www.cancer.org Open in urlscan Pro
2620:1ec:bdf::45  Public Scan

Form analysis
4 forms found in the DOM

/search.html

<form class="search" aria-label="search" role="search" action="/search.html">
  <div class="search-api-domain d-none">https://searchapi.cancer.org</div>
  <div class="form-group">
    <input type="text" class="form-control search-q" name="q" aria-label="Search" placeholder="How can we help you?" data-provide="typeahead" autocomplete="off" maxlength="250" title="Search">
    <!-- START: Default Button component -->
    <div class="button cancer-button medium-size primary-button search-submit default">
      <button class="cmp-button">
        <span class="cmp-button__text" aria-label="search">Search</span>
      </button>
    </div>
    <!-- END: Default Button component -->
    <img class="closeIcon" src="/etc.clientlibs/acs/clientlibs/clientlib-themes/theme-acsredesign/resources/images/Search Icon.png" alt="close icon" tabindex="0">
    <div class="flyout-search-suggestions">
      <ul role="menu"></ul>
    </div>
  </div>
</form>

/search.html

<form class="search" aria-label="search" role="search" action="/search.html">
  <div class="form-group">
    <input type="text" class="form-control search-q" name="q" aria-label="Search" placeholder="How can we help you?" data-provide="typeahead" autocomplete="off" maxlength="250" title="Search">
  </div>
  <div class="searchIconBox">
    <i class="fa-light fa-magnifying-glass searchIcon" aria-hidden="true">
                          </i>
  </div>
  <div class="closeIcon">
    <i class="fa-regular fa-xmark closeSearchBox" aria-hidden="true">
                          </i>
  </div>
  <div class="hamburger-search-suggestions">
    <ul role="menu"></ul>
  </div>
</form>

POST /about-us/policies/opt-out-form/_jcr_content/root/main-container/content-container/section/opt_out.form.html

