{"id":21288,"date":"2025-12-12T14:42:49","date_gmt":"2025-12-12T20:42:49","guid":{"rendered":"https:\/\/southernpartners.org\/?page_id=21288"},"modified":"2026-08-03T15:02:18","modified_gmt":"2026-08-03T20:02:18","slug":"loan-form","status":"publish","type":"page","link":"https:\/\/upliftcapitalpartners.org\/es\/loan-form\/","title":{"rendered":"Formulario de pr\u00e9stamo"},"content":{"rendered":"<div id=\"program-salesforce_business\" class=\"program-container program-salesforce_business\" data-program=\"salesforce_business\"><div id=\"program-salesforce-business\" class=\"sbi-sf-form-wrap sbi-sf-form-wrap--business\" data-program=\"salesforce_business\"><form class=\"program-form program-form-sp-intake program-form-sf-business sbi-sf-form\" id=\"webToLeadForm\" action=\"https:\/\/upliftcapitalpartners.org\/wp-admin\/admin-ajax.php\" method=\"POST\" target=\"sbi-sf-submit-frame-1\" data-confirmation-id=\"sbi-sf-confirmation-2\" data-salesforce-endpoint=\"https:\/\/webto.salesforce.com\/servlet\/servlet.WebToLead?encoding=UTF-8&#038;orgId=00Dfo000003B7PR\" novalidate><input type=\"hidden\" name=\"oid\" value=\"00Dfo000003B7PR\"><input type=\"hidden\" name=\"retURL\" value=\"https:\/\/upliftcapitalpartners.org\/es\/\"><input type=\"hidden\" name=\"recordType\" value=\"012Vu0000052hXR\"><input type=\"hidden\" id=\"company\" name=\"company\"><input type=\"hidden\" id=\"lead_source\" name=\"lead_source\" value=\"Web\"><input type=\"hidden\" name=\"action\" value=\"programs_submit\"><input type=\"hidden\" name=\"program\" value=\"salesforce_business\"><input type=\"hidden\" name=\"nonce\" value=\"249d98491a\"><input type=\"hidden\" name=\"_programs_salesforce_endpoint\" value=\"https:\/\/webto.salesforce.com\/servlet\/servlet.WebToLead?encoding=UTF-8&amp;orgId=00Dfo000003B7PR\"><input type=\"hidden\" name=\"_programs_salesforce_config_signature\" value=\"f9e2f201e0efcbf979f03fdaa23e0c7d\"><nav class=\"sbi-sf-stepper\" aria-label=\"Business loan inquiry progress\"><ol class=\"sbi-sf-stepper-list\"><li class=\"sbi-sf-stepper-item\"><button type=\"button\" class=\"sbi-sf-stepper-button is-active\" data-sbi-sf-step-target=\"1\" aria-current=\"step\" aria-controls=\"sbi-sf-business-step-3loan\"><span class=\"sbi-sf-stepper-number\" aria-hidden=\"true\">1<\/span><span class=\"sbi-sf-stepper-text\"><span class=\"sbi-sf-stepper-kicker\">Step 1<\/span><span class=\"sbi-sf-stepper-title\">Loan Info<\/span><\/span><\/button><\/li><li class=\"sbi-sf-stepper-item\"><button type=\"button\" class=\"sbi-sf-stepper-button\" data-sbi-sf-step-target=\"2\" aria-disabled=\"true\" aria-controls=\"sbi-sf-business-step-3business\" disabled><span class=\"sbi-sf-stepper-number\" aria-hidden=\"true\">2<\/span><span class=\"sbi-sf-stepper-text\"><span class=\"sbi-sf-stepper-kicker\">Step 2<\/span><span class=\"sbi-sf-stepper-title\">Business Info<\/span><\/span><\/button><\/li><li class=\"sbi-sf-stepper-item\"><button type=\"button\" class=\"sbi-sf-stepper-button\" data-sbi-sf-step-target=\"3\" aria-disabled=\"true\" aria-controls=\"sbi-sf-business-step-3contact\" disabled><span class=\"sbi-sf-stepper-number\" aria-hidden=\"true\">3<\/span><span class=\"sbi-sf-stepper-text\"><span