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204.180.130.190  Public Scan

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Submitted URL: https://endeavor.omeclk.com/portal/wts/ucmc%7C9eg2Vjqeh4fAqjC7c0b%7Cg4E%7C%3BEwcFfngrrEr3e%7Eh
Effective URL: https://endeavor.dragonforms.com/loading.do?oly_enc_id=9903H8035834H1N&omedasite=PEN6124_FRnew&pk=FOWC
Submission: On August 08 via api from GB — Scanned from GB

Form analysis 1 forms found in the DOM

POST saveNewSubscription.do;jsessionid=8DB0E767B5CB251980FA8AC895328D1B

<form method="post" accept-charset="utf-8" action="saveNewSubscription.do;jsessionid=8DB0E767B5CB251980FA8AC895328D1B" id="standardForm"><input type="hidden" name="14" id="14" value="1"><input type="hidden" id="dragonjsessionid"
    name="dragonjsessionid" value="8DB0E767B5CB251980FA8AC895328D1B"><input type="hidden" id="omedasite" name="omedasite" value="PEN6124_FRnew"><input type="hidden" id="shippingaddresscountry" name="shippingaddresscountry" value="7">
  <header class="row borderleft borderright">
    <div class="twelvecol headertop">
    </div>
  </header>
  <header class="row borderleft borderright borderbottom">
    <div class="twelvecol">
      <span class="logo"><img src="https://hostedcontent.dragonforms.com/hosted/images/dragon/11120/26223.png" alt="FRLogoNew"></span>
    </div>
  </header>
  <section class="row contentbg borderleft borderright">
    <div class="twelvecol">
      <section class="content1"><input name="demo1429669" type="hidden" value="FOWC" id="demo1429669">
        <!-- OMNITURE CODE PART 1 -->
        <!-- Demandbase Code -->
        <script src="https://hostedcontent.dragonforms.com/hosted/images/dragon/12278/5542.js" type="text/javascript"></script>
        <!--  DO NOT REPLACE -->
        <script type="text/javascript" src="https://api.demandbase.com/api/v2/ip.json?token=b155ec5d50b5dcb41662f36b4d10a6f7702c87e6 &amp;callback=dbase_parse"></script>
        <!-- End Demandbase Code -->
        <!-- SiteCatalyst code H.23.2. for Hallmark forms -->
        <!-- omniture/s_code.js paste below-->
        <script language="JavaScript" type="text/javascript" src="https://hostedcontent.dragonforms.com/hosted/images/dragon/12278/17808.js"></script>
        <!-- omniture/s_code.js -->
        <!-- END OMNITURE 1 -->
        <img src="https://link.p0.com/1x1c.dyn?p=MM4DFAWJ" width="0" height="0">
        <h2>New Magazine Subscription</h2>
        <style>
          .breadcrumb {
            list-style: none;
            overflow: hidden;
            font: 12px Helvetica, Arial, Sans-Serif;
            background: #2dcff6;
            display: block;
            min-width: 500px;
            height: 30px;
            margin: 10px 0;
          }

          .breadcrumb li {
            float: left;
            max-width: 100%;
            height: auto;
          }

          .breadcrumb li:first-child .crumbitem {
            padding-left: 10px;
          }

          .breadcrumb li .crumbitem {
            color: #fff;
            text-decoration: none;
            padding: 8px 0 8px 45px;
            background: #2dcff6;
            position: relative;
            display: block;
            float: left;
          }

          .breadcrumb li .crumbitem:after {
            content: " ";
            display: block;
            width: 0;
            height: 0;
            border-top: 50px solid transparent;
            /* Go big on the size, and let overflow hide */
            border-bottom: 50px solid transparent;
            border-left: 30px solid #2dcff6;
            position: absolute;
            top: 50%;
            margin-top: -50px;
            left: 100%;
            z-index: 5;
          }

          .breadcrumb li.zoetic .crumbitem {
            background: #1794c1 !important;
            color: #2dcff6;
            z-index: 5;
          }

