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_excluded = [\"sitekey\", \"onChange\", \"theme\", \"type\", \"tabindex\", \"onExpired\", \"onErrored\", \"size\", \"stoken\", \"grecaptcha\", \"badge\", \"hl\", \"isolated\"];\nfunction _extends() { _extends = Object.assign ? Object.assign.bind() : function (target) { for (var i = 1; i < arguments.length; i++) { var source = arguments[i]; for (var key in source) { if (Object.prototype.hasOwnProperty.call(source, key)) { target[key] = source[key]; } } } return target; }; return _extends.apply(this, arguments); }\nfunction _objectWithoutPropertiesLoose(source, excluded) { if (source == null) return {}; var target = {}; var sourceKeys = Object.keys(source); var key, i; for (i = 0; i < sourceKeys.length; i++) { key = sourceKeys[i]; if (excluded.indexOf(key) >= 0) continue; target[key] = source[key]; } return target; }\nfunction _assertThisInitialized(self) { if (self === void 0) { throw new ReferenceError(\"this hasn't been initialised - super() hasn't been called\"); } return self; }\nfunction _inheritsLoose(subClass, superClass) { subClass.prototype = Object.create(superClass.prototype); subClass.prototype.constructor = subClass; _setPrototypeOf(subClass, superClass); }\nfunction _setPrototypeOf(o, p) { _setPrototypeOf = Object.setPrototypeOf ? Object.setPrototypeOf.bind() : function _setPrototypeOf(o, p) { o.__proto__ = p; return o; }; return _setPrototypeOf(o, p); }\nimport * as React from \"react\";\nimport PropTypes from \"prop-types\";\nvar ReCAPTCHA = /*#__PURE__*/function (_React$Component) {\n  _inheritsLoose(ReCAPTCHA, _React$Component);\n  function ReCAPTCHA() {\n    var _this;\n    _this = _React$Component.call(this) || this;\n    _this.handleExpired = _this.handleExpired.bind(_assertThisInitialized(_this));\n    _this.handleErrored = _this.handleErrored.bind(_assertThisInitialized(_this));\n    _this.handleChange = _this.handleChange.bind(_assertThisInitialized(_this));\n    _this.handleRecaptchaRef = _this.handleRecaptchaRef.bind(_assertThisInitialized(_this));\n    return _this;\n  }\n  var _proto = ReCAPTCHA.prototype;\n  _proto.getCaptchaFunction = function getCaptchaFunction(fnName) {\n    if (this.props.grecaptcha) {\n      if (this.props.grecaptcha.enterprise) {\n        return this.props.grecaptcha.enterprise[fnName];\n      }\n      return this.props.grecaptcha[fnName];\n    }\n    return null;\n  };\n  _proto.getValue = function getValue() {\n    var getResponse = this.getCaptchaFunction(\"getResponse\");\n    if (getResponse && this._widgetId !== undefined) {\n      return getResponse(this._widgetId);\n    }\n    return null;\n  };\n  _proto.getWidgetId = function getWidgetId() {\n    if (this.props.grecaptcha && this._widgetId !== undefined) {\n      return this._widgetId;\n    }\n    return null;\n  };\n  _proto.execute = function execute() {\n    var execute = this.getCaptchaFunction(\"execute\");\n    if (execute && this._widgetId !== undefined) {\n      return execute(this._widgetId);\n    } else {\n      this._executeRequested = true;\n    }\n  };\n  _proto.executeAsync = function executeAsync() {\n    var _this2 = this;\n    return new Promise(function (resolve, reject) {\n      _this2.executionResolve = resolve;\n      _this2.executionReject = reject;\n      _this2.execute();\n    });\n  };\n  _proto.reset = function reset() {\n    var resetter = this.getCaptchaFunction(\"reset\");\n    if (resetter && this._widgetId !== undefined) {\n      resetter(this._widgetId);\n    }\n  };\n  _proto.forceReset = function forceReset() {\n    var resetter = this.getCaptchaFunction(\"reset\");\n    if (resetter) {\n      resetter();\n    }\n  };\n  _proto.handleExpired = function handleExpired() {\n    if (this.props.onExpired) {\n      this.props.onExpired();\n    } else {\n      this.handleChange(null);\n    }\n  };\n  _proto.handleErrored = function handleErrored() {\n    if (this.props.onErrored) {\n      this.props.onErrored();\n    }\n    if (this.executionReject) {\n      this.executionReject();\n      delete this.executionResolve;\n      delete this.executionReject;\n    }\n  };\n  _proto.handleChange = function handleChange(token) {\n    if (this.props.onChange) {\n      this.props.onChange(token);\n    }\n    if (this.executionResolve) {\n      this.executionResolve(token);\n      delete this.executionReject;\n      delete this.executionResolve;\n    }\n  };\n  _proto.explicitRender = function explicitRender() {\n    var render = this.getCaptchaFunction(\"render\");\n    if (render && this._widgetId === undefined) {\n      var wrapper = document.createElement(\"div\");\n      this._widgetId = render(wrapper, {\n        sitekey: this.props.sitekey,\n        callback: this.handleChange,\n        theme: this.props.theme,\n        type: this.props.type,\n        tabindex: this.props.tabindex,\n        \"expired-callback\": this.handleExpired,\n        \"error-callback\": this.handleErrored,\n        size: this.props.size,\n        stoken: this.props.stoken,\n        hl: this.props.hl,\n        badge: this.props.badge,\n        isolated: this.props.isolated\n      });\n      this.captcha.appendChild(wrapper);\n    }\n    if (this._executeRequested && this.props.grecaptcha && this._widgetId !== undefined) {\n      this._executeRequested = false;\n      this.execute();\n    }\n  };\n  _proto.componentDidMount = function componentDidMount() {\n    this.explicitRender();\n  };\n  _proto.componentDidUpdate = function componentDidUpdate() {\n    this.explicitRender();\n  };\n  _proto.handleRecaptchaRef = function handleRecaptchaRef(elem) {\n    this.captcha = elem;\n  };\n  _proto.render = function render() {\n    // consume properties owned by the reCATPCHA, pass the rest to the div so the user can style it.\n    /* eslint-disable no-unused-vars */\n    var _this$props = this.props,\n      sitekey = _this$props.sitekey,\n      onChange = _this$props.onChange,\n      theme = _this$props.theme,\n      type = _this$props.type,\n      tabindex = _this$props.tabindex,\n      onExpired = _this$props.onExpired,\n      onErrored = _this$props.onErrored,\n      size = _this$props.size,\n      stoken = _this$props.stoken,\n      grecaptcha = _this$props.grecaptcha,\n      badge = _this$props.badge,\n      hl = _this$props.hl,\n      isolated = _this$props.isolated,\n      childProps = _objectWithoutPropertiesLoose(_this$props, _excluded);\n    /* eslint-enable no-unused-vars */\n    return /*#__PURE__*/React.createElement(\"div\", _extends({}, childProps, {\n      ref: this.handleRecaptchaRef\n    }));\n  };\n  return ReCAPTCHA;\n}(React.Component);\nexport { ReCAPTCHA as default };\nReCAPTCHA.displayName = \"ReCAPTCHA\";\nReCAPTCHA.propTypes = {\n  sitekey: PropTypes.string.isRequired,\n  onChange: PropTypes.func,\n  grecaptcha: PropTypes.object,\n  theme: PropTypes.oneOf([\"dark\", \"light\"]),\n  type: PropTypes.oneOf([\"image\", \"audio\"]),\n  tabindex: PropTypes.number,\n  onExpired: PropTypes.func,\n  onErrored: PropTypes.func,\n  size: PropTypes.oneOf([\"compact\", \"normal\", \"invisible\"]),\n  stoken: PropTypes.string,\n  hl: PropTypes.string,\n  badge: PropTypes.oneOf([\"bottomright\", \"bottomleft\", \"inline\"]),\n  isolated: PropTypes.bool\n};\nReCAPTCHA.defaultProps = {\n  onChange: function onChange() {},\n  theme: \"light\",\n  type: \"image\",\n  tabindex: 0,\n  size: \"normal\",\n  badge: \"bottomright\"\n};","function _extends() { _extends = Object.assign || function (target) { for (var i = 1; i < arguments.length; i++) { var source = arguments[i]; for (var key in source) { if (Object.prototype.hasOwnProperty.call(source, key)) { target[key] = source[key]; } } } return target; }; return _extends.apply(this, arguments); }\n\nfunction _objectWithoutPropertiesLoose(source, excluded) { if (source == null) return {}; var target = {}; var sourceKeys = Object.keys(source); var key, i; for (i = 0; i < sourceKeys.length; i++) { key = sourceKeys[i]; if (excluded.indexOf(key) >= 0) continue; target[key] = source[key]; } return target; }\n\nfunction _inheritsLoose(subClass, superClass) { subClass.prototype = Object.create(superClass.prototype); subClass.prototype.constructor = subClass; subClass.__proto__ = superClass; }\n\nimport { Component, createElement, forwardRef } from \"react\";\nimport PropTypes from \"prop-types\";\nimport hoistStatics from \"hoist-non-react-statics\";\nvar SCRIPT_MAP = {}; // A counter used to generate a unique id for each component that uses the function\n\nvar idCount = 0;\nexport default function makeAsyncScript(getScriptURL, options) {\n  options = options || {};\n  return function wrapWithAsyncScript(WrappedComponent) {\n    var wrappedComponentName = WrappedComponent.displayName || WrappedComponent.name || \"Component\";\n\n    var AsyncScriptLoader =\n    /*#__PURE__*/\n    function (_Component) {\n      _inheritsLoose(AsyncScriptLoader, _Component);\n\n      function AsyncScriptLoader(props, context) {\n        var _this;\n\n        _this = _Component.call(this, props, context) || this;\n        _this.state = {};\n        _this.