class=\"sbi-sf-stepper-kicker\">Step 3<\/span><span class=\"sbi-sf-stepper-title\">Contact Info<\/span><\/span><\/button><\/li><\/ol><\/nav><fieldset class=\"program-step sbi-sf-fieldset sbi-sf-step sbi-sf-step-1 active is-active\" id=\"sbi-sf-business-step-3loan\" data-sbi-sf-step=\"1\"><legend class=\"sbi-sf-legend sbi-sf-legend--sr-only\">Loan Info<\/legend><div class=\"sbi-sf-grid\"><div class=\"sbi-sf-field sbi-sf-field--full sbi-sf-field--amount\"><label class=\"sbi-sf-label\" for=\"00NVu00000NFRxq\">Amount Requested <span class=\"sbi-sf-required\">*<\/span><\/label><div class=\"sbi-sf-amount-control\"><div class=\"sbi-sf-amount-wrap\"><input type=\"text\" id=\"00NVu00000NFRxq\" name=\"00NVu00000NFRxq\" class=\"sbi-sf-input sbi-sf-input--amount\" data-format=\"currency\" data-range-target=\"sbi-sf-amount-range-4\" inputmode=\"numeric\" value=\"$25,000\" autocomplete=\"off\" required><button type=\"button\" class=\"sbi-sf-amount-display\" data-input-target=\"00NVu00000NFRxq\" aria-label=\"Edit amount requested\"><span class=\"sbi-sf-amount-display__currency\" aria-hidden=\"true\">$<\/span><number-flow class=\"sbi-sf-amount-display__value\">25,000<\/number-flow><\/button><\/div><div class=\"sbi-sf-amount-slider\"><div class=\"sbi-sf-range-shell\"><span class=\"sbi-sf-range-track\" aria-hidden=\"true\"><span class=\"sbi-sf-range-progress\"><\/span><\/span><input type=\"range\" id=\"sbi-sf-amount-range-4\" class=\"sbi-sf-range sbi-sf-amount-range\" min=\"5000\" max=\"250000\" step=\"5000\" value=\"25000\" data-input-target=\"00NVu00000NFRxq\" aria-label=\"Amount Requested slider\"><\/div><div class=\"sbi-sf-range-meta\" aria-hidden=\"true\"><span>$5k<\/span><span>$250k+<\/span><\/div><\/div><\/div><span class=\"sbi-sf-error\"><\/span><\/div><div class=\"sbi-sf-field sbi-sf-field--full sbi-sf-field--purpose\"><span class=\"sbi-sf-label\" id=\"sbi-sf-purpose-label\">Purpose <span class=\"sbi-sf-required\">*<\/span><\/span><div class=\"sbi-sf-purpose-grid\" role=\"radiogroup\" aria-labelledby=\"sbi-sf-purpose-label\"><label class=\"sbi-sf-purpose-card\" for=\"sbi-sf-purpose-purchase-real-estate\"><input type=\"radio\" id=\"sbi-sf-purpose-purchase-real-estate\" name=\"00NVu00000NFRy8\" class=\"sbi-sf-radio sbi-sf-purpose-radio\" value=\"Purchase Real Estate\" required><span class=\"sbi-sf-purpose-card__icon\" aria-hidden=\"true\"><svg class=\"sbi-sf-purpose-card__svg\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M6 22V4a2 2 0 0 1 2-2h8a2 2 0 0 1 2 2v18\"\/><path d=\"M6 12H4a2 2 0 0 0-2 2v6a2 2 0 0 0 2 2h2\"\/><path d=\"M18 9h2a2 2 0 0 1 2 2v9a2 2 0 0 1-2 2h-2\"\/><path d=\"M10 6h4\"\/><path d=\"M10 10h4\"\/><path d=\"M10 14h4\"\/><path d=\"M10 18h4\"\/><\/svg><\/span><span class=\"sbi-sf-purpose-card__label\">Purchase Real Estate<\/span><\/label><label class=\"sbi-sf-purpose-card\" for=\"sbi-sf-purpose-purchase-equipment\"><input type=\"radio\" id=\"sbi-sf-purpose-purchase-equipment\" name=\"00NVu00000NFRy8\" class=\"sbi-sf-radio sbi-sf-purpose-radio\" value=\"Purchase Equipment\" required><span class=\"sbi-sf-purpose-card__icon\" aria-hidden=\"true\"><svg class=\"sbi-sf-purpose-card__svg\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M14 18V6a2 2 0 0 