Interface is closing the carpet recycling loop.

Carpet to Carpet Recycling

You hear a lot of claims about recycling these days, and it can be hard to separate fact from fiction, rumor from reality. "Recyclable" is often just a promise.  

In fact, over four billion pounds of carpet end up in landfills each year in the US. While about 14% of post-consumer carpet is collected (according to CARE), less than 5% of that is recycled. But at Interface we have been actively collecting and recycling post-consumer vinyl backed carpet tiles – ours and our competitors’ - for over 20 years.

We’ve diverted more than 360 million pounds of carpet and carpet scraps from landfills, feeding it all through our Cool Blue™ system to create a 98% recycled content backing that is as high in quality and performance as our celebrated GlasBac®.

Most valuable to us is our own LVT and any approved vinyl backed carpet tile. Contrary to reports, vinyl is highly recyclable! Our ReEntry program is 3rd party certified in our Green Circle Certified Environmental Facts. It’s one of the main reasons why we continue to use PVC, which contributes to us having the lowest carbon footprint in the industry.

We work with collection partners all over the US, and we’re always looking for more, including you. You can include this ReEntry specification as part of your waste diversion strategy for your project.

REALITY CHECK: LOOK FOR POST-CONSUMER RECYCLED CONTENT IN YOUR FLOORING. IS IT FROM OLD CARPET PRODUCTS THAT HAVE BEEN RECLAIMED POST-USE?

For more on our commitment to recycling, including our action championing recycling legislation in the US, click here. If you have carpet tile or LVT to recycle, call 1-888-733-6873 or email ReEntry@interface.com.

For information on our Net-Works® fishing nets to carpet tile program, click here.

