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class="sidebar-right sidebar-divider-vertical"> <div class="main-gradient"></div> <div class="wf-wrap"> <div class="wf-container-main"> <div id="content" class="content" role="main"> <div class="wpb-content-wrapper"><div class="vc_row wpb_row vc_row-fluid"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"> <div class="wpb_text_column wpb_content_element " > <div class="wpb_wrapper"> <p><strong>Feel free to call PCA Web Design & Hosting at 888-229-4747.</strong></p> <p>If you would like for us to contact you, or you have a question or comment about our services, please fill out the form below and then click the “submit” button to electronically send the information to us. We look forward to hearing from you.</p> </div> </div> <div class='gf_browser_ie gf_browser_ie7 gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_2' ><form method='post' enctype='multipart/form-data' id='gform_2' action='/contact-us/' data-formid='2' novalidate> <div class='gform-body gform_body'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id="field_2_1" class="gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_1" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><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_2_1'> <span id='input_2_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' > <input type='text' name='input_1.3' id='input_2_1_3' value='' aria-required='true' /> <label for='input_2_1_3' class='gform-field-label gform-field-label--type-sub '>First</label> </span> <span id='input_2_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' > <input type='text' name='input_1.6' id='input_2_1_6' value='' aria-required='true' /> <label for='input_2_1_6' class='gform-field-label gform-field-label--type-sub '>Last</label> </span> </div></li><li id="field_2_2" class="gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_2" ><label class='gfield_label gform-field-label' for='input_2_2'>Company<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_2_2' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /></div></li><li id="field_2_3" class="gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_3" ><label class='gfield_label gform-field-label' for='input_2_3'>Type of Service or Product You Sell</label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_2_3' type='text' value='' class='medium' aria-invalid="false" /></div></li><li id="field_2_4" class="gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_4" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address</label> <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_2_4' > <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_2_4_1_container' > <input type='text' name='input_4.1' id='input_2_4_1' value='' aria-required='false' /> <label for='input_2_4_1' id='input_2_4_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address</label> </span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_2_4_3_container' > <input type='text' name='input_4.3' id='input_2_4_3' value='' aria-required='false' /> <label for='input_2_4_3' id='input_2_4_3_label' class='gform-field-label gform-field-label--type-sub '>City</label> </span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_2_4_4_container' > <select name='input_4.4' id='input_2_4_4' aria-required='false' ><option value='' selected='selected'></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='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='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='U.S. Virgin Islands' >U.S. Virgin Islands</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><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></select> <label for='input_2_4_4' id='input_2_4_4_label' class='gform-field-label gform-field-label--type-sub '>State</label> </span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_2_4_5_container' > <input type='text' name='input_4.5' id='input_2_4_5' value='' aria-required='false' /> <label for='input_2_4_5' id='input_2_4_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code</label> </span><input type='hidden' class='gform_hidden' name='input_4.6' id='input_2_4_6' value='United States' /> <div class='gf_clear gf_clear_complex'></div> </div></li><li id="field_2_5" class="gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_5" ><label class='gfield_label gform-field-label' for='input_2_5'>Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_5' id='input_2_5' type='email' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></li><li id="field_2_6" class="gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_6" ><label class='gfield_label gform-field-label' for='input_2_6'>Phone</label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_2_6' type='tel' value='' class='medium' aria-invalid="false" /></div></li><li id="field_2_7" class="gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_7" ><label class='gfield_label gform-field-label gfield_label_before_complex' >In what services are you interested? (Choose as many as apply.)</label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_7'><li class='gchoice gchoice_2_7_1'> <input class='gfield-choice-input' name='input_7.1' type='checkbox' value='Design/build of new Web site' id='choice_2_7_1' /> <label for='choice_2_7_1' id='label_2_7_1' class='gform-field-label gform-field-label--type-inline'>Design/build of new Web site</label> </li><li class='gchoice gchoice_2_7_2'> <input class='gfield-choice-input' name='input_7.2' type='checkbox' value='Hosting' id='choice_2_7_2' /> <label for='choice_2_7_2' id='label_2_7_2' class='gform-field-label gform-field-label--type-inline'>Hosting</label> </li><li class='gchoice gchoice_2_7_3'> <input class='gfield-choice-input' name='input_7.3' type='checkbox' value='Full Scope - Design, Develoment, Hosting' id='choice_2_7_3' /> <label for='choice_2_7_3' id='label_2_7_3' class='gform-field-label gform-field-label--type-inline'>Full Scope - Design, Develoment, Hosting</label> </li><li class='gchoice gchoice_2_7_4'> <input class='gfield-choice-input' name='input_7.4' type='checkbox' value='Maintenance of an existing Web site' id='choice_2_7_4' /> <label for='choice_2_7_4' id='label_2_7_4' class='gform-field-label gform-field-label--type-inline'>Maintenance of an existing Web site</label> </li><li class='gchoice gchoice_2_7_5'> <input class='gfield-choice-input' name='input_7.5' type='checkbox' value='Database Development' id='choice_2_7_5' /> <label for='choice_2_7_5' id='label_2_7_5' class='gform-field-label gform-field-label--type-inline'>Database Development</label> </li><li class='gchoice gchoice_2_7_6'> <input class='gfield-choice-input' name='input_7.6' type='checkbox' value='Other' id='choice_2_7_6' /> <label for='choice_2_7_6' id='label_2_7_6' class='gform-field-label gform-field-label--type-inline'>Other</label> </li></ul></div></li><li id="field_2_8" class="gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_8" ><label class='gfield_label gform-field-label' >Do you already have a Web site?