0-2-2H4a2 2 0 0 0-2 2v11a1 1 0 0 0 1 1h2\"\/><path d=\"M15 18H9\"\/><path d=\"M19 18h2a1 1 0 0 0 1-1v-3.65a1 1 0 0 0-.22-.62l-3.48-4.35A1 1 0 0 0 17.52 8H14\"\/><circle cx=\"17\" cy=\"18\" r=\"2\"\/><circle cx=\"7\" cy=\"18\" r=\"2\"\/><\/svg><\/span><span class=\"sbi-sf-purpose-card__label\">Purchase Equipment<\/span><\/label><label class=\"sbi-sf-purpose-card\" for=\"sbi-sf-purpose-leaseholder-improvement\"><input type=\"radio\" id=\"sbi-sf-purpose-leaseholder-improvement\" name=\"00NVu00000NFRy8\" class=\"sbi-sf-radio sbi-sf-purpose-radio\" value=\"Leaseholder Improvement\" required><span class=\"sbi-sf-purpose-card__icon\" aria-hidden=\"true\"><svg class=\"sbi-sf-purpose-card__svg\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" focusable=\"false\"><path d=\"m15 12-8.5 8.5a2.12 2.12 0 0 1-3-3L12 9\"\/><path d=\"m17.64 15 4.36-4.36\"\/><path d=\"m20.91 11.7-8.61-8.61 1.41-1.41a2.12 2.12 0 0 1 3 0l5.61 5.61a2.12 2.12 0 0 1 0 3z\"\/><\/svg><\/span><span class=\"sbi-sf-purpose-card__label\">Leaseholder Improvement<\/span><\/label><label class=\"sbi-sf-purpose-card\" for=\"sbi-sf-purpose-renovation\"><input type=\"radio\" id=\"sbi-sf-purpose-renovation\" name=\"00NVu00000NFRy8\" class=\"sbi-sf-radio sbi-sf-purpose-radio\" value=\"Renovation\" required><span class=\"sbi-sf-purpose-card__icon\" aria-hidden=\"true\"><svg class=\"sbi-sf-purpose-card__svg\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M14.7 6.3a1 1 0 0 0 0 1.4l1.6 1.6a1 1 0 0 0 1.4 0l3.77-3.77a6 6 0 0 1-7.94 7.94l-6.91 6.91a2.12 2.12 0 0 1-3-3l6.91-6.91a6 6 0 0 1 7.94-7.94z\"\/><\/svg><\/span><span class=\"sbi-sf-purpose-card__label\">Renovation<\/span><\/label><label class=\"sbi-sf-purpose-card\" for=\"sbi-sf-purpose-refinance-debt\"><input type=\"radio\" id=\"sbi-sf-purpose-refinance-debt\" name=\"00NVu00000NFRy8\" class=\"sbi-sf-radio sbi-sf-purpose-radio\" value=\"Refinance Debt\" required><span class=\"sbi-sf-purpose-card__icon\" aria-hidden=\"true\"><svg class=\"sbi-sf-purpose-card__svg\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M3 12a9 9 0 0 1 15.74-6.26L21 8\"\/><path d=\"M21 3v5h-5\"\/><path d=\"M21 12a9 9 0 0 1-15.74 6.26L3 16\"\/><path d=\"M8 16H3v5\"\/><\/svg><\/span><span class=\"sbi-sf-purpose-card__label\">Refinance Debt<\/span><\/label><label class=\"sbi-sf-purpose-card\" for=\"sbi-sf-purpose-relocate\"><input type=\"radio\" id=\"sbi-sf-purpose-relocate\" name=\"00NVu00000NFRy8\" class=\"sbi-sf-radio sbi-sf-purpose-radio\" value=\"Relocate\" required><span class=\"sbi-sf-purpose-card__icon\" aria-hidden=\"true\"><svg class=\"sbi-sf-purpose-card__svg\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M20 10c0 4.99-5.54 10.19-7.4 11.8a1 1 0 0 1-1.2 0C9.54 20.19 4 14.99 4 10a8 8 0 0 1 16 0\"\/><circle cx=\"12\" cy=\"10\" r=\"3\"\/><\/svg><\/span><span class=\"sbi-sf-purpose-card__label\">Relocate<\/span><\/label><label class=\"sbi-sf-purpose-card\" for=\"sbi-sf-purpose-working-capital\"><input type=\"radio\" id=\"sbi-sf-purpose-working-capital\" name=\"00NVu00000NFRy8\" class=\"sbi-sf-radio sbi-sf-purpose-radio\" value=\"Working Capital\" required><span class=\"sbi-sf-purpose-card__icon\" aria-hidden=\"true\"><svg