<form id="FormOptOut" role="form" method="POST" action="/about-us/policies/opt-out-form/_jcr_content/root/main-container/content-container/section/opt_out.form.html" data-recaptcha="true" novalidate="">
  <h3>1) Primary Contact Information</h3>
  <div class="form-group row">
    <div class="col-12 col-lg-6">
      <span class="input select">
        <label class="control-label" for="s2id_autogen1">
          <span class="input__label-content" data-content="Title">Title</span>
        </label>
        <div class="select-wrap form-redesign-dropdown cs-select2-wrap">
          <div class="select2-container cs-select2-init form-select-dropdown" id="s2id_ddl_OptOut_Title">
            <a href="javascript:void(0)" onclick="return false;" class="select2-choice" tabindex="-1" target="_blank"><i class="fa-solid fa-angle-down"></i>   <span class="default-option">Choose your title</span><abbr class="select2-search-choice-close" style="display:none;"></abbr>   <div><b></b></div></a><input
              class="select2-focusser select2-offscreen" title="select2-focusser" type="text" id="s2id_autogen3">
            <div class="select2-drop select2-with-searchbox" style="display:none">
              <div class="select2-search"> <input type="text" title="select2-search" autocomplete="off" class="select2-input" tabindex="-1" placeholder="Search"> </div>
              <ul class="select2-results"> </ul>
            </div>
          </div><select name="ddl_OptOut_Title" title="Select Title" id="ddl_OptOut_Title" class="cs-select2-init form-select-dropdown select2-offscreen" tabindex="-1">
            <option class="select2-results__option form-select-option--selected" selected="selected" value="">Choose your title</option>
            <option class="select2-results__option" value="Mr."> Mr. </option>
            <option class="select2-results__option" value="Mrs."> Mrs. </option>
            <option class="select2-results__option" value="Miss"> Miss </option>
            <option class="select2-results__option" value="Ms."> Ms. </option>
            <option class="select2-results__option" value="Dr."> Dr. </option>
          </select>
        </div>
      </span>
    </div>
  </div>
  <div class="form-group row pt-4">
    <div class="col-12 col-lg-6 input-item">
      <span class="input">
        <label class="control-label" for="txt_OptOut_FirstName">
          <span class="input__label-content" data-content="First Name*">First Name*</span>
        </label>
        <input type="text" id="txt_OptOut_FirstName" name="txt_OptOut_FirstName" class="form-control" data-parsley-firstname="" maxlength="50" minlength="3" data-parsley-length-message="Please enter a valid First Name."
          data-parsley-errors-container="#FormOptOut .txt_OptOut_FirstNameErrors" data-parsley-required-message="Please enter a valid First Name." required="">
        <i class="fa-solid fa-triangle-exclamation"></i>
        <div class="error-message txt_OptOut_FirstNameErrors"></div>
      </span>
    </div>
    <div class="col-12 col-lg-6">
      <span class="input">
        <label class="control-label" for="txt_OptOut_MI">
          <span class="input__label-content" data-content="M.I.">M.I.</span>
        </label>
        <input type="text" id="txt_OptOut_MI" name="txt_OptOut_MI" class="form-control" data-parsley-mi="" maxlength="5" minlength="1" data-parsley-length-message="Please enter a valid Middle Initial."
          data-parsley-errors-container="#FormOptOut .txt_OptOut_MIErrors">
        <div class="error-message txt_OptOut_MIErrors"></div>
      </span>
    </div>
  </div>
  <div class="form-group row">
    <div class="col-12 col-lg-6">
      <span class="input">
        <label class="control-label" for="txt_OptOut_LastName">
          <span class="input__label-content" data-content="Last Name*">Last Name*</span>
        </label>
        <input type="text" id="txt_OptOut_LastName" name="txt_OptOut_LastName" class="form-control" data-parsley-lastname="" maxlength="50" minlength="3" data-parsley-length-message="Please enter a valid Last Name."
          data-parsley-errors-container="#FormOptOut .txt_OptOut_LastNameErrors" data-parsley-required-message="Please enter a valid Last Name." required="">
        <i class="fa-solid fa-triangle-exclamation"></i>
        <div class="error-message txt_OptOut_LastNameErrors"></div>
      </span>
    </div>
  </div>
  <div class="form-group row">
    <div class="col-12 col-lg-6">
      <span class="input">
        <label class="control-label" for="txt_OptOut_Degree">
          <span class="input__label-content" data-content="Degree">Degree</span>
        </label>
        <input type="text" id="txt_OptOut_Degree" name="txt_OptOut_Degree" class="form-control">
      </span>
    </div>
  </div>
  <div class="form-group row">
    <div class="col-12 col-lg-6 input-item">
      <span class="input">
        <label class="control-label" for="txt_OptOut_Address1">
          <span class="input__label-content" data-content="Address Line 1*">Address Line 1*</span>
        </label>