TEST - ReEntry Form Main HTML-en_US

<style type="text/css" media="screen">
.twoField-row {
    height: 62px;
}
@media only screen and (min-width: 100px) and (max-width :720px) {
fieldset {
    background-color: #edecea;
    border: 1px solid #e2e1df;
    -moz-border-radius: 3px;
    -webkit-border-radius: 3px;
    border-radius: 3px;
    margin: 0 0 10px;
    padding: 35px 20px !important;
}
input {
    font-size: 12px !important;
    padding: 5px !important;
}
select {
    font-size: 12px !important;
    padding: 5px !important;
}
.mid_space {
    width: 10% !important;
}
.twoField-row {
    height: 49px;
}
}
fieldset {
    background-color: #edecea;
    border: 1px solid #e2e1df;
    -moz-border-radius: 3px;
    -webkit-border-radius: 3px;
    border-radius: 3px;
    margin: 0 0 10px;
    padding: 35px 160px;
}
.mid_space {
    width: 10%;
}
/* Standard forms - these are forms that we've styled for general use on the site */
form.standard {
 *zoom: 1;
}
form.standard:after {
    content: "";
    display: table;
    clear: both;
}
form.standard h2, form.standard h3 {
    font-weight: 300;
}
form.standard h3 {
    color: #a6a197;
    text-align: center;
}
form.standard h3 a {
    color: #a6a197;
}
/* Compact forms - these are smaller, less complex forms. Used in the checkout process. */
form.compact {
 *zoom: 1;
}
form.compact:after {
    content: "";
    display: table;
    clear: both;
}
form .fieldset-header {
    margin-top: 25px;
}
form .fieldset-header h2 {
    font-size: 18px;
    font-weight: 700;
    margin: 0;
}
form .fieldset-header h3 {
    font-size: 14px;
    font-style: italic;
    text-align: left;
    margin: 5px 0 15px;
}
.form-fields {
    list-style: none;
    margin: 0;
    padding: 0;
 *zoom: 1;
}
.form-fields:after {
    content: "";
    display: table;
    clear: both;
}
.formError {
    display: none !important;
}
#error-container {
    display: none;
}
#error-container a, .required-errors a {
    display: block;
    padding: 5px 0;
}
.select-field .selector.error {
    background-color: #fdf4f4;
    border-color: #d00;
}
/* Fieldgroups */
.fieldgroup {
    margin: 0 0 10px;
 *zoom: 1;
}
.fieldgroup:after {
    content: "";
    display: table;
    clear: both;
}
.fieldgroup:last-of-type {
    margin-bottom: 0;
}
.fieldgroup:last-of-type .field:last-of-type label {
    margin-bottom: 0;
}
.fieldgroup:last-of-type .field:last-of-type label.hidden {
    display: none;
}
.fieldgroup .title {
    line-height: 1;
    margin: 0 0 10px;
}
.fieldgroup label {
    font-size: 14px;
}
.fieldgroup b {
    color: #d00;
}
/* General field styles */
.field {
    margin-bottom: 10px;
    position: relative;
}
.field label {
    color: #a6a197;
    font-size: 11px;
    font-style: italic;
    font-weight: 400;
    display: inline-block;
    vertical-align: middle;
 *vertical-align: auto;
 *zoom: 1;
 *display: inline;
    padding: 5px 5px 5px 0;
}
.field label.hidden {
    font: 0/0 serif;
    text-shadow: none;
    color: transparent;
}
.field label.error {
    background: #69614c;
    -moz-border-radius: 3px;
    -webkit-border-radius: 3px;
    border-radius: 3px;
    bottom: -15px;
    -moz-box-shadow: rgba(0, 0, 0, 0.5) 0 3px 8px, rgba(0, 0, 0, 0.25) 0 1px 2px, rgba(255, 255, 255, 0.25) 0 1px 0 inset, rgba(0, 0, 0, 0.25) 0 -1px 0 inset;
    -webkit-box-shadow: rgba(0, 0, 0, 0.5) 0 3px 8px, rgba(0, 0, 0, 0.25) 0 1px 2px, rgba(255, 255, 255, 0.25) 0 1px 0 inset, rgba(0, 0, 0, 0.25) 0 -1px 0 inset;
    box-shadow: rgba(0, 0, 0, 0.5) 0 3px 8px, rgba(0, 0, 0, 0.25) 0 1px 2px, rgba(255, 255, 255, 0.25) 0 1px 0 inset, rgba(0, 0, 0, 0.25) 0 -1px 0 inset;
    color: #fff;
    display: none;
    font-style: normal;
    max-width: 250px;
    min-width: 150px;
    padding: 10px;
    position: absolute;
    right: 0;
    z-index: 4000;
}
.field label.error:after {
    background: transparent url("//interfaceinc.scene7.com/is/image/InterfaceInc/error-label-tip?fmt=png-alpha") center top no-repeat;
    height: 20px;
    content: "";
    right: 10px;
    position: absolute;
    top: -19px;
    width: 35px;
}
.field:hover label.error, .field input:focus + label.error {
    display: block;
}
/* Inputs and textareas */
input.text, textarea, .selector {
    background: url('data:image/svg+xml;base64,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');
    background: -webkit-gradient(linear, 50% 100%, 50% 0%, color-stop(0%, #ffffff), color-stop(100%, rgba(255, 255, 255, 0)));
    background: -moz-linear-gradient(bottom, #ffffff, rgba(255, 255, 255, 0) 40px);
    background: -webkit-linear-gradient(bottom, #ffffff, rgba(255, 255, 255, 0) 40px);
    background: linear-gradient(to top, #ffffff, rgba(255, 255, 255, 0) 40px);
    background-color: #fff;
    border: 1px solid #a6a197;
    -moz-border-radius: 3px;
    -webkit-border-radius: 3px;
    border-radius: 3px;
    -moz-box-sizing: border-box;
    -webkit-box-sizing: border-box;
    box-sizing: border-box;
    color: #4d442e;
    font-family: "Helvetica Neue LT", "Helvetica Neue", Helvetica, Arial, sans-serif;
    font-size: 16px;
    line-height: 1.3;
    margin: 0;
    padding: 10px;
    -moz-transition: box-shadow 150ms cubic-bezier(0.455, 0.03, 0.515, 0.955);
    -o-transition: box-shadow 150ms cubic-bezier(0.455, 0.03, 0.515, 0.955);
    -webkit-transition: box-shadow 150ms cubic-bezier(0.455, 0.03, 0.515, 0.955);
    transition: box-shadow 150ms cubic-bezier(0.455, 0.03, 0.515, 0.955);
    width: 100%;
}
input.text:hover, textarea:hover, .selector:hover, input.text.hover, textarea.hover, .hover.selector {
    background-color: white;
    -moz-transition-duration: 0ms;
    -o-transition-duration: 0ms;
    -webkit-transition-duration: 0ms;
    transition-duration: 0ms;
}
input.text:focus, textarea:focus, .selector:focus, input.text.focus, textarea.focus, .focus.selector {
    background: url('data:image/svg+xml;base64,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');
    background: -webkit-gradient(linear, 50% 0%, 50% 20, color-stop(0%, rgba(0, 0, 0, 0.05)), color-stop(100%, rgba(0, 0, 0, 0)));
    background: -moz-linear-gradient(top, rgba(0, 0, 0, 0.05), rgba(0, 0, 0, 0) 20px);
    background: -webkit-linear-gradient(top, rgba(0, 0, 0, 0.05), rgba(0, 0, 0, 0) 20px);
    background: linear-gradient(to bottom, rgba(0, 0, 0, 0.05), rgba(0, 0, 0, 0) 20px);
    background-color: #fff;
    border-color: #4d442e;
    -moz-box-shadow: rgba(0, 0, 0, 0.25) 0 2px 5px;
    -webkit-box-shadow: rgba(0, 0, 0, 0.25) 0 2px 5px;
    box-shadow: rgba(0, 0, 0, 0.25) 0 2px 5px;
    outline: none;
}
input.text.error, textarea.error, .error.selector {
    background-color: #fdf4f4;
    border-color: #d00;
}
input.text.small, textarea.small, .small.selector {
    font-size: 14px;
    padding: 5px;
}
input.text.disabled, textarea.disabled, .disabled.selector {
    background-color: #edecea;
    background-image: none;
}
textarea {
    height: 120px;
    resize: none;
}
/* Radio and checkbox fields */
input[type="checkbox"], input[type="radio"] {
    margin-right: 5px;
}
.radio-field label, .checkbox-field label {
    color: #a6a197;
    font-size: 14px;
    font-style: normal;
    padding-left: 5px;
}
/* select fields */
.selector {
    font-size: 14px;
    overflow: hidden;
    padding: 0;
    position: relative;
}
.selector span {
    display: block;
    font-size: 16px;
    overflow: hidden;
    padding: 10px;
    text-overflow: ellipsis;
    white-space: nowrap;
}
.selector span:after {
    border-color: #a6a197 transparent transparent transparent;
    border-width: 6px 6px 0 6px;
    border-style: solid;
    height: 0;
    width: 0;
    content: "";
    display: block;
    margin-top: -3px;
    position: absolute;
    right: 10px;
    top: 50%;
    z-index: 2;
}
.selector.loading {
    background: url("//interfaceinc.scene7.com/is/content/InterfaceInc/loading") no-repeat center center;
    text-indent: -9999999px;
    overflow: hidden;
 filter: progid:DXImageTransform.Microsoft.Alpha(Opacity=50);
    opacity: 0.5;
}
.selector select {
    width: 100%;
    height: 100%;
    bottom: 0;
    border: none;
    left: 0;
 filter: progid:DXImageTransform.Microsoft.Alpha(Opacity=0);
    opacity: 0;
    position: absolute;
    right: 0;
    top: 0;
    z-index: 3;
}
.selector select option {
    padding: 5px;
}
.selector.hover span:after, .selector.focus span:after {
    border-color: #4d442e transparent transparent transparent;
}
.selector.small {
    padding: 0;
}
.selector.small span {
    font-size: 12px;
    padding: 8px 24px 8px 8px;
}
.selector.small span:after {
    right: 8px;
}
.salesperson-field {
    line-height: 1.25;
 *zoom: 1;
}
.salesperson-field:after {
    content: "";
    display: table;
    clear: both;
}
.salesperson-field .photo img {
    float: left;
    margin-right: 20px;
}
.salesperson-field .name {
    margin: 0;
}
.salesperson-field .phone, .salesperson-field .email {
    color: #a6a197;
    font-size: 14px;
    font-style: italic;
    font-weight: 300;
    margin: 0;
}
.salesperson-field p.email_address {
    margin-top: 0;
}
.salesperson-field p.email_address a {
    color: #a6a197;
    text-decoration: none;
}
.salesperson-field p.email_address a:hover {
    text-decoration: underline;
}
.address-field {
    color: #a6a197;
    font-size: 14px;
    line-height: 1.4;
}
.address-field label {
    font: 0/0 serif;
    text-shadow: none;
    color: transparent;
}
.address-field .address-select {
    display: block;
    margin-top: 20px;
}
.date-field {
    position: relative;
}
.date-field .ui-datepicker-trigger {
    position: absolute;
    right: 15px;
    top: 12px;
}
.field .hint {
    display: block;
    position: absolute;
    text-indent: -119988px;
    overflow: hidden;
    text-align: left;
    background-image: url("//interfaceinc.scene7.com/is/image/InterfaceInc/small-hint?fmt=png-alpha");
    background-repeat: no-repeat;
    background-position: 50% 50%;
    width: 16px;
    height: 16px;
    right: -24px;
    top: 12px;
}
#content-area {
    margin: 0 auto;
    padding: 0;
 *zoom: 1;
    position: relative;
    max-width: 960px;
    width: auto !important;
}
#content-area:after {
    content: "";
    display: table;
    clear: both;
}
.grid-structure {
 *zoom: 1;
}
.grid-structure:after {
    content: "";
    display: table;
    clear: both;
}
.grid-structure .column {
    float: left;
}
.grid-structure .column img[src='/assets/images/placeholder.png'] {
    height: 300px;
    width: 100%;
}
.one-column .column {
    float: none;
    max-width: 960px;
    width: 100%;
}
.two-column .column {
    float: left;
    margin-right: 12px;
    width: 474px;
}
.two-column .column.row-end, .two-column .column.column-2 {
    margin-right: 0;
}
/* Start Dashboard changes */
.three-column .column {
    float: left;
    margin-right: 1.25%;
    width: 32.5%;
}
.three-column .column.row-end, .three-column .column.column-3 {
    margin-right: 0;
}
.three-column .column.colspan2 {
    margin-right: 0;
    width: 66%;
}
.three-column.right .column {
    float: right;
    margin-right: 0;
    margin-left: 1.25%;
}
.three-column.right .column.row-end, .three-column.right .column.column-3 {
    margin-left: 0;
}
.five-column .tile img {
    min-height: 184px;
}
.five-column .column {
    position: relative;
    float: left;
    margin-right: 1%;
    width: 19%;
}
.five-column .column.row-end, .five-column .column.column-5 {
    margin-right: 0;
}
.five-column.right .column {
    float: right;
    margin-right: 0;
    margin-left: 1%;
}
.five-column.right .column.row-end, .five-column.right .column.column-5 {
    margin-left: 0;
}
.one-column-textual .column {
    float: none;
    margin: 0 12.5%;
    width: 75%;
}
.three-column-small > li {
    width: 204px;
}
.three-column-small .thumbnail a, .three-column-small .thumbnail img {
    height: 204px;
    width: 204px;
}
.three-column-small .thumbnail .details {
    width: 204px;
}
@media only screen and (max-width: 720px) and (min-width: 100px) {
body #form1882 fieldset {
    padding: 35px 20px !important;
}
}
</style>
<script src="https://code.jquery.com/jquery-1.10.2.js"></script>
<script type="text/javascript">
 var _elqQ = _elqQ || [];
 _elqQ.push(['elqSetSiteId', '672']);
 _elqQ.push(['elqTrackPageView']);
 
