{"id":107,"date":"2015-06-15T11:16:57","date_gmt":"2015-06-15T11:16:57","guid":{"rendered":"http:\/\/www.amha.net\/newsite\/?page_id=107"},"modified":"2016-02-08T22:23:53","modified_gmt":"2016-02-08T22:23:53","slug":"form","status":"publish","type":"page","link":"https:\/\/www.amha.net\/?page_id=107","title":{"rendered":"Form"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f106-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"106\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F107#wpcf7-f106-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"106\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f106-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"contact_form\">\n\t<p><strong>Age Range<\/strong><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-573\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-573\"><option value=\"Under 25\">Under 25<\/option><option value=\"25-34\">25-34<\/option><option value=\"35-44\">35-44<\/option><option value=\"45-54\">45-54<\/option><option value=\"55-64\">55-64<\/option><option value=\"65 and older\">65 and older<\/option><\/select><\/span>\n\t<\/p>\n\t<p><strong>Number of people in your household<\/strong><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-380\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-380\"><option value=\"One\">One<\/option><option value=\"Two\">Two<\/option><option value=\"Three\">Three<\/option><option value=\"Four\">Four<\/option><option value=\"Five\">Five<\/option><option value=\"Six\">Six<\/option><\/select><\/span>\n\t<\/p>\n\t<p><strong>Number of people in your household that are under 18<\/strong><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-322\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-322\"><option value=\"None\">None<\/option><option value=\"One\">One<\/option><option value=\"Two\">Two<\/option><option value=\"Three\">Three<\/option><option value=\"Four or more\">Four or more<\/option><\/select><\/span>\n\t<\/p>\n\t<p><strong>Do you currently<\/strong><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-558\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-558\" value=\"Rent\" \/><span class=\"wpcf7-list-item-label\">Rent<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-558\" value=\"Own your home\" \/><span class=\"wpcf7-list-item-label\">Own your home<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p><strong>Anticipated Home Location<\/strong><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-333\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-333\"><option value=\"Private Property\">Private Property<\/option><option value=\"Land Lease Community\">Land Lease Community<\/option><option value=\"I will need help locating property\">I will need help locating property<\/option><\/select><\/span>\n\t<\/p>\n\t<p><strong>Do you now or have you ever owned a manufactured home<\/strong><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-861\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-861\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-861\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p><strong>Household income<\/strong><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-60\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-60\"><option value=\"Under $25,000\">Under $25,000<\/option><option value=\"$25,000 - $49,000\">$25,000 - $49,000<\/option><option value=\"$50,000 - $74,999\">$50,000 - $74,999<\/option><option value=\"$75,000 - $99,999\">$75,000 - $99,999<\/option><option value=\"$100,000 and over\">$100,000 and over<\/option><\/select><\/span>\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-770\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Desired square footage\" value=\"\" type=\"text\" name=\"text-770\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-420\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Desired number of bedrooms\" value=\"\" type=\"text\" name=\"text-420\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-635\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"First name\" value=\"\" type=\"text\" name=\"text-635\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-954\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Last name\" value=\"\" type=\"text\" name=\"text-954\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-6\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Address\" value=\"\" type=\"text\" name=\"text-6\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-325\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"City\" value=\"\" type=\"text\" name=\"text-325\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-950\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"State\" value=\"\" type=\"text\" name=\"text-950\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-211\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Zip