conga.aidaform.com
Open in
urlscan Pro
13.224.189.98
Public Scan
URL:
https://conga.aidaform.com/New-Year-2023
Submission: On January 18 via api from US — Scanned from DE
Submission: On January 18 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form class="w-full">
<div class="contents-container i-container rounded-2xl px-0 pt-8" tag="span" data-v-67fd9680="">
<div data-v-67fd9680="">
<div class="i-container break-inside-avoid">
<div class="flex flex-nowrap"><!---->
<div class="relative w-full grow basis-0">
<div class="pb-11.5">
<figure class="flex m-0 p-0 relative flex items-center flex-col"><img alt="" src="https://media.aidaform.com/us-east-1%3A1fe64c14-d456-4544-adfb-9f3f7541ab11/3ancj04gdye.png"
style="width: 100%; max-width: 634px; max-height: 320px;"><!----></figure>
</div>
</div>
</div>
</div>
<div class="i-container">
<div class="flex flex-nowrap"><!---->
<div class="relative w-full grow basis-0">
<div class="aida__view py-8 text-lg leading-[1.7rem] text-left" data-v-cb1d3208="">
<p><strong>We have a bottle of bubbly with your name on it. Let us know where to send it by Friday, January 20.</strong><br><br>Then let’s lift a glass to <strong>BOLD</strong> ideas to transform
business, <strong>CRISP</strong> execution to drive more efficient revenue processes, and <strong>POPPIN' </strong>celebrations throughout 2023.<br><br><strong><em>Disclaimer:</em></strong><em> Limited
quantity while supplies last. The recipient must be 21 years of age or older.</em></p>
</div>
</div>
</div>
</div>
<div class="i-container break-inside-avoid">
<div class="flex flex-nowrap"><!---->
<div class="relative w-full grow basis-0">
<div class="text-left">
<h2 class="aida__view font-bold mt-0 mb-2 py-8 text-[1.625rem] leading-8 whitespace-pre-wrap break-words" data-v-cb1d3208="">Where should we send your champs? </h2>
</div>
</div>
</div>
</div>
<div class="i-container break-inside-avoid">
<div class="flex flex-nowrap">
<div class="field-decoration flex flex-col justify-between items-center pb-2 z-10" data-v-10dbbc1a=""><label
class="icon-wrapper relative before:inline-block before:absolute before:w-10.5 before:h-10.5 sm:before:w-15 sm:before:h-15 before:opacity-0 before:rounded-full" for="field-3" data-v-10dbbc1a=""><svg
class="icon w-6 h-6 sm:w-8.5 sm:h-8.5" aria-hidden="true" data-v-10dbbc1a="">
<use href="#i-field-name"></use>
</svg></label><svg class="dot h-1 w-1 print:hidden" aria-hidden="true" data-v-10dbbc1a="">
<use href="#i-icons-dot"></use>
</svg><svg class="dot h-1 w-1 print:hidden" aria-hidden="true" data-v-10dbbc1a="">
<use href="#i-icons-dot"></use>
</svg><svg class="dot h-1 w-1 print:hidden" aria-hidden="true" data-v-10dbbc1a="">
<use href="#i-icons-dot"></use>
</svg></div>
<div class="relative w-full grow basis-0">
<div class="px-4 pb-8">
<div data-v-61c6f8fd=""><label class="label inline-block relative mb-3 font-bold text-xl leading-[1.6875rem] break-words" for="field-3" data-v-61c6f8fd="">Your Full Name <!----></label></div>
<div data-v-1b33fd90="">
<div class="i-grid flex flex-row flex-wrap items-stretch" data-v-1b33fd90="" style="--i-gap-x:2rem; --i-gap-y:0rem;">
<div class="i-cell w-full a i-col-6" data-v-a55489c4="">
<div class="relative mb-4" data-v-73eb49b7=""><label for="field-3first-name" class="block mb-2 break-words" data-v-73eb49b7="">
</label>
<div class="short-text relative text-lg" data-v-d63116d6=""><input id="field-3first-name"
class="short-text-input relative resize-none block w-full overflow-auto m-0 p-0 border-b border-solid rounded-none outline-none shadow-none placeholder:opacity-40 focus:placeholder:opacity-0 print:placeholder:opacity-0 no-value mt-2 overflow-hidden h-6 leading-[1.3rem]"
