nikkihaley.com
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Submitted URL: http://nikkihaley.com/
Effective URL: https://nikkihaley.com/
Submission: On October 14 via manual from US — Scanned from DE
Effective URL: https://nikkihaley.com/
Submission: On October 14 via manual from US — Scanned from DE
Form analysis 3 forms found in the DOM
POST /
<form method="post" enctype="multipart/form-data" id="gform_1" action="/" data-formid="1" novalidate="">
<div class="gform-body gform_body">
<div id="gform_fields_1" class="gform_fields top_label form_sublabel_below description_below">
<div id="field_1_1" class="gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_1_1"><label
class="gfield_label gform-field-label" for="input_1_1">First Name</label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_1_1" type="text" value="" class="large" placeholder="First Name" aria-invalid="false"> </div>
</div>
<div id="field_1_3" class="gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_1_3"><label
class="gfield_label gform-field-label" for="input_1_3">Last Name</label>
<div class="ginput_container ginput_container_text"><input name="input_3" id="input_1_3" type="text" value="" class="large" placeholder="Last Name" aria-invalid="false"> </div>
</div>
<div id="field_1_4" class="gfield gfield--type-email gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_1_4"><label
class="gfield_label gform-field-label" for="input_1_4">Email</label>
<div class="ginput_container ginput_container_email">
<input name="input_4" id="input_1_4" type="email" value="" class="large" placeholder="Email" aria-invalid="false">
</div>
</div>
<div id="field_1_5" class="gfield gfield--type-phone gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_1_5"><label
class="gfield_label gform-field-label" for="input_1_5">Phone</label>
<div class="ginput_container ginput_container_phone"><input name="input_5" id="input_1_5" type="tel" value="" class="large" placeholder="Phone Number" aria-invalid="false"></div>
</div>
<div id="field_1_7" class="gfield gfield--type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_1_7"><label
class="gfield_label gform-field-label" for="input_1_7">State<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_7" id="input_1_7" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">State</option>
<option value="Alabama">Alabama</option>
<option value="Alaska">Alaska</option>
<option value="American Samoa">American Samoa</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="District of Columbia">District of Columbia</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Guam">Guam</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="U.S. Virgin Islands">U.S. Virgin Islands</option>
<option value="Utah">Utah</option>
<option value="Vermont">Vermont</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
<option value="Armed Forces Americas">Armed Forces Americas</option>
<option value="Armed Forces Europe">Armed Forces Europe</option>
<option value="Armed Forces Pacific">Armed Forces Pacific</option>
</select></div>
</div>
<div id="field_1_10" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_1_10"><label
class="gfield_label gform-field-label" for="input_1_10">Zip<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_10" id="input_1_10" type="text" value="" class="large" placeholder="Zip" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_1_11" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible" data-js-reload="field_1_11"><label
class="gfield_label gform-field-label" for="input_1_11">Phone</label>
<div class="ginput_container"><input name="input_11" id="input_1_11" type="text" value="" autocomplete="new-password"></div>
<div class="gfield_description" id="gfield_description_1_11">This field is for validation purposes and should be left unchanged.</div>
</div>
</div>
</div>
<div class="gform_footer top_label"> <button class="button gform_button btn-white" id="gform_submit_button_1">Sign Up <i class="fa-solid fa-sharp fa-arrow-right"></i></button>
<input type="hidden" class="gform_hidden" name="is_submit_1" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="1">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_1"
value="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">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_1" id="gform_target_page_number_1" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_1" id="gform_source_page_number_1" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
</form>POST /
<form method="post" enctype="multipart/form-data" id="gform_3" action="/" data-formid="3" novalidate="">
<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 field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_3_1"><label
class="gfield_label gform-field-label" for="input_3_1">First Name</label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_3_1" type="text" value="" class="large" placeholder="First Name" aria-invalid="false"> </div>
</div>
<div id="field_3_3" class="gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_3_3"><label
