{"id":10717,"date":"2023-10-24T17:06:05","date_gmt":"2023-10-24T17:06:05","guid":{"rendered":"https:\/\/premierwatersports.net\/norrislake\/?page_id=10717"},"modified":"2025-04-03T11:37:20","modified_gmt":"2025-04-03T11:37:20","slug":"service-request-form","status":"publish","type":"page","link":"https:\/\/premierwatersports.net\/norrislake\/boat-service\/service-request-form\/","title":{"rendered":"Service Request Form"},"content":{"rendered":"\n\n\t\t<h1>\n\t\t\tNORRIS LAKE SERVICE REQUEST\n\t\t<\/h1>\n\t\t<h2>\n\t\t\tNorris Lake, Jacksboro Service Request Form\n\t\t<\/h2>\n\t<table>\n<tbody>\n<tr>\n<td><div class=\"wpsfp-salesforce-form-wrapper sffrm-dbl-layout\">\n\n\t<div class=\"wpsfp-salesforce-form\">\n\t\t\n<div class=\"wpsfp-sffields-header form-wrap\">\n\t<!-- <h2>Service Request<\/h2> -->\n\n\t<form id=\"wpsfp_sf_form_11369\" enctype=\"multipart\/form-data\" style=\"display: inline-block;\">\n\t\t<input type=\"hidden\" name=\"form_id\" id=\"form_id\" value=\"11369\">\n\n\t\t\n\t\t\t\t\t<div class=\"form-field\" style=\"display: none;\">\n\t\t\t\t\t\t<input type=\"hidden\" name=\"BOATBUILDING__Web_Form_Name__c\" id=\"fieldBOATBUILDING__Web_Form_Name__c011369\" value=\"Service Request Form\" \/>\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t\t\t\t<div class=\"form-field\" style=\"display: none;\">\n\t\t\t\t\t\t<input type=\"hidden\" name=\"BOATBUILDING__Lead_Source__c\" id=\"fieldBOATBUILDING__Lead_Source__c111369\" value=\"Service Request\" \/>\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t\t<label for=\"fieldBOATBUILDING__First_Name__c211369\">First Name <span style=\"color: red; \">*<\/span><\/label>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"text\" maxlength=\"250\" name=\"BOATBUILDING__First_Name__c\" id=\"fieldBOATBUILDING__First_Name__c211369\" value=\"\" required \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\n\t\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t\t<label for=\"fieldBOATBUILDING__Last_Name__c311369\">Last Name <span style=\"color: red; \">*<\/span><\/label>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"text\" maxlength=\"250\" name=\"BOATBUILDING__Last_Name__c\" id=\"fieldBOATBUILDING__Last_Name__c311369\" value=\"\" required \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\n\t\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t\t<label for=\"fieldBOATBUILDING__Email__c411369\">Email <span style=\"color: red; \">*<\/span><\/label>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"text\" name=\"BOATBUILDING__Email__c\" id=\"fieldBOATBUILDING__Email__c411369\" value=\"\" required email \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\n\t\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t\t<label for=\"fieldBOATBUILDING__Phone__c511369\">Phone <span style=\"color: red; \">*<\/span><\/label>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"text\" maxlength=\"250\" name=\"BOATBUILDING__Phone__c\" id=\"fieldBOATBUILDING__Phone__c511369\" value=\"\" required \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\n\t\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t\t<label for=\"fieldBOATBUILDING__Street__c611369\">Street Address <span style=\"color: red; \">*<\/span><\/label>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"text\" maxlength=\"250\" name=\"BOATBUILDING__Street__c\" id=\"fieldBOATBUILDING__Street__c611369\" value=\"\" required \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\n\t\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t\t<label for=\"fieldBOATBUILDING__City__c711369\">City <span style=\"color: red; \">*<\/span><\/label>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"text\" maxlength=\"250\" name=\"BOATBUILDING__City__c\" id=\"fieldBOATBUILDING__City__c711369\" value=\"\" required \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\n\t\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t\t<label for=\"fieldBOATBUILDING__State__c811369\">State \/ Province <span style=\"color: red; \">*<\/span><\/label>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"text\" maxlength=\"250\" name=\"BOATBUILDING__State__c\" id=\"fieldBOATBUILDING__State__c811369\" value=\"\" required \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\n\t\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t\t<label for=\"fieldBOATBUILDING__Zip_Code__c911369\">Zip\/Postal Code <span style=\"color: red; \">*<\/span><\/label>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"text\" maxlength=\"250\" name=\"BOATBUILDING__Zip_Code__c\" id=\"fieldBOATBUILDING__Zip_Code__c911369\" value=\"\" required \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\n\t\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t\t<label for=\"fieldBOATBUILDING__Boat_Manufacturer__c1011369\">Your Boat Manufacturer <span style=\"color: red; \">*<\/span><\/label>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"text\" maxlength=\"250\" name=\"BOATBUILDING__Boat_Manufacturer__c\" id=\"fieldBOATBUILDING__Boat_Manufacturer__c1011369\" value=\"\" required \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\n\t\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t\t<label for=\"fieldBOATBUILDING__Boat_Model__c1111369\">Your Boat Model <span style=\"color: red; \">*<\/span><\/label>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"text\" maxlength=\"250\" name=\"BOATBUILDING__Boat_Model__c\" id=\"fieldBOATBUILDING__Boat_Model__c1111369\" value=\"\" required \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\n\t\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t\t<label