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http://e.edgesurveys.com/prefs/9z2zq5og9flj9k2qtnnssia0827nh35tpkdkgskbho8
Submission: On October 19 via api from US — Scanned from DE
Submission: On October 19 via api from US — Scanned from DE
Form analysis
1 forms found in the DOMGET /prefs/9z2zq5og9flj9k2qtnnssia0827nh35tpkdkgskbho8
<form action="/prefs/9z2zq5og9flj9k2qtnnssia0827nh35tpkdkgskbho8" method="get" role="form">
<div id="updates_div">
<h4>Your email address: <span style="font-size:15px; font-weight:bold;"> portelalucilene@gmail.com <input type="hidden" name="email_addr" value="portelalucilene@gmail.com">
</span>
</h4>
<div class="email_confirm_msg" style="padding-bottom:10px;"> (A confirmation email will be sent to this address) </div>
<div id="refresh_form_msg">
<a href="/edgeresearch/prefs">Please click here if
portelalucilene@gmail.com is not your email address.</a>
</div>
<div class="radio">
<label>
<input type="radio" name="subscribe" value="optin" checked=""> Yes, please send email from <span class="client_name"> Edge Research</span> to the address above. </label>
</div>
<div class="radio">
<label>
<input type="radio" value="optout" name="subscribe"> No, please stop sending email from <span class="client_name"> Edge Research</span> to the address above. </label>
</div>
<div class="radio">
<label>
<input type="radio" value="change" name="subscribe"> Please change my email address from the address above to: <input type="text" style="margin-top:10px;" name="new_addr" tabindex="2" class="form-control" size="30">
</label>
</div>
<div id="change_email">
<div class="email_confirm_msg"> (new email address) </div>
</div>
</div>
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<hr>
<div id="freq_div" class="form-group">
<h4>How often would you like to hear from us:</h4>
<label class="checkbox-inline no_indent">
<select name="email_frequency_limit"><option selected value="0">Include me on all mailings<option value="7">No more than once a week<option value="30">No more than once a month</select>
</label>
</div>
-->
<hr>
<div id="sms_div" class="form-group">
<div> Mobile Phone (optional): </div>
<div class="mobile_field">
<input type="text" value="7588060015" size="30" class="form-control" name="mobile_phone" tabindex="2" style="margin-top:10px;">
</div>
</div>
<div class="row" align="left" style="padding-bottom:50px;">
<div class="col-xs-6 col-sm-8 col-md-10">
<input tabindex="7" class="btn btn-primary " type="submit" value="Change Subscription" name="submit" id="submit">
</div>
</div>
</form>
Text Content
Edge Research Subscription Form SUBSCRIPTION CENTER We want you to enjoy receiving email from Edge Research. To modify your subscription, change your settings below and click Change Subscription. You will receive an email confirming your changes have taken effect. -------------------------------------------------------------------------------- YOUR EMAIL ADDRESS: PORTELALUCILENE@GMAIL.COM (A confirmation email will be sent to this address) Please click here if portelalucilene@gmail.com is not your email address. Yes, please send email from Edge Research to the address above. No, please stop sending email from Edge Research to the address above. Please change my email address from the address above to: (new email address) -------------------------------------------------------------------------------- Mobile Phone (optional):