__scriptURL = \"\";\n        return _this;\n      }\n\n      var _proto = AsyncScriptLoader.prototype;\n\n      _proto.asyncScriptLoaderGetScriptLoaderID = function asyncScriptLoaderGetScriptLoaderID() {\n        if (!this.__scriptLoaderID) {\n          this.__scriptLoaderID = \"async-script-loader-\" + idCount++;\n        }\n\n        return this.__scriptLoaderID;\n      };\n\n      _proto.setupScriptURL = function setupScriptURL() {\n        this.__scriptURL = typeof getScriptURL === \"function\" ? getScriptURL() : getScriptURL;\n        return this.__scriptURL;\n      };\n\n      _proto.asyncScriptLoaderHandleLoad = function asyncScriptLoaderHandleLoad(state) {\n        var _this2 = this;\n\n        // use reacts setState callback to fire props.asyncScriptOnLoad with new state/entry\n        this.setState(state, function () {\n          return _this2.props.asyncScriptOnLoad && _this2.props.asyncScriptOnLoad(_this2.state);\n        });\n      };\n\n      _proto.asyncScriptLoaderTriggerOnScriptLoaded = function asyncScriptLoaderTriggerOnScriptLoaded() {\n        var mapEntry = SCRIPT_MAP[this.__scriptURL];\n\n        if (!mapEntry || !mapEntry.loaded) {\n          throw new Error(\"Script is not loaded.\");\n        }\n\n        for (var obsKey in mapEntry.observers) {\n          mapEntry.observers[obsKey](mapEntry);\n        }\n\n        delete window[options.callbackName];\n      };\n\n      _proto.componentDidMount = function componentDidMount() {\n        var _this3 = this;\n\n        var scriptURL = this.setupScriptURL();\n        var key = this.asyncScriptLoaderGetScriptLoaderID();\n        var _options = options,\n            globalName = _options.globalName,\n            callbackName = _options.callbackName,\n            scriptId = _options.scriptId; // check if global object already attached to window\n\n        if (globalName && typeof window[globalName] !== \"undefined\") {\n          SCRIPT_MAP[scriptURL] = {\n            loaded: true,\n            observers: {}\n          };\n        } // check if script loading already\n\n\n        if (SCRIPT_MAP[scriptURL]) {\n          var entry = SCRIPT_MAP[scriptURL]; // if loaded or errored then \"finish\"\n\n          if (entry && (entry.loaded || entry.errored)) {\n            this.asyncScriptLoaderHandleLoad(entry);\n            return;\n          } // if still loading then callback to observer queue\n\n\n          entry.observers[key] = function (entry) {\n            return _this3.asyncScriptLoaderHandleLoad(entry);\n          };\n\n          return;\n        }\n        /*\n         * hasn't started loading\n         * start the \"magic\"\n         * setup script to load and observers\n         */\n\n\n        var observers = {};\n\n        observers[key] = function (entry) {\n          return _this3.asyncScriptLoaderHandleLoad(entry);\n        };\n\n        SCRIPT_MAP[scriptURL] = {\n          loaded: false,\n          observers: observers\n        };\n        var script = document.createElement(\"script\");\n        script.src = scriptURL;\n        script.async = true;\n\n        for (var attribute in options.attributes) {\n          script.setAttribute(attribute, options.attributes[attribute]);\n        }\n\n        if (scriptId) {\n          script.id = scriptId;\n        }\n\n        var callObserverFuncAndRemoveObserver = function callObserverFuncAndRemoveObserver(func) {\n          if (SCRIPT_MAP[scriptURL]) {\n            var mapEntry = SCRIPT_MAP[scriptURL];\n            var observersMap = mapEntry.observers;\n\n            for (var obsKey in observersMap) {\n              if (func(observersMap[obsKey])) {\n                delete observersMap[obsKey];\n              }\n            }\n          }\n        };\n\n        if (callbackName && typeof window !