{"id":8423,"date":"2024-11-13T17:06:01","date_gmt":"2024-11-13T21:06:01","guid":{"rendered":"https:\/\/rotsaertdental.com\/?page_id=8423"},"modified":"2025-10-02T08:13:27","modified_gmt":"2025-10-02T13:13:27","slug":"price-request-form","status":"publish","type":"page","link":"https:\/\/rotsaertdental.com\/index.php\/price-request-form\/","title":{"rendered":"Rotsaert Dental Laboratory Price Request Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8423\" class=\"elementor elementor-8423\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7d5c340 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"7d5c340\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-985e847\" data-id=\"985e847\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bd1da1a elementor-widget elementor-widget-image\" data-id=\"bd1da1a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1600\" height=\"400\" src=\"https:\/\/i0.wp.com\/rotsaertdental.com\/wp-content\/uploads\/2024\/11\/RDL-Google-Forms-Header.webp?fit=1600%2C400&amp;ssl=1\" class=\"attachment-full size-full wp-image-8390\" alt=\"RDL Long Banner\" srcset=\"https:\/\/i0.wp.com\/rotsaertdental.com\/wp-content\/uploads\/2024\/11\/RDL-Google-Forms-Header.webp?w=1600&amp;ssl=1 1600w, https:\/\/i0.wp.com\/rotsaertdental.com\/wp-content\/uploads\/2024\/11\/RDL-Google-Forms-Header.webp?resize=300%2C75&amp;ssl=1 300w, https:\/\/i0.wp.com\/rotsaertdental.com\/wp-content\/uploads\/2024\/11\/RDL-Google-Forms-Header.webp?resize=1024%2C256&amp;ssl=1 1024w, https:\/\/i0.wp.com\/rotsaertdental.com\/wp-content\/uploads\/2024\/11\/RDL-Google-Forms-Header.webp?resize=150%2C38&amp;ssl=1 150w, https:\/\/i0.wp.com\/rotsaertdental.com\/wp-content\/uploads\/2024\/11\/RDL-Google-Forms-Header.webp?resize=768%2C192&amp;ssl=1 768w, https:\/\/i0.wp.com\/rotsaertdental.com\/wp-content\/uploads\/2024\/11\/RDL-Google-Forms-Header.webp?resize=1536%2C384&amp;ssl=1 1536w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c7646f3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c7646f3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e4004ad\" data-id=\"e4004ad\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-99ad08a elementor-widget elementor-widget-heading\" data-id=\"99ad08a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Request a copy of our current Service List, Fee Guide, Turnaround Times and Warranty Policy.<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c031d0 elementor-widget elementor-widget-formidable\" data-id=\"1c031d0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"formidable.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"frm_forms  with_frm_style frm_style_formidable-style frm_full_submit\" id=\"frm_form_18_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_jcp05q3\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"18\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_18\" id=\"frm_hide_fields_18\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"jcp05q3\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_18\" name=\"frm_submit_entry_18\" value=\"d8dcc62afa\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/8423\" \/><div id=\"frm_field_171_container\" class=\"form-field  frm_required_field  frm_top_container frm_form_field frm6 frm_first\">\r\n    <label class=\"frm_pos_ frm_primary_label\">Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_3glc2h3\" name=\"item_meta[171]\" value=\"\"  placeholder=\"Full Name\" data-reqmsg=\"Name cannot be blank\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n<\/div>\n<div id=\"frm_field_172_container\" class=\"form-field  frm_required_field  frm_top_container frm_form_field frm6\">\r\n    <label class=\"frm_pos_ frm_primary_label\">Email\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_1ahmme3\" name=\"item_meta[172]\" value=\"\"  placeholder=\"Email Address\" data-reqmsg=\"Email cannot be blank\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n<\/div>\n<div id=\"frm_field_173_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n\t<label for=\"field_z3yhl3\" id=\"field_z3yhl3_label\" class=\"frm_primary_label\">Job Title\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_z3yhl3\" name=\"item_meta[173]\" value=\"\"  placeholder=\"Job Title\" data-invmsg=\"Job Title is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_174_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n\t<label for=\"field_l035j3\" id=\"field_l035j3_label\" class=\"frm_primary_label\">Practice Name\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_l035j3\" name=\"item_meta[174]\" value=\"\"  placeholder=\"Practice Name\" data-reqmsg=\"Practice Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Practice Name is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_175_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm12\">\r\n\t<div  id=\"field_ad193_label\" class=\"frm_primary_label\">Office Address\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<fieldset aria-labelledby=\"field_ad193_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tOffice Address<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_175-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_ad193_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tOffice Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_ad193_line1\" value=\"\" name=\"item_meta[175][line1]\"  placeholder=\"Street Address Line 1\" data-placeholder=\"Street Address Line 1\" data-invmsg=\"Office Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_175-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_ad193_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tOffice Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_ad193_line2\" value=\"\" name=\"item_meta[175][line2]\"  placeholder=\"Street Address Line 2\" data-placeholder=\"Street Address Line 2\" data-invmsg=\"Office Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_175-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_ad193_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCity\t<\/label>\n\t\t<input type=\"text\" id=\"field_ad193_city\" value=\"\" name=\"item_meta[175][city]\"  placeholder=\"City\" data-placeholder=\"City\" data-invmsg=\"Office Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">City<\/div><\/div>\n<div id=\"frm_field_175-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_ad193_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tState\/Province\t<\/label>\n\t\t<input type=\"text\" id=\"field_ad193_state\" value=\"\" name=\"item_meta[175][state]\"  placeholder=\"Province\" data-placeholder=\"Province\" data-invmsg=\"Office Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">State\/Province<\/div><\/div>\n<div id=\"frm_field_175-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_ad193_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tZip\/Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_ad193_zip\" value=\"\" name=\"item_meta[175][zip]\"  placeholder=\"Postal\" data-placeholder=\"Postal\" data-invmsg=\"Office Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Zip\/Postal<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_176_container\" class=\"frm_form_field form-field  frm_top_container frm12 vertical_radio frm_other_container\">\r\n\t<div  id=\"field_6z9o42_label\" class=\"frm_primary_label\">Are there any specific services you have in mind?