 (function () {
 function async_load() {
 var s = document.createElement('script'); s.type = 'text/javascript'; s.async = true;
 s.src = 'http://img.en25.com/Web/InterfaceFLOR/{5c6a98d9-0927-41cc-a41d-48981cab17f5}_elqCfg.min.js';
 var x = document.getElementsByTagName('script')[0]; x.parentNode.insertBefore(s, x);
 }
 if (window.addEventListener) window.addEventListener('DOMContentLoaded', async_load, false);
 else if (window.attachEvent) window.attachEvent('onload', async_load);
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            </script>
<script>
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 var strURL = document.location.href;
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 strQStrParamValue = defaultValue;
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<script type="text/javascript">
function init(){
    
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 if(getQueryStringParamValue('systemAlert') != ''){
window.open("http://interfaceinc.scene7.com/is/content/InterfaceInc/Interface/Americas/WebsiteContentAssets/Documents/Reports/CTB%20Insights/Interface%20Climate%20Take%20Back%20Insights%20Report.pdf", "_blank");
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}
</script>
<script type="text/javascript">
             var timerId3 = null, timeout3 = 5;
        var cookieemail= null;
 function WaitUntilCookieLookupDone() {
        
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     cookieemail = GetElqContentPersonalizationValue('V_ElqEmailAddress');    
                    
 _elqQ.push(['elqDataLookup', escape('4258f40f23ba4eed8cd7cf9e5770280b'),'<C_EmailAddress>' + cookieemail + '</C_EmailAddress>']);
 
 
                    if(cookieemail != null && cookieemail != "")
                    {
                        
 WaitUntilContactLookupDone();
                    return;
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                 timeout3 -= 1;
      timerId3 = setTimeout("WaitUntilCookieLookupDone()", 500); }
        
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<script type="text/javascript">
             var timerId2 = null, timeout2 = 1;
 function WaitUntilContactLookupDone() {
 
 var emailaddress = "";
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 if (typeof this.GetElqContentPersonalizationValue === 'function') {
                    
 if (typeof this.GetElqContentPersonalizationValue === 'function') {
                     emailaddress = GetElqContentPersonalizationValue('C_EmailAddress');
                    var givenname=GetElqContentPersonalizationValue('C_FirstName');
                    var familyname=GetElqContentPersonalizationValue('C_LastName');
                    var company=GetElqContentPersonalizationValue('C_Company');
                    //var custtype=GetElqContentPersonalizationValue('C_Customer_Type1');
                    var jobrole=GetElqContentPersonalizationValue('C_Job_Role1');
                    var country=GetElqContentPersonalizationValue('C_Country');
                    var city=GetElqContentPersonalizationValue('C_City');
                    var state=GetElqContentPersonalizationValue('C_State_Prov');
                    var zipCode=GetElqContentPersonalizationValue('C_Zip_Postal');
                    var phoneNumber=GetElqContentPersonalizationValue('C_MobilePhone');
                    var address1=GetElqContentPersonalizationValue('C_Address1');
                    var address2=GetElqContentPersonalizationValue('C_Address2');
                                    }
                    
            if(emailaddress != null && emailaddress != "")
            {
                document.getElementById("field0").value = givenname;        
                document.getElementById("field1").value = familyname;        
                document.getElementById("field2").value = emailaddress;        
                document.getElementById("field3").value = company;        
                //document.getElementById("field4").value = custtype;    
                document.getElementById("City").value = city;
                document.getElementById("field8").value = state;    
                document.getElementById("ZipCode").value = zipCode;
                document.getElementById("PhoneNumber").value = phoneNumber;
                document.getElementById("address1").value = address1;
                document.getElementById("address2").value = address2;
                
                if(custtype=="Architect/Designer")
                {
                    document.getElementById("formElement51").style.display="block";
                    
                    
                    document.getElementById("field51").value = jobrole;
                }
                if(custtype=="End User")
                {
                    document.getElementById("formElement52").style.display="block";
                    document.getElementById("field52").value = jobrole;
                }    
                if(custtype=="Other")
                {
                    document.getElementById("otherCustType").style.display="block";
                    document.getElementById("otherCustType-field").value = jobrole;
                }    
                document.getElementById("field6").value = country;        
                }
            
            }
            showfields();
            validate_otherfields();
 timeout2 -= 1;    
 }
        
 timerId2 = setTimeout("WaitUntilContactLookupDone()", 1000);
 return;
 }
            </script>
<script type="text/javascript">
function validate_allfields()
{
    return fname() && lname() && company() && phoneNumber() && email() &&  validemail() && address() && country()  && customFields(); //&& validate_jobrole(); && custtype()&& validate_otherfields();
    
}
function fname(){
if(document.getElementById("field0").value=="")
                    {
                    document.getElementById("fname_err").style.display="block";
                    document.getElementById("field0").style.outline="1px solid #CC0000";
                    return false;
                    }
                    else
                    {
                        document.getElementById("fname_err").style.display="none";
                        document.getElementById("field0").style.outline="1px solid #00CC00";
                        return true;
                    }
                    
                    }
                    
    function lname()
{
if(document.getElementById("field1").value=="")
                    {
                    document.getElementById("lname_err").style.display="block";
                    document.getElementById("field1").style.outline="1px solid #CC0000";
                    return false;
                    }
                    else
                    {
                        document.getElementById("lname_err").style.display="none";
                        document.getElementById("field1").style.outline="1px solid #00CC00";
                        return true;
                    }    
}
    function validemail(){
    if (/^\w+([\.-]?\w+)*@\w+([\.-]?\w+)*(\.\w{2,3})+$/.test(form1882.field2.value))
 {
 document.getElementById("email_err1").style.display="none";
                    document.getElementById("field2").style.outline="1px solid #00CC00";
                    return true;
 }
 
 else
 {
    document.getElementById("email_err1").style.display="block";
                    document.getElementById("field2").style.outline="1px solid #CC0000";
                    return false;
 }
    }
function email()
{
if(document.getElementById("field2").value=="")
                    {
                    document.getElementById("email_err").style.display="block";
                    document.getElementById("field2").style.outline="1px solid #CC0000";
                    return false;
                    }
                    
                    
 
 
                    else
                    {
                        document.getElementById("email_err").style.display="none";
                        document.getElementById("field2").style.outline="1px solid #00CC00";
                        return true;
                    }    
                    
}
    function address()
    {
        if(document.getElementById("address1").value=="")
        {
            document.getElementById("address1_err").style.display="block";
            document.getElementById("address1").style.outline="1px solid #CC0000";
            return false;
        }
        else
        {
            document.getElementById("address1_err").style.display="none";
            document.getElementById("address1").style.outline="1px solid #00CC00";
        }    
        
        if(document.getElementById("address2").value=="")
        {
            document.getElementById("address2_err").style.display="block";
            document.getElementById("address2").style.outline="1px solid #CC0000";
            return false;
        }
        else
        {
            document.getElementById("address2_err").style.display="none";
            document.getElementById("address2").style.outline="1px solid #00CC00";
            
