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Something went wrong while submitting the form.</div></div><div class="w-embed w-script"><div id="mc_embed_shell"> <link href="//cdn-images.mailchimp.com/embedcode/classic-061523.css" rel="stylesheet" type="text/css"> <style type="text/css"> #mc_embed_signup { clear: left; font: 14px; } .mc-field-group input[type="radio"] { margin-right: 10px; vertical-align: middle; } .mc-field-group label { font-size: 14px; margin-left: 5px; line-height: 1.5; font-weight: normal; } #mc_embed_signup label { font-weight: medium; } #mc-embedded-subscribe-form input[type=checkbox] { display: inline; width: auto; margin-right: 10px; } #mergeRow-gdpr { margin-top: 20px; } #mergeRow-gdpr fieldset label { font-weight: normal; } #mc-embedded-subscribe-form .mc_fieldset { border: none; min-height: 0px; padding-bottom: 0px; } #mc-embedded-subscribe { background-color: #505b69 !important; color: #fff !important; font-size: 16px; border: none; border-radius: 10px; cursor: pointer; text-align: center; width: 150px !important; height: 50px !important; display: flex !important; justify-content: center !important; align-items: center !important; } /* FLEX ROW FOR NAME ONLY */ .mc-name-row { display: flex; gap: 20px; } /* Match heights of all text fields and selects */ .mc-field-group input[type="text"], .mc-field-group input[type="email"], .mc-field-group select { height: 40px; padding: 10px; box-sizing: border-box; width: 100%; } .mc-field-group textarea { padding: 10px; box-sizing: border-box; width: 100%; min-height: 120px; } </style> <div id="mc_embed_signup"> <form action="https://ashberry.us21.list-manage.com/subscribe/post?u=645a7d9838d18e1021cdb1d94&id=82108ff5ca&v_id=251&f_id=00c9fce6f0" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank"> <div id="mc_embed_signup_scroll"> <!-- First Name + Last Name --> <div class="mc-name-row"> <div class="mc-field-group"> <label for="mce-FNAME">First Name</label> <input type="text" name="FNAME" class="text" id="mce-FNAME" value=""> </div> <div class="mc-field-group"> <label for="mce-LNAME">Last Name</label> <input type="text" name="LNAME" class="text" id="mce-LNAME" value=""> </div> </div> <!-- Email --> <div class="mc-field-group"> <label for="mce-EMAIL">Email Address <span class="asterisk">*</span></label> <input type="email" name="EMAIL" class="required email" id="mce-EMAIL" required value=""> </div> <!-- Phone --> <div class="mc-field-group"> <label for="mce-PHONE">Phone Number</label> <input type="text" name="PHONE" class="REQ_CSS" id="mce-PHONE" value=""> </div> <div class="mc-field-group"> <label for="mce-POSTCODE">Postcode</label> <input type="text" name="POSTCODE" class="text" id="mce-POSTCODE" value=""> </div> <div class="mc-field-group"> <label for="mce-CENQUIRY">Care Enquiry</label> <select name="CENQUIRY" id="mce-CENQUIRY"> <option value=""></option> <option value="Care Enquiry">Care Enquiry</option> <option value="General Enquiry">General Enquiry</option> <option value="Career Enquiry">Career Enquiry</option> </select> </div> <div class="mc-field-group"> <label for="mce-ENQTYPE">Enquiry Type</label> <select name="ENQTYPE" id="mce-ENQTYPE"> <option value=""></option> <option value="General">General</option> <option value="Allt Y Mynydd Nursing Home">Allt Y Mynydd Nursing Home</option> <option value="Blaenos House Nursing Home">Blaenos House Nursing Home</option> <option value="Broomy Hill Nursing Home">Broomy Hill Nursing Home</option> <option value="Engelberg Care Home">Engelberg Care Home</option> <option value="Holmer Court Care Home">Holmer Court Care Home</option> <option value="Meadowview Care Home">Meadowview Care Home</option> <option value="Moorhouse Care Home">Moorhouse Care Home</option> <option value="The Weir Nursing Home">The Weir Nursing Home</option> </select> </div> <div class="mc-field-group"> <label for="mce-MMERGE9">How can we help?</label> <textarea name="MMERGE9" class="text" id="mce-MMERGE9" rows="4" cols="50"></textarea> </div> <div class="mc-field-group input-group"> <strong>Marketing Preference </strong> <ul> <li> <input type="radio" name="MMERGE11" id="mce-MMERGE110" value="Keep up to date with recent news, events and services. 