e.flybe.com
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18.157.188.135
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URL:
https://e.flybe.com/2/4/1763/25/KL2aoCnk4_YoGn-K4_6G-3pkLIIa1EzCZ1Vp83_IK5w0-u_fxQrnGjwKwNeZvIp2S0lUtd3pR1at4ZAXtkxucQ
Submission: On January 21 via manual from IN — Scanned from DE
Submission: On January 21 via manual from IN — Scanned from DE
Form analysis 1 forms found in the DOM
Name: aqc-form — POST https://e.flybe.com/3/4/1763/25/Tkc0ofnlbxh3C39janRuI3EL2lb4zGt0bwbp44LGDb2ftG1-GpZEBsjOAnxrThpRFHswSgDBAonap2g1kUtj9Q
<form name="aqc-form" method="POST" id="aqc-form" action="https://e.flybe.com/3/4/1763/25/Tkc0ofnlbxh3C39janRuI3EL2lb4zGt0bwbp44LGDb2ftG1-GpZEBsjOAnxrThpRFHswSgDBAonap2g1kUtj9Q">
<!-- First Name -->
<div class="form-row">
<label for="firstname"> First Name </label>
<input value="" type="text" name="firstname" id="firstname">
</div>
<!-- Surname -->
<div class="form-row">
<label for="surname"> Surname </label>
<input value="" type="text" name="surname" id="surname">
</div>
<!-- Address -->
<div class="form-row form-row-address">
<label for="address"> Address </label>
<input type="text" autocomplete="off" id="address" name="address_lookup " class="pac-target-input" placeholder="Geben Sie einen Standort ein.">
<img class="icon mag" src="https://e.flybe.com/public/files/1762/0/Flybe/2021/12/data_acquisition_lp/assets/mag-glass.png" alt="">
</div>
<p class="enter-manually-btn hidden">Enter manually?</p>
<!-- Address fields -->
<div class="address-fields">
<!-- Address 1 -->
<div class="form-row">
<label for="address1"> Address 1 </label>
<input value="" type="text" name="address1" id="address1">
</div>
<!-- Address 1 -->
<div class="form-row">
<label for="address2"> Address 2 </label>
<input value="" type="text" name="address2" id="address2">
</div>
<!-- County -->
<div class="form-row">
<label for="county"> County </label>
<input value="" type="text" name="county" id="county">
</div>
<!-- Postcode -->
<div class="form-row">
<label for="postcode"> Postal Code </label>
<input value="" type="text" name="postcode" id="postcode">
</div>
</div>
<!-- Colour -->
<!--<div class="form-row">
<div class="dropdown__wrapper">
<label for="dropdownBtn">Favourite colour</label>
<button type="button" class="dropdown__btn colorBtn" id="dropdownBtn"></button>
<img src="assets/caret.png" class="icon" alt="">
<div class="dropdown">
<label tabindex="0" class="dropdown-item" for="lightPurple">Light Purple</label>
<input class="dropdown-input" type="radio" name="colour" id="lightPurple" value="lightPurple" field='customer_option.E16' />
<label tabindex="0" class="dropdown-item" for="darkPurple">Dark Purple</label>
<input class="dropdown-input" type="radio" name="colour" id="darkPurple" value="darkPurple" field='customer_option.E16'/>
<label tabindex="0" class="dropdown-item" for="purple">Purple</label>
<input class="dropdown-input" type="radio" name="colour" id="purple" value="purple" field='customer_option.E16' />
</div>
</div>
</div>-->
<!-- Email -->
<div class="form-row">
<label for="email"> Email </label>
<input value="darrin.rush@vodafone.com" readonly="readonly" type="email" name="email" id="email" required="required">
</div>
<!-- Mobile -->
<div class="form-row">
<label for="mobile"> Mobile </label>
<input value="" type="text" name="mobile" id="mobile">
</div>
<!-- Date of Birth -->
<div class="form-row">
<label for="dob"> Date of Birth </label>
<input value="" type="date" name="dob" id="dob">
<img class="icon dob" src="https://e.flybe.com/public/files/1762/0/Flybe/2021/12/data_acquisition_lp/assets/calendar.png" alt="">
</div>
<!-- Frequency of Travel -->
<div class="form-row">
<div class="dropdown__wrapper">
<label for="dropdownBtn">Frequency of Domestic Travel (per year)</label>
<button type="button" class="dropdown__btn freqBtn" id="dropdownBtn"></button>
<img src="https://e.flybe.com/public/files/1762/0/Flybe/2021/12/data_acquisition_lp/assets/caret.png" class="icon" alt="">
<div class="dropdown">
<label tabindex="0" class="dropdown-item" for="item1">1-2</label>
<input value="1-2" class="dropdown-input" type="radio" name="frequency" id="item1">
<label tabindex="0" class="dropdown-item" for="item2">3-4</label>
<input value="3-4" class="dropdown-input" type="radio" name="frequency" id="item2">
<label tabindex="0" class="dropdown-item" for="item3">5+</label>
<input value="5+" class="dropdown-input" type="radio" name="frequency" id="item3">
</div>
</div>
</div>
<!-- Opt In -->
<div class="form-row opt-out p-0 mt-0">
<div class="disclaimer my-2 p-0">
<p>flybe will continue to contact you by email, if you do not wish to receive further communications please unsubscribe.</p>
<p>We would love to contact you by other means please tick your preferred method of communication.</p>
</div>
<div class="d-flex flex-column flex-sm-row flex-wrap align-items-sm-center justify-content-center">
<input value="Yes" type="checkbox" name="opt_in__postal" id="opt_in__postal">
<label for="opt_in__postal"> Postal </label>
<input value="Yes" type="checkbox" name="opt_in__sms" id="opt_in__sms">
<label for="opt_in__sms"> SMS </label>
<input value="Yes" type="checkbox" name="opt_in__social_media" id="opt_in__social_media">
<label for="opt_in__social_media"> Social Media </label>
<input value="Yes" type="checkbox" name="opt_in__third_party" id="opt_in__third_party">
<label for="opt_in__third_party"> 3<sup>rd</sup> party affiliations </label>
</div>
<div class="disclaimer mt-2 mb-0 p-0">
<p>For more information on how we use your personal details please refer to our
<a target="_blank" href="https://e.flybe.com/1/5/1763/25/8t1XJg1JG1B-dZwuTY7D3EudF1Ju6o8ppkr0G1Tnw65ELyKw7eKV8i4OTn7_8FjE2DNewiIBTCEyXxE-dMPx0YxJmkbG-RLBYEYOn5v-Q4Rx7Fc8dA9QItpwR7CCQr2ghHkG2r1VCSsWeasExlarum-r_2WSW-loQ-NaVA">Privacy Policy</a>.
</p>
</div>
</div>
<button name="submit-button" value="" type="submit" id="submit-button">Submit</button>
<input type="hidden" name="_clangfieldmapping_"
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