public.govdelivery.com Open in urlscan Pro
2001:4838:101:2:66:117:61:24  Public Scan

Form analysis
1 forms found in the DOM

POST /accounts/GOVENGAGE/subscriber/qualify

<form action="/accounts/GOVENGAGE/subscriber/qualify" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token"
    value="e/v67SU68PcHmEjvbnlRNgAbHoq7+eo2beGp+EFE2lIP7e5V+w3y5u+QdY5TKZMet/WrGizaiKTE+3DMbIcHzw==">
  <fieldset id="quick_subscribe_new">
    <legend>
      <h1> Featured Government Updates </h1>
    </legend>
    <div id="quick_subscribe_new_instructions">
      <p><span>GovDelivery partners with government organizations to deliver content important to you. Enter your information here to view and subscribe to a variety of featured government updates.</span></p>
    </div>
    <ol class="form">
      <li>
        <label for="subscription_type">Subscription Type</label>
        <div class="input_group">
          <select name="subscription_type" id="subscription_type">
            <option value="email">Email</option>
            <option value="phone">SMS/Text Message</option>
          </select>
        </div>
      </li>
      <li class="wireless_fields" style="display: none">
        <label for="phone"><img class="required" alt="" aria-hidden="true" src="https://content.govdelivery.com/images/required.gif">Wireless Number</label>
        <div class="input_group">
          <select name="country_code_display" id="country_code_display" disabled="disabled" aria-label="Country code">
            <option value="1 (US)">1 (US)</option>
            <option value="1">1</option>
          </select>
          <input type="hidden" name="country_code" id="country_code" value="1" title="Country code">
          <input type="tel" name="phone" id="phone" value="" class="medium wireless_text_field" title="Provide your full phone number without country code or characters such as a dash or space. e.g 5555550123"
            oninvalid="setCustomValidity('Provide your full phone number without country code or characters such as a dash or space. e.g 5555550123')" pattern="[0-9]{10}"
            oninput="if (validity.patternMismatch) { setCustomValidity('Provide your full phone number without country code or characters such as a dash or space. e.g 5555550123'); } else { setCustomValidity(''); }" disabled="disabled">
        </div>
      </li>
      <li class="email_fields" style="display: block">
        <label for="email"><img class="required" alt="" aria-hidden="true" src="https://content.govdelivery.com/images/required.gif">Email Address</label>
        <input type="email" name="email" id="email" value="" class="long email_text_field" required="required">
      </li>
    </ol>
    <span aria-hidden="aria-hidden" style="display: none">
      <label for="name"><img class="required" alt="" aria-hidden="true" src="https://content.govdelivery.com/images/required.gif">Name</label>
      <input type="text" name="name" id="name" value="" aria-disabled="true" autocomplete="off">
    </span>
    <div class="button_panel">
      <input type="submit" name="commit" value="Submit" data-disable-with="Submit"><input type="button" value="Cancel" class="cancel_button">
    </div>
  </fieldset>
</form>

Text Content

We only use cookies that are necessary for this site to function to provide you
with the best experience. The controller of this site may choose to place
supplementary cookies to support additional functionality such as support
analytics, and has an obligation to disclose these cookies. Learn more in our
Cookie Statement.


FEATURED GOVERNMENT UPDATES

GovDelivery partners with government organizations to deliver content important
to you. Enter your information here to view and subscribe to a variety of
featured government updates.

 1. Subscription Type
    Email SMS/Text Message
 2. Wireless Number
    1 (US) 1
 3. Email Address

Name


Your contact information is used to deliver requested updates or to access your
subscriber preferences.

--------------------------------------------------------------------------------

Privacy Policy | Cookie Statement | Help