class=\"sbi-sf-purpose-card__svg\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M12 12h.01\"\/><path d=\"M16 6V4a2 2 0 0 0-2-2h-4a2 2 0 0 0-2 2v2\"\/><path d=\"M22 13a18.15 18.15 0 0 1-20 0\"\/><rect width=\"20\" height=\"14\" x=\"2\" y=\"6\" rx=\"2\"\/><\/svg><\/span><span class=\"sbi-sf-purpose-card__label\">Working Capital<\/span><\/label><label class=\"sbi-sf-purpose-card\" for=\"sbi-sf-purpose-start-up-expenses\"><input type=\"radio\" id=\"sbi-sf-purpose-start-up-expenses\" name=\"00NVu00000NFRy8\" class=\"sbi-sf-radio sbi-sf-purpose-radio\" value=\"Start Up Expenses\" required><span class=\"sbi-sf-purpose-card__icon\" aria-hidden=\"true\"><svg class=\"sbi-sf-purpose-card__svg\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" focusable=\"false\"><circle cx=\"8\" cy=\"8\" r=\"6\"\/><path d=\"M18.09 10.37A6 6 0 1 1 10.34 18\"\/><path d=\"M7 6h1v4\"\/><path d=\"m16.71 13.88.7.71-2.82 2.82\"\/><\/svg><\/span><span class=\"sbi-sf-purpose-card__label\">Start Up Expenses<\/span><\/label><label class=\"sbi-sf-purpose-card\" for=\"sbi-sf-purpose-other\"><input type=\"radio\" id=\"sbi-sf-purpose-other\" name=\"00NVu00000NFRy8\" class=\"sbi-sf-radio sbi-sf-purpose-radio\" value=\"Other\" required><span class=\"sbi-sf-purpose-card__icon\" aria-hidden=\"true\"><svg class=\"sbi-sf-purpose-card__svg\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" focusable=\"false\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><path d=\"M9.09 9a3 3 0 0 1 5.83 1c0 2-3 3-3 3\"\/><path d=\"M12 17h.01\"\/><\/svg><\/span><span class=\"sbi-sf-purpose-card__label\">Other<\/span><\/label><\/div><span class=\"sbi-sf-error\"><\/span><\/div><\/div><div class=\"program-form-actions sbi-sf-step-actions\"><div class=\"wp-block-button\"><button type=\"button\" class=\"wp-block-button__link wp-element-button program-btn program-btn-primary sbi-sf-step-action sbi-sf-step-next\" data-sbi-sf-next-step=\"2\">Continue<\/button><\/div><\/div><\/fieldset><fieldset class=\"program-step sbi-sf-fieldset sbi-sf-step sbi-sf-step-2\" id=\"sbi-sf-business-step-3business\" data-sbi-sf-step=\"2\"><legend class=\"sbi-sf-legend sbi-sf-legend--sr-only\">Business Info<\/legend><div class=\"sbi-sf-grid\"><div class=\"sbi-sf-field\"><label class=\"sbi-sf-label\" for=\"00NVu00000NFRxm\">Business Name <span class=\"sbi-sf-required\">*<\/span><\/label><input type=\"text\" id=\"00NVu00000NFRxm\" name=\"00NVu00000NFRxm\" class=\"sbi-sf-input\" placeholder=\"Business Name\" data-salesforce-company-source required><span class=\"sbi-sf-error\"><\/span><\/div><div class=\"sbi-sf-field\"><label class=\"sbi-sf-label\" for=\"00NVu00000NFRxn\">Business Type <span class=\"sbi-sf-required\">*<\/span><\/label><select id=\"00NVu00000NFRxn\" name=\"00NVu00000NFRxn\" class=\"sbi-sf-select\" required><option value=\"\">Select type...<\/option><option>Sole Proprietor<\/option><option>C Corp<\/option><option>S Corp<\/option><option>B Corp<\/option><option>Limited Liability Corp<\/option><option>Non-Profit<\/option><option>General Partnership<\/option><option>Limited Partnership<\/option><option>Prof. Limited Liability Corp<\/option><\/select><span class=\"sbi-sf-error\"><\/span><\/div><div class=\"sbi-sf-field sbi-sf-field--full\"><label class=\"sbi-sf-label\" for=\"00NVu00000NFRy3\">Industry Type <span class=\"sbi-sf-required\">*<\/span><\/label><select id=\"00NVu00000NFRy3\" name=\"00NVu00000NFRy3\" class=\"sbi-sf-select\" required><option value=\"\">Select industry...