type="text" name="first-name" placeholder="John" aria-describedby="feedback-field-3first-name" data-v-d63116d6=""><!----><span
class="short-text-border block absolute left-1/2 top-full w-0 border-b-2 border-solid transition-all duration-300" data-v-d63116d6=""></span></div>
<div id="feedback-field-3first-name" class="error-feedback w-full mt-1 text-[80%]" data-v-73eb49b7="" style="display: none;">Please give an answer</div>
</div>
</div>
<div class="i-cell w-full a i-col-6" data-v-a55489c4="">
<div class="relative mb-4" data-v-73eb49b7=""><label for="field-3last-name" class="block mb-2 break-words" data-v-73eb49b7="">
</label>
<div class="short-text relative text-lg" data-v-d63116d6=""><input id="field-3last-name"
class="short-text-input relative resize-none block w-full overflow-auto m-0 p-0 border-b border-solid rounded-none outline-none shadow-none placeholder:opacity-40 focus:placeholder:opacity-0 print:placeholder:opacity-0 no-value mt-2 overflow-hidden h-6 leading-[1.3rem]"
type="text" name="last-name" placeholder="Snow" aria-describedby="feedback-field-3last-name" data-v-d63116d6=""><!----><span
class="short-text-border block absolute left-1/2 top-full w-0 border-b-2 border-solid transition-all duration-300" data-v-d63116d6=""></span></div>
<div id="feedback-field-3last-name" class="error-feedback w-full mt-1 text-[80%]" data-v-73eb49b7="" style="display: none;">Please give an answer</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="i-container break-inside-avoid">
<div class="flex flex-nowrap">
<div class="field-decoration flex flex-col justify-between items-center pb-2 z-10" data-v-10dbbc1a=""><label
class="icon-wrapper relative before:inline-block before:absolute before:w-10.5 before:h-10.5 sm:before:w-15 sm:before:h-15 before:opacity-0 before:rounded-full" for="field-4" data-v-10dbbc1a=""><svg
class="icon w-6 h-6 sm:w-8.5 sm:h-8.5" aria-hidden="true" data-v-10dbbc1a="">
<use href="#i-field-email"></use>
</svg></label><svg class="dot h-1 w-1 print:hidden" aria-hidden="true" data-v-10dbbc1a="">
<use href="#i-icons-dot"></use>
</svg><svg class="dot h-1 w-1 print:hidden" aria-hidden="true" data-v-10dbbc1a="">
<use href="#i-icons-dot"></use>
</svg><svg class="dot h-1 w-1 print:hidden" aria-hidden="true" data-v-10dbbc1a="">
<use href="#i-icons-dot"></use>
</svg></div>
<div class="relative w-full grow basis-0">
<div class="px-4 pb-8">
<div data-v-61c6f8fd=""><label class="label inline-block relative mb-3 font-bold text-xl leading-[1.6875rem] break-words" for="field-4" data-v-61c6f8fd="">Contact Email <!----></label></div>
<div class="w-full relative">
<div class="relative mb-4" data-v-73eb49b7=""><!---->
<div class="short-text relative text-lg" data-v-d63116d6=""><input id="field-4"
class="short-text-input relative resize-none block w-full overflow-auto m-0 p-0 border-b border-solid rounded-none outline-none shadow-none placeholder:opacity-40 focus:placeholder:opacity-0 print:placeholder:opacity-0 no-value mt-2 overflow-hidden h-6 leading-[1.3rem]"
type="email" name="email" placeholder="e.g. jane.doe@email.com" min="" max="" aria-describedby="feedback-field-4" data-v-d63116d6=""><!----><span
class="short-text-border block absolute left-1/2 top-full w-0 border-b-2 border-solid transition-all duration-300" data-v-d63116d6=""></span></div>
<div id="feedback-field-4" class="error-feedback w-full mt-1 text-[80%]" data-v-73eb49b7="" style="display: none;">Please enter a valid email address</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="i-container break-inside-avoid">
