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Submission: On January 25 via api from ES — Scanned from ES
Submission: On January 25 via api from ES — Scanned from ES
Form analysis
3 forms found in the DOM<form id="form_contact" class="needs-validation">
<p>Fill out the form below and we will get back to you right away. Or, call us at <strong>267-274-2290</strong>. We look forward to hearing from you!</p>
<div class="row">
<div class="col-md-6 form-floating mb-2"><input type="text" class="form-control" id="txt_ctct_firstname" title="First Name" placeholder="Enter your first name..." aria-describedby="FirstName" required=""><label for="txt_ctct_firstname">First
Name</label>
<div class="invalid-feedback">Please provide your first name.</div>
</div>
<div class="col-md-6 form-floating mb-2"><input type="text" class="form-control" id="txt_ctct_lastname" title="Last Name" placeholder="Enter your last name..." aria-describedby="LastName" required=""><label for="txt_ctct_lastname">Last
Name</label>
<div class="invalid-feedback">Please provide your last name.</div>
</div>
</div>
<div class="row">
<div class="col-md-6 form-floating mb-2"><input type="email" class="form-control" id="txt_ctct_email" title="Email" placeholder="Enter your email..." aria-describedby="Email" required=""><label for="txt_ctct_email">Email address</label>
<div class="invalid-feedback">Please provide your email.</div>
</div>
<div class="col-md-6 form-floating mb-2"><input type="phone" class="form-control" id="txt_ctct_phone" placeholder="Enter your phone..." aria-describedby="Phone"><label for="txt_ctct_phone">Phone Number</label></div>
</div>
<div class="row">
<div class="col form-floating mb-2"><input type="text" class="form-control" id="txt_ctct_company" title="Company" placeholder="Company" aria-describedby="Company" required=""><label for="txt_ctct_company">Company</label>
<div class="invalid-feedback">Please provide your company.</div>
</div>
</div>
<div class="row">
<div class="col form-floating mb-2"><input type="text" class="form-control" id="txt_ctct_subject" title="Subject" placeholder="Enter the subject..." aria-describedby="Subject"><label for="txt_ctct_subject">Subject</label></div>
</div>
<div class="row">
<div class="col form-floating mb-2"><textarea class="form-control" id="txt_ctct_message" title="Message" placeholder="Enter the message..." aria-describedby="Message" required=""></textarea><label for="txt_ctct_message">Message</label>
<div class="invalid-feedback">Please provide your message.</div>
</div>
</div>
<div class="row mb-2">
<div class="col"><button type="submit" class="btn btn-primary form-control" id="but_ctct_contactSubmit"><i class="spinner-border spinner-border-sm buttonspinner" role="status" id="spinner-sendmail"></i> Send</button></div>
</div>
<div class="row mb-2">
<div class="col"><button type="button" class="btn btn-secondary form-control" data-bs-dismiss="modal">Close</button></div>
</div>
</form>
<form id="form_optout" class="needs-validation">
<p>Please complete this form to stop the sharing of information that may be related to you. We will only use the information to fulfill and maintain records of your request.</p>
<div class="row">
<div class="col-md-6 form-floating mb-2"><input type="text" class="form-control" id="txt_optout_firstname" title="First Name" placeholder="Enter your first name..." aria-describedby="FirstName" required=""><label for="txt_optout_firstname">First
Name</label>
<div class="invalid-feedback">Please provide your first name.</div>
</div>
<div class="col-md-6 form-floating mb-2"><input type="text" class="form-control" id="txt_optout_lastname" title="Last Name" placeholder="Enter your last name..." aria-describedby="LastName" required=""><label for="txt_optout_lastname">Last
Name</label>
<div class="invalid-feedback">Please provide your last name.</div>
</div>
</div>
<div class="row">
<div class="col-md-12 form-floating mb-2"><input type="email" class="form-control" id="txt_optout_email" title="Email" placeholder="Enter your email..." aria-describedby="Email" required=""><label for="txt_optout_email">Email address</label>
<div class="invalid-feedback">Please provide your email.</div>
</div>
</div>
<div class="row mb-2">
<div class="col"><button type="submit" class="btn btn-primary form-control" id="but_optout_contactSubmit"><i class="spinner-border spinner-border-sm buttonspinner" role="status" id="spinner-optout"></i> Send</button></div>
</div>
<div class="row mb-2">
<div class="col"><button type="button" class="btn btn-secondary form-control" data-bs-dismiss="modal">Close</button></div>
</div>
</form>
<form id="form_subscribe" class="needs-validation">
<div class="row">
<div class="col-md-6 form-floating mb-2"><input type="text" class="form-control" id="txt_subscribe_firstname" title="First Name" placeholder="Enter your first name..." aria-describedby="FirstName" required=""><label
for="txt_subscribe_firstname">First Name</label>
<div class="invalid-feedback">Please provide your first name.</div>
</div>
<div class="col-md-6 form-floating mb-2"><input type="text" class="form-control" id="txt_subscribe_lastname" title="Last Name" placeholder="Enter your last name..." aria-describedby="LastName" required=""><label for="txt_subscribe_lastname">Last
Name</label>
<div class="invalid-feedback">Please provide your last name.</div>
</div>
</div>
<div class="row mb-2">
<div class="col form-floating"><input type="email" class="form-control" id="txt_subscribe_email" title="Email" placeholder="Enter your email..." aria-describedby="Email" required=""><label for="txt_subscribe_email">Email address</label>
<div class="invalid-feedback">Please provide your email.</div>
</div>
</div>
<div class="row mb-2">
<div class="col form-floating"><input type="text" class="form-control" id="txt_subscribe_company" title="Company" placeholder="Enter your company..." aria-describedby="Industry" required=""><label for="txt_subscribe_company">Company</label>
<div class="invalid-feedback">Please provide your company.</div>
</div>
</div>
<div class="row mb-2">
<div class="col form-floating"><input type="text" class="form-control" id="txt_subscribe_industry" title="Industry" placeholder="Enter your industry..." aria-describedby="Industry" required=""><label for="txt_subscribe_industry">Industry</label>
<div class="invalid-feedback">Please provide your industry.</div>
</div>
</div>
<div class="row mb-2">
<div class="col"><button type="submit" class="btn btn-primary form-control" id="but_subscribe_submit"><i class="spinner-border spinner-border-sm buttonspinner" role="status" id="spinner-sendSubscribeMail"></i>Send</button></div>
</div>
<div class="row mb-2">
<div class="col"><button type="button" class="btn btn-secondary form-control" data-bs-dismiss="modal">Close</button></div>
</div>
</form>
Text Content
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