        }
        
        if(document.getElementById("City").value=="")
        {
            document.getElementById("city_err").style.display="block";
            document.getElementById("City").style.outline="1px solid #CC0000";
            return false;
        }
        else
        {
            document.getElementById("city_err").style.display="none";
            document.getElementById("City").style.outline="1px solid #00CC00";
            
        }
        
        if(document.getElementById("field8").value=="")
        {
            document.getElementById("state_err").style.display="block";
            document.getElementById("field8").style.outline="1px solid #CC0000";
            return false;
        }
        else
        {
            document.getElementById("state_err").style.display="none";
            document.getElementById("field8").style.outline="1px solid #00CC00";
            
        }
        
        if(document.getElementById("ZipCode").value=="")
        {
            document.getElementById("zipCode_err").style.display="block";
            document.getElementById("ZipCode").style.outline="1px solid #CC0000";
            return false;
        }
        else
        {
            document.getElementById("zipCode_err").style.display="none";
            document.getElementById("ZipCode").style.outline="1px solid #00CC00";
            return true;
        }
    }

    function company()
    {
        if(document.getElementById("field3").value=="")
        {
            document.getElementById("company_err").style.display="block";
            document.getElementById("field3").style.outline="1px solid #CC0000";
            return false;
        }
        else
        {
            document.getElementById("company_err").style.display="none";
            document.getElementById("field3").style.outline="1px solid #00CC00";
            return true;
        }    
    }
function custtype()
{
if(document.getElementById("field4").value=="")
                    {
                    document.getElementById("customertype_err").style.display="block";
                    document.getElementById("field4").style.outline="1px solid #CC0000";
                    return false;
                    }
                    else
                    {
                        document.getElementById("customertype_err").style.display="none";
                        document.getElementById("field4").style.outline="1px solid #00CC00";
                        return true;
                    }    
}
function country(){
if(document.getElementById("field6").value=="")
                    {
                    document.getElementById("country_err").style.display="block";
                    document.getElementById("field6").style.outline="1px solid #CC0000";
                    return false;
                    }
                    else
                    {
                        document.getElementById("country_err").style.display="none";
                        document.getElementById("field6").style.outline="1px solid #00CC00";
                        return true;
                    }    
    
}
        
function phoneNumber()
{
if(document.getElementById("PhoneNumber").value!="" &&  document.getElementById("PhoneNumber").value.length >= 10)
                    {
                        document.getElementById("PhoneNumber_err").style.display="none";
                        document.getElementById("PhoneNumber").style.outline="1px solid #00CC00";
                        return true;
                    }    
                    else
                    {
                        document.getElementById("PhoneNumber_err").style.display="block";
                        document.getElementById("PhoneNumber").style.outline="1px solid #CC0000";
                        return false;
                    }
                    
                    
}
        
function validate_otherfields()
            {
                
                 //if(document.getElementById("field6").value=="United States")
                //{
                    //if(document.getElementById("field8").value=="")
                    //{
                    //document.getElementById("usa_state_err").style.display="block";
                    //document.getElementById("field8").style.outline="1px solid #CC0000";
                    //return false;
                    //}
                    //else
                    //{
                        //document.getElementById("usa_state_err").style.display="none";
                        //document.getElementById("field8").style.outline="1px solid #00CC00";
                        //return true;
                    //}
                //}
                //else
                //{
                    
                    //document.getElementById("field8").style.outline="1px solid #00CC00";
                    //document.getElementById("field9").style.outline="1px solid #00CC00";
                    //document.getElementById("field10").style.outline="1px solid #00CC00";
                     
                    //return true;
                //}                
                
                
                    
            }
            function show_jobrole()
            {
                if(document.getElementById("field4").value=="Architect/Designer")
                {
                    document.getElementById("formElement51").style.display="block";
                    document.getElementById("formElement52").style.display="none";
                    document.getElementById("otherCustType").style.display="none";
                }
                else if(document.getElementById("field4").value=="End User")
                {
                    document.getElementById("formElement52").style.display="block";
                    document.getElementById("formElement51").style.display="none";
                    document.getElementById("otherCustType").style.display="none";
                }
                else if(document.getElementById("field4").value=="Other")
                {
                    document.getElementById("otherCustType").style.display="block";
                    document.getElementById("formElement52").style.display="none";
                    document.getElementById("formElement51").style.display="none";
                }
                else
                {
                    document.getElementById("formElement52").style.display="none";
                    document.getElementById("formElement51").style.display="none";
                    document.getElementById("otherCustType").style.display="none";
                    document.getElementById("jobrole_err").style.display="none";
                    document.getElementById("jobrole_err1").style.display="none";
                    document.getElementById("otherCustType_err").style.display="none";
                }
            }
            function validate_jobrole()
            {
                if(document.getElementById("field4").value=="Architect/Designer")
                {
                    if(document.getElementById("field51").value=="")
                    {
                        document.getElementById("jobrole_err").style.display="block";
                        document.getElementById("jobrole_err1").style.display="none";
                        document.getElementById("otherCustType_err").style.display="none";
                        document.getElementById("field51").style.outline="1px solid #CC0000";
                        return false;
                    }
                    else
                    {
                        document.getElementById("jobrole_err").style.display="none";
                        document.getElementById("field51").style.outline="1px solid #00CC00";
                        return true;
                    }
                }
                else if(document.getElementById("field4").value=="End User")
                {
                    if(document.getElementById("field52").value=="")
                    {
                        document.getElementById("jobrole_err1").style.display="block";
                        document.getElementById("jobrole_err").style.display="none";
                        document.getElementById("otherCustType_err").style.display="none";
                        document.getElementById("field52").style.outline="1px solid #CC0000";
                        return false;
                    }
                    else
                    {
                        document.getElementById("jobrole_err1").style.display="none";
                        
                        document.getElementById("field52").style.outline="1px solid #00CC00";
                        return true;
                    }
                }
                else if(document.getElementById("field4").value=="Other")
                {
                    if(document.getElementById("otherCustType-field").value=="")
                    {
                        document.getElementById("otherCustType_err").style.display="block";
                        document.getElementById("jobrole_err1").style.display="none";
                        document.getElementById("jobrole_err").style.display="none";
                        document.getElementById("otherCustType-field").style.outline="1px solid #CC0000";
                        return false;
                    }
                    else
                    {
                        document.getElementById("otherCustType_err").style.display="none";
                        
                        document.getElementById("otherCustType-field").style.outline="1px solid #00CC00";
                        return true;
                    }
                }
                else
                {
                    document.getElementById("jobrole_err").style.display="none";
                    document.getElementById("jobrole_err1").style.display="none";
                    document.getElementById("field51").style.outline="1px solid #00CC00";
                    document.getElementById("field52").style.outline="1px solid #00CC00";
                    document.getElementById("otherCustType-field").style.outline="1px solid #00CC00";
                    return true;
                }
            }
            function customFields()
            {
                
                    if(document.getElementById("Yardage").value=="")
                    {
                        document.getElementById("yardage_err").style.display="block";
                        document.getElementById("Yardage").style.outline="1px solid #CC0000";
                        return false;
                    }
                    else
                    {
                        document.getElementById("yardage_err").style.display="none";
                        document.getElementById("Yardage").style.outline="1px solid #00CC00";
                        
                    }
                
                
                
                    if(document.getElementById("MaterialType").value=="")
                    {
                        document.getElementById("materialType_err").style.display="block";
                        document.getElementById("MaterialType").style.outline="1px solid #CC0000";
                        return false;
                    }
                    else
                    {
                        document.getElementById("materialType_err").style.display="none";
                        document.getElementById("MaterialType").style.outline="1px solid #00CC00";
                        
