="contact_question" rows="5"></textarea></div> <button class="button button--primary" type="submit">Submit</button></form> <div id="message"> </div> <p> </p>