        <input type="text" id="txt_OptOut_Address1" name="txt_OptOut_Address1" class="form-control" maxlength="250" data-parsley-errors-container="#FormOptOut .txt_OptOut_Address1Errors"
          data-parsley-required-message="Please enter a valid Address Line 1." required="">
        <i class="fa-solid fa-triangle-exclamation"></i>
        <div class="error-message txt_OptOut_Address1Errors"></div>
      </span>
    </div>
    <div class="col-12 col-lg-6">
      <span class="input">
        <label class="control-label" for="txt_OptOut_Address2">
          <span class="input__label-content" data-content="Address Line 2">Address Line 2</span>
        </label>
        <input type="text" id="txt_OptOut_Address2" name="txt_OptOut_Address2" class="form-control" maxlength="250" data-parsley-errors-container="#FormOptOut .txt_OptOut_Address2Errors">
        <div class="error-message txt_OptOut_Address2Errors"></div>
      </span>
    </div>
  </div>
  <div class="form-group row">
    <div class="col-12 col-lg-6 input-item">
      <span class="input">
        <label class="control-label" for="txt_OptOut_City">
          <span class="input__label-content" data-content="City*">City*</span>
        </label>
        <input type="text" id="txt_OptOut_City" name="txt_OptOut_City" class="form-control" data-parsley-city="" maxlength="50" minlength="3" required="" data-parsley-length-message="Please enter a valid City."
          data-parsley-errors-container="#FormOptOut .txt_OptOut_CityErrors" data-parsley-required-message="Please enter a valid City.">
        <i class="fa-solid fa-triangle-exclamation"></i>
        <div class="error-message txt_OptOut_CityErrors"></div>
      </span>
    </div>
    <div class="col-12 col-lg-6 input-formselect-dropdown">
      <span class="input select">
        <label class="control-label" for="s2id_autogen2">
          <span class="input__label-content" data-content="State*">State*</span>
        </label>
        <div class="select-wrap form-redesign-dropdown cs-select2-wrap">
          <div class="select2-container cs-select2-init form-select-dropdown" id="s2id_ddl_OptOut_State">
            <a href="javascript:void(0)" onclick="return false;" class="select2-choice" tabindex="-1" target="_blank"><i class="fa-solid fa-angle-down"></i>   <span class="default-option">Choose your state</span><abbr class="select2-search-choice-close" style="display:none;"></abbr>   <div><b></b></div></a><input
              class="select2-focusser select2-offscreen" title="select2-focusser" type="text" id="s2id_autogen4">
            <div class="select2-drop select2-with-searchbox" style="display:none">
              <div class="select2-search"> <input type="text" title="select2-search" autocomplete="off" class="select2-input" tabindex="-1" placeholder="Search"> </div>
              <ul class="select2-results"> </ul>
            </div>
          </div><select name="ddl_OptOut_State" id="ddl_OptOut_State" title="Select State" class="cs-select2-init form-select-dropdown select2-offscreen" required="" data-parsley-errors-container="#FormOptOut .ddl_OptOut_StateErrors"
            data-parsley-required-message="Please enter a valid State." tabindex="-1">
            <option class="select2-results__option form-select-option--selected" selected="selected" value="">Choose your state</option>
            <option class="select2-results__option" value="AL">Alabama</option>
            <option class="select2-results__option" value="AK">Alaska</option>
            <option class="select2-results__option" value="AZ">Arizona</option>
            <option class="select2-results__option" value="AR">Arkansas</option>
            <option class="select2-results__option" value="CA">California</option>
            <option class="select2-results__option" value="CO">Colorado</option>
            <option class="select2-results__option" value="CT">Connecticut</option>
            <option class="select2-results__option" value="DE">Delaware</option>
            <option class="select2-results__option" value="DC">District of Columbia</option>
            <option class="select2-results__option" value="FL">Florida</option>
            <option class="select2-results__option" value="GA">Georgia</option>
            <option class="select2-results__option" value="GU">Guam</option>
            <option class="select2-results__option" value="HI">Hawaii</option>
            <option class="select2-results__option" value="ID">Idaho</option>
            <option class="select2-results__option" value="IL">Illinois</option>
            <option class="select2-results__option" value="IN">Indiana</option>
            <option class="select2-results__option" value="IA">Iowa</option>
            <option class="select2-results__option" value="KS">Kansas</option>
            <option class="select2-results__option" value="KY">Kentucky</option>
            <option class="select2-results__option" value="LA">Louisiana</option>
            <option class="select2-results__option" value="ME">Maine</option>
            <option class="select2-results__option" value="MD">Maryland</option>
