Submit Leads
Use this form to submit reconstruction leads to Gurr Brothers Construction. Please include all relevant details so our team can follow up quickly and accurately.
{
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)
}}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-last-name"
as=${html``}
/>
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-number"
as=${html``}
/>
parent.activateValidation({"message":"This field is required.","emailMessage":"Please enter a valid Email address","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-email"
as=${html``}
/>
{
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)
}}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-address"
as=${html``}
/>
{
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)
}}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-address"
as=${html``}
/>
parent.activateValidation({"message":"This field is required.","emailMessage":"Please enter a valid Email address","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-employee-email"
as=${html``}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-comment"
as=${html``}
/>
parent.activateValidation({"message":"This field is required.","required":false,"file_types":[".jpg",".jpeg",".gif",".png"],"type_message":"Invalid file extension","size_limit":-1,"limit_message":"This field is required."}, el) }
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-file-upload"
as=${html``}
/>
${
(parent.state.formData['mf-file-upload'] || []).length > 0
? parent.state.formData['mf-file-upload'].map((file, idx) => html`
${file.name}
parent.removeUploadedFile('mf-file-upload', idx)}
title="Remove"
>×
`)
: html`${parent.getFileLabel('mf-file-upload', 'No file chosen.')}`
}