== \"undefined\") {\n          window[callbackName] = function () {\n            return _this3.asyncScriptLoaderTriggerOnScriptLoaded();\n          };\n        }\n\n        script.onload = function () {\n          var mapEntry = SCRIPT_MAP[scriptURL];\n\n          if (mapEntry) {\n            mapEntry.loaded = true;\n            callObserverFuncAndRemoveObserver(function (observer) {\n              if (callbackName) {\n                return false;\n              }\n\n              observer(mapEntry);\n              return true;\n            });\n          }\n        };\n\n        script.onerror = function () {\n          var mapEntry = SCRIPT_MAP[scriptURL];\n\n          if (mapEntry) {\n            mapEntry.errored = true;\n            callObserverFuncAndRemoveObserver(function (observer) {\n              observer(mapEntry);\n              return true;\n            });\n          }\n        };\n\n        document.body.appendChild(script);\n      };\n\n      _proto.componentWillUnmount = function componentWillUnmount() {\n        // Remove tag script\n        var scriptURL = this.__scriptURL;\n\n        if (options.removeOnUnmount === true) {\n          var allScripts = document.getElementsByTagName(\"script\");\n\n          for (var i = 0; i < allScripts.length; i += 1) {\n            if (allScripts[i].src.indexOf(scriptURL) > -1) {\n              if (allScripts[i].parentNode) {\n                allScripts[i].parentNode.removeChild(allScripts[i]);\n              }\n            }\n          }\n        } // Clean the observer entry\n\n\n        var mapEntry = SCRIPT_MAP[scriptURL];\n\n        if (mapEntry) {\n          delete mapEntry.observers[this.asyncScriptLoaderGetScriptLoaderID()];\n\n          if (options.removeOnUnmount === true) {\n            delete SCRIPT_MAP[scriptURL];\n          }\n        }\n      };\n\n      _proto.render = function render() {\n        var globalName = options.globalName; // remove asyncScriptOnLoad from childProps\n\n        var _this$props = this.props,\n            asyncScriptOnLoad = _this$props.asyncScriptOnLoad,\n            forwardedRef = _this$props.forwardedRef,\n            childProps = _objectWithoutPropertiesLoose(_this$props, [\"asyncScriptOnLoad\", \"forwardedRef\"]); // eslint-disable-line no-unused-vars\n\n\n        if (globalName && typeof window !== \"undefined\") {\n          childProps[globalName] = typeof window[globalName] !== \"undefined\" ? window[globalName] : undefined;\n        }\n\n        childProps.ref = forwardedRef;\n        return createElement(WrappedComponent, childProps);\n      };\n\n      return AsyncScriptLoader;\n    }(Component); // Note the second param \"ref\" provided by React.forwardRef.\n    // We can pass it along to AsyncScriptLoader as a regular prop, e.g. \"forwardedRef\"\n    // And it can then be attached to the Component.\n\n\n    var ForwardedComponent = forwardRef(function (props, ref) {\n      return createElement(AsyncScriptLoader, _extends({}, props, {\n        forwardedRef: ref\n      }));\n    });\n    ForwardedComponent.displayName = \"AsyncScriptLoader(\" + wrappedComponentName + \")\";\n    ForwardedComponent.propTypes = {\n      asyncScriptOnLoad: PropTypes.func\n    };\n    return hoistStatics(ForwardedComponent, WrappedComponent);\n  };\n}","import ReCAPTCHA from \"./recaptcha\";\nimport makeAsyncScriptLoader from \"react-async-script\";\nvar callbackName = \"onloadcallback\";\nvar globalName = \"grecaptcha\";\nfunction getOptions() {\n  return typeof window !== \"undefined\" && window.recaptchaOptions || {};\n}\nfunction getURL() {\n  var dynamicOptions = getOptions();\n  var hostname = dynamicOptions.useRecaptchaNet ? \"recaptcha.net\" : \"www.google.com\";\n  if (dynamicOptions.enterprise) {\n    return \"https://\" + hostname + \"/recaptcha/enterprise.js?onload=\" + callbackName + \"&render=explicit\";\n  }\n  return \"https://\" + hostname + \"/recaptcha/api.js?onload=\" + callbackName + \"&render=explicit\";\n}\nexport default makeAsyncScriptLoader(getURL, {\n  callbackName: callbackName,\n  globalName: globalName,\n  attributes: getOptions().nonce ? {\n    nonce: getOptions().nonce\n  } : {}\n})(ReCAPTCHA);","import RecaptchaWrapper from \"./recaptcha-wrapper\";\nimport ReCAPTCHA from \"./recaptcha\";\nexport default RecaptchaWrapper;\nexport { ReCAPTCHA };","import React, { Fragment, useState, useEffect } from \"react\";\r\n\r\nimport { useFormik } from 'formik';\r\nimport * as Yup from 'yup';\r\nimport ReCAPTCHA from 'react-google-recaptcha';\r\nimport { ApiHooks } from \"../../../services/api\";\r\nimport { formatShortPhoneNumber, capitalizeLocal,GetStartedSubmitted } from \"../../../helpers/functions\";\r\nimport FloatIcon from \"../FloatIcon/FloatIcon\";\r\n\r\nexport