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Submitted URL: http://consciousnessexpansioncommunity.com/
Effective URL: https://www.joinmindflavors.com/CEC-Opt?r_done=1
Submission: On May 23 via api from BE — Scanned from DE

Form analysis 1 forms found in the DOM

POST https://app.kartra.com//process/add_lead/Q40whyDC7flF

<form action="https://app.kartra.com//process/add_lead/Q40whyDC7flF" data-input-class="kartra_optin_input_giant" data-submit-bg="rgb(255, 248, 0)" data-submit-color="rgb(74, 11, 246)" data-submit-type="Solid" data-submit-shadow="btn_shadow_small"
  data-submit-size="kartra_btn_giant" data-submit-corners="Squared" data-field-style="box" data-submit-bold="700"
  class="filled_optin js_kartra_trackable_object unique_class__wjiq1ogxi form_class_sMu6bO5azPlF form_class_NbQzRjMWcZYf form_class_btFM9CsocIlF form_class_sqMDWRwd0oCp form_class_l9QnYoBEUIrK form_class_Q40whyDC7flF" data-optin-id="Q40whyDC7flF"
  data-domain="https://app.kartra.com/" data-field-bg="" data-field-color="" data-text-color="" data-display-icons="true" data-submit-text="Yes... I'd like to be in the conversation!" style="margin-top: 0px; margin-bottom: 20px;" data-kt-type="optin"
  data-kt-value="Q40whyDC7flF" data-kt-owner="Lk942xgO" target="_top" method="POST" data-asset-id="0">
  <div class="kartra_optin_r">
    <style>
      div[class*="leads_capture"] .kartra_page_optin_form .unique_class__wjiq1ogxi .kartra_optin_tnc-form button.btn.dropdown-toggle,
      div[class*="leads_capture"] .kartra_page_optin_form .unique_class__wjiq1ogxi .kartra_optin_cg button.btn.dropdown-toggle {
        background-color: ;
        color: !important;
      }

      .unique_class__wjiq1ogxi .kartra_optin_i {
        color: !important;
      }

      .unique_class__wjiq1ogxi .kartra_optin_clabel {
        color: !important;
      }

      .unique_class__wjiq1ogxi ::-webkit-input-placeholder {
        color: !important;
        opacity: 0.7;
      }

      .unique_class__wjiq1ogxi ::-moz-placeholder {
        color: !important;
        opacity: 0.7;
      }

      .unique_class__wjiq1ogxi :-ms-input-placeholder {
        color: !important;
        opacity: 0.7;
      }

      .unique_class__wjiq1ogxi :-moz-placeholder {
        color: !important;
        opacity: 0.7;
      }

