{"id":8967,"date":"2026-01-02T06:34:28","date_gmt":"2026-01-02T06:34:28","guid":{"rendered":"https:\/\/glowspecial.store\/?page_id=8967"},"modified":"2026-01-02T08:03:47","modified_gmt":"2026-01-02T08:03:47","slug":"bene-eye-form-tanz","status":"publish","type":"page","link":"https:\/\/glowspecial.store\/?page_id=8967","title":{"rendered":"Bene-eye-form-tanz"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8967\" class=\"elementor elementor-8967\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a31bd44 e-flex e-con-boxed e-con e-parent\" data-id=\"a31bd44\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b3adc5d elementor-widget elementor-widget-heading\" data-id=\"b3adc5d\" 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<h2 class=\"elementor-heading-title elementor-size-default\">Kindly fill in your details below to process your order. <br \/>\nPlease do not fill this form if you are not ready for delivery<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0443c03 elementor-widget elementor-widget-heading\" data-id=\"0443c03\" 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<h2 class=\"elementor-heading-title elementor-size-default\"><div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-8970\"><form id=\"wpforms-form-8970\" class=\"wpforms-validate wpforms-form\" data-formid=\"8970\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F8967\"><div class=\"wpforms-field-container\"><div id=\"wpforms-8970-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-8970-field_1\">Full Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-8970-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><div id=\"wpforms-8970-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-8970-field_2\">Phone Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-8970-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/div><div id=\"wpforms-8970-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-8970-field_3\">Address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-8970-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div><div id=\"wpforms-8970-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-8970-field_4\">WhatsApp Number<\/label><input type=\"text\" id=\"wpforms-8970-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" ><\/div><div id=\"wpforms-8970-field_5-container\" class=\"wpforms-field wpforms-field-select\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-8970-field_5\">Quantity  <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-8970-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required=\"required\"><option value=\"Buy 1 for 60,000TSH\" >Buy 1 for 60,000TSH<\/option><option value=\"Buy 2 for 100,000TSH (Recommended Dosage)\"  selected='selected'>Buy 2 for 100,000TSH (Recommended Dosage)<\/option><option value=\"Buy 3 for 150,000 (Permanent\u00a0\u00a0Cure)\" >Buy 3 for 150,000 (Permanent\u00a0\u00a0Cure)<\/option><\/select><\/div><div id=\"wpforms-8970-field_6-container\" class=\"wpforms-field wpforms-field-hidden\" data-field-id=\"6\"><input type=\"hidden\" id=\"wpforms-8970-field_6\" name=\"wpforms[fields][6]\" value=\"EYECARE\"><\/div><\/div><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-8970-field-hp\" class=\"wpforms-field-label\">Email<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-8970-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"8970\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" class=\"wpforms-submit \" id=\"wpforms-submit-8970\" value=\"wpforms-submit\" aria-live=\"assertive\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container --><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Kindly fill in your details below to process your order. Please do not fill this form if you are not ready for delivery<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_canvas","meta":{"footnotes":""},"class_list":["post-8967","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/glowspecial.store\/index.php?rest_route=\/wp\/v2\/pages\/8967","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/glowspecial.store\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/glowspecial.store\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/glowspecial.store\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/glowspecial.store\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8967"}],"version-history":[{"count":7,"href":"https:\/\/glowspecial.store\/index.php?rest_route=\/wp\/v2\/pages\/8967\/revisions"}],"predecessor-version":[{"id":8989,"href":"https:\/\/glowspecial.store\/index.php?rest_route=\/wp\/v2\/pages\/8967\/revisions\/8989"}],"wp:attachment":[{"href":"https:\/\/glowspecial.store\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8967"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}