{"id":14194,"date":"2026-09-16T10:04:53","date_gmt":"2026-09-16T16:04:53","guid":{"rendered":"https:\/\/nexgen.bz\/staging\/1712\/?page_id=14194"},"modified":"2026-09-16T10:04:53","modified_gmt":"2026-09-16T16:04:53","slug":"apply-for-a-re-connection","status":"publish","type":"page","link":"https:\/\/nexgen.bz\/staging\/1712\/apply-for-a-re-connection\/","title":{"rendered":"Apply for a re-connection"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"14194\" class=\"elementor elementor-14194\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-68114d0b elementor-section-boxed elementor-section-height-default elementor-section-height-default jws-row-grid-yes\" data-id=\"68114d0b\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-33 elementor-top-column elementor-element elementor-element-63a4ded3 elementor-hidden-mobile\" data-id=\"63a4ded3\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-395a9c4f jws-row-grid-yes elementor-widget elementor-widget-spacer\" data-id=\"395a9c4f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-31782373 jws-row-grid-yes elementor-widget elementor-widget-jws_heading_content\" data-id=\"31782373\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;align&quot;:&quot;left&quot;}\" data-widget_type=\"jws_heading_content.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t            <div class=\"jws_heading\" data-animations=\"none\">\r\n                <div class=\"jws_heading_inner\">\r\n                   \r\n                                     \r\n                    <span class=\"heading-tagline\">\r\n                        Service Application Form                      <\/span>                                \r\n              \r\n                                                    <div class=\"content\">\r\n                        <p>We offer a comprehensive range of services. Please review our offers and fill out the application form to get started. If you have any questions or need assistance in customizing your plan, feel free to contact us.<\/p>                    <\/div>\r\n                                \r\n                <\/div>\r\n\r\n            <\/div>\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ad9c368 jws-row-grid-yes elementor-widget elementor-widget-jws_heading_content\" data-id=\"ad9c368\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;align&quot;:&quot;center&quot;}\" data-widget_type=\"jws_heading_content.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t            <div class=\"jws_heading\" data-animations=\"fadeInDown\">\r\n                <div class=\"jws_heading_inner\">\r\n                   \r\n                                 \r\n              \r\n                                                    <div class=\"content\">\r\n                        <p>Required Documents for Sign-Up<\/p>                    <\/div>\r\n                                \r\n                <\/div>\r\n\r\n            <\/div>\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2934b8ec elementor-icon-list--layout-traditional elementor-list-item-link-full_width jws-row-grid-yes elementor-widget elementor-widget-icon-list\" data-id=\"2934b8ec\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"eva eva-checkmark-circle-outline\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">A copy of a valid ID card<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"eva eva-checkmark-circle-outline\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">A copy of a recent utility bill<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-23c84f5 jws-row-grid-yes elementor-widget elementor-widget-spacer\" data-id=\"23c84f5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7ee42894 jws-row-grid-yes elementor-widget elementor-widget-jws_heading_content\" data-id=\"7ee42894\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;align&quot;:&quot;center&quot;}\" data-widget_type=\"jws_heading_content.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t            <div class=\"jws_heading\" data-animations=\"none\">\r\n                <div class=\"jws_heading_inner\">\r\n                   \r\n                                 \r\n              \r\n                                     <h2 class=\"heading-title\">\r\n                       <i class=\"fa fa-check-square-o\" aria-hidden=\"true\"><\/i> Sign Up Now!                      <\/h2>                                                \r\n                <\/div>\r\n\r\n            <\/div>\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-78e4cd40 jws-row-grid-yes elementor-widget elementor-widget-spacer\" data-id=\"78e4cd40\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-21d8b0a1\" data-id=\"21d8b0a1\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-3ad78a3f jws-row-grid-yes elementor-widget elementor-widget-jws_heading_content\" data-id=\"3ad78a3f\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;align&quot;:&quot;left&quot;}\" data-widget_type=\"jws_heading_content.