{"id":230,"date":"2022-02-08T23:06:39","date_gmt":"2022-02-08T23:06:39","guid":{"rendered":"https:\/\/psillys.com\/?page_id=230"},"modified":"2022-02-25T00:44:36","modified_gmt":"2022-02-25T00:44:36","slug":"registration","status":"publish","type":"page","link":"https:\/\/psillys.com\/index.php\/registration\/","title":{"rendered":"Wholesale Registration"},"content":{"rendered":"<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 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novalidate>\n                        <div class='gform_body gform-body'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_1_5\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><h3>Please note: We only sell to verified and reputable dispensaries within Canada<\/h3><\/div><fieldset id=\"field_1_7\" class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_hidden\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><legend class='gfield_label gfield_label_before_complex'  >ACTIVATION<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_1_7'><div class='gchoice gchoice_1_7_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.1' type='checkbox'  value='ACTIVATE'  id='choice_1_7_1'   aria-describedby=\"gfield_description_1_7\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_1_7_1' id='label_1_7_1'>ACTIVATE<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_1_7'>Check this box to activate the user<\/div><\/fieldset><fieldset id=\"field_1_1\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label gfield_label_before_complex'  >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_1_1'>\n                            \n                            <span id='input_1_1_3_container' class='name_first' >\n                                                    <input type='text' name='input_1.3' id='input_1_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_1_1_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_1_1_6_container' class='name_last' >\n                                                    <input type='text' name='input_1.6' id='input_1_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_1_1_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_1_2\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_1_2' >Work Email<span class=\"gfield_required\"><span class=\"gfield_required 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aria-hidden='true'><\/span><\/button>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<label for='input_1_6_2' >Confirm Password<\/label>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<div class='gf_clear gf_clear_complex'><\/div>\n\t\t\t\t\t<\/div><\/fieldset><div id=\"field_1_13\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_1_13' >Dispensary Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_1_13' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_1_11\" class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_1_11' >Dispensary Website<\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_11' id='input_1_11' type='url' value='' class='large'    placeholder='https:\/\/'  aria-invalid=\"false\"\/>\n                <\/div><\/div><fieldset id=\"field_1_10\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label gfield_label_before_complex'  >Shipping Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_1_10' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_1_10_1_container' >\n                                        <input type='text' name='input_10.1' id='input_1_10_1' value=''    aria-required='true'    \/>\n                                        <label for='input_1_10_1' id='input_1_10_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2' id='input_1_10_2_container' >\n                                        <input type='text' name='input_10.2' id='input_1_10_2' value=''     aria-required='false'   \/>\n                                        <label for='input_1_10_2' id='input_1_10_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city' id='input_1_10_3_container' >\n                                    <input type='text' name='input_10.3' id='input_1_10_3' value=''    aria-required='true'    \/>\n                                    <label for='input_1_10_3' id='input_1_10_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state' id='input_1_10_4_container' >\n                                        <select name='input_10.4' id='input_1_10_4'     aria-required='true'    ><option value='' ><\/option><option value='Alberta' selected='selected'>Alberta<\/option><option value='British Columbia' >British Columbia<\/option><option value='Manitoba' >Manitoba<\/option><option value='New Brunswick' >New Brunswick<\/option><option value='Newfoundland and Labrador' >Newfoundland and Labrador<\/option><option value='Northwest Territories' >Northwest Territories<\/option><option value='Nova Scotia' >Nova Scotia<\/option><option value='Nunavut' >Nunavut<\/option><option value='Ontario' >Ontario<\/option><option value='Prince Edward Island' >Prince Edward Island<\/option><option value='Quebec' >Quebec<\/option><option value='Saskatchewan' >Saskatchewan<\/option><option value='Yukon' >Yukon<\/option><\/select>\n                                        <label for='input_1_10_4' id='input_1_10_4_label' >Province<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip' id='input_1_10_5_container' >\n                                    <input type='text' name='input_10.5' id='input_1_10_5' value=''    aria-required='true'    \/>\n                                    <label for='input_1_10_5' id='input_1_10_5_label' >Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_10.6' id='input_1_10_6' value='Canada' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_1_12\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_1_12' >How did you hear about us?<\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_1_12' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_1_14\" 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decoding=\"async\" width=\"1024\" height=\"512\" src=\"http:\/\/psillys.com\/wp-content\/uploads\/2022\/02\/1-1024x512.png\" alt=\"\" class=\"wp-image-64\" srcset=\"https:\/\/psillys.com\/wp-content\/uploads\/2022\/02\/1-1024x512.png 1024w, https:\/\/psillys.com\/wp-content\/uploads\/2022\/02\/1-800x400.png 800w, https:\/\/psillys.com\/wp-content\/uploads\/2022\/02\/1-300x150.png 300w, https:\/\/psillys.com\/wp-content\/uploads\/2022\/02\/1-768x384.png 768w, https:\/\/psillys.com\/wp-content\/uploads\/2022\/02\/1.png 1200w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption><a href=\"http:\/\/Psillys.com\" data-type=\"URL\" data-id=\"Psillys.com\">Psillys.com<\/a><\/figcaption><\/figure><p><\/p>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-230","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/psillys.com\/index.php\/wp-json\/wp\/v2\/pages\/230"}],"collection":[{"href":"https:\/\/psillys.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/psillys.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/psillys.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/psillys.com\/index.php\/wp-json\/wp\/v2\/comments?post=230"}],"version-history":[{"count":3,"href":"https:\/\/psillys.com\/index.php\/wp-json\/wp\/v2\/pages\/230\/revisions"}],"predecessor-version":[{"id":476,"href":"https:\/\/psillys.com\/index.php\/wp-json\/wp\/v2\/pages\/230\/revisions\/476"}],"wp:attachment":[{"href":"https:\/\/psillys.com\/index.php\/wp-json\/wp\/v2\/media?parent=230"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}