            <option class="select2-results__option" value="MA">Massachusetts</option>
            <option class="select2-results__option" value="MI">Michigan</option>
            <option class="select2-results__option" value="MN">Minnesota</option>
            <option class="select2-results__option" value="MS">Mississippi</option>
            <option class="select2-results__option" value="MO">Missouri</option>
            <option class="select2-results__option" value="MT">Montana</option>
            <option class="select2-results__option" value="NE">Nebraska</option>
            <option class="select2-results__option" value="NV">Nevada</option>
            <option class="select2-results__option" value="NH">New Hampshire</option>
            <option class="select2-results__option" value="NJ">New Jersey</option>
            <option class="select2-results__option" value="NM">New Mexico</option>
            <option class="select2-results__option" value="NY">New York</option>
            <option class="select2-results__option" value="NC">North Carolina</option>
            <option class="select2-results__option" value="ND">North Dakota</option>
            <option class="select2-results__option" value="OH">Ohio</option>
            <option class="select2-results__option" value="OK">Oklahoma</option>
            <option class="select2-results__option" value="OR">Oregon</option>
            <option class="select2-results__option" value="PA">Pennsylvania</option>
            <option class="select2-results__option" value="PR">Puerto Rico</option>
            <option class="select2-results__option" value="RI">Rhode Island</option>
            <option class="select2-results__option" value="SC">South Carolina</option>
            <option class="select2-results__option" value="SD">South Dakota</option>
            <option class="select2-results__option" value="TN">Tennessee</option>
            <option class="select2-results__option" value="TX">Texas</option>
            <option class="select2-results__option" value="UT">Utah</option>
            <option class="select2-results__option" value="VT">Vermont</option>
            <option class="select2-results__option" value="VI">Virgin Islands</option>
            <option class="select2-results__option" value="VA">Virginia</option>
            <option class="select2-results__option" value="WA">Washington</option>
            <option class="select2-results__option" value="WV">West Virginia</option>
            <option class="select2-results__option" value="WI">Wisconsin</option>
            <option class="select2-results__option" value="WY">Wyoming</option>
            <option class="select2-results__option" value="AA">Armed Forces AA</option>
            <option class="select2-results__option" value="AE">Armed Forces AE</option>
            <option class="select2-results__option" value="AP">Armed Forces AP</option>
            <option class="select2-results__option" value="AB">Alberta</option>
            <option class="select2-results__option" value="BC">British Columbia</option>
            <option class="select2-results__option" value="MB">Manitoba</option>
            <option class="select2-results__option" value="NB">New Brunswick</option>
            <option class="select2-results__option" value="NL">Newfoundland and Labrador</option>
            <option class="select2-results__option" value="NT">Northwest Territories</option>
            <option class="select2-results__option" value="NS">Nova Scotia</option>
            <option class="select2-results__option" value="ON">Ontario</option>
            <option class="select2-results__option" value="PE">Prince Edward island</option>
            <option class="select2-results__option" value="QC">Quebec</option>
            <option class="select2-results__option" value="SK">Saskatchewan</option>
            <option class="select2-results__option" value="YT">Yukon</option>
          </select>
        </div>
        <i class="fa-solid fa-triangle-exclamation"></i>
        <div class="error-message ddl_OptOut_StateErrors"></div>
      </span>
    </div>
  </div>
  <div class="form-group row">
    <div class="col-12 col-lg-6">
      <span class="input">
        <label class="control-label" for="txt_OptOut_ZipCode">
          <span class="input__label-content" data-content="Zip Code*">Zip Code*</span>
        </label>
        <input type="number" pattern="[0-9]*" inputmode="numeric" style="-moz-appearance: textfield" id="txt_OptOut_ZipCode" name="txt_OptOut_ZipCode" class="form-control" required="" minlength="5"
          oninput="if(this.value.length>=10) { this.value = this.value.slice(0,10); }" data-parsley-minlength-message="Please enter a valid Zip Code." data-parsley-errors-container="#FormOptOut .txt_OptOut_ZipCodeErrors"
          data-parsley-required-message="Please enter a valid Zip Code.">
        <i class="fa-solid fa-triangle-exclamation"></i>
        <div class="error-message txt_OptOut_ZipCodeErrors"></div>
      </span>
    </div>
  </div>
  <div class="form-group row">
    <div class="col-12 col-lg-6 input-item">
