{"id":475,"date":"2025-05-09T06:41:21","date_gmt":"2025-05-09T06:41:21","guid":{"rendered":"https:\/\/jonathan.rcm-test-web.co.za\/procon\/?page_id=475"},"modified":"2025-07-18T09:55:13","modified_gmt":"2025-07-18T09:55:13","slug":"distributor-application","status":"publish","type":"page","link":"https:\/\/jonathan.rcm-test-web.co.za\/procon\/distributor-application\/","title":{"rendered":"Distributor Application"},"content":{"rendered":"<h2>DISTRIBUTOR APPLICATION<\/h2>\n<p>Join Our Network of Distributors<\/p>\n<p>Fill out the application form below to start the process, and our team will be in touch with you shortly.<\/p>\n<p>* Required<\/p>\n<form method='post' enctype='multipart\/form-data'  id='gform_1'  action='https:\/\/jonathan.rcm-test-web.co.za\/procon\/wp-admin\/post.php?post=475&#038;action=elementor' data-formid='1' novalidate>\n                        <label class='gfield_label gform-field-label' for='input_1_5'>Company Name(Required)<\/label><input name='input_5' id='input_1_5' type='text' value='' class='large'    placeholder='* Company Name' aria-required=\"true\" aria-invalid=\"false\"   \/><label class='gfield_label gform-field-label' for='input_1_7'>Owner&#039;s Name<\/label><input name='input_7' id='input_1_7' type='text' value='' class='large'    placeholder='Owner&#039;s Name'  aria-invalid=\"false\"   \/><label class='gfield_label gform-field-label' for='input_1_11'>Email(Required)<\/label><input name='input_11' id='input_1_11' type='text' value='' class='large'    placeholder='* Email' aria-required=\"true\" aria-invalid=\"false\"   \/><label class='gfield_label gform-field-label' for='input_1_12'>Cellphone Number<\/label><input name='input_12' id='input_1_12' type='number' step='any'   value='' class='large'    placeholder='Cellphone Number'  aria-invalid=\"false\"  \/><label class='gfield_label gform-field-label' for='input_1_13'>Telephone Number<\/label><input name='input_13' id='input_1_13' type='number' step='any'   value='' class='large'    placeholder='Telephone Number'  aria-invalid=\"false\"  \/><label class='gfield_label gform-field-label' for='input_1_14'>Nature of Business(Required)<\/label><select name='input_14' id='input_1_14' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>&#8211;<\/option><option value='Reseller' >Reseller<\/option><option value='Distributor' >Distributor<\/option><option value='End User' >End User<\/option><option value='Manufacturer' >Manufacturer<\/option><option value='Tender' >Tender<\/option><option value='Other' >Other<\/option><\/select><\/p>\n<fieldset id=\"field_1_15\"  >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Location(Required)<\/legend>\n<p>\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.1' type='checkbox'  value='Eastern Cape'  id='choice_1_15_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_15_1' id='label_1_15_1' class='gform-field-label gform-field-label--type-inline'>Eastern Cape<\/label><br \/>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.2' type='checkbox'  value='Free State'  id='choice_1_15_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_15_2' id='label_1_15_2' class='gform-field-label gform-field-label--type-inline'>Free State<\/label><br \/>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.3' type='checkbox'  value='Gauteng'  id='choice_1_15_3'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_15_3' id='label_1_15_3' class='gform-field-label gform-field-label--type-inline'>Gauteng<\/label><br \/>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.8' type='checkbox'  value='Kwa-Zulu Natal'  id='choice_1_15_4'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_15_4' id='label_1_15_4' class='gform-field-label gform-field-label--type-inline'>Kwa-Zulu Natal<\/label><br \/>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.7' type='checkbox'  value='Limpopo'  id='choice_1_15_5'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_15_5' id='label_1_15_5' class='gform-field-label gform-field-label--type-inline'>Limpopo<\/label><br \/>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.6' type='checkbox'  value='Mpumalanga'  id='choice_1_15_6'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_15_6' id='label_1_15_6' class='gform-field-label gform-field-label--type-inline'>Mpumalanga<\/label><br \/>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.5' type='checkbox'  value='Northern Cape'  id='choice_1_15_7'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_15_7' id='label_1_15_7' class='gform-field-label gform-field-label--type-inline'>Northern Cape<\/label><br \/>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.4' type='checkbox'  value='North West'  id='choice_1_15_8'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_15_8' id='label_1_15_8' class='gform-field-label gform-field-label--type-inline'>North West<\/label><br \/>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.9' type='checkbox'  value='Western Cape'  id='choice_1_15_9'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_15_9' id='label_1_15_9' class='gform-field-label gform-field-label--type-inline'>Western Cape<\/label><br \/>\n\t\t\t\t\t\t\t<\/fieldset>\n<p><label class='gfield_label gform-field-label' for='input_1_16'>Town<\/label><input name='input_16' id='input_1_16' type='text' value='' class='large'    placeholder='* Town'  aria-invalid=\"false\"   \/><br \/>\n         <input type='submit' id='gform_submit_button_1' class='gform_button button gform-button--width-full' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/><br \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_1' value='postback' \/><br 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Town<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-475","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Distributor Application - procon-workwear<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jonathan.rcm-test-web.co.za\/procon\/distributor-application\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Distributor Application - procon-workwear\" \/>\n<meta property=\"og:description\" content=\"DISTRIBUTOR APPLICATION Join Our Network of 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