class="gfield_label gform-field-label" for="input_3_3">Last Name</label>
<div class="ginput_container ginput_container_text"><input name="input_3" id="input_3_3" type="text" value="" class="large" placeholder="Last Name" aria-invalid="false"> </div>
</div>
<div id="field_3_4" class="gfield gfield--type-email gfield--width-two-thirds gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_3_4"><label
class="gfield_label gform-field-label" for="input_3_4">Email<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</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" aria-required="true" aria-invalid="false">
</div>
</div>
<div id="field_3_5" class="gfield gfield--type-phone gfield--width-third field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_3_5"><label
class="gfield_label gform-field-label" for="input_3_5">Phone</label>
<div class="ginput_container ginput_container_phone"><input name="input_5" id="input_3_5" type="tel" value="" class="large" placeholder="Phone" aria-invalid="false"></div>
</div>
<div id="field_3_6" class="gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_3_6"><label
class="gfield_label gform-field-label" for="input_3_6">Street Address</label>
<div class="ginput_container ginput_container_text"><input name="input_6" id="input_3_6" type="text" value="" class="large" placeholder="Street Address" aria-invalid="false"> </div>
</div>
<div id="field_3_7" class="gfield gfield--type-text gfield--width-five-twelfths field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_3_7"><label
class="gfield_label gform-field-label" for="input_3_7">City</label>
<div class="ginput_container ginput_container_text"><input name="input_7" id="input_3_7" type="text" value="" class="large" placeholder="City" aria-invalid="false"> </div>
</div>
<div id="field_3_8" class="gfield gfield--type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_3_8"><label
class="gfield_label gform-field-label" for="input_3_8">State<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</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">State</option>
<option value="Alabama">Alabama</option>
<option value="Alaska">Alaska</option>
<option value="American Samoa">American Samoa</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="District of Columbia">District of Columbia</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Guam">Guam</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="U.S. Virgin Islands">U.S. Virgin Islands</option>
<option value="Utah">Utah</option>
<option value="Vermont">Vermont</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
<option value="Armed Forces Americas">Armed Forces Americas</option>
<option value="Armed Forces Europe">Armed Forces Europe</option>
<option value="Armed Forces Pacific">Armed Forces Pacific</option>
</select></div>
</div>
<div id="field_3_9" class="gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_3_9"><label
class="gfield_label gform-field-label" for="input_3_9">Zip<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_9" id="input_3_9" type="text" value="" class="large" placeholder="Zipcode" aria-required="true" aria-invalid="false"> </div>
</div>
<fieldset id="field_3_10" class="gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_2col field_sublabel_below gfield--no-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">How to Help</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="Become a Digital Captain" id="choice_3_10_1">
<label for="choice_3_10_1" id="label_3_10_1" class="gform-field-label gform-field-label--type-inline">Become a Digital Captain</label>
</div>
<div class="gchoice gchoice_3_10_2">
<input class="gfield-choice-input" name="input_10.2" type="checkbox" value="Become a Grassroots Coordinator" id="choice_3_10_2">
<label for="choice_3_10_2" id="label_3_10_2" class="gform-field-label gform-field-label--type-inline">Become a Grassroots Coordinator</label>
</div>
<div class="gchoice gchoice_3_10_3">
<input class="gfield-choice-input" name="input_10.3" type="checkbox" value="Attend Events" id="choice_3_10_3">
<label for="choice_3_10_3" id="label_3_10_3" class="gform-field-label gform-field-label--type-inline">Attend Events</label>
</div>
<div class="gchoice gchoice_3_10_4">
<input class="gfield-choice-input" name="input_10.4" type="checkbox" value="Write Letters to the Editor" id="choice_3_10_4">
<label for="choice_3_10_4" id="label_3_10_4" class="gform-field-label gform-field-label--type-inline">Write Letters to the Editor</label>
</div>
<div class="gchoice gchoice_3_10_5">
<input class="gfield-choice-input" name="input_10.5" type="checkbox" value="Phone Bank" id="choice_3_10_5">
<label for="choice_3_10_5" id="label_3_10_5" class="gform-field-label gform-field-label--type-inline">Phone Bank</label>
</div>
<div class="gchoice gchoice_3_10_6">
<input class="gfield-choice-input" name="input_10.6" type="checkbox" value="Other" id="choice_3_10_6">
<label for="choice_3_10_6" id="label_3_10_6" class="gform-field-label gform-field-label--type-inline">Other</label>
</div>
</div>
</div>
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