      <span class="input">
        <label class="control-label" for="txt_OptOut_Phone">
          <span class="input__label-content" data-content="Phone*">Phone*</span>
        </label>
        <input type="text" id="txt_OptOut_Phone" name="txt_OptOut_Phone" class="form-control mask mask-phone" required="" data-parsley-length="[14,14]" data-parsley-length-message="Please enter a valid Phone."
          data-parsley-type-message="Please enter a valid Phone." data-parsley-errors-container="#FormOptOut .txt_OptOut_PhoneErrors" data-parsley-required-message="Please enter a valid Phone.">
        <i class="fa-solid fa-triangle-exclamation"></i>
        <div class="error-message txt_OptOut_PhoneErrors"></div>
      </span>
    </div>
    <div class="col-12 col-lg-6">
      <span class="input">
        <label class="control-label" for="txt_OptOut_EmailAddress">
          <span class="input__label-content" data-content="Email Address">Email*</span>
        </label>
        <input type="text" id="txt_OptOut_EmailAddress" name="txt_OptOut_EmailAddress" class="form-control" maxlength="250" data-parsley-emailvalidation="" required="" data-parsley-errors-container="#FormOptOut .txt_OptOut_EmailAddressErrors"
          data-parsley-type-message="Please enter a valid Email." data-parsley-required-message="Please enter a valid Email.">
        <i class="fa-solid fa-triangle-exclamation"></i>
        <div class="error-message txt_OptOut_EmailAddressErrors"></div>
      </span>
    </div>
  </div>
  <h3>2) Contact Preferences</h3>
  <p> I prefer that American Cancer Society does not contact me by (Check all that apply). </p>
  <div class="form-group row">
    <div class="col-xs-12">
      <div class="checkbox">
        <input type="checkbox" name="chk_OptOut_Mail" id="chk_OptOut_Mail" data-parsley-multiple="chk_OptOut_Mail">
        <label for="chk_OptOut_Mail">Mail</label>
      </div>
      <div class="checkbox">
        <input type="checkbox" name="chk_OptOut_Telephone" id="chk_OptOut_Telephone" data-parsley-multiple="chk_OptOut_Telephone">
        <label for="chk_OptOut_Telephone">Telephone</label>
      </div>
      <div class="checkbox">
        <input type="checkbox" name="chk_OptOut_Email" id="chk_OptOut_Email" data-parsley-multiple="chk_OptOut_Email">
        <label for="chk_OptOut_Email">Email</label>
      </div>
    </div>
  </div>
  <h3>3) Other Preferences</h3>
  <div class="form-group row">
    <div class="col-xs-12">
      <div class="checkbox">
        <input type="checkbox" name="chk_OptOut_NoShareContact" id="chk_OptOut_NoShareContact" data-parsley-multiple="chk_OptOut_NoShareContact">
        <label for="chk_OptOut_NoShareContact">Please do not exchange mailing address with other nonprofit organizations. (This only applies to donors who have given through the mail.)</label>
      </div>
      <div class="checkbox">
        <input type="checkbox" name="chk_OptOut_NoFundContact" id="chk_OptOut_NoFundContact" data-parsley-multiple="chk_OptOut_NoFundContact">
        <label for="chk_OptOut_NoFundContact">Do not contact me with fund-raising requests supporting the American Cancer Society.</label>
      </div>
      <div class="checkbox">
        <input type="checkbox" name="chk_OptOut_NoContact" id="chk_OptOut_NoContact" data-parsley-multiple="chk_OptOut_NoContact">
        <label for="chk_OptOut_NoContact">Do not contact me.</label>
      </div>
    </div>
  </div>
  <div class="form-group row">
    <div class="col-sm-6">
      <div class="response-div" style="color:red; font-weight: bold;"></div>
      <div id="recaptcha_rcaptcha" class="g-recaptcha">
        <div style="width: 304px; height: 78px;">
          <div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-ml37dmvc2juf" frameborder="0" scrolling="no"
              sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
              src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6Le8riUTAAAAAJzrs8kGvisTnwo0S2EvWbRLTEIZ&amp;co=aHR0cHM6Ly93d3cuY2FuY2VyLm9yZzo0NDM.&amp;hl=en&amp;v=cwQvQhsy4_nYdnSDY4u7O5_B&amp;size=normal&amp;cb=64kuivpo0eh"></iframe>
          </div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response" aria-label="recaptcha"
            style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
        </div><iframe style="display: none;"></iframe>
      </div>
      <input type="hidden" value="true" id="recaptcha_recaptchaRequired" name="recaptchaRequired">
      <script>
        var RC2KEY = "6Le8riUTAAAAAJzrs8kGvisTnwo0S2EvWbRLTEIZ";
        var language = "en";
        var ACS = ACS || {};
        ACS.Lib = ACS.Lib || {};
        ACS.Lib.recaptcha = ACS.Lib.recaptcha || {};
        ACS.Config = ACS.Config || {};
        ACS.Config.Recaptcha = ACS.Config.Recaptcha || [];
        ACS.Config.Recaptcha.push('recaptcha');
        var iOS = /iPad|iPhone|iPod/.test(navigator.userAgent) && !window.MSStream;
        var iosRecaptchaFocus = function(response) {
          $("html, body").animate({
            scrollTop: $("#recaptcha_rcaptcha").offset().top - $('header').height()
          }, "fast");
        };

