Register your interest
Fill out your details to receive more information about Pacific Lakes or to arrange a visit with our Sales Team.
{"data":[],"config":{"id":43,"content_id":null,"name":"Register Form","type":"form","position":227,"active":1,"created_at":"2019-10-24 11:58:59","updated_at":"2021-05-25 11:29:43","content":"<p>Fill out your details to receive more information about Pacific Lakes or to arrange a visit with our Sales Team.<\/p>","description":"Register your interest","template":"Register Modal","image":{"id":43,"parent_id":6,"name":"leaves-blush.jpg","description":null,"storage":"assets","size":536757,"extension":"jpeg","mime_type":"image\/jpeg","width":2880,"height":2162,"keywords":null,"usage":{"panels.43":"Register Form"},"created_at":"2021-05-10 14:49:48","updated_at":"2021-05-10 14:49:56","link":"\/asset\/43.jpeg","readable_size":"524.18 kB","secured":false,"secured_token":"eyJ0eXAiOiJKV1QiLCJhbGciOiJIUzI1NiJ9.eyJzdG9yYWdlcyI6WyJzZWN1cmVfYXNzZXRzIl0sImZpbGUiOjQzfQ.kDQDPulsfHws_oxXgZsF3Iso6IIQ6SPbqjMp5Zbp6Ps"},"image_background_colour_preset":"Gilt","fields":[{"id":17,"panel_id":43,"name":"name","title":"Name","data_type":"input-text","required":1,"auto_populated":null,"values":null,"position":17,"active":1,"created_at":"2019-10-24 12:01:04","updated_at":"2019-12-17 15:00:33","refs":null,"placeholder":"Name"},{"id":18,"panel_id":43,"name":"email","title":"Email","data_type":"input-email","required":1,"auto_populated":null,"values":null,"position":18,"active":1,"created_at":"2019-10-24 12:01:32","updated_at":"2019-12-17 15:00:36","refs":null,"placeholder":"Add your email"},{"id":19,"panel_id":43,"name":"phone","title":"Phone no.","data_type":"input-number","required":1,"auto_populated":null,"values":null,"position":19,"active":1,"created_at":"2019-10-24 12:01:57","updated_at":"2019-12-17 15:00:40","refs":null,"placeholder":"Enter your contact phone number"},{"id":20,"panel_id":43,"name":"referrer","title":"How did you hear about us?","data_type":"selectbox","required":0,"auto_populated":null,"values":"Radio\nTV\nMagazine\nWord of mouth\nInternet search\nSignage","position":20,"active":1,"created_at":"2019-10-24 12:03:36","updated_at":"2019-11-22 13:17:00","refs":null,"placeholder":"Select an option from the list"},{"id":22,"panel_id":43,"name":"mailing_list","title":"Please add me to The Pacific Lakes mailing list.","data_type":"checkbox","required":0,"auto_populated":null,"values":null,"position":22,"active":1,"created_at":"2019-10-25 13:38:06","updated_at":"2021-05-25 11:30:03","refs":null,"placeholder":null}]}}