<\/option><option>Accommodation and Food Services<\/option><option>Admin and Support Services<\/option><option>Agriculture, Forestry, Fishing and Hunting<\/option><option>Arts, Entertainment, and Recreation<\/option><option>Automobile Dealer<\/option><option>Beer, Wine, and Liquor Store<\/option><option>Building Equipment Contractor<\/option><option>Building Finishing Contractors<\/option><option>Contractor-Other<\/option><option>Drinking Places (Alcoholic Beverages)<\/option><option>Educational Services<\/option><option>Finance and Insurance<\/option><option>Foundation, Structure, and Building Exterior Contractor<\/option><option>Gasoline Stations<\/option><option>General Freight Trucking<\/option><option>Health Care and Social Assistance<\/option><option>Highway Street, and Bridge Construction<\/option><option>Information<\/option><option>Management of Companies and Enterprise<\/option><option>Manufacturing<\/option><option>Nonresidential Building Construction<\/option><option>Other<\/option><option>Other Motor Vehicle Dealer<\/option><option>Professional, Scientific, and Technical Services<\/option><option>Real Estate Rental and Leasing<\/option><option>Residential Building Construction<\/option><option>Restaurant and Other Eating Places<\/option><option>Retail<\/option><option>Transportation and Warehousing-Other<\/option><option>Vending Machine Operators<\/option><option>Warehousing and Storage<\/option><option>Wholesale Trade<\/option><\/select><span class=\"sbi-sf-error\"><\/span><\/div><div class=\"sbi-sf-field sbi-sf-field--full\"><label class=\"sbi-sf-label\" for=\"00NVu00000NFRy2\">Business Description <span class=\"sbi-sf-required\">*<\/span><\/label><input type=\"text\" id=\"00NVu00000NFRy2\" name=\"00NVu00000NFRy2\" class=\"sbi-sf-input\" placeholder=\"Describe the business...\" required><span class=\"sbi-sf-error\"><\/span><\/div><div class=\"sbi-sf-field\"><label class=\"sbi-sf-label\" for=\"00NVu00000NFRxp\">DBA (if applicable)<\/label><input type=\"text\" id=\"00NVu00000NFRxp\" name=\"00NVu00000NFRxp\" class=\"sbi-sf-input\" placeholder=\"Doing Business As\"><span class=\"sbi-sf-error\"><\/span><\/div><div class=\"sbi-sf-field\"><label class=\"sbi-sf-label\" for=\"00NVu00000NFRyC\">When was the business formed? <span class=\"sbi-sf-required\">*<\/span><\/label><input type=\"date\" id=\"00NVu00000NFRyC\" name=\"00NVu00000NFRyC\" class=\"sbi-sf-input\" max=\"2026-10-26\" required><span class=\"sbi-sf-error\"><\/span><\/div><div class=\"sbi-sf-field\"><label class=\"sbi-sf-label\" for=\"00NVu00000NFRxy\">Generating Revenue <span class=\"sbi-sf-required\">*<\/span><\/label><select id=\"00NVu00000NFRxy\" name=\"00NVu00000NFRxy\" class=\"sbi-sf-select\" required><option value=\"\">Select...<\/option><option>Less than 24 Months<\/option><option>2-5 Years<\/option><option>5-10 Years<\/option><option>10+Years<\/option><\/select><span class=\"sbi-sf-error\"><\/span><\/div><div class=\"sbi-sf-field\"><label class=\"sbi-sf-label\" for=\"00NVu00000NFRxx\">Is the Business a Franchise? <span class=\"sbi-sf-required\">*<\/span><\/label><select id=\"00NVu00000NFRxx\" name=\"00NVu00000NFRxx\" class=\"sbi-sf-select\" required><option value=\"\">Select...