default function FormFields({zip,storeId, setLoading, setSubmissionComplete}) {\r\n    \r\n    const { verifyZip, saveShortForm } = ApiHooks();\r\n    const [stateCA, SetStateCA] = useState(\"\"); \r\n    const [ zipCode, SetZipCode] = useState(zip);\r\n\r\n    const formik = useFormik({\r\n        initialValues: {\r\n          firstName: '',\r\n          lastName: '',\r\n          email: '',\r\n          mobile:'',\r\n          zipCode: zipCode,\r\n          city: '',\r\n          address: '',\r\n          apt: '',\r\n          ssn: '',\r\n          privacy: false,\r\n          recaptcha: '', \r\n        },\r\n        validationSchema: Yup.object({\r\n          firstName:    Yup.string()\r\n                        .required('First name is required')\r\n                        .min(2, 'First name is too Short!')\r\n                        .max(25, ({max}) => `First name must be between 2 and 25 characters. You entered ${max} characters`),\r\n          lastName:     Yup.string().\r\n                        required('Last name is required')\r\n                        .min(2, 'Last name is too Short!')\r\n                        .max(25, ({max})=> `Last name must be between 2 and 25 characters. You entered ${max} characters`),\r\n          email:        Yup.string()\r\n                        .email('Invalid email address')\r\n                        .required('Email is required')\r\n                        .min(6, 'Email is too Short!')\r\n                        .max(60, 'Email is too Long!'),\r\n          mobile:       Yup.string()\r\n                        .required('Your phone number is required')\r\n                        .matches(/^\\(\\d{3}\\) \\d{3}-\\d{4}$/, 'Phone number must be in the format (XXX) XXX-XXXX'),\r\n          zipCode:      Yup.string()\r\n                        .required('Zip code is required')\r\n                        .min(4, 'Zip code is too Short!')\r\n                        .max(5, 'Zip code is too Long!'),\r\n          city:         Yup.string()\r\n                        .required('City is required')\r\n                        .min(3, 'City is too Short!')\r\n                        .max(60, 'City is too Long!'),\r\n          address:      Yup.string()\r\n                        .required('Your address is required')\r\n                        .min(4, 'Your address is too Short!')\r\n                        .max(80, 'Your address is too Long!'),\r\n          apt:          Yup.string()\r\n                        .min(3, 'Your Apt., Bldg., Suite is too Short!')\r\n                        .max(80, 'Your Apt., Bldg., Suite is too Long!'),\r\n          ssn:          Yup.string()\r\n                        .required('Your SSN is required')\r\n                        .min(4, 'SSN is too Short!')\r\n                        .max(4, ({ max }) => `SSN must be exactly ${max} characters`),\r\n          privacy:      Yup.boolean()\r\n                        .oneOf([true], 'You must agree to the terms and conditions'),\r\n          recaptcha:    Yup.string()\r\n                        .required('reCAPTCHA verification is required'),\r\n        }),\r\n        onSubmit: async (values) => {\r\n              setLoading(true);\r\n            const formData = {\r\n                ...values,\r\n                state: stateCA,\r\n                store: storeId,\r\n              };\r\n              try {\r\n                const data = await saveShortForm(formData);\r\n                GetStartedSubmitted(\"get-started-online\", storeId,values.city, values.zipCode);\r\n                setSubmissionComplete(data.data);\r\n              } catch (error) {\r\n                console.error(error);\r\n              } finally {\r\n                setLoading(false);\r\n              }\r\n        },\r\n      });\r\n    \r\n      const handleCaptchaChange = (value) => {\r\n        formik.setFieldValue('recaptcha', value || '');\r\n        formik.setFieldTouched('recaptcha', true);\r\n      };\r\n      const handleMobileChange = (e) => {\r\n        const input = e.target.value;\r\n        const formattedValue = formatShortPhoneNumber(input);\r\n        formik.setFieldValue('mobile', formattedValue);\r\n      };\r\n      useEffect(() => {\r\n        if (zipCode) {\r\n            SearchZipCode(zipCode);\r\n        }\r\n      }, [zipCode]);\r\n\r\n      const SearchZipCode = (zip) => {\r\n        verifyZip(zip)\r\n        .then((data) => {\r\n            const parser = new DOMParser();\r\n            const xmlDoc = parser.parseFromString(data.data, 'text/xml');\r\n            const stateNameLocal = (xmlDoc.getElementsByTagName('State').length > 0) ? xmlDoc.getElementsByTagName('State')[0].textContent: undefined;\r\n            const cityName  = (xmlDoc.getElementsByTagName('City').length > 0) ? xmlDoc.getElementsByTagName('City')[0].textContent :undefined ;\r\n            let city_format = capitalizeLocal(cityName.toLowerCase());\r\n            formik.setFieldValue('city', city_format);\r\n            SetStateCA((stateNameLocal));\r\n        })\r\n        .catch((error) => {\r\n          console.error('Error fetching data:', error);\r\n        });\r\n      }\r\n  return (\r\n    <Fragment>\r\n        <h5 className=\"modal-title\" id=\"shortFormLabel\">Start Your Application Online and Finish it at a Store Near You.</h5>\r\n        <form onSubmit={formik.handleSubmit}>\r\n            <div className=\"form-group short-div\">\r\n                <label className=\"required-label\">Required</label>\r\n                <input\r\n                    type=\"text\"\r\n                    id=\"firstName\"\r\n                    name=\"firstName\"\r\n                    className=\"form-control group-short\"\r\n                    placeholder=\"First Name\"\r\n                    aria-label=\"First Name\"\r\n                    onChange={formik.handleChange}\r\n                    onBlur={formik.handleBlur}\r\n                    value={formik.values.firstName}\r\n                />\r\n                {formik.touched.firstName && formik.errors.firstName && <p style={{ color: 'red' }}>{formik.errors.firstName}</p>}\r\n            </div>\r\n            <div className=\"form-group short-div\">\r\n                <label className=\"required-label\">Required</label>\r\n                <input\r\n                    type=\"text\"\r\n                    id=\"lastName\"\r\n                    name=\"lastName\"\r\n                    className=\"form-control group-short\"\r\n                    placeholder=\"Last Name\"\r\n                    aria-label=\"Last Name\"\r\n                    onChange={formik.handleChange}\r\n                    onBlur={formik.handleBlur}\r\n                    value={formik.values.lastName}\r\n                />\r\n                {formik.touched.lastName && formik.errors.lastName && <p style={{ color: 'red' }}>{formik.errors.lastName}</p>}\r\n            </div>\r\n            <div className=\"form-group short-div\">\r\n                <label className=\"required-label\">Required</label>\r\n                <input\r\n                    type=\"email\"\r\n                    id=\"email\"\r\n                    name=\"email\"\r\n                    className=\"form-control group-short\"\r\n                    placeholder=\"Email\"\r\n                    aria-label=\"Email\"\r\n                    onChange={formik.handleChange}\r\n                    onBlur={formik.handleBlur}\r\n                    value={formik.values.email}\r\n                />\r\n                {formik.touched.email && formik.errors.email && <p style={{ color: 'red' }}>{formik.errors.email}</p>}\r\n            </div>\r\n            <div className=\"form-group short-div\">\r\n                <label className=\"required-label\">Required</label>\r\n                <input\r\n                    type=\"text\"\r\n                    id=\"mobile\"\r\n                    name=\"mobile\"\r\n                    className=\"form-control group-short\"\r\n                    placeholder=\"Phone Number\"\r\n                    aria-label=\"Phone Number\"\r\n                    onChange={handleMobileChange}\r\n                    onBlur={formik.handleBlur}\r\n                    value={formik.values.mobile}\r\n                />\r\n                {formik.touched.mobile && formik.errors.mobile && <p style={{ color: 'red' }}>{formik.errors.mobile}</p>}\r\n            </div>\r\n            <div className=\"form-group short-div\">\r\n                <select className=\"form-control group-short\" disabled>\r\n                    <option value=\"California\">California</option>\r\n                </select>\r\n            </div>\r\n            <div className=\"form-group short-div\">\r\n                <label className=\"required-label\">Required</label>\r\n                <input\r\n                    