      div[class*="leads_capture"] .kartra_page_optin_form .kartra_optin_wrapper .unique_class__wjiq1ogxi input[type=radio]+small,
      div[class*="leads_capture"] .kartra_page_optin_form .kartra_optin_wrapper .unique_class__wjiq1ogxi input[type=checkbox]+small {
        background-color: ;
      }
    </style>
    <div class="kartra_optin_c1">
      <div class="kartra_optin_cg">
        <div class="kartra_optin_controls kartra_optin_input_giant kartra_optin_icon"><i class="kartra_optin_i kartraico-person"></i>
          <div class="kartra_optin_asterisk"></div><input type="text" placeholder="First name..." class="required_Q40whyDC7flF js_kartra_santitation kartra_optin_ti" name="first_name" data-santitation-type="front_name">
        </div>
      </div>
      <div class="kartra_optin_cg">
        <div class="kartra_optin_controls kartra_optin_input_giant kartra_optin_icon"><i class="kartra_optin_i kartraico-person"></i><input type="text" placeholder="Last name..." name="last_name" class="js_kartra_santitation kartra_optin_ti"
            data-santitation-type="front_name"></div>
      </div>
      <div class="kartra_optin_cg">
        <div class="kartra_optin_controls kartra_optin_input_giant kartra_optin_icon"><i class="kartra_optin_i kartraico-email"></i>
          <div class="kartra_optin_asterisk"></div><input type="text" placeholder="Email..." class="required_Q40whyDC7flF js_kartra_santitation kartra_optin_ti" name="email" data-santitation-type="email">
        </div>
      </div>
      <div class="kartra_optin_cg">
        <div class="kartra_optin_controls kartra_optin_input_giant kartra_optin_icon"><i class="kartra_optin_i kartraico-edit"></i>
          <div class="kartra_optin_asterisk"></div><input type="text" autocomplete="false" placeholder="Where did you hear about us?" class="required_Q40whyDC7flF js_kartra_santitation kartra_optin_ti" name="custom_80" data-santitation-type="normal">
        </div>
      </div>
      <div class="kartra_optin_cg">
        <div class="kartra_optin_controls kartra_optin_input_giant kartra_optin_icon">
          <div class="kartra_optin_asterisk"></div>
          <div class="kartra_captcha js_kartra_captcha"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" viewBox="-1 -71 112 50" height="100%" preserveAspectRatio="xMidYMid">
              <rect fill="url(#effect664f9a891ee0e48)" width="100%" height="100%" x="-1" y="-71.5"></rect>
              <pattern id="effect664f9a891ee0e48" patternUnits="userSpaceOnUse" width="11" height="11">
                <line class="captcha_stroke" stroke="rgba(0, 0, 0, 0.5)" stroke-width="3" x1="0" y1="0" x2="11" y2="11"></line>
              </pattern>
              <path fill="rgba(0, 0, 0, 0.5)"
                d="M1.2216796875-47.4521484375q0-3.8818359375,1.52587890625-6.982421875t4.248046875-4.78515625t6.21337890625-1.6845703125q5.3955078125,0,8.72802734375,3.7353515625t3.33251953125,9.9365234375l0,0.3173828125q0,3.857421875-1.47705078125,6.92138671875t-4.2236328125,4.77294921875t-6.31103515625,1.708984375q-5.37109375,0-8.70361328125-3.7353515625t-3.33251953125-9.8876953125l0-0.3173828125z M5.7626953125-46.9150390625q0,4.39453125,2.03857421875,7.0556640625t5.45654296875,2.6611328125q3.4423828125,0,5.46875-2.69775390625t2.0263671875-7.55615234375q0-4.345703125-2.06298828125-7.04345703125t-5.48095703125-2.69775390625q-3.3447265625,0-5.3955078125,2.6611328125t-2.05078125,7.6171875z M35.5966796875-60.416015625l0,29.4677734375q0,7.6171875-6.9091796875,7.6171875q-1.4892578125,0-2.7587890625-0.439453125l0-3.61328125q0.78125,0.1953125,2.05078125,0.1953125q1.513671875,0,2.30712890625-0.81787109375t0.79345703125-2.84423828125l0-29.5654296875l4.5166015625,0z M30.6162109375-67.4228515625q0-1.07421875,0.67138671875-1.84326171875t1.96533203125-0.76904296875q1.318359375,0,2.001953125,0.7568359375t0.68359375,1.85546875t-0.68359375,1.8310546875t-2.001953125,0.732421875t-1.9775390625-0.732421875t-0.6591796875-1.8310546875z M48.9755859375-53.970703125l3.3935546875,0q3.1982421875-0.048828125,5.029296875-1.6845703125t1.8310546875-4.4189453125q0-6.25-6.2255859375-6.25q-2.9296875,0-4.67529296875,1.67236328125t-1.74560546875,4.43115234375l-4.5166015625,0q0-4.2236328125,3.08837890625-7.01904296875t7.84912109375-2.79541015625q5.029296875,0,7.8857421875,2.6611328125t2.8564453125,7.3974609375q0,2.3193359375-1.50146484375,4.4921875t-4.08935546875,3.2470703125q2.9296875,0.927734375,4.52880859375,3.076171875t1.59912109375,5.2490234375q0,4.78515625-3.125,7.5927734375t-8.1298828125,2.8076171875t-8.14208984375-2.7099609375t-3.13720703125-7.1533203125l4.541015625,0q0,2.8076171875,1.8310546875,4.4921875t4.9072265625,1.6845703125q3.271484375,0,5.0048828125-1.708984375t1.7333984375-4.9072265625q0-3.1005859375-1.904296875-4.7607421875t-5.4931640625-1.708984375l-3.3935546875,0l0-3.6865234375z M69.8740234375-47.427734375q0-6.1767578125,2.8564453125-9.82666015625t7.568359375-3.64990234375q4.833984375,0,7.5439453125,3.41796875l0.2197265625-2.9296875l4.1259765625,0l0,25.78125q0,5.126953125-3.03955078125,8.0810546875t-8.16650390625,2.9541015625q-2.8564453125,0-5.5908203125-1.220703125t-4.1748046875-3.3447265625l2.34375-2.7099609375q2.9052734375,3.5888671875,7.1044921875,3.5888671875q3.2958984375,0,5.13916015625-1.85546875t1.84326171875-5.224609375l0-2.2705078125q-2.7099609375,3.125-7.3974609375,3.125q-4.638671875,0-7.50732421875-3.7353515625t-2.86865234375-10.1806640625z M74.4150390625-46.9150390625q0,4.4677734375,1.8310546875,7.01904296875t5.126953125,2.55126953125q4.2724609375,0,6.2744140625-3.8818359375l0-12.060546875q-2.0751953125-3.7841796875-6.2255859375-3.7841796875q-3.2958984375,0-5.1513671875,2.5634765625t-1.85546875,7.5927734375z M105.1279296875-66.8125l0,6.396484375l4.931640625,0l0,3.4912109375l-4.931640625,0l0,16.3818359375q0,1.5869140625,0.6591796875,2.38037109375t2.24609375,0.79345703125q0.78125,0,2.1484375-0.29296875l0,3.662109375q-1.7822265625,0.48828125-3.466796875,0.48828125q-3.02734375,0-4.5654296875-1.8310546875t-1.5380859375-5.2001953125l0-16.3818359375l-4.8095703125,0l0-3.4912109375l4.8095703125,0l0-6.396484375l4.5166015625,0z">
