{"id":4538,"date":"2024-09-03T08:56:18","date_gmt":"2024-09-03T05:26:18","guid":{"rendered":"https:\/\/pookpookco.com\/distributor-application\/"},"modified":"2025-09-14T11:54:05","modified_gmt":"2025-09-14T08:24:05","slug":"distributor-application","status":"publish","type":"page","link":"https:\/\/pookpookco.com\/en\/distributor-application\/","title":{"rendered":"Distributor Application"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4538\" class=\"elementor elementor-4538 elementor-1228\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-241cf94 e-flex e-con-boxed e-con e-parent\" data-id=\"241cf94\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bab72d0 elementor-widget elementor-widget-heading\" data-id=\"bab72d0\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Pok Pok Dealer \/ Franchise Application Form<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-390e151 e-n-tabs-mobile elementor-widget elementor-widget-n-tabs\" data-id=\"390e151\" data-element_type=\"widget\" data-settings=\"{&quot;tabs_justify_horizontal&quot;:&quot;center&quot;,&quot;horizontal_scroll&quot;:&quot;disable&quot;}\" data-widget_type=\"nested-tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"e-n-tabs\" data-widget-number=\"59826513\" aria-label=\"Tabs. Open items with Enter or Space, close with Escape and navigate using the Arrow keys.\">\n\t\t\t<div class=\"e-n-tabs-heading\" role=\"tablist\">\n\t\t\t\t\t<button id=\"e-n-tab-title-598265131\" class=\"e-n-tab-title\" aria-selected=\"true\" data-tab-index=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"e-n-tab-content-598265131\" style=\"--n-tabs-title-order: 1;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tNatural Person \t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-598265132\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-598265132\" style=\"--n-tabs-title-order: 2;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tLegal Entity\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t\t<\/div>\n\t\t\t<div class=\"e-n-tabs-content\">\n\t\t\t\t<div id=\"e-n-tab-content-598265131\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-598265131\" data-tab-index=\"1\" style=\"--n-tabs-title-order: 1;\" class=\"e-active elementor-element elementor-element-c0d318d e-con-full e-flex e-con e-child\" data-id=\"c0d318d\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-82d678f elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"82d678f\" data-element_type=\"widget\" data-settings=\"{&quot;button_width&quot;:&quot;30&quot;,&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Natural\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"4538\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"82d678f\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-personalform elementor-col-100\">\n\t\t\t\t\t<p>\nPersonal information\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-message elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[message]\" id=\"form-field-message\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"First-Last Name\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"province\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-email elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"City of activity\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_8028639 elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_8028639]\" id=\"form-field-field_8028639\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"National code\" required=\"required\" aria-required=\"true\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_da6cf48 elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_da6cf48]\" id=\"form-field-field_da6cf48\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"father&#039;s name\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_955499b elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_955499b]\" id=\"form-field-field_955499b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"place of birth\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_809e4eb elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_809e4eb]\" id=\"form-field-field_809e4eb\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"date of birth\" required=\"required\" aria-required=\"true\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_752421a elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_752421a]\" id=\"form-field-field_752421a\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t<option value=\"Property Ownership Ownership Lease\">Property Ownership Ownership Lease<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_6656543 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_6656543]\" id=\"form-field-field_6656543\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Email\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_d9dc4e7 elementor-col-33\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_d9dc4e7]\" id=\"form-field-field_d9dc4e7\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Postal Code\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_6aeaa19 elementor-col-33\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_6aeaa19]\" id=\"form-field-field_6aeaa19\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Postal Code\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_cc6725f elementor-col-33\">\n\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_cc6725f]\" id=\"form-field-field_cc6725f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Landline Phone\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_fc3bc3b elementor-col-33\">\n\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_fc3bc3b]\" id=\"form-field-field_fc3bc3b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Cell Phone\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_fe79d79 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_fe79d79]\" id=\"form-field-field_fe79d79\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Residential Address \">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_895d34b elementor-col-100\">\n\t\t\t\t\t<p>\nDistribution Office and Warehouse Information<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_18c82ba elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_18c82ba]\" id=\"form-field-field_18c82ba\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t<option value=\"Distribution Office and warehouse Ownership Ownership Lease\">Distribution Office and warehouse Ownership Ownership Lease<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_472de62 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_472de62]\" id=\"form-field-field_472de62\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Office