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Submitted URL: https://drbobformichigan.com/
Effective URL: https://secure.winred.com/jackbergman/stoplorinser
Submission: On July 17 via api from US — Scanned from US
Effective URL: https://secure.winred.com/jackbergman/stoplorinser
Submission: On July 17 via api from US — Scanned from US
Form analysis 1 forms found in the DOM
POST https://secure.winred.com/jackbergman/stoplorinser
<form class="new_petition" id="new_petition" data-toggle="validate" data-animation="false" data-without-card="true" action="https://secure.winred.com/jackbergman/stoplorinser" accept-charset="UTF-8" method="post" novalidate="novalidate">
<input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token" value="HmsqTYAza52HJCMvoOiuw+xuYlkVSM3ugk0kmDvvQNLN0afkTnhs0sb4/POZOVmMzTN/yf6UmbXHnw7/drhqdA==">
<div id="error_explanation" data-gtm-vis-polling-id2410129_252="41">
<ul class="rv-error-text"></ul>
</div>
<input data-name="["source_code","sc"]" type="hidden" value="" name="petition[source_code]" id="petition_source_code">
<input value="https://secure.winred.com/jackbergman/stoplorinser" type="hidden" name="petition[source_url]" id="petition_source_url">
<input value="" type="hidden" name="petition[referer]" id="petition_referer">
<div class="row">
<div class="col-sm-12">
<div data-cookie-expiration="0" id="exit-intent-popup">
<div class="popup_header_copy"> Wait, before you go... </div>
<div class="popup_body_copy">
<div class="popup_body_text">
<p>We need your support in taking a stand against career bureaucrats! Sign up now!</p>
</div>
</div>
<div class="popup_button_copy"> Complete This Form </div>
</div>
<div class="field-group profile-form">
<div class="full-name d-flex flex-row">
<div class="first-name">
<div class="float-label"><label for="petition_first_name" class="placeholder required input" aria-required="true">First name*</label><input placeholder="First name*" class="form-control bottom-field" required="required"
data-name="["firstname","first_name"]" type="text" name="petition[first_name]" id="petition_first_name" aria-required="true"></div>
</div>
<div class="last-name float-label-right">
<div class="float-label"><label for="petition_last_name" class="placeholder required input" aria-required="true">Last name*</label><input placeholder="Last name*" class="form-control divider bottom-field" required="required"
data-name="["lastname","last_name"]" type="text" name="petition[last_name]" id="petition_last_name" aria-required="true"></div>
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-sm-12">
<div class="field-group profile-form">
<div class="email">
<div class="float-label"><label for="petition_email" class="placeholder required input" aria-required="true">Email*</label><input placeholder="Email*" class="form-control bottom-field" required="required" data-name="email" type="email"
value="" name="petition[email]" id="petition_email" aria-required="true"></div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-sm-12">
<div class="field-group profile-form">
<div class="address-zip d-flex flex-row">
<div class="address">
<div class="float-label"><label for="petition_address" class="placeholder required input" aria-required="true">Address*</label><input placeholder="Address*" class="form-control bottom-field" required="required" data-name="address"
type="text" name="petition[address]" id="petition_address" aria-required="true"></div>
</div>
<div class="zip float-label-right">
<div class="float-label"><label for="petition_postal_code" class="placeholder required input" aria-required="true">Zip*</label><input placeholder="Zip*" class="form-control divider bottom-field zip-mask" required="required"
data-name="["postal_code","zip"]" inputmode="numeric" type="number" name="petition[postal_code]" id="petition_postal_code" aria-required="true"></div>
</div>
</div>
</div>
</div>
</div>
<div class="field-group logged-in-phone-form">
<div class="phone-line">
<div class="float-label"><label for="petition_mobile_number" class="placeholder input">Mobile</label><input data-name="mobile" inputmode="numeric" placeholder="Mobile" value="" class="form-control bottom-field phone-mask abandoned-cart-trigger"
type="text" name="petition[mobile_number]" id="petition_mobile_number"></div>
</div>
</div>
<div class="help-text sms-disclaimer">
</div>
<div class="row">
<div class="col-sm-12">
</div>
</div>
<div class="landing-page-submit-button">
<div class="row">
<div class="col-md-12">
<input type="submit" name="commit" value="Sign Up" class="btn btn-submit btn-submit--invalid" data-validate="true" data-disable-with="Sign Up">
</div>
</div>
</div>
<div class="landing-page-legal"> By clicking "Sign Up" I accept WinRed's <a target="_blank" href="https://winred.com/terms/donor-terms/">terms of use</a> and <a target="_blank" href="https://winred.com/privacy">privacy policy</a>. </div>
</form>Text Content
Processing Say NO to Lorinser Not the Right Choice for Us Career bureaucrats - like Bob Lorinser - want to run your life, but what do they know about Michigan and YOUR needs? Our district needs someone who knows local and everyday issues and provides real solutions. Sign Up Today to Say NO to Lorinser! Wait, before you go... We need your support in taking a stand against career bureaucrats! Sign up now! Complete This Form First name* Last name* Email* Address* Zip* Mobile By clicking "Sign Up" I accept WinRed's terms of use and privacy policy. Paid for by Bergman for Congress Contributions to WinRed are not deductible as charitable donations for federal income tax purposes. Contribution rules * I am a U.S. citizen or lawfully admitted permanent resident (i.e., green card holder). * This contribution is made from my own funds, and funds are not being provided to me by another person or entity for the purpose of making this contribution. * I am making this contribution with my own personal credit card and not with a corporate or business credit card or a card issued to another person. * I am at least eighteen years old. I am not, nor am I making this contribution on behalf of, a corporation, labor organization, national bank, foreign national without a green card, a federal contractor, or any other federally impermissible source. Paid for by WinRed. Not authorized by any candidate or candidate’s committee. WinRed.com Powered by Terms of Use Privacy Policy About Our Ads Questions about your charge? Go to our Support Center X Wait, before you go... × We need your support in taking a stand against career bureaucrats! Sign up now! Complete This Form