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Submitted URL: http://survey.alchemer-ca.com/
Effective URL: https://www.alchemer.com/index.html
Submission: On January 26 via manual from CA — Scanned from CA
Effective URL: https://www.alchemer.com/index.html
Submission: On January 26 via manual from CA — Scanned from CA
Form analysis
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<div class="hs-richtext hs-main-font-element">
<div style="font-size: 10px; text-align: left;"><span style="font-family: Verdana, Geneva, sans-serif;"><strong>For finance and accounting questions </strong></span></div>
<div style="font-size: 10px; text-align: left;"><span style="font-family: Verdana, Geneva, sans-serif;"><strong>please contact <a href="mailto:billing@alchemer.com">billing@alchemer.com</a></strong></span></div>
<div style="font-size: 10px; text-align: left;"><span style="font-family: Verdana, Geneva, sans-serif;"> </span></div>
<div style="font-size: 10px; text-align: left;"><span style="font-family: Verdana, Geneva, sans-serif;"><strong>For technical and customer support please
<a href="https://help.alchemer.com/help/alchemer-support-hours" rel="noopener" target="_blank">click here</a>. <br><br></strong></span></div>
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<div class="input"><input id="firstname-f2637b4d-338f-4f35-9805-4ecc1a1ff577" name="firstname" required="" placeholder="" type="text" class="hs-input" inputmode="text" autocomplete="given-name" value=""></div>
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<legend class="hs-field-desc" style="display: none;"></legend>
<div class="input"><input id="phone-f2637b4d-338f-4f35-9805-4ecc1a1ff577" name="phone" required="" placeholder="" type="tel" class="hs-input" inputmode="tel" autocomplete="tel" value=""></div>
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<div class="input"><input id="jobtitle-f2637b4d-338f-4f35-9805-4ecc1a1ff577" name="jobtitle" required="" placeholder="" type="text" class="hs-input" inputmode="text" autocomplete="organization-title" value=""></div>
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<option value="For myself">For myself</option>
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<option value="For my organization">For my organization</option>
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<legend class="hs-field-desc" style="display: none;"></legend>
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<legend class="hs-field-desc" style="display: none;"></legend>
<div class="input"><input name="contact_last_touch_page_title_" class="hs-input" type="hidden" value="Page not found - Alchemer"></div>
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<div class="hs_contact_last_touch_n_2_page_title_ hs-contact_last_touch_n_2_page_title_ hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-contact_last_touch_n_2_page_title_-f2637b4d-338f-4f35-9805-4ecc1a1ff577"
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<div class="hs_contact_last_touch_n_1_page_title_ hs-contact_last_touch_n_1_page_title_ hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-contact_last_touch_n_1_page_title_-f2637b4d-338f-4f35-9805-4ecc1a1ff577"
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<div class="input"><input name="contact_last_touch_n_1_page_title_" class="hs-input" type="hidden" value=""></div>
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<div class="hs_submit hs-submit">
<div class="hs-field-desc" style="display: none;"></div>
<div class="actions"><input type="submit" class="hs-button primary large" value="Submit"></div>
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<div class="hs-richtext hs-main-font-element">
<div style="font-size: 10px; text-align: left;"><span style="font-family: Verdana, Geneva, sans-serif;"><strong>For finance and accounting questions </strong></span></div>
<div style="font-size: 10px; text-align: left;"><span style="font-family: Verdana, Geneva, sans-serif;"><strong>please contact <a href="mailto:billing@alchemer.com" target="_blank">billing@alchemer.com</a></strong></span></div>
<div style="font-size: 10px; text-align: left;"><span style="font-family: Verdana, Geneva, sans-serif;"> </span></div>
<div style="font-size: 10px; text-align: left;"><span style="font-family: Verdana, Geneva, sans-serif;"><strong>For technical and customer support please
<a href="https://help.alchemer.com/help/alchemer-support-hours" rel="noopener" target="_blank">click here</a>. <br><br></strong></span></div>
</div>
</fieldset>
<fieldset class="form-columns-1">
<div class="hs-dependent-field">
<div class="hs_are_you_associated_with_an_organization_ hs-are_you_associated_with_an_organization_ hs-fieldtype-select field hs-form-field"><label id="label-are_you_associated_with_an_organization_-f2637b4d-338f-4f35-9805-4ecc1a1ff577"
class="" placeholder="Enter your Are you reaching out to Alchemer on behalf of an organization?" for="are_you_associated_with_an_organization_-f2637b4d-338f-4f35-9805-4ecc1a1ff577"><span>Are you reaching out to Alchemer on behalf of an