          .breadcrumb li.zoetic .crumbitem:after {
            border-left-color: #1794c1 !important;
          }

          /*.breadcrumb li.level-1 .crumbitem { padding-left: 10px; }
		
		.breadcrumb li.level-2 .crumbitem       { background:        #2dcff6; }
		.breadcrumb li.level-2 .crumbitem:after { border-left-color: #2dcff6; }
		
		.breadcrumb li.level-3 .crumbitem       { background:        #2dcff6; }
		.breadcrumb li.level-3 .crumbitem:after { border-left-color: #2dcff6; }*/
          .current {
            color: #fff !important;
          }
        </style>
        <ul class="breadcrumb">
          <li class="zoetic">
            <div class="crumbitem current">1. Contact Information</div>
          </li>
          <li class="">
            <div class="crumbitem">2. Credentials Checklist</div>
          </li>
          <li class="">
            <div class="crumbitem">3. Customize Subscription</div>
          </li>
        </ul> *Required items.
      </section>
    </div>
  </section>
  <section class="row contentbg borderleft borderright">
    <div class="twelvecol">
      <section class="validation">
        <ul></ul>
      </section>
    </div>
  </section>
  <section class="row contentbg borderleft borderright">
    <div class="sixcol">
      <section class="content2"><span class="spanc24 drg-element-type-standard-field drg-element-sub-type-fieldname-SIGNATURE">
          <p id="p24" class="drg-element-type-standard-field drg-element-sub-type-fieldname-SIGNATURE"><span class="questionlabel ">* <big><big><strong>Would you like to receive FleetOwner?</strong></big></big>&nbsp;</span></p>
          <ul>
            <li class="licr24_343 lier1429675_343 "><input name="demo1429675" type="radio" value="343" id="id24_343" [-checked1429675_r343-]=""><span class="radiolabel"><label for="id24_343">Yes</label></span></li>
            <li class="licr24_344 lier1429675_344 "><input name="demo1429675" type="radio" value="344" id="id24_344" [-checked1429675_r344-]=""><span class="radiolabel"><label for="id24_344">No</label></span></li>
          </ul>
        </span>
        <p id="p13" class="drg-element-type-standard-field drg-element-sub-type-fieldname-EMAILADDR addresslabel"><span class="questionlabel "><label for="id13">* Email Address</label> </span><input class="drg-field-address-normal" name="demo1429676"
            type="text" value="" id="id13" maxlength="50" size="50"></p>
        <p id="p28" class="drg-element-type-standard-field drg-element-sub-type-fieldname-EMAILADDRC addresslabel"><span class="questionlabel "><label for="id28">* Confirm Email Address</label> </span><input class="drg-field-address-normal"
            name="demo1429677" type="text" value="" id="id28" maxlength="50" size="50"></p>
        <p id="p1" class="drg-element-type-standard-field drg-element-sub-type-fieldname-FIRSTNAME addresslabel"><span class="questionlabel "><label for="id1">* First Name</label> </span><input class="drg-field-address-normal" name="demo1429678"
            type="text" value="" id="id1" maxlength="40" size="40"></p>
        <p id="p2" class="drg-element-type-standard-field drg-element-sub-type-fieldname-LASTNAME addresslabel"><span class="questionlabel "><label for="id2">* Last Name</label> </span><input class="drg-field-address-normal" name="demo1429679"
            type="text" value="" id="id2" maxlength="40" size="40"></p>
      </section>
    </div>
    <div class="sixcol last">
      <section class="content3">
        <p id="p10" class="drg-element-type-standard-field drg-element-sub-type-fieldname-TITLE addresslabel"><span class="questionlabel "><label for="id10">* Title</label> </span><input class="drg-field-address-normal" name="demo1429680" type="text"
            value="" id="id10" maxlength="40" size="40"></p>
        <p id="p3" class="drg-element-type-standard-field drg-element-sub-type-fieldname-COMPANY addresslabel"><span class="questionlabel "><label for="id3">* Company Name</label> </span><input class="drg-field-address-normal" name="demo1429681"
            type="text" value="" id="id3" maxlength="40" size="40"></p>
