www.qyrus.com
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5.161.221.49
Public Scan
URL:
https://www.qyrus.com/contact-us/
Submission: On October 09 via manual from GB — Scanned from GB
Submission: On October 09 via manual from GB — Scanned from GB
Form analysis 1 forms found in the DOM
POST /contact-us/
<form method="post" enctype="multipart/form-data" id="gform_3" action="/contact-us/" data-formid="3" novalidate="" data-faitracker-form-bind="true">
<div class="gform-body gform_body">
<div id="gform_fields_3" class="gform_fields top_label form_sublabel_below description_below">
<div id="field_3_1" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_3_1"><label
class="gfield_label gform-field-label" for="input_3_1">First name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_3_1" type="text" value="" class="large" placeholder="Enter your name" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_3_3" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_3_3"><label
class="gfield_label gform-field-label" for="input_3_3">Last name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_3" id="input_3_3" type="text" value="" class="large" placeholder="Enter your last name" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_3_4" class="gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_3_4"><label
class="gfield_label gform-field-label" for="input_3_4">Work email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_4" id="input_3_4" type="email" value="" class="large" placeholder="email@work.com" aria-required="true" aria-invalid="false">
</div>
</div>
<div id="field_3_5" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_3_5"><label
class="gfield_label gform-field-label" for="input_3_5">Organization name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_5" id="input_3_5" type="text" value="" class="large" placeholder="Organization name here" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_3_13" class="gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_3_13"><label
class="gfield_label gform-field-label" for="input_3_13">Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_13" id="input_3_13" type="tel" value="" class="large" placeholder="Phone number" aria-required="true" aria-invalid="false"></div>
</div>
<div id="field_3_8" class="gfield gfield--type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_3_8"><label
class="gfield_label gform-field-label" for="input_3_8">Reason for contacting<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_8" id="input_3_8" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Select reason</option>
<option value="Get A Quote">Get A Quote</option>
<option value="Request A Demo">Request A Demo</option>
<option value="Other">Other</option>
</select></div>
</div>
<div id="field_3_12" class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
data-js-reload="field_3_12">Qyrus is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to
time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:
</div>
<fieldset id="field_3_10" class="gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_3_10">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Communications<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_3_10">
<div class="gchoice gchoice_3_10_1">
<input class="gfield-choice-input" name="input_10.1" type="checkbox" value="I agree to receive other communications from Qyrus.*" id="choice_3_10_1" aria-describedby="gfield_description_3_10">
<label for="choice_3_10_1" id="label_3_10_1" class="gform-field-label gform-field-label--type-inline">I agree to receive other communications from Qyrus.*</label>
</div>
</div>
</div>
<div class="gfield_description" id="gfield_description_3_10">In order to provide you the content requested, we need to store and process your personal data. If you consent to us storing your personal data for this purpose, please tick the
checkbox below.</div>
</fieldset>
<fieldset id="field_3_11" class="gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_3_11">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Personal Data<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_3_11">
<div class="gchoice gchoice_3_11_1">
<input class="gfield-choice-input" name="input_11.1" type="checkbox" value="I agree to allow Qyrus to store and process my personal data.*" id="choice_3_11_1" aria-describedby="gfield_description_3_11">
<label for="choice_3_11_1" id="label_3_11_1" class="gform-field-label gform-field-label--type-inline">I agree to allow Qyrus to store and process my personal data.*</label>
</div>
</div>
</div>
<div class="gfield_description" id="gfield_description_3_11">You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting
your privacy, please review our <a href="/privacy-policy">Privacy Policy</a>.</div>
</fieldset>
</div>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_3" class="gform_button button" value="Submit"
onclick="if(window["gf_submitting_3"]){return false;} if( !jQuery("#gform_3")[0].checkValidity || jQuery("#gform_3")[0].checkValidity()){window["gf_submitting_3"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_3"]){return false;} if( !jQuery("#gform_3")[0].checkValidity || jQuery("#gform_3")[0].checkValidity()){window["gf_submitting_3"]=true;} jQuery("#gform_3").trigger("submit",[true]); }"
data-faitracker-form-bind="true">
<input type="hidden" class="gform_hidden" name="is_submit_3" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="3">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_3"
value="WyJ7XCI4XCI6W1wiYjUxNDMxMThkMDRiMzBjYTc0ZjgxYmQ4N2MyYTlmZjhcIixcIjJlMzM2OTM0NjM5OTZhMzhlMDYzOWYyODgzOGU4MWE3XCIsXCIzOTY2ZDBmYzRiNzFmYWRiM2Q3OTYwYjhmYmJjODg1OVwiXSxcIjEwLjFcIjpcIjdlMDAzMjJkNTYzY2M5ZjZlMzY2YWJkMDdjNzkwYWUzXCIsXCIxMS4xXCI6XCJkY2UyNjI5OTNjOTM0YjkwODUxMzZiZGI5YmU3MGQyOFwifSIsIjBlMmY1OTRjNWQ2ODIxYmQ3MTgwYjU2YjY1ZDJlN2FkIl0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_3" id="gform_target_page_number_3" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_3" id="gform_source_page_number_3" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
<p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_1" name="ak_js" value="1696862969457">
<script>
document.getElementById("ak_js_1").setAttribute("value", (new Date()).getTime());
</script>
</p>
</form>Text Content
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"*" indicates required fields
First name*
Last name*
Work email*
Organization name*
Phone*
Reason for contacting*
Select reasonGet A QuoteRequest A DemoOther
Qyrus is committed to protecting and respecting your privacy, and we’ll only use
your personal information to administer your account and to provide the products
and services you requested from us. From time to time, we would like to contact
you about our products and services, as well as other content that may be of
interest to you. If you consent to us contacting you for this purpose, please
tick below to say how you would like us to contact you:
Communications*
I agree to receive other communications from Qyrus.*
In order to provide you the content requested, we need to store and process your
personal data. If you consent to us storing your personal data for this purpose,
please tick the checkbox below.
Personal Data*
I agree to allow Qyrus to store and process my personal data.*
You can unsubscribe from these communications at any time. For more information
on how to unsubscribe, our privacy practices, and how we are committed to
protecting and respecting your privacy, please review our Privacy Policy.
Δ
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