code\" value=\"\" type=\"text\" name=\"text-211\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-798\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Phone\" value=\"\" type=\"text\" name=\"tel-798\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email-894\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Email address\" value=\"\" type=\"email\" name=\"email-894\" \/><\/span>\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-603\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Comments here\" name=\"textarea-603\"><\/textarea><\/span>\n\t<\/p>\n\t<div class=\"clear\">\n\t<\/div>\n\t<p>Enter the security code you see in box:\n\t<\/p>\n\t<div class=\"name_area\" style=\"width:15%; float:left; line-height:55px;\">\n\t\t<p><input type=\"hidden\" name=\"_wpcf7_captcha_challenge_captcha-732\" value=\"2842320375\" \/><img loading=\"lazy\" decoding=\"async\" class=\"wpcf7-form-control wpcf7-captchac wpcf7-captcha-captcha-732\" width=\"84\" height=\"28\" alt=\"captcha\" src=\"https:\/\/www.amha.net\/wp-content\/uploads\/wpcf7_captcha\/2842320375.png\" \/>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"inpt_area\" style=\"width:44%; float:center;\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"captcha-732\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-captchar txt_input1\" autocomplete=\"off\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"captcha-732\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"clear\">\n\t<\/div>\n\t<p><div class=\"dscf7-captcha-container\"><input name=\"dscf7_hidden_val1-dscf7captcha-351\" id=\"dscf7_hidden_val1-dscf7captcha-351\" type=\"hidden\" value=\"7\" \/><input name=\"dscf7_hidden_val2-dscf7captcha-351\" id=\"dscf7_hidden_val2-dscf7captcha-351\" type=\"hidden\" value=\"5\" \/><input name=\"dscf7_hidden_action-dscf7captcha-351\" id=\"dscf7_hidden_action-dscf7captcha-351\" type=\"hidden\" value=\"x\" \/><div class=\"dscf7-question-container\"><span class=\"dscf7_lt\">What is 5 x 7 ? <a href=\"javascript:void(0)\" id=\"dscf7captcha-351\" class=\"dscf7_refresh_captcha\" aria-label=\"Refresh captcha\"><img decoding=\"async\" class=\"dscf7_captcha_icon\" src=\"https:\/\/www.amha.net\/wp-content\/plugins\/ds-cf7-math-captcha\/assets\/img\/icons8-refresh-30.png\" alt=\"Refresh icon\"\/><img decoding=\"async\" class=\"dscf7_captcha_reload_icon\" src=\"https:\/\/www.amha.net\/wp-content\/plugins\/ds-cf7-math-captcha\/assets\/img\/446bcd468478f5bfb7b4e5c804571392_w200.gif\" alt=\"Refreshing captcha\" style=\"display:none; width:30px\" \/><\/a><\/span><\/div><div class=\"dscf7-answer-container\"><label for=\"dscf7captcha-351-input\" class=\"screen-reader-text\">Answer for 5 x 7<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"dscf7captcha-351\"><input type=\"text\" id=\"dscf7captcha-351-input\" aria-label=\"Answer for 5 x 7\" aria-invalid=\"false\" aria-required=\"true\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" size=\"5\" value=\"\" name=\"dscf7captcha-351\" placeholder=\"Type your answer\" style=\"\" oninput=\"this.value = this.value.replace(\/[^0-9.]\/g, '').replace(\/(\\..*)\\.\/g, '$1');\"><\/span><input type=\"hidden\" name=\"ds_cf7_nonce\" value=\"c10c09fc5f\"><\/div><\/div>\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-318\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"acceptance-318\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span><strong> Check this box then click 'Send' below.<\/strong>\n\t<\/p>\n\t<div class=\"clear\">\n\t<\/div>\n\t<p>&nbsp;\n\t<\/p>\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n\t<\/p>\n<\/div>\n<div class=\"clear\">\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":{"_acf_changed":false,"footnotes":""},"class_list":["post-107","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.amha.net\/index.php?rest_route=\/wp\/v2\/pages\/107","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.amha.net\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.amha.net\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.amha.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.amha.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=107"}],"version-history":[{"count":1,"href":"https:\/\/www.amha.net\/index.php?rest_route=\/wp\/v2\/pages\/107\/revisions"}],"predecessor-version":[{"id":109,"href":"https:\/\/www.amha.net\/index.php?rest_route=\/wp\/v2\/pages\/107\/revisions\/109"}],"wp:attachment":[{"href":"https:\/\/www.amha.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=107"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}