{"id":7804,"date":"2023-09-27T07:26:11","date_gmt":"2023-09-27T07:26:11","guid":{"rendered":"https:\/\/commandcode.net\/flintnflame\/?page_id=7804"},"modified":"2024-02-29T12:57:10","modified_gmt":"2024-02-29T12:57:10","slug":"register-form","status":"publish","type":"page","link":"https:\/\/flintandflameusa.com\/register-form\/","title":{"rendered":"Flint &#038; Flame (USA) LLC<br> Distributor Registration Form"},"content":{"rendered":"<div class=\"container\">\n\t<div class='user-registration ur-frontend-form  ' id='user-registration-form-7806'>\n\t\t\t\t\t<form method='post' class='register' data-form-id=\"7806\"\n\t\t\t\tdata-enable-strength-password=\"1\" data-minimum-password-strength=\"2\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t data-captcha-enabled=\"\">\n\n\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"0\">\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\tstyle=\"width:99%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"name\" class=\"ur-field-item field-text \" data-ref-id=\"name\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"name_field\" data-priority=\"\" ><label for=\"name\" class=\"ur-label\">Name: <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"name\" type=\"text\" class=\"input-text   input-text ur-frontend-field  \" name=\"name\" id=\"name\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Name:\" maxlength=\"50\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"address\" class=\"ur-field-item field-text \" data-ref-id=\"address\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"address_field\" data-priority=\"\" ><label for=\"address\" class=\"ur-label\">Address: <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"address\" type=\"text\" class=\"input-text   input-text ur-frontend-field  \" name=\"address\" id=\"address\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Address:\" maxlength=\"50\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"input_box_1709198018\" class=\"ur-field-item field-text \" data-ref-id=\"input_box_1709198018\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"input_box_1709198018_field\" data-priority=\"\" ><label for=\"input_box_1709198018\" class=\"ur-label\">City <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"input_box_1709198018\" type=\"text\" class=\"input-text   input-text ur-frontend-field  \" name=\"input_box_1709198018\" id=\"input_box_1709198018\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"City\" maxlength=\"50\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"input_box_1709198021\" class=\"ur-field-item field-text \" data-ref-id=\"input_box_1709198021\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"input_box_1709198021_field\" data-priority=\"\" ><label for=\"input_box_1709198021\" class=\"ur-label\">State <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"input_box_1709198021\" type=\"text\" class=\"input-text   input-text ur-frontend-field  \" name=\"input_box_1709198021\" id=\"input_box_1709198021\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"State\" maxlength=\"50\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"input_box_1709198024\" class=\"ur-field-item field-text \" data-ref-id=\"input_box_1709198024\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"input_box_1709198024_field\" data-priority=\"\" ><label for=\"input_box_1709198024\" class=\"ur-label\">Zip Code <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"input_box_1709198024\" type=\"text\" class=\"input-text   input-text ur-frontend-field  \" name=\"input_box_1709198024\" id=\"input_box_1709198024\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Zip Code\" maxlength=\"50\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"cell\" class=\"ur-field-item field-text \" data-ref-id=\"cell\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"cell_field\" data-priority=\"\" ><label for=\"cell\" class=\"ur-label\">Cell: <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"cell\" type=\"text\" class=\"input-text   input-text ur-frontend-field  \" name=\"cell\" id=\"cell\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Cell:\" maxlength=\"50\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"billing_phone\" class=\"ur-field-item field-text \" data-ref-id=\"billing_phone\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"billing_phone_field\" data-priority=\"\" ><label for=\"billing_phone\" class=\"ur-label\">Telephone: <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"billing_phone\" type=\"text\" class=\"input-text   input-text ur-frontend-field  \" name=\"billing_phone\" id=\"billing_phone\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Telephone:\" maxlength=\"50\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"input_box_1707911873\" class=\"ur-field-item field-text \" data-ref-id=\"input_box_1707911873\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"input_box_1707911873_field\" data-priority=\"\" ><label for=\"input_box_1707911873\" class=\"ur-label\">Referred By:<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"input_box_1707911873\" type=\"text\" class=\"input-text   input-text ur-frontend-field  \" name=\"input_box_1707911873\" id=\"input_box_1707911873\" placeholder=\"\"  value=\"\" data-label=\"Referred By:\" maxlength=\"50\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"user_email\" class=\"ur-field-item field-user_email \" data-ref-id=\"user_email\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"user_email_field\" data-priority=\"\" ><label for=\"user_email\" class=\"ur-label\">Email: <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"user_email\" type=\"email\" class=\"input-text   input-email ur-frontend-field  \" name=\"user_email\" id=\"user_email\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Email:\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"user_pass\" class=\"ur-field-item field-user_pass \" data-ref-id=\"user_pass\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required hide_show_password\" id=\"user_pass_field\" data-priority=\"\"><label for=\"user_pass\" class=\"ur-label\">Password <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <span class=\"password-input-group input-form-field-icons\"><input data-rules=\"\" data-id=\"user_pass\" type=\"password\" class=\"input-text  input-password ur-frontend-field  \" name=\"user_pass\" id=\"user_pass\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Password\" \/><\/span> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"llc_inc\" class=\"ur-field-item field-text \" data-ref-id=\"llc_inc\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"llc_inc_field\" data-priority=\"\" ><label for=\"llc_inc\" class=\"ur-label\">LLC\/INC information:<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"llc_inc\" type=\"text\" class=\"input-text   input-text ur-frontend-field  \" name=\"llc_inc\" id=\"llc_inc\" placeholder=\"\"  value=\"\" data-label=\"LLC\/INC information:\" maxlength=\"50\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"tax_id\" class=\"ur-field-item field-text \" data-ref-id=\"tax_id\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"tax_id_field\" data-priority=\"\" ><label for=\"tax_id\" class=\"ur-label\">Tax ID:<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"tax_id\" type=\"text\" class=\"input-text   input-text ur-frontend-field  \" name=\"tax_id\" id=\"tax_id\" placeholder=\"\"  value=\"\" data-label=\"Tax ID:\" maxlength=\"50\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"check_box_1704088168\" class=\"ur-field-item field-checkbox \" data-ref-id=\"check_box_1704088168\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"check_box_1704088168_field\" data-priority=\"\" ><label class=\"ur-label\" data-label=\"Checkbox\"><\/label><ul ><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"check_box_1704088168[]\" data-label=\"Checkbox\" data-value=\"I have read and agree to the Distributor Rules and Guidelines\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field  \" name=\"check_box_1704088168[]\" id=\"check_box_1704088168_I have read and agree to the Distributor Rules and Guidelines\" value=\"I have read and agree to the Distributor Rules and Guidelines\" \/><label class=\"ur-checkbox-label\" for=\"check_box_1704088168_I have read and agree to the Distributor Rules and Guidelines\">I have read and agree to the <a href='https:\/\/flintandflameusa.com\/wp-content\/uploads\/2024\/01\/FNF_RulesandGuidelines.pdf' target='_blank'>Distributor Rules and Guidelines<\/a><\/label> <\/li><\/ul><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-button-container \" >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<button type=\"submit\" class=\"btn button ur-submit-button \" conditional_rules=\"&quot;&quot;\">\n\t\t\t\t\t\t\t\t<span><\/span>\n\t\t\t\t\t\t\t\tSubmit\t\t\t\t\t\t\t<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t<div style=\"clear:both\"><\/div>\n\t\t\t\t\t\t\t\t<input type=\"hidden\" name=\"ur-registration-language\" value=\"en-US\"\/>\n\t\t\t\t<input type=\"hidden\" name=\"ur-user-form-id\" value=\"7806\"\/>\n\t\t\t\t<input type=\"hidden\" name=\"ur-redirect-url\" value=\"\"\/>\n\t\t\t\t<input type=\"hidden\" id=\"ur_frontend_form_nonce\" name=\"ur_frontend_form_nonce\" 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