<div class="flex flex-nowrap">
<div class="field-decoration flex flex-col justify-between items-center pb-2 z-10" data-v-10dbbc1a=""><label
class="icon-wrapper relative before:inline-block before:absolute before:w-10.5 before:h-10.5 sm:before:w-15 sm:before:h-15 before:opacity-0 before:rounded-full" for="field-5" data-v-10dbbc1a=""><svg
class="icon w-6 h-6 sm:w-8.5 sm:h-8.5" aria-hidden="true" data-v-10dbbc1a="">
<use href="#i-field-text"></use>
</svg></label><svg class="dot h-1 w-1 print:hidden" aria-hidden="true" data-v-10dbbc1a="">
<use href="#i-icons-dot"></use>
</svg><svg class="dot h-1 w-1 print:hidden" aria-hidden="true" data-v-10dbbc1a="">
<use href="#i-icons-dot"></use>
</svg><svg class="dot h-1 w-1 print:hidden" aria-hidden="true" data-v-10dbbc1a="">
<use href="#i-icons-dot"></use>
</svg></div>
<div class="relative w-full grow basis-0">
<div class="px-4 pb-8">
<div data-v-61c6f8fd=""><label class="label inline-block relative mb-3 font-bold text-xl leading-[1.6875rem] break-words" for="field-5" data-v-61c6f8fd="">Your Company <!----></label></div>
<div class="w-full relative">
<div class="relative mb-4" data-v-73eb49b7=""><!---->
<div class="short-text relative text-lg" data-v-d63116d6=""><input id="field-5"
class="short-text-input relative resize-none block w-full overflow-auto m-0 p-0 border-b border-solid rounded-none outline-none shadow-none placeholder:opacity-40 focus:placeholder:opacity-0 print:placeholder:opacity-0 no-value mt-2 overflow-hidden h-6 leading-[1.3rem]"
type="text" name="text" placeholder="" min="" max="" aria-describedby="feedback-field-5" data-v-d63116d6=""><!----><span
class="short-text-border block absolute left-1/2 top-full w-0 border-b-2 border-solid transition-all duration-300" data-v-d63116d6=""></span></div>
<div id="feedback-field-5" class="error-feedback w-full mt-1 text-[80%]" data-v-73eb49b7="" style="display: none;">Please give an answer</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="i-container break-inside-avoid">
<div class="flex flex-nowrap">
<div class="field-decoration flex flex-col justify-between items-center pb-2 z-10" data-v-10dbbc1a=""><label
class="icon-wrapper relative before:inline-block before:absolute before:w-10.5 before:h-10.5 sm:before:w-15 sm:before:h-15 before:opacity-0 before:rounded-full" for="field-6" data-v-10dbbc1a=""><svg
class="icon w-6 h-6 sm:w-8.5 sm:h-8.5" aria-hidden="true" data-v-10dbbc1a="">
<use href="#i-field-location"></use>
</svg></label></div>
<div class="relative w-full grow basis-0">
<div class="px-4 pb-8">
<div data-v-61c6f8fd=""><label class="label inline-block relative mb-3 font-bold text-xl leading-[1.6875rem] break-words" for="field-6" data-v-61c6f8fd="">Address <!----></label></div>
<div data-v-1b33fd90="">
<div class="i-grid flex flex-row flex-wrap items-stretch" data-v-1b33fd90="" style="--i-gap-x:2rem; --i-gap-y:0rem;">
<div class="i-cell w-full a" data-v-a55489c4="">
<div class="relative mb-4" data-v-73eb49b7=""><label for="field-6address-line-1" class="block mb-2 break-words" data-v-73eb49b7="">Street Address</label>
<div class="short-text relative text-lg" data-v-d63116d6=""><input id="field-6address-line-1"
class="short-text-input relative resize-none block w-full overflow-auto m-0 p-0 border-b border-solid rounded-none outline-none shadow-none placeholder:opacity-40 focus:placeholder:opacity-0 print:placeholder:opacity-0 no-value mt-2 overflow-hidden h-6 leading-[1.3rem]"