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t            <div class=\"jws_heading\" data-animations=\"fadeInDown\">\r\n                <div class=\"jws_heading_inner\">\r\n                   \r\n                                 \r\n              \r\n                                     <h2 class=\"heading-title\">\r\n                       <i class=\"fa fa-pencil-square-o\" aria-hidden=\"true\"><\/i> Apply for a re-connection                      <\/h2>                                                \r\n                <\/div>\r\n\r\n            <\/div>\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-32905713 elementor-widget-divider--view-line jws-row-grid-yes elementor-widget elementor-widget-divider\" data-id=\"32905713\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-167549e6 jws-row-grid-yes elementor-widget elementor-widget-spacer\" data-id=\"167549e6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b6e958a jws-cf7-style-box jws-cf7-input-size-sm jws-cf7-button-left jws-cf7-btn-size-sm jws-cf7-highlight-style-default jws-row-grid-yes elementor-widget elementor-widget-jws_cf7\" data-id=\"b6e958a\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;align&quot;:&quot;left&quot;,&quot;align_layout2&quot;:&quot;left&quot;}\" data-widget_type=\"jws_cf7.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class = \"jws-cf7-container\">\r\n\t\t\t\t\t\t<div class = \"jws-cf7 jws-cf7-style elementor-clickable layout4\">\r\n                                                 \t\t\t\t\t\t\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f14200-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"14200\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/staging\/1712\/wp-json\/wp\/v2\/pages\/14194#wpcf7-f14200-o1\" method=\"post\" class=\"wpcf7-form init cf7mls-auto-return-first-step cf7mls-no-moving-animation\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"14200\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.7\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f14200-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:14200,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;num-extensions-group&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;prop-type&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Business&quot;}]},{&quot;then_field&quot;:&quot;-1&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;prop-type&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Commercial&quot;}]},{&quot;then_field&quot;:&quot;-1&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;service-type&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Cable&quot;}]},{&quot;then_field&quot;:&quot;internet-packages&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;service-type&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Internet&quot;}]},{&quot;then_field&quot;:&quot;-1&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;service-type&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Regular Bundle&quot;}]},{&quot;then_field&quot;:&quot;stream-bundle-packages&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;service-type&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Stream Bundles&quot;}]},{&quot;then_field&quot;:&quot;show-rent-lease-landlord-name&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;prop-status&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Rent\\\/Lease&quot;}]},{&quot;then_field&quot;:&quot;-1&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;-1&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Choose Your Bank for Online Payment&quot;}]},{&quot;then_field&quot;:&quot;-1&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;-1&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Pay with Credit Card&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;repeater_remove_button&quot;:&quot;bottom&quot;,&quot;notice_dismissed_rollback-cf7-5.9.5&quot;:true,&quot;notice_dismissed_rollback-cf7-5.9.6&quot;:true,&quot;notice_dismissed_rollback-cf7-5.9.8&quot;:true}}\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<ul data-id-form=\"14200\" data-bg-color=\"#00377a\" data-bg-style-bar=\"navigation_horizontal_round\" data-style-text=\"vertical\" data-allow-choose-step=\"off\" class=\"cf7mls_progress_bar cf7mls_bar_style_navigation_horizontal_round cf7mls_bar_style_text_vertical\" style=\"; \"><li data-counter=\"1\" data-counter_rtl=\"4\" style=\"width: 25%\" class=\"cf7_mls_steps_item active current\"><div class=\"cf7_mls_steps_item_container\"><div class=\"cf7_mls_steps_item_icon\"><span class=\"cf7_mls_count_step\">1<\/span><span class=\"cf7_mls_check\"><i><svg viewBox=\"64 64 896 896\" data-icon=\"check\" width=\"14px\" height=\"14px\" fill=\"currentColor\" aria-hidden=\"true\" focusable=\"false\" class=\"\"><path d=\"M912 190h-69.9c-9.8 0-19.1 4.5-25.1 12.2L404.7 724.5 207 474a32 32 0 0 0-25.1-12.2H112c-6.7 0-10.4 7.7-6.3 12.9l273.9 347c12.8 16.2 37.4 16.2 50.3 0l488.4-618.9c4.1-5.1.4-12.8-6.3-12.8z\"><\/path><\/svg><\/i><\/span><span class=\"cf7_mls_invalid\"><i><svg viewBox=\"64 64 896 896\" data-icon=\"close\" width=\"14px\" height=\"14px\" fill=\"currentColor\" aria-hidden=\"true\" focusable=\"false\" class=\"\"><path d=\"M563.8 512l262.5-312.9c4.4-5.2.7-13.1-6.1-13.1h-79.8c-4.7 0-9.2 2.1-12.3 5.7L511.6 449.8 295.1 191.7c-3-3.6-7.5-5.7-12.3-5.7H203c-6.8 0-10.5 7.9-6.1 13.1L459.4 512 196.9 824.9A7.95 7.95 0 00203 838h79.8c4.7 0 9.2-2.1 12.3-5.7l216.5-258.1 216.5 258.1c3 3.6 7.5 5.7 12.3 5.7h79.8c6.8 0 10.5-7.9 6.1-13.1L563.8 512z\"><\/path><\/svg><\/i><\/span><\/div><div class=\"cf7_mls_steps_item_content\"><p class=\"cf7mls_progress_bar_title\">Service<\/p><span class=\"cf7_mls_arrow_point_to_righ\"><i><svg x=\"0px\" y=\"0px\" width=\"8px\" height=\"14px\" viewBox=\"0 0 451.846 451.847\" style=\"enable-background:new 0 0 451.846 451.847; xml:space=\"preserve\"><g><path d=\"M345.441,248.292L151.154,442.573c-12.359,12.365-32.397,12.365-44.75,0c-12.354-12.354-12.354-32.391,0-44.744\n                                        L278.318,225.92L106.409,54.017c-12.354-12.359-12.354-32.394,0-44.748c12.354-12.359,32.391-12.359,44.75,0l194.287,194.284\n                                        c6.177,6.18,9.262,14.271,9.262,22.366C354.708,234.018,351.617,242.115,345.441,248.292z\"\/><\/g><\/svg><\/i><\/span><\/div><\/div><\/li><li