[av_contact title=’EG Controls Representative Access’ button=’Login’ on_send=’redirect’ sent=’Your message has been sent!’ link=’manually,http://www.egcontrols.com’ captcha=” captcha_theme=’light’ captcha_size=’normal’ captcha_score=’0.5′ email=’tjohnson@egcontrols.com’ from_email=” subject=” autoresponder_email=” autoresponder_reply_to=” autorespond=” form_align=” color=” heading_tag=” heading_class=” alb_description=” id=” custom_class=” aria_label=” av_uid=’av-kaid4mpl’ admin_preview_bg=”]
[av_contact_field label=” type=’html’ options=” check=” width=” multi_select=” av_contact_preselect=”]
Please login to gain access.
[/av_contact_field]
[av_contact_field label=’Username’ type=’text’ options=” check=’is_empty’ width=’element_fourth’][/av_contact_field]
[av_contact_field label=” type=’html’ options=” check=” width=” multi_select=” av_contact_preselect=”][/av_contact_field]
[av_contact_field label=’Password’ type=’text’ options=” check=’is_empty’ width=’element_fourth’][/av_contact_field]
[av_contact_field label=” type=’html’ options=” check=” width=” multi_select=” av_contact_preselect=”][/av_contact_field]
[/av_contact]