organization?</span><span class="hs-form-required">*</span></label>
<legend class="hs-field-desc" style="display: none;"></legend>
<div class="input"><select id="are_you_associated_with_an_organization_-f2637b4d-338f-4f35-9805-4ecc1a1ff577" required="" class="hs-input is-placeholder" name="are_you_associated_with_an_organization_">
<option disabled="" value="">Please Select</option>
<option value="Yes">Yes</option>
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<div class="hs_firstname hs-firstname hs-fieldtype-text field hs-form-field"><label id="label-firstname-f2637b4d-338f-4f35-9805-4ecc1a1ff577" class="" placeholder="Enter your First name"
for="firstname-f2637b4d-338f-4f35-9805-4ecc1a1ff577"><span>First name</span><span class="hs-form-required">*</span></label>
<legend class="hs-field-desc" style="display: none;"></legend>
<div class="input"><input id="firstname-f2637b4d-338f-4f35-9805-4ecc1a1ff577" name="firstname" required="" placeholder="" type="text" class="hs-input" inputmode="text" autocomplete="given-name" value=""></div>
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<div class="hs_lastname hs-lastname hs-fieldtype-text field hs-form-field"><label id="label-lastname-f2637b4d-338f-4f35-9805-4ecc1a1ff577" class="" placeholder="Enter your Last name" for="lastname-f2637b4d-338f-4f35-9805-4ecc1a1ff577"><span>Last
name</span><span class="hs-form-required">*</span></label>
<legend class="hs-field-desc" style="display: none;"></legend>
<div class="input"><input id="lastname-f2637b4d-338f-4f35-9805-4ecc1a1ff577" name="lastname" required="" placeholder="" type="text" class="hs-input" inputmode="text" autocomplete="family-name" value=""></div>
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<div class="hs_phone hs-phone hs-fieldtype-text field hs-form-field"><label id="label-phone-f2637b4d-338f-4f35-9805-4ecc1a1ff577" class="" placeholder="Enter your Phone" for="phone-f2637b4d-338f-4f35-9805-4ecc1a1ff577"><span>Phone</span><span
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<legend class="hs-field-desc" style="display: none;"></legend>
<div class="input"><input id="phone-f2637b4d-338f-4f35-9805-4ecc1a1ff577" name="phone" required="" placeholder="" type="tel" class="hs-input" inputmode="tel" autocomplete="tel" value=""></div>
</div>
<div class="hs_jobtitle hs-jobtitle hs-fieldtype-text field hs-form-field"><label id="label-jobtitle-f2637b4d-338f-4f35-9805-4ecc1a1ff577" class="" placeholder="Enter your Job title or role"
for="jobtitle-f2637b4d-338f-4f35-9805-4ecc1a1ff577"><span>Job title or role</span><span class="hs-form-required">*</span></label>
<legend class="hs-field-desc" style="display: none;"></legend>
<div class="input"><input id="jobtitle-f2637b4d-338f-4f35-9805-4ecc1a1ff577" name="jobtitle" required="" placeholder="" type="text" class="hs-input" inputmode="text" autocomplete="organization-title" value=""></div>
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<div class="hs_enterprise_plan_size hs-enterprise_plan_size hs-fieldtype-select field hs-form-field"><label id="label-enterprise_plan_size-f2637b4d-338f-4f35-9805-4ecc1a1ff577" class="" placeholder="Enter your Enterprise Plan Size"
for="enterprise_plan_size-f2637b4d-338f-4f35-9805-4ecc1a1ff577"><span>Enterprise Plan Size</span></label>
<legend class="hs-field-desc" style="display: none;"></legend>
<div class="input"><select id="enterprise_plan_size-f2637b4d-338f-4f35-9805-4ecc1a1ff577" class="hs-input is-placeholder" name="enterprise_plan_size">
<option disabled="" value="">Please Select</option>
<option value="For myself">For myself</option>
<option value="For a department within my organization">For a department within my organization</option>
<option value="For my organization">For my organization</option>
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<div class="hs_contact_last_touch_page_url_ hs-contact_last_touch_page_url_ hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-contact_last_touch_page_url_-f2637b4d-338f-4f35-9805-4ecc1a1ff577" class=""
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<legend class="hs-field-desc" style="display: none;"></legend>
<div class="input"><input name="contact_last_touch_page_url_" class="hs-input" type="hidden" value="https://www.alchemer.com/index.html"></div>
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</fieldset>
<fieldset class="form-columns-1">
<div class="hs_contact_last_touch_page_title_ hs-contact_last_touch_page_title_ hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-contact_last_touch_page_title_-f2637b4d-338f-4f35-9805-4ecc1a1ff577" class=""
placeholder="Enter your Contact Last Touch Page (Title)" for="contact_last_touch_page_title_-f2637b4d-338f-4f35-9805-4ecc1a1ff577"><span>Contact Last Touch Page (Title)</span></label>
<legend class="hs-field-desc" style="display: none;"></legend>
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