data-counter=\"2\" data-counter_rtl=\"3\" style=\"width: 25%\" class=\"cf7_mls_steps_item \"><div class=\"cf7_mls_steps_item_container\"><div class=\"cf7_mls_steps_item_icon\"><span class=\"cf7_mls_count_step\">2<\/span><span class=\"cf7_mls_check\"><i><svg viewBox=\"64 64 896 896\" data-icon=\"check\" width=\"14px\" height=\"14px\" fill=\"currentColor\" aria-hidden=\"true\" focusable=\"false\" class=\"\"><path d=\"M912 190h-69.9c-9.8 0-19.1 4.5-25.1 12.2L404.7 724.5 207 474a32 32 0 0 0-25.1-12.2H112c-6.7 0-10.4 7.7-6.3 12.9l273.9 347c12.8 16.2 37.4 16.2 50.3 0l488.4-618.9c4.1-5.1.4-12.8-6.3-12.8z\"><\/path><\/svg><\/i><\/span><span class=\"cf7_mls_invalid\"><i><svg viewBox=\"64 64 896 896\" data-icon=\"close\" width=\"14px\" height=\"14px\" fill=\"currentColor\" aria-hidden=\"true\" focusable=\"false\" class=\"\"><path d=\"M563.8 512l262.5-312.9c4.4-5.2.7-13.1-6.1-13.1h-79.8c-4.7 0-9.2 2.1-12.3 5.7L511.6 449.8 295.1 191.7c-3-3.6-7.5-5.7-12.3-5.7H203c-6.8 0-10.5 7.9-6.1 13.1L459.4 512 196.9 824.9A7.95 7.95 0 00203 838h79.8c4.7 0 9.2-2.1 12.3-5.7l216.5-258.1 216.5 258.1c3 3.6 7.5 5.7 12.3 5.7h79.8c6.8 0 10.5-7.9 6.1-13.1L563.8 512z\"><\/path><\/svg><\/i><\/span><\/div><div class=\"cf7_mls_steps_item_content\"><p class=\"cf7mls_progress_bar_title\">Personal Information<\/p><span class=\"cf7_mls_arrow_point_to_righ\"><i><svg x=\"0px\" y=\"0px\" width=\"8px\" height=\"14px\" viewBox=\"0 0 451.846 451.847\" style=\"enable-background:new 0 0 451.846 451.847; xml:space=\"preserve\"><g><path d=\"M345.441,248.292L151.154,442.573c-12.359,12.365-32.397,12.365-44.75,0c-12.354-12.354-12.354-32.391,0-44.744\n                                        L278.318,225.92L106.409,54.017c-12.354-12.359-12.354-32.394,0-44.748c12.354-12.359,32.391-12.359,44.75,0l194.287,194.284\n                                        c6.177,6.18,9.262,14.271,9.262,22.366C354.708,234.018,351.617,242.115,345.441,248.292z\"\/><\/g><\/svg><\/i><\/span><\/div><\/div><\/li><li data-counter=\"3\" data-counter_rtl=\"2\" style=\"width: 25%\" class=\"cf7_mls_steps_item \"><div class=\"cf7_mls_steps_item_container\"><div class=\"cf7_mls_steps_item_icon\"><span class=\"cf7_mls_count_step\">3<\/span><span class=\"cf7_mls_check\"><i><svg viewBox=\"64 64 896 896\" data-icon=\"check\" width=\"14px\" height=\"14px\" fill=\"currentColor\" aria-hidden=\"true\" focusable=\"false\" class=\"\"><path d=\"M912 190h-69.9c-9.8 0-19.1 4.5-25.1 12.2L404.7 724.5 207 474a32 32 0 0 0-25.1-12.2H112c-6.7 0-10.4 7.7-6.3 12.9l273.9 347c12.8 16.2 37.4 16.2 50.3 0l488.4-618.9c4.1-5.1.4-12.8-6.3-12.8z\"><\/path><\/svg><\/i><\/span><span class=\"cf7_mls_invalid\"><i><svg viewBox=\"64 64 896 896\" data-icon=\"close\" width=\"14px\" height=\"14px\" fill=\"currentColor\" aria-hidden=\"true\" focusable=\"false\" class=\"\"><path d=\"M563.8 512l262.5-312.9c4.4-5.2.7-13.1-6.1-13.1h-79.8c-4.7 0-9.2 2.1-12.3 5.7L511.6 449.8 295.1 191.7c-3-3.6-7.5-5.7-12.3-5.7H203c-6.8 0-10.5 7.9-6.1 13.1L459.4 512 196.9 824.9A7.95 7.95 0 00203 838h79.8c4.7 0 9.2-2.1 12.3-5.7l216.5-258.1 216.5 258.1c3 3.6 7.5 5.7 12.3 5.7h79.8c6.8 0 10.5-7.9 6.1-13.1L563.8 512z\"><\/path><\/svg><\/i><\/span><\/div><div class=\"cf7_mls_steps_item_content\"><p class=\"cf7mls_progress_bar_title\">Address<\/p><span class=\"cf7_mls_arrow_point_to_righ\"><i><svg x=\"0px\" y=\"0px\" width=\"8px\" height=\"14px\" viewBox=\"0 0 451.846 451.847\" style=\"enable-background:new 0 0 451.846 451.847; xml:space=\"preserve\"><g><path d=\"M345.441,248.292L151.154,442.573c-12.359,12.365-32.397,12.365-44.75,0c-12.354-12.354-12.354-32.391,0-44.744\n                                        L278.318,225.92L106.409,54.017c-12.354-12.359-12.354-32.394,0-44.748c12.354-12.359,32.391-12.359,44.75,0l194.287,194.284\n                                        c6.177,6.18,9.262,14.271,9.262,22.366C354.708,234.018,351.617,242.115,345.441,248.292z\"\/><\/g><\/svg><\/i><\/span><\/div><\/div><\/li><li data-counter=\"4\" data-counter_rtl=\"1\" style=\"width: 25%\" class=\"cf7_mls_steps_item \"><div class=\"cf7_mls_steps_item_container\"><div class=\"cf7_mls_steps_item_icon\"><span class=\"cf7_mls_count_step\">4<\/span><span class=\"cf7_mls_check\"><i><svg viewBox=\"64 64 896 896\" data-icon=\"check\" width=\"14px\" height=\"14px\" fill=\"currentColor\" aria-hidden=\"true\" focusable=\"false\" class=\"\"><path d=\"M912 190h-69.9c-9.8 0-19.1 4.5-25.1 12.2L404.7 724.5 207 474a32 32 0 0 0-25.1-12.2H112c-6.7 0-10.4 7.7-6.3 12.9l273.9 347c12.8 16.2 37.4 16.2 50.3 0l488.4-618.9c4.1-5.1.4-12.8-6.3-12.8z\"><\/path><\/svg><\/i><\/span><span class=\"cf7_mls_invalid\"><i><svg viewBox=\"64 64 896 896\" data-icon=\"close\" width=\"14px\" height=\"14px\" fill=\"currentColor\" aria-hidden=\"true\" focusable=\"false\" class=\"\"><path d=\"M563.8 512l262.5-312.9c4.4-5.2.7-13.1-6.1-13.1h-79.8c-4.7 0-9.2 2.1-12.3 5.7L511.6 449.8 295.1 191.7c-3-3.6-7.5-5.7-12.3-5.7H203c-6.8 0-10.5 7.9-6.1 13.1L459.4 512 196.9 824.9A7.95 7.95 0 00203 838h79.8c4.7 0 9.2-2.1 12.3-5.7l216.5-258.1 216.5 258.1c3 3.6 7.5 5.7 12.3 5.7h79.8c6.8 0 10.5-7.9 6.1-13.1L563.8 512z\"><\/path><\/svg><\/i><\/span><\/div><div class=\"cf7_mls_steps_item_content\"><p class=\"cf7mls_progress_bar_title\">Done<\/p><span class=\"cf7_mls_arrow_point_to_righ\"><i><svg x=\"0px\" y=\"0px\" width=\"8px\" height=\"14px\" viewBox=\"0 0 451.846 451.847\" style=\"enable-background:new 0 0 451.846 451.847; xml:space=\"preserve\"><g><path d=\"M345.441,248.292L151.154,442.573c-12.359,12.365-32.397,12.365-44.75,0c-12.354-12.354-12.354-32.391,0-44.744\n                                        