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Your submission has been received!</div></div><div class="w-form-fail"><div>Oops! Something went wrong while submitting the form.</div></div></div></div><div class="hack19-form"></div></section><section class="square-text form"><div class="container sqr-text"><div class="text-container"><div class="h2">Need a hand finding the right care home?</div><p>At Ashberry Care Homes, we look after your loved ones with care focused on dignity, sensitivity and independence.<br/><br/>We understand the concerns that people have when choosing a care home either for themselves or for a loved one. In our care, residents and their families are at the heart of everything we do and are always treated with respect and consideration.</p></div><div class="text-container touch-form"><div class="w-layout-vflex flex-block-54"><div class="h3 bold">Get in touch</div></div><div class="form-block w-form"><form id="wf-form-Get-in-touch" name="wf-form-Get-in-touch" data-name="Get in touch" method="get" class="hack19-form" data-wf-page-id="6671e6fdd24b2c90d15f7b10" data-wf-element-id="81b93337-918e-89c3-e374-abd0faa6efbd"><div class="w-layout-vflex hack19-form"><div class="w-layout-vflex double-filed"><input class="input-field w-input" maxlength="256" name="FNAME" data-name="FNAME" placeholder="First Name" type="text" id="FNAME" required=""/><input class="input-field w-input" maxlength="256" name="LNAME" data-name="LNAME" placeholder="Surname" type="text" id="LNAME" required=""/></div><input class="input-field w-input" maxlength="256" name="EMAIL" data-name="EMAIL" placeholder="Email Address" type="email" id="EMAIL" required=""/><div class="w-layout-vflex double-filed"><input class="input-field w-input" maxlength="256" name="PHONE" data-name="PHONE" placeholder="Phone Number" type="text" id="PHONE" required=""/><input class="input-field w-input" maxlength="256" name="POSTCODE" data-name="POSTCODE" placeholder="Postcode" type="text" id="POSTCODE-4"/></div><div class="w-layout-vflex flex-block-43"><select id="field" name="field" data-name="" class="input-field w-select"><option value="Care Enquiry">Care Enquiry</option><option value="General Enquiry">General Enquiry</option><option value="Career Enquiry">Career Enquiry</option></select><select id="field-2" name="field" data-name="" class="input-field w-select"><option value="Please select">Please select</option><option value="General">General</option><option value="Allt Y Mynydd Nursing Home">Allt Y Mynydd Nursing Home</option><option value="Blaenos House Nursing Home">Blaenos House Nursing Home</option><option value="Broomy Hill Nursing Home">Broomy Hill Nursing Home</option><option value="Engelberg Care Home">Engelberg Care Home</option><option value="Holmer Court Care Home">Holmer Court Care Home</option><option value="Meadowview Care Home">Meadowview Care Home</option><option value="Moorhouse Care Home">Moorhouse Care Home</option><option value="The Weir Nursing Home">The Weir Nursing Home</option></select></div><textarea id="Message-3" name="Message" maxlength="5000" data-name="Message" placeholder="How can we help?" class="input-field area w-input"></textarea><label class="w-checkbox hack19-checkbox"><input type="checkbox" name="checkbox" id="checkbox" data-name="Checkbox" class="w-checkbox-input"/><span class="checkbox-label w-form-label" for="checkbox">Tick this box to be kept up to date with recent news, events and services. You can unsubscribe at any time. Your data will not be shared with any third parties.</span></label><input class="input-field hide w-input" maxlength="256" name="CONSENT" data-name="*|CONSENT|*" placeholder="Marketing Consent" type="text" id="CONSENT"/><div class="code-embed-5 w-embed"></div><input type="submit" data-wait="Please wait..." class="input-button w-button" value="Submit"/><div class="code-embed-4 w-embed"></div></div></form><div class="w-form-done"><div>Thank you! Your submission has been received!</div></div><div class="w-form-fail"><div>Oops! 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