        <p id="p5" class="drg-element-type-standard-field drg-element-sub-type-fieldname-DEPARTMENT addresslabel"><span class="questionlabel "><label for="id5">Dept/Mail Stop</label> </span><input class="drg-field-address-normal" name="demo1429682"
            type="text" value="" id="id5" maxlength="255" size="255"></p>
        <p id="p4" class="drg-element-type-standard-field drg-element-sub-type-fieldname-ADDRESS addresslabel"><span class="questionlabel "><label for="id4">* Mailing Address</label> </span><input class="drg-field-address-normal" name="demo1429683"
            type="text" value="" id="id4" maxlength="255" size="255"></p>
        <p id="p6" class="drg-element-type-standard-field drg-element-sub-type-fieldname-CITY addresslabel"><span class="questionlabel "><label for="id6">* City</label> </span><input class="drg-field-address-normal" name="demo1429684" type="text"
            value="" id="id6" maxlength="100" size="100"></p><span class="spanc8 drg-element-type-standard-field drg-element-sub-type-fieldname-STATE">
          <p id="p8" class="drg-element-type-standard-field drg-element-sub-type-fieldname-STATE addresslabel"><span class="questionlabel "><label for="id8">State / Prov</label>&nbsp;</span><select name="demo1429685" id="id8">
              <option value="">Select One</option>
              <option value="1" [-selected1429685_r1-]="">ALABAMA</option>
              <option value="2" [-selected1429685_r2-]="">ALASKA</option>
              <option value="3" [-selected1429685_r3-]="">ARIZONA</option>
              <option value="4" [-selected1429685_r4-]="">ARKANSAS</option>
              <option value="5" [-selected1429685_r5-]="">CALIFORNIA</option>
              <option value="6" [-selected1429685_r6-]="">COLORADO</option>
              <option value="7" [-selected1429685_r7-]="">CONNECTICUT</option>
              <option value="8" [-selected1429685_r8-]="">DELAWARE</option>
              <option value="9" [-selected1429685_r9-]="">DISTRICT OF COLUMBIA</option>
              <option value="10" [-selected1429685_r10-]="">FLORIDA</option>
              <option value="11" [-selected1429685_r11-]="">GEORGIA</option>
              <option value="12" [-selected1429685_r12-]="">HAWAII</option>
              <option value="13" [-selected1429685_r13-]="">IDAHO</option>
              <option value="14" [-selected1429685_r14-]="">ILLINOIS</option>
              <option value="15" [-selected1429685_r15-]="">INDIANA</option>
              <option value="16" [-selected1429685_r16-]="">IOWA</option>
              <option value="17" [-selected1429685_r17-]="">KANSAS</option>
              <option value="18" [-selected1429685_r18-]="">KENTUCKY</option>
              <option value="19" [-selected1429685_r19-]="">LOUISIANA</option>
              <option value="20" [-selected1429685_r20-]="">MAINE</option>
              <option value="21" [-selected1429685_r21-]="">MARYLAND</option>
              <option value="22" [-selected1429685_r22-]="">MASSACHUSETTS</option>
              <option value="23" [-selected1429685_r23-]="">MICHIGAN</option>
              <option value="24" [-selected1429685_r24-]="">MINNESOTA</option>
              <option value="25" [-selected1429685_r25-]="">MISSISSIPPI</option>
              <option value="26" [-selected1429685_r26-]="">MISSOURI</option>
              <option value="27" [-selected1429685_r27-]="">MONTANA</option>
              <option value="28" [-selected1429685_r28-]="">NEBRASKA</option>
              <option value="29" [-selected1429685_r29-]="">NEVADA</option>
              <option value="30" [-selected1429685_r30-]="">NEW HAMPSHIRE</option>
              <option value="31" [-selected1429685_r31-]="">NEW JERSEY</option>
              <option value="32" [-selected1429685_r32-]="">NEW MEXICO</option>
              <option value="33" [-selected1429685_r33-]="">NEW YORK</option>
              <option value="34" [-selected1429685_r34-]="">NORTH CAROLINA</option>
              <option value="35" [-selected1429685_r35-]="">NORTH DAKOTA</option>
              <option value="36" [-selected1429685_r36-]="">OHIO</option>
              <option value="37" [-selected1429685_r37-]="">OKLAHOMA</option>
              <option value="38" [-selected1429685_r38-]="">OREGON</option>
              <option value="39" [-selected1429685_r39-]="">PENNSYLVANIA</option>