L278.318,225.92L106.409,54.017c-12.354-12.359-12.354-32.394,0-44.748c12.354-12.359,32.391-12.359,44.75,0l194.287,194.284\n                                        c6.177,6.18,9.262,14.271,9.262,22.366C354.708,234.018,351.617,242.115,345.441,248.292z\"\/><\/g><\/svg><\/i><\/span><\/div><\/div><\/li><\/ul><div class=\"cf7mls_number_step_wrap\" data-bg-color=\"#00377a\" data-number-step=\"4\"><p class=\"cf7mls_number\">1\/4<\/p><p class=\"cf7mls_step_current\">Service<\/p><div class=\"cf7mls_progress_percent\"><div class=\"cf7mls_progress_bar_percent\"><div class=\"cf7mls_progress_barinner\"><\/div><\/div><\/div><\/div><div class=\"fieldset-cf7mls-wrapper\" data-transition-effects=\"in_fadeIn next_fadeInRight back_fadeInLeft\"><fieldset class=\"fieldset-cf7mls cf7mls_current_fs\"><script>\n    function generateUniqueAppNumber() {\n        const randomNum = Math.floor(Math.random() * 1e10).toString().padStart(10, '0'); \/\/ Generate a random number with 10 digits\n        return randomNum;\n    }\n    \n    function setAppNumberToFormField() {\n        const appNumber = generateUniqueAppNumber();\n        document.querySelector('input[name=\"appNum\"]').value = appNumber;\n    }\n    \n    window.onload = setAppNumberToFormField; \/\/ Call the function when the page loads\n<\/script>\n\n\n<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"\" type=\"hidden\" name=\"appNum\" \/>\n\n<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"\" type=\"hidden\" name=\"features\" \/>\n<div class=\"row\">\n    <div class=\"col-12 radio-field\">\n     <label class=\"bold\">Select Your Service\/s<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"service-provider\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"service-provider\"><option value=\"\">Select Your Service Provider<\/option><option value=\"Nexgen\">Nexgen<\/option><option value=\"Southern Cable Network\">Southern Cable Network<\/option><\/select><\/span>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"service-type\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"service-type\" value=\"Internet\" \/><span class=\"wpcf7-list-item-label\">Internet<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"service-type\" value=\"Stream Bundles\" \/><span class=\"wpcf7-list-item-label\">Stream Bundles<\/span><\/label><\/span><\/span><\/span>\n    <\/div>\n <\/div>\n\n\n<span data-id=\"internet-packages\" data-orig_data_id=\"internet-packages\" data-clear_on_hide class=\"\" data-class=\"wpcf7cf_group\">\n<div class=\"row\">\n <div class=\"col-12 radio-control\">\n   <label class=\"highlight\"><i class=\"fa fa-check-square-o\" aria-hidden=\"true\"><\/i> Select Internet Package:<\/label>\n   <span class=\"wpcf7-form-control-wrap\" data-name=\"internet-options\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"internet-options\" value=\"Express\" \/><span class=\"wpcf7-list-item-label\">Express<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"internet-options\" value=\"Lightning\" \/><span class=\"wpcf7-list-item-label\">Lightning<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"internet-options\" value=\"Blazing\" \/><span class=\"wpcf7-list-item-label\">Blazing<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"internet-options\" value=\"Ultra\" \/><span class=\"wpcf7-list-item-label\">Ultra<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"internet-options\" value=\"Turbo\" \/><span class=\"wpcf7-list-item-label\">Turbo<\/span><\/label><\/span><\/span><\/span>\n <\/div>\n<\/div>\n<\/span>\n\n\n<span data-id=\"stream-bundle-packages\" data-orig_data_id=\"stream-bundle-packages\" data-clear_on_hide class=\"\" data-class=\"wpcf7cf_group\">\n<div class=\"row\">\n <div class=\"col-12 radio-control\">\n   <label class=\"highlight\"><i class=\"fa fa-check-square-o\" aria-hidden=\"true\"><\/i> Select Stream Bundle Package<\/label>\n   <span class=\"wpcf7-form-control-wrap\" data-name=\"stream-bundle-options\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"stream-bundle-options\" value=\"Basic\" \/><span class=\"wpcf7-list-item-label\">Basic<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"stream-bundle-options\" value=\"Premium\" \/><span class=\"wpcf7-list-item-label\">Premium<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"stream-bundle-options\" value=\"Deluxe\" \/><span class=\"wpcf7-list-item-label\">Deluxe<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"stream-bundle-options\" value=\"Elite\" \/><span class=\"wpcf7-list-item-label\">Elite<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"stream-bundle-options\" value=\"Platinum\" \/><span class=\"wpcf7-list-item-label\">Platinum<\/span><\/label><\/span><\/span><\/span>\n <\/div>\n<\/div>  \n<\/span>\n\n  \n\n\n\n\n   <style>\n    \/*  Bank Icons *\/\n.row img{\n\tposition:relative;\n\tfloat:left;\n\twidth:auto;\n\theight: auto;\n\tborder-radius:10px;\n\tmargin:8px;\n\tbox-shadow: rgba(0, 0, 0, 0.15) 0px 15px 25px, rgba(0, 0, 0, 0.05) 0px 5px 10px;\n\ttransition: transform 0.3s ease;\n} \n    .bold .wpcf7-list-item{\n       \/*background-color: #333;*\/\n     }\n     .wpcf7-list-item{\n        padding:10px;\n        margin:0px !important;\n      }\n \n    .internet-div, .regular-bundle-div, .stream-bundle-div, .service-div {\n      flex: 1;\n      width: 170px;\n      height: 250px; \/*200px*\/\n      margin-top:10px;\n      margin-bottom: -40px;\n      text-align: center;\n      line-height: 50px; \n    }\n    .div-standard img, .div-silver img, .div-gold img, .div-diamond img, .cableImg, .div-basic img, .div-premium img, .div-deluxe img,\n    .div-ultimate img, .div-ultimate-plus img, .stream-bundle-div