Area\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_29b7d45 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_29b7d45]\" id=\"form-field-field_29b7d45\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"warehouse Area\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_f744e9f elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_f744e9f]\" id=\"form-field-field_f744e9f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Office address\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_49ca172 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_49ca172]\" id=\"form-field-field_49ca172\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Warehouse Address\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_53319f6 elementor-col-33\">\n\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_53319f6]\" id=\"form-field-field_53319f6\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Distribution Office Landline Phone\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_e1c24d3 elementor-col-33\">\n\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_e1c24d3]\" id=\"form-field-field_e1c24d3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Landline Phone of the warehouse\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_cdb710e elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_cdb710e]\" id=\"form-field-field_cdb710e\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Company Postal Code\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_6b18e26 elementor-col-100\">\n\t\t\t\t\t<p>\nGeneral Information\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_b020dc6 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_b020dc6]\" id=\"form-field-field_b020dc6\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Number of personnel (accountant | marketer | warehouse)\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_8ea2c6e elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_8ea2c6e]\" id=\"form-field-field_8ea2c6e\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Experience in the Micromarketing Sector\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_4dbf4ce elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_4dbf4ce]\" id=\"form-field-field_4dbf4ce\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Experience in Wholesale Sector\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_63419c7 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_63419c7]\" id=\"form-field-field_63419c7\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Number of Covered Grocery Stores\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_28a3c0b elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_28a3c0b]\" id=\"form-field-field_28a3c0b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Number of wholesalers covered\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_66e6165 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_66e6165]\" id=\"form-field-field_66e6165\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Number of Distribution Vehicles and Their Ownership\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_059b752 elementor-col-50\">\n\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_059b752]\" id=\"form-field-field_059b752\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"Cash Credit with Bank Guarantee Credit with Property Guarantee\">Cash Credit with Bank Guarantee Credit with Property Guarantee<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_a6f6a18 elementor-col-100\">\n\t\t\t\t\t<table id=\"realp\">\n  <tr>\n    <th>Company Name <\/th><th>Brand Name<\/th> <th>Contact Person<\/th> <th>Contact Phone<\/th> <th>Duration of Collaboration<\/th><br><br>\n  <\/tr>\n  <tr>\n    <td><input type=\"text\" id=\"fname\" name=\"fname\"><\/td>\n    <td><input type=\"text\" id=\"fname\" name=\"fname\"><\/td>\n    <td><input type=\"text\" id=\"fname\" name=\"fname\"><\/td>\n    <td><input type=\"text\" id=\"fname\" name=\"fname\"><\/td>\n    <td><input type=\"text\" id=\"fname\" name=\"fname\"><\/td>\n  <\/tr>\n  <tr>\n    <td><input type=\"text\" id=\"fname\" name=\"fname\"><\/td>\n    <td><input type=\"text\" id=\"fname\" name=\"fname\"><\/td>\n    <td><input type=\"text\" id=\"fname\" name=\"fname\"><\/td>\n    <td><input type=\"text\" id=\"fname\" name=\"fname\"><\/td>\n    <td><input type=\"text\" id=\"fname\" name=\"fname\"><\/td>\n  <\/tr>\n  <tr>\n    <td><input type=\"text\" id=\"fname\" name=\"fname\"><\/td>\n    <td><input type=\"text\" id=\"fname\" name=\"fname\"><\/td>\n    <td><input type=\"text\" id=\"fname\" name=\"fname\"><\/td>\n    <td><input type=\"text\" id=\"fname\" name=\"fname\"><\/td>\n    <td><input type=\"text\" id=\"fname\" name=\"fname\"><\/td>\n  <\/tr>\n  <tr>\n    <td><input type=\"text\" id=\"fname\" name=\"fname\"><\/td>\n    <td><input type=\"text\" id=\"fname\" name=\"fname\"><\/td>\n    <td><input type=\"text\" id=\"fname\" name=\"fname\"><\/td>\n    <td><input type=\"text\" id=\"fname\" name=\"fname\"><\/td>\n    <td><input type=\"text\" id=\"fname\" name=\"fname\"><\/td>\n  <\/tr>\n\n<\/table>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-30 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-md\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Send<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-598265132\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-598265132\" data-tab-index=\"2\" style=\"--n-tabs-title-order: 2;\" class=\" elementor-element elementor-element-d19e052 e-con-full e-flex e-con e-child\" data-id=\"d19e052\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-efb6097 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"efb6097\" data-element_type=\"widget\" data-settings=\"{&quot;button_width&quot;:&quot;30&quot;,&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Natural\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"4538\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"efb6097\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Pook Pook Food Industry Complex - Distributor Application\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"4538\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-personalform elementor-col-100\">\n\t\t\t\t\t<p>\n\u0645\u0634\u062e\u0635\u0627\u062a \u0634\u0631\u06a9\u062a\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-message elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[message]\" id=\"form-field-message\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Company Name \">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"province\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-email elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"City of activity\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_8028639 elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_8028639]\" id=\"form-field-field_8028639\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Registration Number\" required=\"required\" aria-required=\"true\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_da6cf48 elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_da6cf48]\" id=\"form-field-field_da6cf48\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Company National ID\" required=\"required\" aria-required=\"true\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_955499b elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_955499b]\" id=\"form-field-field_955499b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Economic Code\" required=\"required\" aria-required=\"true\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_31e0a18 elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_31e0a18]\" id=\"form-field-field_31e0a18\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t<option value=\"Property Ownership Ownership Lease\">Property Ownership Ownership Lease<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_809e4eb elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_809e4eb]\" id=\"form-field-field_809e4eb\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Date of registration\" required=\"required\" aria-required=\"true\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_6656543 elementor-col-33\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_6656543]\" id=\"form-field-field_6656543\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Business license number \" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_d9dc4e7 elementor-col-33\">\n\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_d9dc4e7]\" id=\"form-field-field_d9dc4e7\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Date of Issue\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_cc6725f elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_cc6725f]\" id=\"form-field-field_cc6725f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Place of Issue\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_fc3bc3b elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_fc3bc3b]\" id=\"form-field-field_fc3bc3b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Email\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_8590c27 elementor-col-33\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_8590c27]\" id=\"form-field-field_8590c27\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Postal Code\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_99d04bc elementor-col-33\">\n\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_99d04bc]\" id=\"form-field-field_99d04bc\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Company phone\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_2189d93 elementor-col-33\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_2189d93]\" id=\"form-field-field_2189d93\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Company fax\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_7b2392c elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_7b2392c]\" id=\"form-field-field_7b2392c\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Sales manager&#039;s full name\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_938978d elementor-col-33\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_938978d]\" id=\"form-field-field_938978d\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Sales manager&#039;s phone\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_fe79d79 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_fe79d79]\" id=\"form-field-field_fe79d79\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Residential Address \">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_ddaab5b elementor-col-100\">\n\t\t\t\t\t<p>\n\u0645\u0634\u062e\u0635\u0627\u062a \u0627\u0646\u0628\u0627\u0631\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_8cff935 elementor-col-33\">\n\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_8cff935]\" id=\"form-field-field_8cff935\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"Distribution Office and warehouse Ownership Ownership Lease\">Distribution Office and warehouse Ownership Ownership Lease<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_472de62 elementor-col-33\">\n\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_472de62]\" id=\"form-field-field_472de62\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Landline Phone of the warehouse\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_29b7d45 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_29b7d45]\" id=\"form-field-field_29b7d45\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"warehouse Area\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_49ca172 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_49ca172]\" id=\"form-field-field_49ca172\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Warehouse Address\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_4f0b1ba elementor-col-100\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_b020dc6 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_b020dc6]\" id=\"form-field-field_b020dc6\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Number of personnel (accountant | marketer | warehouse)\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_8ea2c6e elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_8ea2c6e]\" id=\"form-field-field_8ea2c6e\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Experience in the Micromarketing Sector\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_4dbf4ce elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_4dbf4ce]\" id=\"form-field-field_4dbf4ce\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Experience in Wholesale Sector\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_63419c7 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_63419c7]\" id=\"form-field-field_63419c7\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Number of Covered Grocery Stores\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_28a3c0b elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_28a3c0b]\" id=\"form-field-field_28a3c0b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Number of wholesalers covered\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_66e6165 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" 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