for=\"fieldBOATBUILDING__Boat_Year__c1211369\">Your Boat Year <span style=\"color: red; \">*<\/span><\/label>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"text\" maxlength=\"250\" name=\"BOATBUILDING__Boat_Year__c\" id=\"fieldBOATBUILDING__Boat_Year__c1211369\" value=\"\" required \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\n\t\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t\t<label for=\"fieldBOATBUILDING__Boat_HIN__c1311369\">Your HIN Number <\/label>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"text\" maxlength=\"250\" name=\"BOATBUILDING__Boat_HIN__c\" id=\"fieldBOATBUILDING__Boat_HIN__c1311369\" value=\"\"  \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\n\t\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t\t<label for=\"fieldBOATBUILDING__Boat_Engine_Hours__c1411369\">Your Boat Engine Hours <\/label>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"text\" maxlength=\"250\" name=\"BOATBUILDING__Boat_Engine_Hours__c\" id=\"fieldBOATBUILDING__Boat_Engine_Hours__c1411369\" value=\"\"  \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\n\t\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t\t<label for=\"fieldBOATBUILDING__Preferred_Appointment_Date__c1511369\">Preferred Appointment Date <span style=\"color: red; \">*<\/span><\/label>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"text\" name=\"BOATBUILDING__Preferred_Appointment_Date__c\" id=\"fieldBOATBUILDING__Preferred_Appointment_Date__c1511369\" value=\"\" required text-date placeholder=\"mm\/dd\/yyyy\" \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\n\t\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t\t<label for=\"fieldBOATBUILDING__Work_Completed__c1611369\">Requested Service <span style=\"color: red; \">*<\/span><\/label>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"text\" maxlength=\"250\" name=\"BOATBUILDING__Work_Completed__c\" id=\"fieldBOATBUILDING__Work_Completed__c1611369\" value=\"\" required \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\n\t\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t\t<label for=\"fieldBOATBUILDING__Have_we_serviced_before__c1711369\">Have we serviced before <\/label>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<select name=\"BOATBUILDING__Have_we_serviced_before__c\" id=\"fieldBOATBUILDING__Have_we_serviced_before__c1711369\" class=\"wpsfp-sfform-select2\"><option value=\"true\">Yes<\/option><option value=\"false\">No<\/option><\/select>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\n\t\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t\t<label for=\"fieldBOATBUILDING__Last_Service_Date__c1811369\">Last Service Date <\/label>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"text\" name=\"BOATBUILDING__Last_Service_Date__c\" id=\"fieldBOATBUILDING__Last_Service_Date__c1811369\" value=\"\"  text-date placeholder=\"mm\/dd\/yyyy\" \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\n\t\t<br>\n\t\t<div class=\"g-recaptcha\" data-sitekey=\"6Ldb_ZInAAAAAFik-bMGOiWuun-0qCi-_OPVcWfE\"><\/div>\n\t\t<br>\n\n\t\t<p class=\"submit\">\n\t\t\t<button type=\"button\" name=\"submit\" id=\"wpsfp-sfform-submit\" class=\"button button-primary btn btn-outline-dark\" value=\"\">Submit<\/button>\n\t\t\t<img decoding=\"async\" class=\"loading-spinner\" alt=\"Loading Spinner \" style=\"display: none;\" src=\"https:\/\/premierwatersports.net\/norrislake\/wp-content\/plugins\/wp-salesforce-products-1.3.32\/assets\/images\/spinner.gif\">\n\t\t<\/p>\n\t<\/form>\n\n<\/div>\t<\/div>\n\n<\/div>\t<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n\t\t<h2>\n\t\t\tParts &#038; Services\n\t\t<\/h2>\n\t\t<h2>\n\t\t\tLatest News\n\t\t<\/h2>\n\t<p>Sorry, we couldn&#8217;t find any posts. Please try a different search.<\/p>\n\t\t\t<form aria-label=\"Search\" method=\"get\" role=\"search\" action=\"https:\/\/premierwatersports.net\/norrislake\/\" title=\"Type and press Enter to search.\">\n\t<input aria-label=\"Search\" type=\"search\" name=\"s\" placeholder=\"Search\"  value=\"\" onfocus=\"if (this.value === 'Search') { this.value = ''; }\" onblur=\"if (this.value === '') this.value='Search';\" \/>\n<\/form>\n\t\n","protected":false},"excerpt":{"rendered":"<p>NORRIS LAKE SERVICE REQUEST Norris Lake, Jacksboro Service Request Form &nbsp; Parts &#038; Services Latest News Sorry, we couldn&#8217;t find any posts. Please try a different search.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":9711,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-10717","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/premierwatersports.net\/norrislake\/wp-json\/wp\/v2\/pages\/10717","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/premierwatersports.net\/norrislake\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/premierwatersports.net\/norrislake\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/premierwatersports.net\/norrislake\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/premierwatersports.net\/norrislake\/wp-json\/wp\/v2\/comments?post=10717"}],"version-history":[{"count":11,"href":"https:\/\/premierwatersports.net\/norrislake\/wp-json\/wp\/v2\/pages\/10717\/revisions"}],"predecessor-version":[{"id":159783,"href":"https:\/\/premierwatersports.net\/norrislake\/wp-json\/wp\/v2\/pages\/10717\/revisions\/159783"}],"up":[{"embeddable":true,"href":"https:\/\/premierwatersports.net\/norrislake\/wp-json\/wp\/v2\/pages\/9711"}],"wp:attachment":[{"href":"https:\/\/premierwatersports.net\/norrislake\/wp-json\/wp\/v2\/media?parent=10717"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}