              </path>
            </svg></div><input class="kartra_optin_ti required_Q40whyDC7flF" type="text" name="captcha" placeholder="Retype the code..." maxlength="5"><input type="hidden"
            value="c46bcd6a6e40d112a6b12266f3a0a21ef19461336625590374568a667d938b081e11bc98f894d632ffecc54b4b7c526fcf870bddd1d3e6eeebed0d9d07184b72ki1vFBEXH1dsJt5LMSBcHgqbpcz47itX/RJ7SiC9u0dX7BGAONad8WCYup2B5kaB" name="captcha_patterns_id">
        </div>
      </div>
      <div class="kartra_optin_cg">
        <div class="js_gdpr_wrapper clearfix kartra_optin_gdpr_wrppr" style="">
          <div class="gdpr_communications js_gdpr_communications kartra_optin_cg kartra_optin_gdpr_terms">
            <div class="kartra-optin-checkbox">
              <label class="kartra_optin_field-label kartra-optin-checkbox">
                <input name="gdpr_communications" type="checkbox" class="js_gdpr_communications_check" value="1">
                <small></small>
                <span class="js_gdpr_label_communications">I would like to receive future communications</span>
              </label>
            </div>
          </div>
          <div class="gdpr_terms js_gdpr_terms kartra_optin_cg kartra_optin_gdpr_terms">
            <div class="kartra-optin-checkbox">
              <label class="kartra_optin_field-label kartra-optin-checkbox">
                <input name="gdpr_terms" type="checkbox" class="js_gdpr_terms_check" value="1">
                <small></small>
                <span class="js_gdpr_label_terms">I agree to the GDPR Terms &amp; Conditions</span><!--
                --><button type="button" class="kartra_gdpr_popover_button js_gdpr_button_popover_trigger js_theme_border">
                  <i class="kartraico-info_letter js_kartra_popover_trigger js_kartra_popover_gdpr_trigger" data-popover="js_kartra_gdpr_popover"></i>
                </button>
              </label>
            </div>
            <div class="js_kartra_gdpr_popover js_kartra_popover kartra_optin_gdpr_terms_offer" style="display: none;">
              <div class="kartra_optin_popover">
                <div class="kartra_optin_popover-content kartra_optin_popover-content-npadding">
                  <span class="js_gdpr_terms_text">I confirm that I am at least 16 years of age or older<br>
                    <br> I have read and accept any EULA, Terms and Conditions, Acceptable Use Policy, and/or Data Processing Addendum which has been provided to me in connection with the software, products and/or services. <br>
                    <br> I have been fully informed and consent to the collection and use of my personal data for any purpose in connection with the software, products and/or services. <br>
                    <br> I understand that certain data, including personal data, must be collected or processed in order for you to provide any products or services I have requested or contracted for. I understand that in some cases it may be
                    required to use cookies or similar tracking to provide those products or services.. <br>
                    <br> I understand that I have the right to request access annually to any personal data you have obtained or collected regarding me. You have agreed to provide me with a record of my personal data in a readable format. <br>
                    <br> I also understand that I can revoke my consent and that I have the right to be forgotten. If I revoke my consent you will stop collecting or processing my personal data. I understand that if I revoke my consent, you may be
                    unable to provide contracted products or services to me, and I can not hold you responsible for that. <br>
                    <br> Likewise, if I properly request to be forgotten, you will delete the data you have for me, or make it inaccessible. I also understand that if there is a dispute regarding my personal data, I can contact someone who is
                    responsible for handling data-related concerns. If we are unable to resolve any issue, you will provide an independent service to arbitrate a resolution. If I have any questions regarding my rights or privacy, I can contact the
                    email address provided.</span>
                </div>
                <button type="button" class="js_gdpr_popover_close kartra_optin_popover-close js_utility_popover_close">
                  <i class="kartraico-clear"></i>
                </button>
              </div>
            </div>
          </div>
        </div><button type="submit" class="kartra_optin_submit_btn kartra_optin_btn_block kartra_optin_btn_giant submit_button_Q40whyDC7flF btn_shadow_small" disabled="disabled"
          style="background-color: rgb(255, 248, 0); color: rgb(74, 11, 246); font-weight: 700;">Yes... I'd like to be in the conversation!</button>
      </div>
    </div>
  </div><input type="hidden" name="referrer" value="LC4faRqz1IoQ"><input type="hidden" name="kuid" value="475ba943-63e3-49ae-8423-1dfdc11bdc23">
</form>