type="text" name="address-line-1" placeholder="1640 Riverside Drive" aria-describedby="feedback-field-6address-line-1" data-v-d63116d6=""><!----><span
class="short-text-border block absolute left-1/2 top-full w-0 border-b-2 border-solid transition-all duration-300" data-v-d63116d6=""></span></div>
<div id="feedback-field-6address-line-1" class="error-feedback w-full mt-1 text-[80%]" data-v-73eb49b7="" style="display: none;">Please give an answer</div>
</div>
</div>
<div class="i-cell w-full a" data-v-a55489c4="">
<div class="relative mb-4" data-v-73eb49b7=""><label for="field-6address-line-2" class="block mb-2 break-words" data-v-73eb49b7="">Street Address Line 2</label>
<div class="short-text relative text-lg" data-v-d63116d6=""><input id="field-6address-line-2"
class="short-text-input relative resize-none block w-full overflow-auto m-0 p-0 border-b border-solid rounded-none outline-none shadow-none placeholder:opacity-40 focus:placeholder:opacity-0 print:placeholder:opacity-0 no-value mt-2 overflow-hidden h-6 leading-[1.3rem]"
type="text" name="address-line-2" placeholder="Blacker House" aria-describedby="feedback-field-6address-line-2" data-v-d63116d6=""><!----><span
class="short-text-border block absolute left-1/2 top-full w-0 border-b-2 border-solid transition-all duration-300" data-v-d63116d6=""></span></div><!---->
</div>
</div>
<div class="i-cell w-full a i-col-6" data-v-a55489c4="">
<div class="relative mb-4" data-v-73eb49b7=""><label for="field-6city" class="block mb-2 break-words" data-v-73eb49b7="">City</label>
<div class="short-text relative text-lg" data-v-d63116d6=""><input id="field-6city"
class="short-text-input relative resize-none block w-full overflow-auto m-0 p-0 border-b border-solid rounded-none outline-none shadow-none placeholder:opacity-40 focus:placeholder:opacity-0 print:placeholder:opacity-0 no-value mt-2 overflow-hidden h-6 leading-[1.3rem]"
type="text" name="city" placeholder="Hill Valley" aria-describedby="feedback-field-6city" data-v-d63116d6=""><!----><span
class="short-text-border block absolute left-1/2 top-full w-0 border-b-2 border-solid transition-all duration-300" data-v-d63116d6=""></span></div>
<div id="feedback-field-6city" class="error-feedback w-full mt-1 text-[80%]" data-v-73eb49b7="" style="display: none;">Please give an answer</div>
</div>
</div>
<div class="i-cell w-full a i-col-6" data-v-a55489c4="">
<div class="relative mb-4" data-v-73eb49b7=""><label for="field-6state" class="block mb-2 break-words" data-v-73eb49b7="">State/Province (Spelled out) </label>
<div class="short-text relative text-lg" data-v-d63116d6=""><input id="field-6state"
class="short-text-input relative resize-none block w-full overflow-auto m-0 p-0 border-b border-solid rounded-none outline-none shadow-none placeholder:opacity-40 focus:placeholder:opacity-0 print:placeholder:opacity-0 no-value mt-2 overflow-hidden h-6 leading-[1.3rem]"
type="text" name="state" placeholder="California" aria-describedby="feedback-field-6state" data-v-d63116d6=""><!----><span
class="short-text-border block absolute left-1/2 top-full w-0 border-b-2 border-solid transition-all duration-300" data-v-d63116d6=""></span></div>
<div id="feedback-field-6state" class="error-feedback w-full mt-1 text-[80%]" data-v-73eb49b7="" style="display: none;">Please give an answer</div>
</div>
</div>
<div class="i-cell w-full a i-col-6" data-v-a55489c4="">
<div class="relative mb-4" data-v-73eb49b7=""><label for="field-6zip" class="block mb-2 break-words" data-v-73eb49b7="">Zip Code</label>