type=\"text\"\r\n                    id=\"address\"\r\n                    name=\"address\"\r\n                    className=\"form-control group-short\"\r\n                    placeholder=\"Address\"\r\n                    aria-label=\"Address\"\r\n                    onChange={formik.handleChange}\r\n                    onBlur={formik.handleBlur}\r\n                    value={formik.values.address}\r\n                />\r\n                {formik.touched.address && formik.errors.address && <p style={{ color: 'red' }}>{formik.errors.address}</p>}\r\n            </div>\r\n            <div className=\"form-group short-div\">\r\n                <input\r\n                    type=\"text\"\r\n                    id=\"apt\"\r\n                    name=\"apt\"\r\n                    className=\"form-control group-short\"\r\n                    placeholder=\"Apt., Bldg., Suite\"\r\n                    aria-label=\"Apt., Bldg., Suite\"\r\n                    onChange={formik.handleChange}\r\n                    onBlur={formik.handleBlur}\r\n                    value={formik.values.apt}\r\n                />\r\n                {formik.touched.apt && formik.errors.apt && <p style={{ color: 'red' }}>{formik.errors.apt}</p>}\r\n            </div>\r\n            <div className=\"form-group short-div\">\r\n                <label className=\"required-label\">Required</label>\r\n                <input\r\n                    type=\"text\"\r\n                    id=\"city\"\r\n                    name=\"city\"\r\n                    className=\"form-control group-short\"\r\n                    placeholder=\"City\"\r\n                    aria-label=\"City\"\r\n                    onChange={formik.handleChange}\r\n                    onBlur={formik.handleBlur}\r\n                    value={formik.values.city}\r\n                />\r\n                {formik.touched.city && formik.errors.city && <p style={{ color: 'red' }}>{formik.errors.city}</p>}\r\n            </div>\r\n            <div className=\"form-group short-div\">\r\n                <label className=\"required-label\">Required</label>\r\n                <input\r\n                    type=\"text\"\r\n                    id=\"zipCode\"\r\n                    name=\"zipCode\"\r\n                    className=\"form-control group-short\"\r\n                    placeholder=\"Zip Code\"\r\n                    aria-label=\"Zip Code\"\r\n                    pattern=\"\\d*\"\r\n                    onChange={formik.handleChange}\r\n                    onBlur={formik.handleBlur}\r\n                    value={formik.values.zipCode}\r\n                />\r\n                {formik.touched.zipCode && formik.errors.zipCode && <p style={{ color: 'red' }}>{formik.errors.zipCode}</p>}\r\n            </div>\r\n            <div className=\"form-group short-div\">\r\n                <label className=\"required-label\">Required</label>\r\n                <input\r\n                    type=\"password\"\r\n                    id=\"ssn\"\r\n                    name=\"ssn\"\r\n                    className=\"form-control group-short\"\r\n                    placeholder=\"Last 4 of SSN\"\r\n                    aria-label=\"SSN\"\r\n                    onChange={formik.handleChange}\r\n                    onBlur={formik.handleBlur}\r\n                    value={formik.values.ssn}\r\n                    autoComplete=\"false\"\r\n                />\r\n                {formik.touched.ssn && formik.errors.ssn && <p style={{ color: 'red' }}>{formik.errors.ssn}</p>}\r\n            </div>\r\n            <div className=\"form-group short-div\">\r\n                <div className=\"checkbox\">\r\n                    <label className=\"cic_container_local lb-black\">By completing submission you agree to California Check Cashing Stores <a href=\"/communication-preferences/\" target=\"_blank\" rel=\"noopener noreferrer\">Communication Preferences</a> and <a href=\"/privacy-policy/\" target=\"_blank\" rel=\"noopener noreferrer\">Privacy Policy</a>.