Text Content

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I would like to receive future communications
I agree to the GDPR Terms & Conditions
I confirm that I am at least 16 years of age or older

I have read and accept any EULA, Terms and Conditions, Acceptable Use Policy,
and/or Data Processing Addendum which has been provided to me in connection with
the software, products and/or services.

I have been fully informed and consent to the collection and use of my personal
data for any purpose in connection with the software, products and/or services.

I understand that certain data, including personal data, must be collected or
processed in order for you to provide any products or services I have requested
or contracted for. I understand that in some cases it may be required to use
cookies or similar tracking to provide those products or services..

I understand that I have the right to request access annually to any personal
data you have obtained or collected regarding me. You have agreed to provide me
with a record of my personal data in a readable format.

I also understand that I can revoke my consent and that I have the right to be
forgotten. If I revoke my consent you will stop collecting or processing my
personal data. I understand that if I revoke my consent, you may be unable to
provide contracted products or services to me, and I can not hold you
responsible for that.

Likewise, if I properly request to be forgotten, you will delete the data you
have for me, or make it inaccessible. I also understand that if there is a
dispute regarding my personal data, I can contact someone who is responsible for
handling data-related concerns. If we are unable to resolve any issue, you will
provide an independent service to arbitrate a resolution. If I have any
questions regarding my rights or privacy, I can contact the email address
provided.
Yes... I'd like to be in the conversation!


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