<\/option><option>Yes<\/option><option>No<\/option><\/select><span class=\"sbi-sf-error\"><\/span><\/div><div class=\"sbi-sf-field sbi-sf-field--full sbi-sf-field--address-start\"><label class=\"sbi-sf-label\" for=\"street\">Business Street Address <span class=\"sbi-sf-required\">*<\/span><\/label><input type=\"text\" id=\"street\" name=\"street\" class=\"sbi-sf-input\" placeholder=\"Street Address\" autocomplete=\"off\" required><span class=\"sbi-sf-error\"><\/span><\/div><div class=\"sbi-sf-field\"><label class=\"sbi-sf-label\" for=\"city\">City <span class=\"sbi-sf-required\">*<\/span><\/label><input type=\"text\" id=\"city\" name=\"city\" class=\"sbi-sf-input\" placeholder=\"City\" required><span class=\"sbi-sf-error\"><\/span><\/div><div class=\"sbi-sf-field\"><label class=\"sbi-sf-label\" for=\"state\">State <span class=\"sbi-sf-required\">*<\/span><\/label><input type=\"text\" id=\"state\" name=\"state\" class=\"sbi-sf-input\" maxlength=\"2\" pattern=\"[A-Za-z]{2}\" placeholder=\"CA\" data-format=\"state\" required><span class=\"sbi-sf-error\"><\/span><\/div><div class=\"sbi-sf-field\"><label class=\"sbi-sf-label\" for=\"zip\">ZIP Code <span class=\"sbi-sf-required\">*<\/span><\/label><input type=\"text\" id=\"zip\" name=\"zip\" class=\"sbi-sf-input\" placeholder=\"12345\" data-format=\"zip\" required><span class=\"sbi-sf-error\"><\/span><\/div><div class=\"sbi-sf-field\"><label class=\"sbi-sf-label\" for=\"country\">Country <span class=\"sbi-sf-required\">*<\/span><\/label><input type=\"text\" id=\"country\" name=\"country\" class=\"sbi-sf-input\" placeholder=\"USA\" value=\"USA\" required><span class=\"sbi-sf-error\"><\/span><\/div><\/div><div class=\"program-form-actions sbi-sf-step-actions\"><div class=\"wp-block-button\"><button type=\"button\" class=\"wp-block-button__link wp-element-button program-btn program-btn-primary sbi-sf-step-action sbi-sf-step-next\" data-sbi-sf-next-step=\"3\">Continue<\/button><\/div><\/div><\/fieldset><fieldset class=\"program-step sbi-sf-fieldset sbi-sf-step sbi-sf-step-3\" id=\"sbi-sf-business-step-3contact\" data-sbi-sf-step=\"3\"><legend class=\"sbi-sf-legend sbi-sf-legend--sr-only\">Contact Info<\/legend><div class=\"sbi-sf-grid\"><div class=\"sbi-sf-field\"><label class=\"sbi-sf-label\" for=\"first_name\">First Name <span class=\"sbi-sf-required\">*<\/span><\/label><input type=\"text\" id=\"first_name\" name=\"first_name\" class=\"sbi-sf-input\" placeholder=\"First Name\" required><span class=\"sbi-sf-error\"><\/span><\/div><div class=\"sbi-sf-field\"><label class=\"sbi-sf-label\" for=\"last_name\">Last Name <span class=\"sbi-sf-required\">*<\/span><\/label><input type=\"text\" id=\"last_name\" name=\"last_name\" class=\"sbi-sf-input\" placeholder=\"Last Name\" required><span class=\"sbi-sf-error\"><\/span><\/div><div class=\"sbi-sf-field\"><label class=\"sbi-sf-label\" for=\"00NVu00000NFRy6\">Primary Contact Email <span class=\"sbi-sf-required\">*<\/span><\/label><input