        function reCaptchaWidgetCallback() {
          if (ACS.Config.Recaptcha) {
            for (var i = 0; i < ACS.Config.Recaptcha.length; i++) {
              var token = ACS.Config.Recaptcha[i];
              grecaptcha.render(token + '_rcaptcha', {
                'sitekey': RC2KEY,
                'callback': ACS.Lib[token].reCaptchaVerify,
                'hl': language,
                'expired-callback': ACS.Lib[token].reCaptchaExpired
              });
            }
            //adding the aria label attribute to the textarea tag
            $("#g-recaptcha-response").attr("aria-label", "recaptcha");
          }
        }
        ACS.Lib.recaptcha.reCaptchaVerify = function(response) {
          if (iOS) {
            iosRecaptchaFocus();
          }
          if (response === document.querySelector('#recaptcha_rcaptcha .g-recaptcha-response').value) {
            $('#recaptcha_rcaptcha').closest('form').attr("data-recaptcha-valid", "true");
          }
        }
        ACS.Lib.recaptcha.reCaptchaExpired = function() {
          /* do something when it expires */
          $('#recaptcha_rcaptcha').closest('form').removeAttr("data-recaptcha-valid");
        }
      </script>
      <style type="text/css">
        @media (max-width: 480px) {
          .g-recaptcha {
            transform: scale(0.7);
            transform-origin: 0;
          }
        }
      </style>
      <script src="https://www.google.com/recaptcha/api.js?onload=reCaptchaWidgetCallback&amp;render=explicit" async="" defer=""></script>
      <div class="button cancer-button medium-size primary-button default">
        <button type="submit" class="cmp-button">
          <span class="cmp-button__text" aria-label="Submit">Send</span>
        </button>
      </div>
    </div>
  </div>
  <input type="hidden" name=":redirect" value="/about-us/policies/opt-out-form/thank-you.html">
  <input type="hidden" name="noScript" value="true">
</form>

POST

<form id="fileUploadForm" enctype="multipart/form-data" method="post" target="fileUploadIframe"><input type="file" id="fileSelector" name="file" style="display: none;"><input name="filename" type="hidden"></form>

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