<div class="short-text relative text-lg" data-v-d63116d6=""><input id="field-6zip"
class="short-text-input relative resize-none block w-full overflow-auto m-0 p-0 border-b border-solid rounded-none outline-none shadow-none placeholder:opacity-40 focus:placeholder:opacity-0 print:placeholder:opacity-0 no-value mt-2 overflow-hidden h-6 leading-[1.3rem]"
type="text" name="zip" placeholder="94601" aria-describedby="feedback-field-6zip" data-v-d63116d6=""><!----><span
class="short-text-border block absolute left-1/2 top-full w-0 border-b-2 border-solid transition-all duration-300" data-v-d63116d6=""></span></div>
<div id="feedback-field-6zip" class="error-feedback w-full mt-1 text-[80%]" data-v-73eb49b7="" style="display: none;">Please give an answer</div>
</div>
</div>
<div class="i-cell w-full a i-col-6" data-v-a55489c4="">
<div class="relative mb-4" data-v-73eb49b7=""><label for="field-6country" class="block mb-2 break-words" data-v-73eb49b7="">Country</label>
<div class="short-text relative text-lg" data-v-d63116d6=""><input id="field-6country"
class="short-text-input relative resize-none block w-full overflow-auto m-0 p-0 border-b border-solid rounded-none outline-none shadow-none placeholder:opacity-40 focus:placeholder:opacity-0 print:placeholder:opacity-0 no-value mt-2 overflow-hidden h-6 leading-[1.3rem]"
type="text" name="country" placeholder="USA" aria-describedby="feedback-field-6country" data-v-d63116d6=""><!----><span
class="short-text-border block absolute left-1/2 top-full w-0 border-b-2 border-solid transition-all duration-300" data-v-d63116d6=""></span></div>
<div id="feedback-field-6country" class="error-feedback w-full mt-1 text-[80%]" data-v-73eb49b7="" style="display: none;">Please give an answer</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="i-container max-w-[50rem] print:hidden" data-v-67fd9680="">
<div data-v-5250d101=""><!----><!---->
<div class="navigation flex flex-wrap-reverse flex-row align-center" data-v-5250d101=""><!---->
<div class="form-button-wrapper flex flex-col text-center items-center ab-pill m-2" data-v-fa7a35e0="" data-v-5250d101=""><button type="button"
class="form-button cursor-pointer font-bold text-xl justify-center overflow-hidden relative text-center no-underline flex items-center transition-colors duration-300 mb-0.5 focus:outline-none primary ab-small ab-pill ab-basic-a"
data-v-fa7a35e0=""><span class="relative block break-words border-none outline-none" data-v-fa7a35e0="">Submit </span></button><!----></div>
</div>
</div>
</div>
</div>
<div></div>
</form>Text Content
We have a bottle of bubbly with your name on it. Let us know where to send it by Friday, January 20. Then let’s lift a glass to BOLD ideas to transform business, CRISP execution to drive more efficient revenue processes, and POPPIN' celebrations throughout 2023. Disclaimer: Limited quantity while supplies last. The recipient must be 21 years of age or older. WHERE SHOULD WE SEND YOUR CHAMPS? Your Full Name Please give an answer Please give an answer Contact Email Please enter a valid email address Your Company Please give an answer Address Street Address Please give an answer Street Address Line 2 City Please give an answer State/Province (Spelled out) Please give an answer Zip Code Please give an answer Country Please give an answer Submit Only you can see this form because it's not published yet. Publish the form in your account to make it visible for everyone. Don't show this again Got it! Submitting 0% -------------------------------------------------------------------------------- Powered by Aidaform