type=\"email\" id=\"00NVu00000NFRy6\" name=\"00NVu00000NFRy6\" class=\"sbi-sf-input\" placeholder=\"personal@example.com\" required><span class=\"sbi-sf-error\"><\/span><\/div><div class=\"sbi-sf-field\"><label class=\"sbi-sf-label\" for=\"phone\">Phone <span class=\"sbi-sf-required\">*<\/span><\/label><input type=\"text\" id=\"phone\" name=\"phone\" class=\"sbi-sf-input\" placeholder=\"(555) 123-4567\" data-format=\"phone\" required><span class=\"sbi-sf-error\"><\/span><\/div><div class=\"sbi-sf-field\"><label class=\"sbi-sf-label\" for=\"00NVu00000NFRxz\">How did you hear about us? <span class=\"sbi-sf-required\">*<\/span><\/label><select id=\"00NVu00000NFRxz\" name=\"00NVu00000NFRxz\" class=\"sbi-sf-select\" required><option value=\"\">Select...<\/option><option>Referred by Southern Bancorp<\/option><option>Referred by Financial Counselor<\/option><option>Referred by SBCP Customer<\/option><option>Internet Search<\/option><option>Google Ad<\/option><option>LinkedIn<\/option><option>Facebook<\/option><option>Event<\/option><option>Returning Customer<\/option><option>Other<\/option><\/select><span class=\"sbi-sf-error\"><\/span><\/div><\/div><div class=\"program-form-actions sbi-sf-step-actions sbi-sf-submit-wrap\"><div class=\"sbi-sf-submit-error\" role=\"alert\" hidden><\/div><div class=\"wp-block-button\"><button type=\"submit\" class=\"wp-block-button__link wp-element-button program-btn program-btn-primary sbi-sf-submit\" name=\"submit\"><span class=\"sbi-sf-submit-text\">Submit Inquiry<\/span><span class=\"btn-loading sbi-sf-submit-loading\" aria-hidden=\"true\">Submitting...<\/span><\/button><\/div><\/div><\/fieldset><\/form><div class=\"sbi-sf-confirmation\" id=\"sbi-sf-confirmation-2\" role=\"status\" aria-live=\"polite\" tabindex=\"-1\" hidden><p>Thank you for your inquiry, check your email for a link to continue your application.<\/p><section class=\"sbi-sf-confirmation-recap\" data-sbi-sf-response-recap hidden><div class=\"sbi-sf-confirmation-recap__groups\"><\/div><\/section><\/div><iframe class=\"sbi-sf-submit-frame\" name=\"sbi-sf-submit-frame-1\" title=\"Salesforce form submission target\" tabindex=\"-1\" aria-hidden=\"true\" hidden><\/iframe><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":22,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-21288","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/upliftcapitalpartners.org\/es\/wp-json\/wp\/v2\/pages\/21288","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/upliftcapitalpartners.org\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/upliftcapitalpartners.org\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/upliftcapitalpartners.org\/es\/wp-json\/wp\/v2\/users\/22"}],"replies":[{"embeddable":true,"href":"https:\/\/upliftcapitalpartners.org\/es\/wp-json\/wp\/v2\/comments?post=21288"}],"version-history":[{"count":18,"href":"https:\/\/upliftcapitalpartners.org\/es\/wp-json\/wp\/v2\/pages\/21288\/revisions"}],"predecessor-version":[{"id":22114,"href":"https:\/\/upliftcapitalpartners.org\/es\/wp-json\/wp\/v2\/pages\/21288\/revisions\/22114"}],"wp:attachment":[{"href":"https:\/\/upliftcapitalpartners.org\/es\/wp-json\/wp\/v2\/media?parent=21288"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}