\r\n                        <input \r\n                            name=\"privacy\" \r\n                            type=\"checkbox\"\r\n                            checked={formik.values.privacy}\r\n                            onChange={formik.handleChange}\r\n                            onBlur={formik.handleBlur}\r\n                        />\r\n                        <span className=\"checkmark_local\"></span>\r\n                    </label>\r\n                </div>\r\n                {formik.touched.privacy && formik.errors.privacy && ( <p style={{ color: 'red' }}>{formik.errors.privacy}</p> )}\r\n            </div>\r\n            <div className=\"form-group short-div\">\r\n                <ReCAPTCHA className=\"captcha-center\" sitekey=\"6LckUlwpAAAAAJPIfhSb--6iKwZeJ6k4Sddv7idf\" onChange={handleCaptchaChange} />\r\n                {formik.touched.recaptcha && formik.errors.recaptcha && (\r\n                    <p style={{ color: 'red' }}>{formik.errors.recaptcha}</p>\r\n                )}\r\n            </div>\r\n            <div className=\"form-group short-div captcha-center\">\r\n                <button className=\"cic-btn cic-btn-get-started\" type=\"submit\">\r\n                    <FloatIcon />\r\n                    Submit\r\n                </button>\r\n            </div>\r\n            \r\n        </form>\r\n    </Fragment>\r\n  )\r\n}\r\n","import React from 'react'\r\n\r\nexport default function FloatIcon({classN = \"\"}) {\r\n  const new_class = (classN != \"\") ? classN : \"\";\r\n  return (\r\n    <div className={`cic-icon-fly ${new_class}`}>\r\n        <img \r\n            src=\"https://assets-us-01.kc-usercontent.com/4f626d0e-ea43-0058-7ee6-030359e555db/027fd9b9-0307-4d91-aaca-b4d84a7554a9/paper-plane.svg\"\r\n        />\r\n    </div>\r\n  )\r\n}\r\n"],"names":["_excluded","_extends","Object","assign","bind","target","i","arguments","length","source","key","prototype","hasOwnProperty","call","apply","this","_assertThisInitialized","self","ReferenceError","_setPrototypeOf","o","p","setPrototypeOf","__proto__","ReCAPTCHA","_React$Component","subClass","superClass","_this","handleExpired","handleErrored","handleChange","handleRecaptchaRef","create","constructor","_proto","getCaptchaFunction","fnName","props","grecaptcha","enterprise","getValue","getResponse","undefined","_widgetId","getWidgetId","execute","_executeRequested","executeAsync","_this2","Promise","resolve","reject","executionResolve","executionReject","reset","resetter","forceReset","onExpired","onErrored","token","onChange","explicitRender","render","wrapper","document","createElement","sitekey","callback","theme","type","tabindex","size","stoken","hl","badge","isolated","captcha","appendChild","componentDidMount","componentDidUpdate","elem","_this$props","childProps","excluded","sourceKeys","keys","indexOf","_objectWithoutPropertiesLoose","ref","displayName","propTypes","isRequired","defaultProps","SCRIPT_MAP","idCount","callbackName","getOptions","window","recaptchaOptions","getScriptURL","options","dynamicOptions","hostname","useRecaptchaNet","globalName","attributes","nonce","WrappedComponent","wrappedComponentName","name","AsyncScriptLoader","_Component","context","state","__scriptURL","asyncScriptLoaderGetScriptLoaderID","__scriptLoaderID","setupScriptURL","asyncScriptLoaderHandleLoad","setState","asyncScriptOnLoad","asyncScriptLoaderTriggerOnScriptLoaded","mapEntry","loaded","Error","obsKey","observers","_this3","scriptURL","_options","scriptId","entry","errored","script","attribute","src","async","setAttribute","id","callObserverFuncAndRemoveObserver","func","observersMap","onload","observer","onerror","body","componentWillUnmount","removeOnUnmount","allScripts","getElementsByTagName","parentNode","removeChild","forwardedRef","Component","ForwardedComponent","forwardRef","FormFields","_ref","zip","storeId","setLoading","setSubmissionComplete","verifyZip","saveShortForm","ApiHooks","stateCA","SetStateCA","useState","zipCode","SetZipCode","formik","useFormik","initialValues","firstName","lastName","email","mobile","city","address","apt","ssn","privacy","recaptcha","validationSchema","Yup","required","min","max","_ref2","_ref3","matches","_ref4","oneOf","onSubmit","formData","values","store","data","GetStartedSubmitted","error","console","useEffect","SearchZipCode","then","xmlDoc","DOMParser","parseFromString","stateNameLocal","textContent","cityName","city_format","capitalizeLocal","toLowerCase","setFieldValue","catch","React","Fragment","className","handleSubmit","placeholder","onBlur","handleBlur","value","touched","errors","style","color","e","input","formattedValue","formatShortPhoneNumber","disabled","pattern","autoComplete","href","rel","checked","setFieldTouched","FloatIcon","classN","new_class"],"sourceRoot":""}