</label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_8'> <li class='gchoice gchoice_2_8_0'> <input name='input_8' type='radio' value='Yes' id='choice_2_8_0' /> <label for='choice_2_8_0' id='label_2_8_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </li> <li class='gchoice gchoice_2_8_1'> <input name='input_8' type='radio' value='No' id='choice_2_8_1' /> <label for='choice_2_8_1' id='label_2_8_1' class='gform-field-label gform-field-label--type-inline'>No</label> </li></ul></div></li><li id="field_2_10" class="gfield gfield--type-website field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_10" ><label class='gfield_label gform-field-label' for='input_2_10'>If yes, what is your Web site address?</label><div class='ginput_container ginput_container_website'> <input name='input_10' id='input_2_10' type='url' value='' class='medium' placeholder='https://' aria-invalid="false"/> </div></li><li id="field_2_11" class="gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_11" ><label class='gfield_label gform-field-label' for='input_2_11'>Message</label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_2_11' class='textarea medium' aria-invalid="false" rows='10' cols='50'></textarea></div></li></ul></div> <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_2' class='gform_button button' onclick='gform.submission.handleButtonClick(this)' value='Submit' /> <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_2' value='postback' /> <input type='hidden' class='gform_hidden' name='is_submit_2' value='1' /> <input type='hidden' class='gform_hidden' name='gform_submit' value='2' /> <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' /> <input type='hidden' class='gform_hidden' name='state_2' value='WyJbXSIsIjQyYTI5M2Y1YTc1ZTk5ZTEwMTcyOGMxMzNiZGZjMWViIl0=' /> <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_2' id='gform_target_page_number_2' value='0' /> <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_2' id='gform_source_page_number_2' value='1' /> <input type='hidden' name='gform_field_values' value='' /> </div> </form> </div><script type="text/javascript"> gform.initializeOnLoaded( function() {gformInitSpinner( 2, 'https://www.pcawebdesign.com/wp-content/plugins/gravityforms/images/spinner.svg', true 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gform_widget"><script type='text/javascript' src='https://www.pcawebdesign.com/wp-includes/js/dist/vendor/wp-polyfill-inert.min.js?ver=3.1.2' id='wp-polyfill-inert-js'></script> <script type='text/javascript' src='https://www.pcawebdesign.com/wp-includes/js/dist/vendor/regenerator-runtime.min.js?ver=0.13.11' id='regenerator-runtime-js'></script> <script type='text/javascript' src='https://www.pcawebdesign.com/wp-includes/js/dist/vendor/wp-polyfill.min.js?ver=3.15.0' id='wp-polyfill-js'></script> <script type='text/javascript' src='https://www.pcawebdesign.com/wp-includes/js/dist/dom-ready.min.js?ver=392bdd43726760d1f3ca' id='wp-dom-ready-js'></script> <script type='text/javascript' src='https://www.pcawebdesign.com/wp-includes/js/dist/hooks.min.js?ver=4169d3cf8e8d95a3d6d5' id='wp-hooks-js'></script> <script type='text/javascript' src='https://www.pcawebdesign.com/wp-includes/js/dist/i18n.min.js?ver=9e794f35a71bb98672ae' id='wp-i18n-js'></script> <script type='text/javascript' id='wp-i18n-js-after'> wp.i18n.setLocaleData( { 'text direction\u0004ltr': [ 'ltr' ] } ); </script> <script type='text/javascript' src='https://www.pcawebdesign.com/wp-includes/js/dist/a11y.min.js?ver=ecce20f002eda4c19664' id='wp-a11y-js'></script> <script type='text/javascript' defer='defer' src='https://www.google.com/recaptcha/api.js?hl=en&ver=6.2.6#038;render=explicit' id='gform_recaptcha-js'></script> <div class='gf_browser_ie gf_browser_ie7 gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_1' ><form method='post' enctype='multipart/form-data' id='gform_1' action='/contact-us/' data-formid='1' novalidate> <div class='gform-body gform_body'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id="field_1_1" class="gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_1" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><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_1_1'> <span id='input_1_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' > <input type='text' name='input_1.3' id='input_1_1_3' value='' aria-required='true' /> <label for='input_1_1_3' class='gform-field-label gform-field-label--type-sub '>First</label> </span> <span id='input_1_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' > <input type='text' name='input_1.6' id='input_1_1_6' value='' aria-required='true' /> <label for='input_1_1_6' class='gform-field-label gform-field-label--type-sub '>Last</label> </span> </div></li><li id="field_1_2" class="gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_2" ><label class='gfield_label gform-field-label' for='input_1_2'>Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_2' id='input_1_2' type='email' value='' class='large' aria-required="true" aria-invalid="false" /> </div></li><li id="field_1_3" class="gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_3" ><label class='gfield_label gform-field-label' for='input_1_3'>Subject</label><div class='ginput_container ginput_container_text'><input name='input_3' 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