{"id":15363,"date":"2015-04-16T10:35:31","date_gmt":"2015-04-16T10:35:31","guid":{"rendered":"http:\/\/demo.qodeinteractive.com\/bridge74\/?page_id=15363"},"modified":"2025-08-21T07:55:55","modified_gmt":"2025-08-21T07:55:55","slug":"contact","status":"publish","type":"page","link":"https:\/\/r3stemcell.com\/become-a-provider\/contact\/","title":{"rendered":"Contact"},"content":{"rendered":"<p>[vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221;][vc_column][vc_empty_space][\/vc_column][\/vc_row][vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221;][vc_column width=&#8221;1\/4&#8243;][\/vc_column][vc_column width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1755762798980{background-color: #e0e0e0 !important;}&#8221;][vc_column_text]<\/p>\n<h2 style=\"text-align: center;\">&#8220;I&#8217;m Interested&#8221; Form &#8211; Contact Us and We&#8217;ll Get Back to You ASAP to discuss!<\/h2>\n<p>[\/vc_column_text]\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_6' ><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/become-a-provider\/wp-json\/wp\/v2\/pages\/15363'>\n                        <div class='gform_body'><ul id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below'><li id='field_6_6'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_6' >Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_6_6' type='text' value='' class='medium'    placeholder='Name*' aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_6_3'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_3' >Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_6_3' type='text' value='' class='medium'   placeholder='Email*' aria-required=\"true\" aria-invalid=\"false\" \/>\n                        <\/div><\/li><li id='field_6_4'  class='gfield gf_left_half field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_4' >Company<\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_6_4' type='text' value='' class='medium'    placeholder='Company'  aria-invalid=\"false\" \/><\/div><\/li><li id='field_6_5'  class='gfield gf_left_half field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_5' >Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_6_5' type='text' value='' class='medium'  placeholder='Phone'  aria-invalid=\"false\"  \/><\/div><\/li><li id='field_6_7'  class='gfield field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_6_7' >Message<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_7' id='input_6_7' class='textarea medium'    placeholder='Message'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_6_8'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_6_8' >CAPTCHA<\/label><div id='input_6_8' class='ginput_container ginput_recaptcha' data-sitekey='6LfYY7UrAAAAAIy5gavNiVvVL2BvTvOW1nDrJUuY'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li>\n                            <\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_6' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_6\"]){return false;}  window[\"gf_submitting_6\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_6\"]){return false;} window[\"gf_submitting_6\"]=true;  jQuery(\"#gform_6\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_6' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='6' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_6' value='WyJbXSIsIjA0NjkxNDFjZGQwMWRhMjMwZWE0YTVjYTA1MzE0NTNjIl0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_6' id='gform_target_page_number_6' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_6' id='gform_source_page_number_6' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type='text\/javascript'> jQuery(document).bind('gform_post_render', function(event, formId, currentPage){if(formId == 6) {if(typeof Placeholders != 'undefined'){\n                        Placeholders.enable();\n                    }jQuery('#input_6_5').mask('(999) 999-9999').bind('keypress', function(e){if(e.which == 13){jQuery(this).blur();} } );} } );jQuery(document).bind('gform_post_conditional_logic', function(event, formId, fields, isInit){} );<\/script><script type='text\/javascript'> jQuery(document).ready(function(){jQuery(document).trigger('gform_post_render', [6, 1]) } ); <\/script>[\/vc_column][vc_column width=&#8221;1\/4&#8243;][\/vc_column][\/vc_row][vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221;][vc_column width=&#8221;1\/4&#8243;][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_empty_space][vc_column_text]<\/p>\n<p style=\"text-align: center;\"><strong><span style=\"font-size: 14pt;\">R3 Stem Cell Corporate Information:<\/span><\/strong><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 14pt;\">10045 E Dynamite Boulevard<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 14pt;\">Suite 260<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 14pt;\">Scottsdale, AZ 85262<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 14pt;\">info@r3stemcell.com<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 14pt;\">(844) GET-STEM<\/span><\/p>\n<p>[\/vc_column_text][vc_empty_space][\/vc_column][vc_column width=&#8221;1\/4&#8243;][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row css_animation=&#8221;&#8221; 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