                    }
                
                
                
                    if(document.getElementById("BackingType").value=="")
                    {
                        document.getElementById("backingType_err").style.display="block";
                        document.getElementById("BackingType").style.outline="1px solid #CC0000";
                        return false;
                    }
                    else
                    {
                        document.getElementById("backingType_err").style.display="none";
                        document.getElementById("BackingType").style.outline="1px solid #00CC00";
                        return true;
                    }
                
            }
$(window).load(function($) {
 init();
});
 
            </script>
<div id="content-area" role="main">
  <div class="container" align="center">
    <!-- Page content area -->
    <section id="registration-1">
      <div class="one-column-textual grid-structure">
        <div class="one-column-textual" style="margin:0; width:75%;">
          <div id="fname_err" style="font-family:Arial, Helvetica, sans-serif; font-size:12px; width:100%;background-color: #feeaeb;color: #d00;padding: 13px 10px;margin-bottom: 10px; display:none; text-align:left;box-sizing: border-box;">Please enter your first name</div>
          <div id="lname_err" style="font-family:Arial, Helvetica, sans-serif; font-size:12px;width:100%;background-color: #feeaeb;color: #d00;padding: 13px 10px;margin-bottom: 10px; display:none; text-align:left;box-sizing: border-box;">Please enter your last name</div>
          <div id="email_err" style="font-family:Arial, Helvetica, sans-serif; font-size:12px;width:100%;background-color: #feeaeb;color: #d00;padding: 13px 10px;margin-bottom: 10px; display:none; text-align:left;box-sizing: border-box;">Please enter your email address</div>
          <div id="email_err1" style="font-family:Arial, Helvetica, sans-serif; font-size:12px;width:100%;background-color: #feeaeb;color: #d00;padding: 13px 10px;margin-bottom: 10px; display:none; text-align:left;box-sizing: border-box;">Please enter a valid email address</div>
          <div id="address1_err" style="font-family:Arial, Helvetica, sans-serif; font-size:12px;width:100%;background-color: #feeaeb;color: #d00;padding: 13px 10px;margin-bottom: 10px; display:none; text-align:left;box-sizing: border-box;">Please enter address 1</div>
          <div id="address2_err" style="font-family:Arial, Helvetica, sans-serif; font-size:12px;width:100%;background-color: #feeaeb;color: #d00;padding: 13px 10px;margin-bottom: 10px; display:none; text-align:left;box-sizing: border-box;">Please enter address 2</div>
          <div id="city_err" style="font-family:Arial, Helvetica, sans-serif; font-size:12px;width:100%;background-color: #feeaeb;color: #d00;padding: 13px 10px;margin-bottom: 10px; display:none; text-align:left;box-sizing: border-box;">Please enter your city</div>
          <div id="state_err" style="font-family:Arial, Helvetica, sans-serif; font-size:12px;width:100%;background-color: #feeaeb;color: #d00;padding: 13px 10px;margin-bottom: 10px; display:none; text-align:left;box-sizing: border-box;">Please enter your Province/State</div>
          <div id="zipCode_err" style="font-family:Arial, Helvetica, sans-serif; font-size:12px;width:100%;background-color: #feeaeb;color: #d00;padding: 13px 10px;margin-bottom: 10px; display:none; text-align:left;box-sizing: border-box;">Please enter zip code</div>
          <div id="company_err" style="font-family:Arial, Helvetica, sans-serif; font-size:12px;width:100%;background-color: #feeaeb;color: #d00;padding: 13px 10px;margin-bottom: 10px; display:none; text-align:left;box-sizing: border-box;">Please enter your company name</div>
          <div id="customertype_err" style="font-family:Arial, Helvetica, sans-serif; font-size:12px;width:100%;background-color: #feeaeb;color: #d00;padding: 13px 10px;margin-bottom: 10px; display:none; text-align:left;box-sizing: border-box;">Please select the Customer Type</div>
          <div id="jobrole_err" style="font-family:Arial, Helvetica, sans-serif; font-size:12px;width:100%;background-color: #feeaeb;color: #d00;padding: 13px 10px;margin-bottom: 10px; display:none; text-align:left;box-sizing: border-box;">Please select your job role</div>
          <div id="otherCustType_err" style="font-family:Arial, Helvetica, sans-serif; font-size:12px;width:100%;background-color: #feeaeb;color: #d00;padding: 13px 10px;margin-bottom: 10px; display:none; text-align:left;box-sizing: border-box;">Please enter your customer type</div>
          <div id="PhoneNumber_err" style="font-family:Arial, Helvetica, sans-serif; font-size:12px;width:100%;background-color: #feeaeb;color: #d00;padding: 13px 10px;margin-bottom: 10px; display:none; text-align:left;box-sizing: border-box;">Please enter your 10 digit phone number</div>
          <div id="country_err" style="font-family:Arial, Helvetica, sans-serif; font-size:12px;width:100%;background-color: #feeaeb;color: #d00;padding: 13px 10px;margin-bottom: 10px; display:none; text-align:left;box-sizing: border-box;">Please select your Country</div>
          <div id="jobrole_err1" style="font-family:Arial, Helvetica, sans-serif; font-size:12px;width:100%;background-color: #feeaeb;color: #d00;padding: 13px 10px;margin-bottom: 10px; display:none; text-align:left;box-sizing: border-box;">Please select your job role</div>
          <div id="yardage_err" style="font-family:Arial, Helvetica, sans-serif; font-size:12px;width:100%;background-color: #feeaeb;color: #d00;padding: 13px 10px;margin-bottom: 10px; display:none; text-align:left;box-sizing: border-box;">Please enter the yardage</div>
          <div id="materialType_err" style="font-family:Arial, Helvetica, sans-serif; font-size:12px;width:100%;background-color: #feeaeb;color: #d00;padding: 13px 10px;margin-bottom: 10px; display:none; text-align:left;box-sizing: border-box;">Please enter the Material type</div>
          <div id="backingType_err" style="font-family:Arial, Helvetica, sans-serif; font-size:12px;width:100%;background-color: #feeaeb;color: #d00;padding: 13px 10px;margin-bottom: 10px; display:none; text-align:left;box-sizing: border-box;">Please enter the Backing type</div>
          <form method="post" name="18ReEntryRequest" action="https://s672.t.eloqua.com/e/f2" onSubmit="return validate_allfields();" id="form1882" class="elq-form">
            <input value="18ReEntryRequest" type="hidden" name="elqFormName">
            <input value="672" type="hidden" name="elqSiteId">
            <input name="elqCampaignId" type="hidden">
            <fieldset>
              <ul class="form-fields">
                <li class="fieldgroup" id="account_info_fieldgroup">
                  <div class="twoField-row field email_address email-field">
                    <table cellpadding="0" cellspacing="0" align="center" width="100%" background="#edecea" border="0" style="background-color:#edecea; border:none;">
                      <tbody>
                        <tr>
                          <td width="40%" align="left" style="padding:0px;"><div class="text-field first_name field" style="width: 100%;" id="fname_err">
                              <input class="text" id="field0" name="firstName" type="text" value="" style="padding: 8px; font-size:14px; display:inline-block; position:relative;">
                              <label for="first_name">First Name<b>*</b></label>
                            </div></td>
                          <td class="mid_space"></td>
                          <td width="40%" align="left" style="padding:0px;"><div class="text-field last_name field" style="width: 100%;padding:0px;" id="lname_err">
                              <input class="text" id="field1" name="lastName" type="text" value="" style="padding: 8px; font-size:14px;">
                              <label for="last_name">Last Name<b>*</b></label>
                            </div></td>
                        </tr>
                      </tbody>
                    </table>
                  </div>
                  <div class="password-field password field" align="left" id="company_err">
                    <input class="text" id="field3" name="company" type="text" value="" style="padding: 10px; font-size:14px;">
                    <label for="password">Company Name<b>*</b></label>
                  </div>
                  <div class="password-field password field" align="left" id="PhoneNumber_err">
                    <input class="text" id="PhoneNumber" name="mobilePhone" type="text" value="" style="padding: 10px; font-size:14px;">
                    <label for="PhoneNumber">Phone Number<b>*</b></label>
                  </div>
                  <div class="password-field password field" align="left" id="email_err">
                    <input class="text" id="field2" name="emailAddress" type="text" value="" style="padding: 10px; font-size:14px;">
                    <label for="password">Email Address<b>*</b></label>
                  </div>
                  <div class="password-field password field" align="left" id="Address1_field">
                    <input class="text" id="address1" name="address1" type="text" value="" style="padding: 10px; font-size:14px;">
                    <label for="password">Address 1<b>*</b></label>
                  </div>
                  <div class="password-field password field" align="left" id="Address2_field">
                    <input class="text" id="address2" name="address2" type="text" value="" style="padding: 10px; font-size:14px;">
                    <label for="password">Address 2<b>*</b></label>
                  </div>
                  <div class="twoField-row field email_address email-field">
                    <table cellpadding="0" cellspacing="0" align="center" width="100%" background="#edecea" border="0" style="background-color:#edecea; border:none;">
                      <tbody>
                        <tr>
                          <td width="40%" align="left" style="padding:0px;"><div class="text-field first_name field" style="width: 100%;" id="city-txtbox">
                              <input class="text" id="City" name="city" type="text" value="" style="padding: 8px; font-size:14px; display:inline-block; position:relative;">
                              <label for="first_name">City<b>*</b></label>
                            </div></td>
                          <td class="mid_space"></td>
                          <td width="40%" align="left" style="padding:0px;">
                            