img{\n      border-radius: 5px !important \n     }\n\n    .labelTitle{\n      padding-left:0px !important;\n      color: #00377a;\n      font-weight:bold;\n    }\n\n    input[type=checkbox] + span{\n       float: none !important;\n    }\n\n\n\/* Styles for mobile view *\/\n@media (max-width: 600px) {\n  .internet-div, .regular-bundle-div, .stream-bundle-div, .service-div {\n\t\tbackground: #333;\n    width: 95% !important; \/* Full width for mobile view *\/\n    height: auto; \/* Adjust height to content *\/\n    margin-top: 10px;\n    margin-bottom: 10px; \/* Adjust margin for mobile view *\/\n    line-height: normal; \/* Adjust line height for better readability *\/\n  }\n.cf7mls-btns .cf7mls_next.action-button, .cf7mls-btns .cf7mls_back.action-button{\n     width:100%;\n  }\n}\n\n\n  <\/style>\n\n<script>\ndocument.addEventListener(\"DOMContentLoaded\", function() {\n  const service_options = [\n    { value: 'Internet', class: 'div-internet', imageSrc: 'https:\/\/nexgen.bz\/staging\/1712\/wp-content\/uploads\/2021\/05\/HighSpeed-Internet.jpg' },\n    { value: 'Stream Bundles', class: 'div-stream-bundle', imageSrc: 'https:\/\/nexgen.bz\/staging\/1712\/wp-content\/uploads\/2021\/05\/StreamBundle-Plan.jpg' }\n  ];\n\n     const internet_options = [\n      { \n        value: 'Express', \n        class: 'div-standard', \n        features: ['25 Mbps Internet Speed'],\n        imageSrc: 'https:\/\/nexgen.bz\/staging\/1712\/wp-content\/uploads\/2021\/05\/Express.jpg' \n      },\n      { \n        value: 'Lightning', \n        class: 'div-silver', \n        features: ['50 Mbps Internet Speed'],\n        imageSrc: 'https:\/\/nexgen.bz\/staging\/1712\/wp-content\/uploads\/2021\/05\/Lightning.jpg' \n      },\n      { \n        value: 'Blazing', \n        class: 'div-gold', \n        features: ['100 Mbps Internet Speed'],\n        imageSrc: 'https:\/\/nexgen.bz\/staging\/1712\/wp-content\/uploads\/2021\/05\/blazing.jpg' \n      },\n      { \n        value: 'Ultra', \n        class: 'div-diamond', \n        features: ['200 Mbps Internet Speed'],\n        imageSrc: 'https:\/\/nexgen.bz\/staging\/1712\/wp-content\/uploads\/2021\/05\/ultra.jpg' \n      },\n      { \n        value: 'Turbo', \n        class: 'div-diamond', \n        features: ['300 Mbps Internet Speed'],\n        imageSrc: 'https:\/\/nexgen.bz\/staging\/1712\/wp-content\/uploads\/2021\/05\/turbo.jpg' \n      }\n    ];\n\n    const stream_bundle_options = [\n      {\n        value: 'Basic', \n        class: 'div-essential', \n        features: ['25 Mbps Internet Speed','2 Users','200+ Channels','Video On Demand', 'MAX'],\n        imageSrc: 'https:\/\/nexgen.bz\/staging\/1712\/wp-content\/uploads\/2021\/05\/NG-Basic.jpg' \n      },\n      {\n        value: 'Premium', \n        class: 'div-plus', \n        features: ['50 Mbps Internet Speed','4 Users','200+ Channels','Video On Demand', 'MAX'],\n        imageSrc: 'https:\/\/nexgen.bz\/staging\/1712\/wp-content\/uploads\/2021\/05\/NG-Premium.jpg' \n      },\n      { \n        value: 'Deluxe', \n        class: 'div-family', \n        features: ['100 Mbps Internet Speed','4 Users','200+ Channels','Video On Demand', 'MAX'],\n        imageSrc: 'https:\/\/nexgen.bz\/staging\/1712\/wp-content\/uploads\/2021\/05\/NG-Delux.jpg' \n      },\n      { \n        value: 'Elite', \n        class: 'div-household', \n        features: ['200 Mbps Internet Speed','4 Users','200+ Channels','Video On Demand', 'MAX'],\n        imageSrc: 'https:\/\/nexgen.bz\/staging\/1712\/wp-content\/uploads\/2021\/05\/NG-Elite.jpg' \n      },\n      { \n        value: 'Platinum', \n        class: 'div-household', \n        features: ['300 Mbps Internet Speed','4 Users','200+ Channels','Video On Demand', 'MAX'],\n        imageSrc: 'https:\/\/nexgen.bz\/staging\/1712\/wp-content\/uploads\/2021\/05\/NG-Platinum.jpg' \n      }\n    ];\n\n    service_options.forEach(option => {\n      \/\/ Select the input element with the specified value\n      const checkbox = document.querySelector(`input[value=\"${option.value}\"]`);\n\n\n      if (checkbox) {\n        \/\/ Create a new div element\n        const newDiv = document.createElement('div');\n        newDiv.className = `service-div ${option.class}`;\n\n        \/\/ \/\/ Create a new img element\n        const imgElement = document.createElement('img');\n        imgElement.src = option.imageSrc;\n        imgElement.alt = option.value; \/\/ You can set alt text as per your requirement\n\n        \/\/ \/\/ Append the img element to the new div\n        newDiv.appendChild(imgElement);\n        \n        \/\/ \/\/ Insert the new div before the checkbox\n        checkbox.parentElement.insertBefore(newDiv, checkbox);\n      }\n\n      const span = checkbox.nextElementSibling;\n          if (span && span.tagName.toLowerCase() === 'span') {\n                span.classList.add('labelTitle');\n           }\n\n    });\n    \n      internet_options.forEach(option => {\n      \/\/ Select the input element with the specified value\n      const checkbox = document.querySelector(`input[name=\"internet-options\"][value=\"${option.value}\"]`);\n\n      if (checkbox) {\n        \/\/ Create a new div element\n        const newDiv = document.createElement('div');\n        newDiv.className = `internet-div ${option.class}`;\n\n        \/\/ Create a new img element\n        const imgElement = document.createElement('img');\n        imgElement.src = option.imageSrc;\n        imgElement.alt = option.value; \/\/ You can set alt text as per your requirement\n\n        \/\/ Append the img element to the new div\n        newDiv.appendChild(imgElement);\n        \n        \/\/ Insert the new div before the checkbox\n        checkbox.parentElement.insertBefore(newDiv, checkbox);\n      }\n      const span = checkbox.nextElementSibling;\n          if (span && span.tagName.toLowerCase() === 'span') {\n                span.classList.add('labelTitle');\n           }\n\n    });\n\n\n    stream_bundle_options.forEach(option => {\n      \/\/ Select the input element with the specified value\n      const checkbox = document.querySelector(`input[value=\"${option.value}\"]`);\n\n      if (checkbox) {\n        \/\/ Create a new div element\n        const newDiv = document.createElement('div');\n        newDiv.className = `stream-bundle-div ${option.class}`;\n\n        \/\/ \/\/ Create a new img element\n        const imgElement = document.createElement('img');\n        imgElement.src = option.imageSrc;\n        imgElement.alt = option.value; \/\/ You can set alt text as per your requirement\n\n        \/\/ \/\/ Append the img element to the new div\n        newDiv.appendChild(imgElement);\n        \n        \/\/ \/\/ Insert the new div before the checkbox\n        checkbox.parentElement.insertBefore(newDiv, checkbox);\n      }\n\n      const span = checkbox.nextElementSibling;\n          if (span && span.tagName.toLowerCase() === 'span') {\n                 span.classList.add('labelTitle');\n           }\n\n    });\n     \n    function setFeaturesToFormField(features) {\n      document.querySelector('input[name=\"features\"]').value = features.join(', ');\n    }\n     window.onload = function() {\n      setAppNumberToFormField();\n      \n      \/\/ Function to add event listeners\n    function addCheckboxEventListeners(optionName, options) {\n      document.querySelectorAll(`input[name=\"${optionName}\"]`).forEach(checkbox => {\n          checkbox.addEventListener('change', function() {\n              if (this.checked) {\n                  const selectedOption = options.find(option => option.value === this.value);\n                  if (selectedOption) {\n                      setFeaturesToFormField(selectedOption.features);\n                  }\n              }\n          });\n      });\n    }\n    \n    \/\/ Add event listeners for both option types\n    addCheckboxEventListeners('internet-options', internet_options);\n    addCheckboxEventListeners('regular-bundle-options', regular_bundle_options);\n    addCheckboxEventListeners('stream-bundle-options', stream_bundle_options);\n    \n    }\n\n  });\n<\/script><div class=\"cf7mls-btns\"><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-1\">Next<img decoding=\"async\" src=\"https:\/\/nexgen.bz\/staging\/1712\/wp-content\/plugins\/ninjateam-cf7-multi-step-pro\/assets\/frontend\/img\/loader.svg\" alt=\"\" data-lazy-src=\"https:\/\/nexgen.bz\/staging\/1712\/wp-content\/plugins\/ninjateam-cf7-multi-step-pro\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\" \/><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\"><div class=\"row\">\n    <div class=\"col-12 radio-field\">\n         <label class=\"bold\">Personal Information:<\/label>\n       <\/div>\n    <div class=\"col-xl-4 col-lg-4 col-md-4 col-12 radio-control\">\n       <label>Customer Number*<\/label>\n       <span class=\"wpcf7-form-control-wrap\" data-name=\"customer-number\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"customer-number\" \/><\/span>\n    <\/div>\n<\/div>\n\n<div class=\"row\">\n       <div class=\"col-xl-2 col-lg-2 col-md-2 col-12 radio-control\">\n         <label>Title<\/label>\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"title\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Mr.\" value=\"\" type=\"text\" name=\"title\" \/><\/span>\n       <\/div>\n        \n       <div class=\"col-xl-3 col-lg-4 col-md-3 col-12 radio-control\">\n         <label>First Name*<\/label>\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span>\n       <\/div>\n       <div class=\"col-xl-3 col-lg-2 col-md-3 col-12 radio-control\">\n         <label>Middle Name<\/label>\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"middle-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"middle-name\" \/><\/span>\n       <\/div>\n       <div class=\"col-xl-3 col-lg-4 col-md-3 col-12 radio-control\">\n         <label>Last Name*<\/label>\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span>\n       <\/div>\n<\/div>\n<div class=\"row\">       \n       <div class=\"col-xl-4 col-lg-4 col-md-4 col-12 radio-control\">\n         <label>ID Type*<\/label>\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"id-type\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"id-type\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Drivers License\">Drivers License<\/option><option value=\"Social Security\">Social Security<\/option><option value=\"Passport\">Passport<\/option><\/select><\/span>\n       <\/div>\n\n       <div class=\"col-xl-4 col-lg-4 col-md-4 col-12 radio-control\">\n         <label>ID Number*<\/label>\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"id-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"id-number\" \/><\/span>\n       <\/div>\n\n       <div class=\"col-xl-4 col-lg-4 col-md-4 col-12 radio-control\">\n        <label>ID Expiry Date<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"id-expiry-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"id-expiry-date\" \/><\/span>\n       <\/div>\n        <div class=\"col-xl-4 col-lg-4 col-md-4 col-12 radio-control\">\n        <label class=\"primary-color\">ID Card