              <option value="40" [-selected1429685_r40-]="">RHODE ISLAND</option>
              <option value="41" [-selected1429685_r41-]="">SOUTH CAROLINA</option>
              <option value="42" [-selected1429685_r42-]="">SOUTH DAKOTA</option>
              <option value="43" [-selected1429685_r43-]="">TENNESSEE</option>
              <option value="44" [-selected1429685_r44-]="">TEXAS</option>
              <option value="45" [-selected1429685_r45-]="">UTAH</option>
              <option value="46" [-selected1429685_r46-]="">VERMONT</option>
              <option value="47" [-selected1429685_r47-]="">VIRGIN ISLANDS</option>
              <option value="48" [-selected1429685_r48-]="">VIRGINIA</option>
              <option value="49" [-selected1429685_r49-]="">WASHINGTON</option>
              <option value="50" [-selected1429685_r50-]="">WEST VIRGINIA</option>
              <option value="51" [-selected1429685_r51-]="">WISCONSIN</option>
              <option value="52" [-selected1429685_r52-]="">WYOMING</option>
              <option value="53" [-selected1429685_r53-]="">American Samoa</option>
              <option value="54" [-selected1429685_r54-]="">Guam</option>
              <option value="56" [-selected1429685_r56-]="">Micronesia (Federated States of)</option>
              <option value="58" [-selected1429685_r58-]="">Puerto Rico</option>
              <option value="59" [-selected1429685_r59-]="">U.S. Minor Outlying Islands</option>
              <option value="60" [-selected1429685_r60-]="">NORTHERN MARIANA ISLANDS</option>
              <option value="61" [-selected1429685_r61-]="">Armed Forces Africa</option>
              <option value="62" [-selected1429685_r62-]="">Armed Forces Americas AA (except Canada)</option>
              <option value="63" [-selected1429685_r63-]="">Armed Forces Canada</option>
              <option value="64" [-selected1429685_r64-]="">Armed Forces Europe AE</option>
              <option value="65" [-selected1429685_r65-]="">Armed Forces Middle East AE</option>
              <option value="66" [-selected1429685_r66-]="">Armed Forces Pacific AP</option>
              <option value="67" [-selected1429685_r67-]="">ALBERTA</option>
              <option value="68" [-selected1429685_r68-]="">NOVA SCOTIA</option>
              <option value="69" [-selected1429685_r69-]="">BRITISH COLUMBIA</option>
              <option value="70" [-selected1429685_r70-]="">ONTARIO</option>
              <option value="71" [-selected1429685_r71-]="">MANITOBA</option>
              <option value="72" [-selected1429685_r72-]="">PRINCE EDWARD ISLAND</option>
              <option value="73" [-selected1429685_r73-]="">NEW BRUNSWICK</option>
              <option value="74" [-selected1429685_r74-]="">QUEBEC</option>
              <option value="75" [-selected1429685_r75-]="">NEWFOUNDLAND</option>
              <option value="76" [-selected1429685_r76-]="">SASKATCHEWAN</option>
              <option value="77" [-selected1429685_r77-]="">NORTHWEST TERRITORIES</option>
              <option value="78" [-selected1429685_r78-]="">YUKON TERRITORY</option>
              <option value="79" [-selected1429685_r79-]="">NUNAVUT</option>
            </select></p>
        </span>
        <p id="p9" class="drg-element-type-standard-field drg-element-sub-type-fieldname-ZIP addresslabel"><span class="questionlabel "><label for="id9">Zip/Postal Code</label> </span><input class="drg-field-address-normal" name="demo1429686"
            type="text" value="" id="id9" maxlength="9" size="9"></p><span class="spanc7 drg-element-type-standard-field drg-element-sub-type-fieldname-COUNTRY">
          <p id="p7" class="drg-element-type-standard-field drg-element-sub-type-fieldname-COUNTRY addresslabel"><span class="questionlabel "><label for="id7">* Country</label>&nbsp;</span><select name="demo1429687" id="id7">
              <option value="">Select One</option>
              <option value="80">UNITED STATES</option>
              <option value="81">CANADA</option>
              <option value="84">AFGHANISTAN</option>
              <option value="86">ALBANIA</option>
              <option value="87">ALGERIA</option>