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_6z9o42_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_176-0\">\t\t\t<label  for=\"field_6z9o42-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[176][]\" id=\"field_6z9o42-0\" value=\"Implant Restorations\"  data-frmlimit=\"6\"  data-frmmin=\"6\"  data-invmsg=\"Are there any specific services you have in mind? is invalid\"   \/> Implant Restorations<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_176-1\">\t\t\t<label  for=\"field_6z9o42-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[176][]\" id=\"field_6z9o42-1\" value=\"Removable Restorations\"  data-frmlimit=\"6\"  data-frmmin=\"6\"  data-invmsg=\"Are there any specific services you have in mind? is invalid\"   \/> Removable Restorations<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_176-2\">\t\t\t<label  for=\"field_6z9o42-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[176][]\" id=\"field_6z9o42-2\" value=\"Fixed Restorations\"  data-frmlimit=\"6\"  data-frmmin=\"6\"  data-invmsg=\"Are there any specific services you have in mind? is invalid\"   \/> Fixed Restorations<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_176-3\">\t\t\t<label  for=\"field_6z9o42-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[176][]\" id=\"field_6z9o42-3\" value=\"Splints and Nightguards\"  data-frmlimit=\"6\"  data-frmmin=\"6\"  data-invmsg=\"Are there any specific services you have in mind? is invalid\"   \/> Splints and Nightguards<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_176-4\">\t\t\t<label  for=\"field_6z9o42-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[176][]\" id=\"field_6z9o42-4\" value=\"Case Planning\"  data-frmlimit=\"6\"  data-frmmin=\"6\"  data-invmsg=\"Are there any specific services you have in mind? is invalid\"   \/> Case Planning<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_176-other_5\">\t\t\t<label  for=\"field_6z9o42-other_5\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[176][other_5]\" id=\"field_6z9o42-other_5\" value=\"Other (Please Specify)\"  data-frmlimit=\"6\"  data-frmmin=\"6\"  data-invmsg=\"Are there any specific services you have in mind? is invalid\"   \/> Other (Please Specify)<\/label><label for=\"field_6z9o42-other_5-otext\" class=\"frm_screen_reader frm_hidden\">Other (Please Specify)<\/label><input type=\"text\" id=\"field_6z9o42-other_5-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][176][other_5]\" value=\"\" \/><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_177_container\" class=\"form-field  frm_required_field  frm_top_container frm_form_field frm12 frm_first\">\r\n    <label class=\"frm_pos_ frm_primary_label\">Message\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[177]\" id=\"field_ijaiw83\" rows=\"5\"  data-reqmsg=\"Message cannot be blank\" aria-required=\"true\" data-invmsg=\"Message is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n<\/div>\n<div id=\"frm_field_178_container\" class=\"frm_form_field form-field  frm_none_container\">\r\n\t<label for=\"g-recaptcha-response\" id=\"field_f0zxw3_label\" class=\"frm_primary_label\">Captcha\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<div  id=\"field_f0zxw3\" class=\"frm-g-recaptcha\" data-sitekey=\"6LdP3ykUAAAAAK9kqdIAKXA-mGxoPUu0A8gXe1Kd\" data-size=\"normal\" data-theme=\"light\"><\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_179_container\" class=\"frm_form_field form-field  frm12\">\r\n\t<div class=\"frm_submit frm_flex\">\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"   formnovalidate=\"formnovalidate\">Submit<\/button>\r\n\r\n\r\n\r\n<\/div>\r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_195_container\">\n\t\t\t<label for=\"field_lbpzm\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_lbpzm\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[195]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"YFpzDqOIR+DWchndtrczND+gCZJdePu6fC+GpuXeR051B4SerlBXnjKrY3Pr2hRW\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"230\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><\/form>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-26112ed elementor-widget elementor-widget-text-editor\" data-id=\"26112ed\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Rotsaert Dental Laboratory uses your contact information to reach out about our products and services. You can unsubscribe from these communications at any time. For details on unsubscribing and our privacy practices and commitment to protecting your information, please refer to our <a href=\"https:\/\/rotsaertdental.com\/index.php\/privacy-policy\/\" target=\"_blank\" rel=\"noopener\">Privacy Policy<\/a>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Request a copy of our current Service List, Fee Guide, Turnaround Times and Warranty Policy. Name * Email * Job Title Practice Name * Office Address Office Address Office Address &#8230;<\/p>\n","protected":false},"author":4135,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_canvas","meta":{"_angie_page":false,"footnotes":""},"class_list":["post-8423","page","type-page","status-publish","hentry"],"ams_acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Rotsaert Dental Laboratory Price Request Form | Rotsaert Dental Laboratory<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/rotsaertdental.com\/index.php\/price-request-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Rotsaert Dental Laboratory Price Request Form | Rotsaert Dental Laboratory\" \/>\n<meta property=\"og:description\" content=\"Request a copy of our current Service List, Fee Guide, Turnaround Times and Warranty Policy. 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