Upload*<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"id-card-upload\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".pdf,.jpg,.png,.jpeg\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"id-card-upload\" \/><\/span>\n       <\/div>\n       <div class=\"col-xl-4 col-lg-4 col-md-4 col-12 form-control\">\n        <label>Date of Birth*<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"dob\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"dob\" \/><\/span>\n       <\/div>\n\n       <div class=\"col-xl-4 col-lg-4 col-md-4 col-12 form-control\">\n       <label>Primary Email Address *<\/label>\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n       <\/div>\n       <div class=\"col-xl-4 col-lg-4 col-md-4 col-12 form-control\">\n       <label>Secondary Email Address <\/label>\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"sec-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"sec-email\" \/><\/span>\n       <\/div>\n\n       <div class=\"col-xl-4 col-lg-4 col-md-4 col-12 form-control\">\n         <label>Home Phone Number<\/label>\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"home-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"home-number\" \/><\/span>\n       <\/div>\n       <div class=\"col-xl-4 col-lg-4 col-md-4 col-12 form-control\">\n         <label>Mobile Phone Number*<\/label>\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"mobile-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"mobile-number\" \/><\/span>\n       <\/div>\n<\/div><div class=\"cf7mls-btns\"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-2\">Back<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-2\">Next<img decoding=\"async\" src=\"https:\/\/nexgen.bz\/staging\/1712\/wp-content\/plugins\/ninjateam-cf7-multi-step-pro\/assets\/frontend\/img\/loader.svg\" alt=\"\" data-lazy-src=\"https:\/\/nexgen.bz\/staging\/1712\/wp-content\/plugins\/ninjateam-cf7-multi-step-pro\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\" \/><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\"><div class=\"row\">\n   <div class=\"col-12 radio-field\">\n         <label class=\"bold\">Address Information:<\/label>\n   <\/div>\n   <div class=\"col-xl-4 col-lg-4 col-md-4 col-12 radio-field\">\n         <label>Property Type *<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"prop-type\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"prop-type\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Residential\">Residential<\/option><option value=\"Business\">Business<\/option><\/select><\/span>\n    <\/div>\n    <div class=\"col-xl-4 col-lg-4 col-md-4 col-12 radio-field\">\n        <label>Property Status *<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"prop-status\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"prop-status\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Owned\">Owned<\/option><option value=\"Rent\/Lease\">Rent\/Lease<\/option><\/select><\/span>\n    <\/div>\n<\/div>\n<div data-id=\"num-extensions-group\" data-orig_data_id=\"num-extensions-group\" data-clear_on_hide class=\"\" data-class=\"wpcf7cf_group\">  \n     <div class=\"row\">  \n     <div class=\"col-xl-4 col-lg-4 col-md-4 col-12 form-control\">\n          <label>Business Name<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"business-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"business-name\" \/><\/span>\n     <\/div>\n     <div class=\"col-xl-3 col-lg-3 col-md-3 col-12 form-control\">\n          <label>TIN Number<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"tin-number\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"tin-number\" \/><\/span>\n     <\/div>\n     <\/div>\n<\/div>\n\n    \n<div data-id=\"show-rent-lease-landlord-name\" data-orig_data_id=\"show-rent-lease-landlord-name\" data-clear_on_hide class=\"\" data-class=\"wpcf7cf_group\">\n    <div class=\"row\">\n       <div class=\"col-xl-5 col-lg-5 col-md-5 col-12 radio-field\">\n         <label>Current Owner\/Landlord<\/label>\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"current-owner\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Enter Full Name\" value=\"\" type=\"text\" name=\"current-owner\" \/><\/span>\n      <\/div>\n      <div class=\"col-xl-4 col-lg-4 col-md-4 col-12 radio-field\">\n         <label>Owner\/Landlord Phone#<\/label>\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"phone-num-current-owner\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"000-000-0000\" value=\"\" type=\"tel\" name=\"phone-num-current-owner\" \/><\/span>\n      <\/div>\n      <div class=\" col-12 radio-control\">\n        <label class=\"primary-color\">Consent letter by the landlord\/owner*<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"consent-letter-upload\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".pdf,.jpg,.png,.jpeg\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"consent-letter-upload\" \/><\/span>\n      <\/div>\n    <\/div>\n<\/div>\n    \n\n\n\n<div class=\"row\">\n    <div class=\"col-xl-2 col-lg-2 col-md-2 col-12 form-control\">\n       <label>Street#<\/label>\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"street-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"street-number\" \/><\/span>\n    <\/div>\n    <div class=\"col-xl-4 col-lg-4 col-md-4 col-12 form-control\">\n       <label>Street Name <\/label>\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"street-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"street-name\" \/><\/span>\n    <\/div>\n    <div class=\"col-xl-4 col-lg-4 col-md-4 col-12 form-control\">\n       <label>Village\/Town\/City *<\/label>\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"village-town-city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"village-town-city\" \/><\/span>\n    <\/div>\n    <div class=\" col-12 radio-control\">\n        <label class=\"primary-color\">Utility Bill Upload*<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"utility-bill-upload\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".pdf,.jpg,.png,.jpeg\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"utility-bill-upload\" \/><\/span>\n    <\/div>\n    <div class=\"col-12 radio-field\">\n       <label>Property Description & Directions*<\/label>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"house-description\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Color of House\/ Include Directions to the Property\" name=\"house-description\"><\/textarea><\/span>\n    <\/div>\n<\/div>\n\n\n<div class=\"cf7mls-btns\"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-3\">Back<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-3\">Next<img decoding=\"async\" src=\"https:\/\/nexgen.bz\/staging\/1712\/wp-content\/plugins\/ninjateam-cf7-multi-step-pro\/assets\/frontend\/img\/loader.svg\" alt=\"\" data-lazy-src=\"https:\/\/nexgen.bz\/staging\/1712\/wp-content\/plugins\/ninjateam-cf7-multi-step-pro\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\" \/><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\"><div class=\"row\"><\/div>\n\n<div class=\"row\">\n    <div class=\"col-12 radio-control\">\n     <label class=\"highlight\"><i class=\"fa fa-check-square-o\" aria-hidden=\"true\"><\/i> Upon submitting your application, a customer service representative will contact you soon.<\/label>\n    <\/div>\n\n    <div class=\"col-12 radio-field\">\n     <label class=\"bold\">Terms and Conditions:<\/label>\n\n    <\/div>\n    <div class=\"col-12 radio-field\">\n        <a href=\"https:\/\/nexgen.bz\/staging\/1712\/wp-content\/uploads\/2021\/05\/Terms-and-Conditions-MAR20.pdf\" target=\"_blank\" class=\"heading-tagline\" style=\"text-decoration: underline;\"><i class=\"fa fa-paperclip heading-tagline\" aria-hidden=\"true\"><\/i> View the Terms and Conditions Here<\/a>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"terms\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"terms[]\" value=\"I have read and agree to the following terms and conditions. *\" \/><span class=\"wpcf7-list-item-label\">I have read and agree to the following terms and conditions. *<\/span><\/label><\/span><\/span><\/span>\n    <\/div>\n<\/div>\n\n\n<div class=\"row\">\n     <div class=\"col-xl-3 col-lg-3 col-md-3 col-12 radio-control\"><\/div>\n     <div class=\"col-xl-6 col-lg-6 col-md-6 col-12 radio-control\">\n          <label class=\"bold\">Applicant Signature*<\/label>\n               <div class=\"wpcf7-form-control-signature-global-wrap\" data-field-id=\"signature\">\n\t\t\t\t<div class=\"wpcf7-form-control-signature-wrap\" style=\"width:300px;height:670px;\">\n\t\t\t\t\t<div class=\"wpcf7-form-control-signature-body\">\n\t\t\t\t\t\t<canvas id=\"wpcf7_signature_signature\" class=\"signature\"><\/canvas>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wpcf7-form-control-clear-wrap\">\n\t\t\t\t\t<input id=\"wpcf7_signature_clear\" type=\"button\" value=\"Clear\"\/>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<span class=\"wpcf7-form-control-wrap wpcf7-form-control-signature-input-wrap signature\">\n\t\t\t\t<input aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"hidden\" name=\"signature\" id=\"wpcf7_input_signature\"\/><input type=\"hidden\" name=\"signature-attachment\" id=\"wpcf7_input_signature_attachment\"\/><input type=\"hidden\" name=\"signature-inline\" id=\"wpcf7_input_signature_inline\"\/>\n\t\t\t<\/span>\n\t\t\t\n     <\/div>\n     <div class=\"col-xl-3 col-lg-3 col-md-3 col-12 radio-control\"><\/div>\n<\/div>\n\n<div class=\"row\">\n     <div class=\"col-xl-3 col-lg-3 col-md-3 col-12 radio-control\"><\/div>\n     <div class=\"col-xl-6 col-lg-6 col-md-6 col-12 radio-control\">\n             <input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n     <\/div>\n     <div class=\"col-xl-3 col-lg-3 col-md-3 col-12 radio-control\"><\/div>\n<\/div>\n\n<button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-4\">Back<\/button><button type=\"button\" style=\"display: none;\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-4\"><img decoding=\"async\" src=\"https:\/\/nexgen.bz\/staging\/1712\/wp-content\/plugins\/ninjateam-cf7-multi-step-pro\/assets\/frontend\/img\/loader.svg\" alt=\"\" data-lazy-src=\"https:\/\/nexgen.bz\/staging\/1712\/wp-content\/plugins\/ninjateam-cf7-multi-step-pro\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\" \/><\/button><\/fieldset><\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\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>Service Application Form We offer a comprehensive range of services. Please review our offers and fill out the application form to get started. If you have any questions or need assistance in customizing your plan, feel free to contact us. Required Documents for Sign-Up A copy of a valid ID card A copy of a [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"nf_dc_page":"","footnotes":""},"class_list":["post-14194","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Apply for a re-connection - NEXGEN TV &amp; Internet<\/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:\/\/nexgen.bz\/apply-for-a-re-connection\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Apply for a re-connection - NEXGEN TV &amp; Internet\" \/>\n<meta property=\"og:description\" content=\"Service Application Form We offer a comprehensive range of services. 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