                            <div id="formElement8" class="password-field password field" align="left";>
                              <select id="field8" name="stateProv" class="selector" style="padding: 8px; margin-bottom:0px; ">
                                <option value="">Enter your state details here.</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 Americas">Armed Forces Americas</option>
                                <option value="Armed Forces Europe">Armed Forces Europe</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="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="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="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="U.S. Virgin Islands">U.S. Virgin Islands</option>
                                <option value="Utah">Utah</option>
                                <option value="Vermont">Vermont</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>
                              <label for="password">Province/State<b>*</b></label>
                            </div>
                            
                            </td>
                        </tr>
                      </tbody>
                    </table>
                  </div>
                  <div class="twoField-row field email_address email-field">
                    <table cellpadding="0" cellspacing="0" align="center" width="100%" background="#edecea" border="0" style="background-color:#edecea; border:none;">
                      <tbody>
                        <tr>
                          <td width="40%" align="left" style="padding:0px;"><div class="password-field password field" align="left" id="ZipCode_err">
                              <input class="text" id="ZipCode" name="zipPostal" type="text" value="" style="padding: 10px; font-size:14px;">
                              <label for="ZipCode">Zip Code<b>*</b></label>
                            </div></td>
                          <td class="mid_space"></td>
                          <td width="40%" align="left" style="padding:0px;">
                          
