[gravityform id="23" title="false" description="false" ajax="true"]
<script type="text/javascript">var gform;gform||(document.addEventListener("gform_main_scripts_loaded",function(){gform.scriptsLoaded=!0}),window.addEventListener("DOMContentLoaded",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener("DOMContentLoaded",o):document.addEventListener("gform_main_scripts_loaded",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook("action",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook("filter",o,n,r,t)},doAction:function(o){gform.doHook("action",o,arguments)},applyFilters:function(o){return gform.doHook("filter",o,arguments)},removeAction:function(o,n){gform.removeHook("action",o,n)},removeFilter:function(o,n,r){gform.removeHook("filter",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+"_"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){"function"!=typeof(t=o.callable)&&(t=window[t]),"action"==n?t.apply(null,r):r[0]=t.apply(null,r)})),"filter"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});</script>
<div class='gf_browser_unknown gform_wrapper gravity-theme' id='gform_wrapper_23' ><div id='gf_23' class='gform_anchor' tabindex='-1'></div><form method='post' enctype='multipart/form-data' target='gform_ajax_frame_23' id='gform_23' action='/#gf_23' >
<div class='gform_body gform-body'><div id='gform_fields_23' class='gform_fields top_label form_sublabel_below description_below'><div id="field_23_9" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" ><h4 style="color: rgb(68, 68, 68);
font-size: 20px;
font-family: Montserrat;
font-weight: 700;
line-height: 1.3;
margin-bottom: 20px;">Want a free evaluation of your company's end-of-life electronics?</h4>
<p style="color: rgb(68, 68, 68);
font-size: 15px;
font-family: Montserrat;
font-weight: 400;
line-height: 1.4 !important; margin-bottom: 20px;">Fill out the form and we'll schedule a free review of your company's IT assets.</p></div><div id="field_23_1" class="gfield field_sublabel_below field_description_below hidden_label gfield_visibility_visible" ><label class='gfield_label' for='input_23_1' >Your Name</label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_23_1' type='text' value='' class='large' placeholder='Name' aria-invalid="false" /> </div></div><div id="field_23_2" class="gfield gfield--width-full field_sublabel_below field_description_below hidden_label gfield_visibility_visible" ><label class='gfield_label' for='input_23_2' >Company</label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_23_2' type='text' value='' class='large' placeholder='Company' aria-invalid="false" /> </div></div><div id="field_23_3" class="gfield gfield--width-full field_sublabel_below field_description_below hidden_label gfield_visibility_visible" ><label class='gfield_label' for='input_23_3' >Email</label><div class='ginput_container ginput_container_email'>
<input name='input_3' id='input_23_3' type='text' value='' class='large' placeholder='Email' aria-invalid="false" />
</div></div><div id="field_23_4" class="gfield gfield--width-full field_sublabel_below field_description_below hidden_label gfield_visibility_visible" ><label class='gfield_label' for='input_23_4' >Phone</label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_23_4' type='text' value='' class='large' placeholder='Phone' aria-invalid="false" /> </div></div><fieldset id="field_23_5" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" ><legend class='gfield_label gfield_label_before_complex' >I Agree<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_23_5'><div class='gchoice gchoice_23_5_1'>
<input class='gfield-choice-input' name='input_5.1' type='checkbox' value='I confirm that I am contacting Quantum on behalf of a business (required)' id='choice_23_5_1' />
<label for='choice_23_5_1' id='label_23_5_1'>I confirm that I am contacting Quantum on behalf of a business (required)</label>
</div></div></div></fieldset><fieldset id="field_23_6" class="gfield gfield--width-full permanent field_sublabel_below field_description_below hidden_label gfield_visibility_visible" ><legend class='gfield_label gfield_label_before_complex' >Join Quantum</legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_23_6'><div class='gchoice gchoice_23_6_1'>
<input class='gfield-choice-input' name='input_6.1' type='checkbox' value='permanent' id='choice_23_6_1' />
<label for='choice_23_6_1' id='label_23_6_1'>I would like to join the Quantum mailing list so that I can receive the latest ITAD and e-waste recycling news on a monthly basis (optional)</label>
</div></div></div></fieldset><div id="field_23_7" class="gfield gfield--width-full gform_hidden field_sublabel_below field_description_below gfield_visibility_visible" ><div class='ginput_container ginput_container_text'><input name='input_7' id='input_23_7' type='hidden' class='gform_hidden' aria-invalid="false" value='Lead' /></div></div><div id="field_23_8" class="gfield gfield--width-full gform_hidden field_sublabel_below field_description_below gfield_visibility_visible" ><div class='ginput_container ginput_container_text'><input name='input_8' id='input_23_8' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></div></div></div></div>
<div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_23' class='gform_button button' value='Yes I want a free evaluation' onclick='if(window["gf_submitting_23"]){return false;} window["gf_submitting_23"]=true; ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_23"]){return false;} window["gf_submitting_23"]=true; jQuery("#gform_23").trigger("submit",[true]); }' /><i class="fas fa-chevron-circle-right"></i> <input type='hidden' name='gform_ajax' value='form_id=23&title=&description=&tabindex=0' />
<input type='hidden' class='gform_hidden' name='is_submit_23' value='1' />
<input type='hidden' class='gform_hidden' name='gform_submit' value='23' />
<input type='hidden' class='gform_hidden' name='gform_unique_id' value='' />
<input type='hidden' class='gform_hidden' name='state_23' value='WyJbXSIsIjMyOGM1NDc2M2FiZWU4YTcwYTQ3NDNiNzE3NzBhMmViIl0=' />
<input type='hidden' class='gform_hidden' name='gform_target_page_number_23' id='gform_target_page_number_23' value='0' />
<input type='hidden' class='gform_hidden' name='gform_source_page_number_23' id='gform_source_page_number_23' value='1' />
<input type='hidden' name='gform_field_values' value='' />
</div>
</form>
</div>
<iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_23' id='gform_ajax_frame_23' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'></iframe>
<script type="text/javascript">
gform.initializeOnLoaded( function() {gformInitSpinner( 23, 'https://quantumlifecycle.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery('#gform_ajax_frame_23').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_23');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_23').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_23').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_23').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_23').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ jQuery(document).scrollTop(jQuery('#gform_wrapper_23').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_23').val();gformInitSpinner( 23, 'https://quantumlifecycle.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery(document).trigger('gform_page_loaded', [23, current_page]);window['gf_submitting_23'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_23').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_23').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [23]);window['gf_submitting_23'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_23').text());}, 50);}else{jQuery('#gform_23').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [23, current_page]);} );} );
</script>
Schedule My Pickup