              <option value="89">ANDORRA</option>
              <option value="90">ANGOLA</option>
              <option value="91">ANGUILLA</option>
              <option value="350">ANTARCTICA</option>
              <option value="92">ANTIGUA</option>
              <option value="93">ARGENTINA</option>
              <option value="94">ARMENIA</option>
              <option value="95">ARUBA</option>
              <option value="96">ASCENSION IS</option>
              <option value="97">AUSTRALIA</option>
              <option value="98">AUSTRIA</option>
              <option value="99">AZERBAIJAN</option>
              <option value="101">BAHAMAS</option>
              <option value="102">BAHRAIN</option>
              <option value="103">BANGLADESH</option>
              <option value="104">BARBADOS</option>
              <option value="106">BELARUS</option>
              <option value="108">BELGIUM</option>
              <option value="109">BELIZE</option>
              <option value="110">BENIN</option>
              <option value="111">BERMUDA</option>
              <option value="112">BHUTAN</option>
              <option value="113">BOLIVIA</option>
              <option value="115">BOSNIA-HERZEGOVINA</option>
              <option value="116">BOTSWANA</option>
              <option value="117">BRAZIL</option>
              <option value="351">BRITISH INDIAN OCEAN TERRITORY</option>
              <option value="118">BRITISH VIRGIN IS</option>
              <option value="120">BRUNEI</option>
              <option value="121">BULGARIA</option>
              <option value="122">BURKINA FASO</option>
              <option value="123">BURUNDI</option>
              <option value="124">CAMBODIA</option>
              <option value="125">CAMEROON</option>
              <option value="127">CAPE VERDE ISLANDS</option>
              <option value="128">CAYMAN ISLANDS</option>
              <option value="129">CENTRAL AFRICAN REP</option>
              <option value="130">CHAD</option>
              <option value="134">CHILE</option>
              <option value="135">CHINA</option>
              <option value="136">COCO ISLAND</option>
              <option value="137">COLOMBIA</option>
              <option value="138">COMOROS</option>
              <option value="139">CONGO</option>
              <option value="141">COOK ISLANDS</option>
              <option value="142">COSTA RICA</option>
              <option value="143">CROATIA</option>
              <option value="145">CYPRUS</option>
              <option value="146">CZECH REPUBLIC</option>
              <option value="147">DENMARK</option>
              <option value="148">DJIBOUTI</option>
              <option value="149">DOMINICA</option>
              <option value="150">DOMINICAN REPUBLIC</option>
              <option value="151">EAST TIMOR</option>
              <option value="152">ECUADOR</option>
              <option value="153">EGYPT</option>
              <option value="154">EL SALVADOR</option>
              <option value="156">ERITREA</option>
              <option value="157">ESTONIA</option>
              <option value="158">ETHIOPIA</option>
              <option value="159">FAEROE ISLANDS</option>
              <option value="160">FALKLAND ISLANDS</option>
              <option value="161">FIJI</option>
              <option value="162">FINLAND</option>
              <option value="163">FRANCE</option>
              <option value="164">FRENCH GUIANA</option>
              <option value="165">FRENCH POLYNESIA</option>
              <option value="168">GABON</option>
              <option value="169">GAMBIA</option>
              <option value="171">GEORGIA</option>
              <option value="172">GERMANY</option>
              <option value="173">GHANA</option>
              <option value="174">GIBRALTAR</option>
              <option value="176">GREECE</option>
              <option value="177">GREENLAND</option>
              <option value="178">GRENADA</option>
              <option value="179">GUADELOUPE</option>
              <option value="180">GUATEMALA</option>
              <option value="181">GUERNSEY</option>
              <option value="182">GUINEA</option>