                          <div class="password-field password field" align="left" id="country_err">
                              <select class="selector" id="field6" name="country" onChange="showfields();" style="padding: 8px; margin-bottom:0px; ;">
                                <option value=""> Select Country </option>
                                <option value="Afghanistan"> Afghanistan </option>
                                <option value="Albania"> Albania </option>
                                <option value="Algeria"> Algeria </option>
                                <option value="American Samoa"> American Samoa </option>
                                <option value="Andorra"> Andorra </option>
                                <option value="Angola"> Angola </option>
                                <option value="Anguilla"> Anguilla </option>
                                <option value="Antigua and Barbuda"> Antigua and Barbuda </option>
                                <option value="Argentina"> Argentina </option>
                                <option value="Armenia"> Armenia </option>
                                <option value="Aruba"> Aruba </option>
                                <option value="Ascension Island"> Ascension Island </option>
                                <option value="Australia"> Australia </option>
                                <option value="Austria"> Austria </option>
                                <option value="Azerbaijan"> Azerbaijan </option>
                                <option value="Bahamas"> Bahamas </option>
                                <option value="Bahrain"> Bahrain </option>
                                <option value="Bangladesh"> Bangladesh </option>
                                <option value="Barbados"> Barbados </option>
                                <option value="Belarus"> Belarus </option>
                                <option value="Belgium"> Belgium </option>
                                <option value="Belize"> Belize </option>
                                <option value="Benin"> Benin </option>
                                <option value="Bermuda"> Bermuda </option>
                                <option value="Bhutan"> Bhutan </option>
                                <option value="Bolivia"> Bolivia </option>
                                <option value="Bosnia and Herzegovina"> Bosnia and Herzegovina </option>
                                <option value="Botswana"> Botswana </option>
                                <option value="Bouvet Island"> Bouvet Island </option>
                                <option value="Brazil"> Brazil </option>
                                <option value="British Indian Ocean Territory"> British Indian Ocean Territory </option>
                                <option value="Brunei Darussalam"> Brunei Darussalam </option>
                                <option value="Bulgaria"> Bulgaria </option>
                                <option value="Burkina Faso"> Burkina Faso </option>
                                <option value="Burundi"> Burundi </option>
                                <option value="Cambodia"> Cambodia </option>
                                <option value="Cameroon"> Cameroon </option>
                                <option value="Canada"> Canada </option>
                                <option value="Cape Verde"> Cape Verde </option>
                                <option value="Cayman Islands"> Cayman Islands </option>
                                <option value="Central African Republic"> Central African Republic </option>
                                <option value="Chad"> Chad </option>
                                <option value="Channel Islands"> Channel Islands </option>
                                <option value="Chile"> Chile </option>
                                <option value="China"> China </option>
                                <option value="Christmas Island"> Christmas Island </option>
                                <option value="Cocos (Keeling) Islands"> Cocos (Keeling) Islands </option>
                                <option value="Colombia"> Colombia </option>
                                <option value="Comoros"> Comoros </option>
                                <option value="Congo"> Congo </option>
                                <option value="Congo, Democratic Republic of"> Congo, Democratic Republic of </option>
                                <option value="Cook Islands"> Cook Islands </option>
                                <option value="Costa Rica"> Costa Rica </option>
                                <option value="Croatia"> Croatia </option>
                                <option value="Cuba"> Cuba </option>
                                <option value="Curacao"> Curacao </option>
                                <option value="Cyprus"> Cyprus </option>
                                <option value="Czech Republic"> Czech Republic </option>
                                <option value="Denmark"> Denmark </option>
                                <option value="Djibouti"> Djibouti </option>
                                <option value="Dominica"> Dominica </option>
                                <option value="Dominican Republic"> Dominican Republic </option>
                                <option value="East Timor"> East Timor </option>
                                <option value="Ecuador"> Ecuador </option>
                                <option value="Egypt"> Egypt </option>
                                <option value="El Salvador"> El Salvador </option>
                                <option value="Equatorial Guinea"> Equatorial Guinea </option>
                                <option value="Eritrea"> Eritrea </option>
                                <option value="Estonia"> Estonia </option>
                                <option value="Ethiopia"> Ethiopia </option>
                                <option value="Falkland Islands (Malvinas)"> Falkland Islands (Malvinas) </option>
                                <option value="Faroe Islands"> Faroe Islands </option>
                                <option value="Fiji"> Fiji </option>
                                <option value="Finland"> Finland </option>
                                <option value="France"> France </option>
                                <option value="French Guiana"> French Guiana </option>
                                <option value="French Polynesia"> French Polynesia </option>
                                <option value="French Southern Territories"> French Southern Territories </option>
                                <option value="Gabon"> Gabon </option>
                                <option value="Gambia"> Gambia </option>
                                <option value="Georgia"> Georgia </option>
                                <option value="Germany"> Germany </option>
                                <option value="Ghana"> Ghana </option>
                                <option value="Gibraltar"> Gibraltar </option>
                                <option value="Greece"> Greece </option>
                                <option value="Greenland"> Greenland </option>
                                <option value="Grenada"> Grenada </option>
                                <option value="Guadeloupe"> Guadeloupe </option>
                                <option value="Guam"> Guam </option>
                                <option value="Guatemala"> Guatemala </option>
                                <option value="Guinea"> Guinea </option>
                                <option value="Guinea-Bissau"> Guinea-Bissau </option>
                                <option value="Guyana"> Guyana </option>
                                <option value="Haiti"> Haiti </option>
                                <option value="Heard and McDonald Islands"> Heard and McDonald Islands </option>
                                <option value="Holy See / Vatican City"> Holy See / Vatican City </option>
                                <option value="Honduras"> Honduras </option>
                                <option value="Hong Kong"> Hong Kong </option>
                                <option value="Hungary"> Hungary </option>
                                <option value="Iceland"> Iceland </option>
                                <option value="India"> India </option>
                                <option value="Indonesia"> Indonesia </option>
                                <option value="Iran"> Iran </option>
                                <option value="Iraq"> Iraq </option>
                                <option value="Ireland"> Ireland </option>
                                <option value="Israel"> Israel </option>
                                <option value="Italy"> Italy </option>
                                <option value="Ivory Coast"> Ivory Coast </option>
                                <option value="Jamaica"> Jamaica </option>
                                <option value="Japan"> Japan </option>
                                <option value="Jordan"> Jordan </option>
                                <option value="Kazakhstan"> Kazakhstan </option>
                                <option value="Kenya"> Kenya </option>
                                <option value="Kiribati"> Kiribati </option>
                                <option value="Korea"> Korea </option>
                                <option value="Korea, Democratic People's Rep"> Korea, Democratic People's Rep </option>
                                <option value="Kuwait"> Kuwait </option>
                                <option value="Kyrgyzstan"> Kyrgyzstan </option>
                                <option value="Laos"> Laos </option>
                                <option value="Latvia"> Latvia </option>
                                <option value="Lebanon"> Lebanon </option>
                                <option value="Lesotho"> Lesotho </option>
                                <option value="Liberia"> Liberia </option>
                                <option value="Libyan Arab Jamahiriya"> Libyan Arab Jamahiriya </option>
                                <option value="Liechtenstein"> Liechtenstein </option>
                                <option value="Lithuania"> Lithuania </option>
                                <option value="Luxembourg"> Luxembourg </option>
                                <option value="Macau"> Macau </option>
                                <option value="Macedonia"> Macedonia </option>
                                <option value="Madagascar"> Madagascar </option>
                                <option value="Malawi"> Malawi </option>
                                <option value="Malaysia"> Malaysia </option>
                                <option value="Maldives"> Maldives </option>
                                <option value="Mali"> Mali </option>
                                <option value="Malta"> Malta </option>
                                <option value="Marshall Islands"> Marshall Islands </option>
                                <option value="Martinique"> Martinique </option>
                                <option value="Mauritania"> Mauritania </option>
                                <option value="Mauritius"> Mauritius </option>
                                <option value="Mayotte"> Mayotte </option>
                                <option value="Mexico"> Mexico </option>
                                <option value="Micronesia"> Micronesia </option>
                                <option value="Moldova, Republic of"> Moldova, Republic of </option>
                                <option value="Monaco"> Monaco </option>
                                <option value="Mongolia"> Mongolia </option>
                                <option value="Montenegro"> Montenegro </option>
                                <option value="Montserrat"> Montserrat </option>
                                <option value="Morocco"> Morocco </option>
                                <option value="Mozambique"> Mozambique </option>
                                <option value="Myanmar"> Myanmar </option>
                                <option value="Namibia"> Namibia </option>
                                <option value="Nauru"> Nauru </option>
                                <option value="Nepal"> Nepal </option>
                                <option value="Netherlands"> Netherlands </option>
                                <option value="Netherlands Antilles"> Netherlands Antilles </option>
                                <option value="New Caledonia"> New Caledonia </option>
                                <option value="New Zealand"> New Zealand </option>
                                <option value="Nicaragua"> Nicaragua </option>
                                <option value="Niger"> Niger </option>
                                <option value="Nigeria"> Nigeria </option>
                                <option value="Niue"> Niue </option>
                                <option value="Norfolk Island"> Norfolk Island </option>
                                <option value="Northern Mariana Islands"> Northern Mariana Islands </option>
                                <option value="Norway"> Norway </option>
                                <option value="Oman"> Oman </option>
                                <option value="Pakistan"> Pakistan </option>
                                <option value="Palau"> Palau </option>
                                <option value="Palestinian Authority"> Palestinian Authority </option>
                                <option value="Panama"> Panama </option>
                                <option value="Papua New Guinea"> Papua New Guinea </option>
                                <option value="Paraguay"> Paraguay </option>
                                <option value="Peru"> Peru </option>
                                <option value="Philippines"> Philippines </option>
                                <option value="Pitcairn Islands"> Pitcairn Islands </option>
                                <option value="Poland"> Poland </option>
                                <option value="Portugal"> Portugal </option>
                                <option value="Puerto Rico"> Puerto Rico </option>
                                <option value="Qatar"> Qatar </option>
                                <option value="Reunion"> Reunion </option>
                                <option value="Romania"> Romania </option>
                                <option value="Russian Federation"> Russian Federation </option>
                                <option value="Rwanda"> Rwanda </option>
                                <option value="Samoa"> Samoa </option>
                                <option value="San Marino"> San Marino </option>
                                <option value="Sao Tome and Principe"> Sao Tome and Principe </option>
                                <option value="Saudi Arabia"> Saudi Arabia </option>
                                <option value="Senegal"> Senegal </option>
                                <option value="Serbia"> Serbia </option>
                                <option value="Seychelles"> Seychelles </option>
                                <option value="Sierra Leone"> Sierra Leone </option>
                                <option value="Singapore"> Singapore </option>
                                <option value="Slovakia"> Slovakia </option>
                                <option value="Slovenia"> Slovenia </option>
                                <option value="Solomon Islands"> Solomon Islands </option>
                                <option value="Somalia"> Somalia </option>
                                <option value="South Africa"> South Africa </option>
                                <option value="South Georgia/South Sandwich"> South Georgia/South Sandwich </option>
                                <option value="Spain"> Spain </option>
                                <option value="Sri Lanka"> Sri Lanka </option>
                                <option value="St. Helena"> St. Helena </option>
                                <option value="St. Kitts and Nevis"> St. Kitts and Nevis </option>
                                <option value="St. Lucia"> St. Lucia </option>
                                <option value="St. Pierre and Miquelon"> St. Pierre and Miquelon </option>
                                <option value="St. Vincent and Grenadines"> St. Vincent and Grenadines </option>
                                <option value="Sudan"> Sudan </option>
                                <option value="Suriname"> Suriname </option>
                                <option value="Svalbard and Jan Mayen Islands"> Svalbard and Jan Mayen Islands </option>
                                <option value="Swaziland"> Swaziland </option>
                                <option value="Sweden"> Sweden </option>
                                <option value="Switzerland"> Switzerland </option>
                                <option value="Syrian Arab Republic"> Syrian Arab Republic </option>
                                <option value="Taiwan"> Taiwan </option>
                                <option value="Tajikistan"> Tajikistan </option>
                                <option value="Tanzania, United Republic of"> Tanzania, United Republic of </option>
                                <option value="Thailand"> Thailand </option>
                                <option value="Togo"> Togo </option>
                                <option value="Tokelau"> Tokelau </option>
                                <option value="Tonga"> Tonga </option>
                                <option value="Trinidad and Tobago"> Trinidad and Tobago </option>
                                <option value="Tunisia"> Tunisia </option>
                                <option value="Turkey"> Turkey </option>
                                <option value="Turkmenistan"> Turkmenistan </option>
                                <option value="Turks and Caicos Islands"> Turks and Caicos Islands </option>
                                <option value="Tuvalu"> Tuvalu </option>
                                <option value="Uganda"> Uganda </option>
                                <option value="Ukraine"> Ukraine </option>
                                <option value="United Arab Emirates"> United Arab Emirates </option>
                                <option value="United Kingdom"> United Kingdom </option>
                                <option value="Uruguay"> Uruguay </option>
                                <option value="US Minor Outlying Islands"> US Minor Outlying Islands </option>
                                <option value="United States"> United States </option>
                                <option value="Uzbekistan"> Uzbekistan </option>
                                <option value="Vanuatu"> Vanuatu </option>
                                <option value="Venezuela"> Venezuela </option>
                                <option value="Vietnam"> Vietnam </option>
                                <option value="Virgin Islands (British)"> Virgin Islands (British) </option>
                                <option value="Virgin Islands (U.S.)"> Virgin Islands (U.S.) </option>
                                <option value="Wallis and Futuna Islands"> Wallis and Futuna Islands </option>
                                <option value="Western Sahara"> Western Sahara </option>
                                <option value="Yemen"> Yemen </option>
                                <option value="Zambia"> Zambia </option>
                                <option value="Zimbabwe"> Zimbabwe </option>
                              </select>
                              <label for="password">Country<b>*</b></label>
                            </div>
                            </td>
                        </tr>
                      </tbody>
                    </table>
                  </div>
                  
