<link type="text/css" rel="stylesheet" href="https://cdn.actionstep.com/assets/DatetimeControl.css" media="screen"> <script type="text/javascript" src="https://cdn.actionstep.com/assets/Locale.js"></script> <script type="text/javascript" src="https://cdn.actionstep.com/assets/DatetimeControl.js"></script> <script type="text/javascript" src="https://cdn.actionstep.com/assets/phpDateUtilities.js"></script> <script type="text/javascript"> //<!-- if (typeof(ActionStep_Locale) !== 'undefined') { ActionStep_Locale.setDateFormats('%d/%m/%Y', '%d %b %Y', '%A %e %B, %Y'); ActionStep_Locale.setFirstDayOfTheWeek('Monday'); } if (typeof(jQuery) != 'undefined') { jQuery(window).ready(function() { jQuery('.DateControl_CalIcon').attr("src", "https://cdn.actionstep.com/assets/ActionStep_DatetimeControl_Cal.png"); }); } else { window.setTimeout(function() { var calImages = document.getElementsByClassName("DateControl_CalIcon"); for (var i=0;i<calImages.length;i++) { calImages[i].src = "https://cdn.actionstep.com/assets/ActionStep_DatetimeControl_Cal.png"; } }, 500); } ActionStep_DatetimeControl.CONFIG.dateFormat = 'DDMMYYYY'; //--> </script> <style> .AdvancedForm { margin:0; padding:0; font-family:inherit; line-height:1.4; font-size:1em; color:#222; } .AdvancedForm .FormField { margin:0 0 2px 0; width:100%; font-size:inherit; padding:6px; overflow:hidden; white-space:nowrap; vertical-align:top; } .AdvancedForm label { width:16em; float:left; font-weight:bold; margin:0 0 3px 0; padding-right:10px; font-size:inherit; white-space:normal; } .AdvancedForm label.required:after { content:"*"; color:red; display:inline-block; vertical-align:top; margin-left:3px; font-size:0.9em; } .AdvancedForm p { margin:2em 0; font-size:inherit; } .AdvancedForm p.hint { margin:1px 0 0 17.8em; font-style:italic; color:#555; font-size:0.9em; } .AdvancedForm input, .AdvancedForm textarea { border:1px #ccc solid; padding:0.2em; margin:0; display:inline; font:inherit; } .AdvancedForm input[type=text], .AdvancedForm textarea { width:18em; } .AdvancedForm input.DateControl_DateInputBox { width:6em; } .AdvancedForm input.TimeControl_TimeInputBox { width:6em; } .AdvancedForm .DateControl_MemoInputBox { width:10em; border-color:#ccc; border-style:dotted; border-width:0 0 1px 0; color:#555; font-style:italic; } .AdvancedForm .FormField input:focus, .AdvancedForm .FormField textarea:focus { border-color:#aaa; } .AdvancedForm .FormField select { padding:0; margin:0; display:inline; min-width:10em; max-width:18em; } .AdvancedForm .Submit { background:none; } .AdvancedForm button.Submit { font-weight:bold; cursor:pointer; } </style> <form id="ActionStepWebform2" name="ActionStepWebform2" enctype="application/x-www-form-urlencoded" class="AdvancedForm Webform2" method="post" action="https://go.actionstep.com/frontend/application/webform/post"> <input type="hidden" name="organization_key" value="fl1760" class="OrganizationKey" id="organization_key"> <input type="hidden" name="uid" value="2ade984208341ef78511fd7663284ec4be00e64b" class="Uid" id="uid"> <div class="FormField P1CompanyName"><label for="p1__company_name" class="required">Company Name</label> <input type="text" name="p1__company_name" id="p1__company_name" value="" class="P1CompanyName" required="required"></div> <div class="FormField P11ABN"><label for="p1__1__ABN" class="required">ABN</label> <input type="text" name="p1__1__ABN" id="p1__1__ABN" value="" class="P11ABN" required="required"></div> <div class="FormField P1AddressLine1"><label for="p1__address_line_1" class="required">Street Address</label> <input type="text" name="p1__address_line_1" id="p1__address_line_1" value="" class="P1AddressLine1" required="required"></div> <div class="FormField P1AddressLine2"><label for="p1__address_line_2" class="optional">Office Address 2</label> <input type="text" name="p1__address_line_2" id="p1__address_line_2" value="" class="P1AddressLine2"></div> <div class="FormField P1City"><label for="p1__city" class="required">Suburb</label> <input type="text" name="p1__city" id="p1__city" value="" class="P1City" required="required"> <p class="hint">Suburb</p></div> <div class="FormField P1StateProvince"><label for="p1__state_province" class="required">State</label> <input type="text" name="p1__state_province" id="p1__state_province" value="" class="P1StateProvince" required="required"></div> <div class="FormField P1PostCode"><label for="p1__post_code" class="required">Post Code</label> <input type="text" name="p1__post_code" id="p1__post_code" value="" class="P1PostCode" required="required"></div> <div class="FormField Submit"> <input type="submit" name="Submit" id="Submit" value="Submit" class="Submit"></div></form>