{"id":14384,"date":"2023-05-29T05:52:17","date_gmt":"2023-05-29T05:52:17","guid":{"rendered":"https:\/\/bankruptcyservices.co.uk\/?page_id=14384"},"modified":"2023-06-06T12:24:43","modified_gmt":"2023-06-06T12:24:43","slug":"online-enquiry-form","status":"publish","type":"page","link":"https:\/\/bankruptcyservices.co.uk\/index.php\/online-enquiry-form\/","title":{"rendered":"Online Enquiry Form"},"content":{"rendered":"\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f14383-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/14384#wpcf7-f14383-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"14383\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.8.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f14383-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div style=\"\">\n\t<p><b>All fields are required.<\/b>\n\t<\/p>\n<\/div>\n<p>How did you find us?<br \/>\n<label><span class=\"wpcf7-form-control-wrap\" data-name=\"dropdown\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"dropdown\"><option value=\"Please Select\">Please Select<\/option><option value=\"Yellow Pages\">Yellow Pages<\/option><option value=\"Citizens Advice Bureau\">Citizens Advice Bureau<\/option><option value=\"Google\">Google<\/option><option value=\"Bing\">Bing<\/option><option value=\"Yahoo\">Yahoo<\/option><option value=\"Ask\">Ask<\/option><option value=\"TV\">TV<\/option><option value=\"Radio\">Radio<\/option><option value=\"Other\">Other<\/option><\/select><\/span> <\/label>\n<\/p>\n<p><label> Your name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> Your email<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" autocomplete=\"email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n<\/p>\n<p><label>Number <span class=\"wpcf7-form-control-wrap\" data-name=\"tel-672\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-672\" \/><\/span><\/label>\n<\/p>\n<p><label> Best time to contact you <span class=\"wpcf7-form-control-wrap\" data-name=\"dropdown\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"dropdown\"><option value=\"Any Time\">Any Time<\/option><option value=\"9am - 10am\">9am - 10am<\/option><option value=\"10am - 11am\">10am - 11am<\/option><option value=\"11am - 12am\">11am - 12am<\/option><option value=\"12pm - 1pm\">12pm - 1pm<\/option><option value=\"1pm - 2pm\">1pm - 2pm<\/option><option value=\"2pm - 3pm\">2pm - 3pm<\/option><option value=\"3pm - 4pm\">3pm - 4pm<\/option><option value=\"4pm - 5pm\">4pm - 5pm<\/option><option value=\"5pm - 6pm\">5pm - 6pm<\/option><option value=\"After 6pm\">After 6pm<\/option><\/select><\/span> <\/label><br \/>\n<br \/>\n<label>Resident in<span class=\"wpcf7-form-control-wrap\" data-name=\"dropdown\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"dropdown\"><option value=\"England\">England<\/option><option value=\"Scotland\">Scotland<\/option><option value=\"Wales\">Wales<\/option><option value=\"N Ireland\">N Ireland<\/option><option value=\"Ex Pat\">Ex Pat<\/option><\/select><\/span><\/label>\n<\/p>\n<div style=\"\">\n\t<p><b>Debt Information<\/b>\n\t<\/p>\n<\/div>\n<p><label>How much money do you owe?<span class=\"wpcf7-form-control-wrap\" data-name=\"dropdown\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"dropdown\"><option value=\"over \u00a350,000\">over \u00a350,000<\/option><option value=\"\u00a340,000 to \u00a350,000\">\u00a340,000 to \u00a350,000<\/option><option value=\"\u00a330,000 to \u00a340,000\">\u00a330,000 to \u00a340,000<\/option><option value=\"\u00a320,000 to \u00a330,000\">\u00a320,000 to \u00a330,000<\/option><option value=\"\u00a315,000 to \u00a320,000\">\u00a315,000 to \u00a320,000<\/option><option value=\"\u00a310,000 to \u00a315,000\">\u00a310,000 to \u00a315,000<\/option><option value=\"\u00a35,000 to \u00a310,000\">\u00a35,000 to \u00a310,000<\/option><option value=\"under \u00a35,000\">under \u00a35,000<\/option><\/select><\/span><\/label>\n<\/p>\n<div style=\"\">\n\t<p><b>Assets<\/b>\n\t<\/p>\n<\/div>\n<div style=\"\">\n\t<p><b>Please tick if you own your property:<\/b><br \/>\n<label><input type=\"checkbox\" id=\"myCheck\" onclick=\"myFunction()\" \/><\/<label><br \/>\n<\/label><\/label>\n\t<\/p>\n\t<p id=\"text\" style=\"display:none\" >How much is your property worth?<span class=\"wpcf7-form-control-wrap\" data-name=\"text-998\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-998\" \/><\/span> How much do you owe on a mortgage\/secured loans?<span class=\"wpcf7-form-control-wrap\" data-name=\"text-996\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-996\" \/><\/span>\n\t<\/p>\n\t<p><label><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-147\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-147[]\" value=\"Please tick if you own a car\/motorcycle:\" \/><span class=\"wpcf7-list-item-label\">Please tick if you own a car\/motorcycle:<\/span><\/label><\/span><\/span><\/span><\/label>\n\t<\/p>\n\t<div style=\"\">\n\t\t<p><b>Debt Solution<\/b>\n\t\t<\/p>\n\t<\/div>\n\t<p><label>Which debt solution(s) are you considering? <span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-366\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-366[]\" value=\"Bankruptcy\" \/><span class=\"wpcf7-list-item-label\">Bankruptcy<\/span><\/label><\/span><\/span><\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-366\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-366[]\" value=\"IVA\" \/><span class=\"wpcf7-list-item-label\">IVA<\/span><\/label><\/span><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-307\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-307[]\" value=\"Debt Management\" \/><span class=\"wpcf7-list-item-label\">Debt Management<\/span><\/label><\/span><\/span><\/span><\/label>\n\t<\/p>\n\t<div style=\"\">\n\t\t<p><b>Additional Info<\/b>\n\t\t<\/p>\n\t<\/div>\n\t<p><label> \tAdditional Information (employment status, how you acquired debt, action taken so far etc): (optional)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span> <\/label>\n\t<\/p>\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n\t<\/p>\n\t<p><script>\nfunction myFunction() {\n var checkBox = document.getElementById(\"myCheck\");\n var text = document.getElementById(\"text\");\n if (checkBox.checked == true){\n text.style.display = \"block\";\n } else {\n text.style.display = \"none\";\n }\n}\n<\/script>\n\t<\/p>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-14384","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/bankruptcyservices.co.uk\/index.php\/wp-json\/wp\/v2\/pages\/14384","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bankruptcyservices.co.uk\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bankruptcyservices.co.uk\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bankruptcyservices.co.uk\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bankruptcyservices.co.uk\/index.php\/wp-json\/wp\/v2\/comments?post=14384"}],"version-history":[{"count":2,"href":"https:\/\/bankruptcyservices.co.uk\/index.php\/wp-json\/wp\/v2\/pages\/14384\/revisions"}],"predecessor-version":[{"id":14386,"href":"https:\/\/bankruptcyservices.co.uk\/index.php\/wp-json\/wp\/v2\/pages\/14384\/revisions\/14386"}],"wp:attachment":[{"href":"https:\/\/bankruptcyservices.co.uk\/index.php\/wp-json\/wp\/v2\/media?parent=14384"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}