                  <div class="password-field password field" align="left" id="Yardage_err">
                    <input class="text" id="Yardage" name="Yardage" type="text" value="" style="padding: 10px; font-size:14px;">
                    <label for="Yardage">Yardage<b>*</b></label>
                  </div>
                  
                  
                  <div class="twoField-row field email_address email-field">
                    <table cellpadding="0" cellspacing="0" align="center" width="100%" background="#edecea" border="0" style="background-color:#edecea; border:none;">
                      <tbody>
                        <tr>
                          <td width="40%" align="left" style="padding:0px;">
                          <div class="text-field Material_Type field" style="width: 100%;" id="fname_err">
                              <input class="text" id="MaterialType" name="MaterialType" type="text" value="" style="padding: 8px; font-size:14px; display:inline-block; position:relative;">
                              <label for="MaterialType">Material type<b>*</b></label>
                            </div>
                            </td>
                          <td class="mid_space"></td>
                          <td width="40%" align="left" style="padding:0px;">
                          <div class="text-field Backing_type field" style="width: 100%;padding:0px;" id="lname_err">
                              <input class="text" id="BackingType" name="Backingtype" type="text" value="" style="padding: 8px; font-size:14px;">
                              <label for="BackingType">Backing type (Mfg if possible)<b>*</b></label>
                            </div>
                            </td>
                        </tr>
                      </tbody>
                    </table>
                  </div>
                  
                  <div class="password-field password field" align="left" id="SpecialFreightHandling_err">
                    <input class="text" id="SpecialFreightHandling" name="Specialfreighthandling" type="text" value="" style="padding: 10px; font-size:14px;">
                    <label for="SpecialFreightHandling">Special freight handling (ie lift gate, trailer size)</label>
                  </div>
                  
                  <div id="formElement0" class="sc-regular-size item-padding sc-static-layout form-design-field sc-view">
                                <div class="field-wrapper field"> <div style="float:left;width:5%;text-align:left;padding: 5px 0;">
                                        <input name="Droptrailer" value="Yes" id="DropTrailer" style="width: 15px; margin: 0px !important;" type="checkbox">
                                      </div>
                                      <div style="float:left; width:95%; text-align:left;">
                                        <label class="checkbox-label" style="padding-left:5px;color: #a6a197;font-size: 11px;">&nbsp;Drop trailer required (not available in all areas)</label>
                                      </div></div>
                              </div>
                              
                  <div id="formElement18" class="sc-regular-size sc-static-layout  form-design-field sc-view" >
                    <div class="field-wrapper" > </div>
                    <div class="field-wrapper individual" >
                      <div class="field-style _100" >
                        <p class="field-p" >
                          <input id="field18" type="hidden" name="leadSourceMostRecent1" value="NORTHAM_USA_ENG_18_Q4_ReEntry Request - Form"  />
                        </p>
                      </div>
                    </div>
                  </div>
                  <div id="formElement11" class="sc-regular-size sc-static-layout form-design-field sc-view">
                    <div class="field-wrapper"> </div>
                    <div class="field-wrapper individual">
                      <div class="field-style _100">
                        <p class="field-p">
                          <input id="field11" type="hidden" name="Sitelanguage" value="en-US">
                        </p>
                      </div>
                    </div>
                  </div>
                  <div id="formElement12" class="sc-regular-size sc-static-layout form-design-field sc-view">
                    <div class="field-wrapper"> </div>
                    <div class="field-wrapper individual">
                      <div class="field-style _100">
                        <p class="field-p">
                          <input id="field12" type="hidden" name="MarketingPriority" value="">
                        </p>
                      </div>
                    </div>
                  </div>
                </li>
              </ul>
            </fieldset>
            <div class="form-actions">
              <button class="primary" type="submit" id="submit_1" style="background: linear-gradient(#616579, #616579); background-color: #616579; border: 1px solid #616579; width:100%; border-radius:0; padding: 10.5px 15px;font-size: 1rem;color: white;"> Submit </button>
            </div>
          </form>
          <script type="text/javascript">
 function showfields()
 {
    
 }
 </script>
          <script type="text/javascript">
 function fun() {
 var thisLocation = window.location.href;
 if(thisLocation.indexOf("en-US") > -1) {
 var SiteLanguage = 'en-US'
 }
 if(thisLocation.indexOf("en-CA") > -1) {
 var SiteLanguage = 'en-CA'
 }
 if(thisLocation.indexOf("fr-CA") > -1) {
 var SiteLanguage = 'fr-CA'
 }
 if(thisLocation.indexOf("es-MX") > -1) {
 var SiteLanguage = 'es-MX'
 }
 if(thisLocation.indexOf("pt-BR") > -1) {
 var SiteLanguage = 'pt-BR'
 }
 if(thisLocation.indexOf("en-GB") > -1) {
 var SiteLanguage = 'en-GB'
 }
 if(thisLocation.indexOf("nl-NL") > -1) {
 var SiteLanguage = 'nl-NL'
 }
 if(thisLocation.indexOf("fr-FR") > -1) {
 var SiteLanguage = 'fr-FR'
 }
 if(thisLocation.indexOf("es-ES") > -1) {
 var SiteLanguage = 'es-ES'
 }
 if(thisLocation.indexOf("de-DE") > -1) {
 var SiteLanguage = 'de-DE'
 }
 if(thisLocation.indexOf("en-AU") > -1) {
 var SiteLanguage = 'en-AU'
 }
 
 document.getElementsByName('Sitelanguage')[0].value = SiteLanguage;
 }
 fun()
</script>
        </div>
      </div>
    </section>
  </div>
</div>

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