              <option value="183">GUYANA</option>
              <option value="184">HAITI</option>
              <option value="185">HONDURAS</option>
              <option value="186">HONG KONG</option>
              <option value="187">HUNGARY</option>
              <option value="188">ICELAND</option>
              <option value="189">INDIA</option>
              <option value="190">INDONESIA</option>
              <option value="192">IRAQ</option>
              <option value="193">IRELAND</option>
              <option value="194">ISLE OF MAN</option>
              <option value="195">ISRAEL</option>
              <option value="196">ITALY</option>
              <option value="197">IVORY COAST</option>
              <option value="198">JAMAICA</option>
              <option value="199">JAPAN</option>
              <option value="200">JORDAN</option>
              <option value="201">KAZAKHSTAN</option>
              <option value="202">KENYA</option>
              <option value="204">KIRIBATI</option>
              <option value="206">KUWAIT</option>
              <option value="207">KYRGYZSTAN</option>
              <option value="208">LAOS</option>
              <option value="209">LATVIA</option>
              <option value="210">LEBANON</option>
              <option value="211">LESOTHO</option>
              <option value="212">LIBERIA</option>
              <option value="213">LIBYA</option>
              <option value="214">LIECHTENSTEIN</option>
              <option value="215">LITHUANIA</option>
              <option value="216">LUXEMBOURG</option>
              <option value="217">MACAO</option>
              <option value="218">MACEDONIA</option>
              <option value="219">MADAGASCAR</option>
              <option value="221">MALAWI</option>
              <option value="222">MALAYSIA</option>
              <option value="223">MALDIVES</option>
              <option value="224">MALI</option>
              <option value="225">MALTA</option>
              <option value="226">MARSHALL ISLANDS</option>
              <option value="227">MARTINIQUE</option>
              <option value="228">MAURITANIA</option>
              <option value="229">MAURITIUS</option>
              <option value="230">MAYOTTE</option>
              <option value="231">MEXICO</option>
              <option value="232">MICRONESIA</option>
              <option value="233">MOLDOVA</option>
              <option value="235">MONACO</option>
              <option value="236">MONGOLIA</option>
              <option value="237">MONTENEGRO</option>
              <option value="238">MONTSERRAT</option>
              <option value="239">MOROCCO</option>
              <option value="240">MOZAMBIQUE</option>
              <option value="241">MYANMAR</option>
              <option value="242">NAMIBIA</option>
              <option value="243">NAURU</option>
              <option value="244">NEPAL</option>
              <option value="245">NETHERLAND ANTILLES</option>
              <option value="246">NETHERLANDS</option>
              <option value="248">NEW CALEDONIA</option>
              <option value="249">NEW GUINEA</option>
              <option value="250">NEW ZEALAND</option>
              <option value="251">NICARAGUA</option>
              <option value="252">NIGER</option>
              <option value="253">NIGERIA</option>
              <option value="256">NORWAY</option>
              <option value="257">OMAN</option>
              <option value="259">PAKISTAN</option>
              <option value="260">PALAU</option>
              <option value="261">PALESTINE</option>
              <option value="262">PANAMA</option>
              <option value="264">PARAGUAY</option>
              <option value="265">PERU</option>
              <option value="266">PHILIPPINES</option>
              <option value="268">PITCAIRN IS</option>
              <option value="269">POLAND</option>
              <option value="270">PORTUGAL</option>
              <option value="271">QATAR</option>
              <option value="272">REUNION</option>
              <option value="273">ROMANIA</option>
              <option value="274">RUSSIA</option>
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