secure.ngpvan.com Open in urlscan Pro
45.60.33.183  Public Scan

URL: https://secure.ngpvan.com/J9Dc25pEuEilBkYRyyOYLQ2
Submission: On October 01 via manual from IN — Scanned from DE

Form analysis 1 forms found in the DOM

POST

<form class="clearfix" method="post" novalidate="" action="" accept-charset="utf-8" autocomplete="on">
  <div class="at-markup FastAction" id="NVSignupForm1195886-FastAction">
    <div class="fastaction-block">
      <div class="fastAction clearfix">
        <p>
          <span class="fa-cta">
            <a href="#fastaction-login" class="profile-link" aria-label="FastAction">
        <img class="profile-link-fa-image" src="//static.everyaction.com/ea-actiontag/assets/images/fast-action.svg">
      </a>
            <span><a href="https://fastaction.ngpvan.com##whats-this" class="circle" id="fastaction-whatsthis" data-popup="true" data-popup-width="515" data-popup-height="540" target="_blank">?</a></span>
          </span>
          <span class="fa-lead"> Take future action with a single click.<br>
            <a href="#fastaction-login" class="call-modal" id="fastaction-widget-login">Log in</a>&nbsp;or&nbsp; <a href="#fastaction-signup" class="call-modal" id="fastaction-widget-signup">Sign up</a>&nbsp;for <i>Fast</i><b>Action</b>
          </span>
        </p>
      </div>
    </div>
  </div>
  <div data-name="undefined" data-subview="submit_view" data-subview-index="1"></div>
  <fieldset class="at-fieldset ContactInformation" id="NVSignupForm1195886-ContactInformation">
    <legend class="at-legend">Contact Information</legend>
    <div class="at-fields">
      <div class="at-row at-row-solo EmailAddress"><label class="at-text   EmailAddress" id="NVSignupForm1195886-ContactInformation-EmailAddress">Email<input type="email" autocomplete="email" x-autocompletetype="email"
            pattern="^([\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" required="" title="Email (required)"
            name="EmailAddress" value="" maxlength="100" placeholder="email@email.com">
        </label></div>
      <div class="at-row at-row-solo at-row-full UpdateMyProfile at-mode-person-only">
        <div class="at-markup UpdateMyProfile at-mode-person-only" id="NVSignupForm1195886-ContactInformation-UpdateMyProfile">
          <div class="updateMyProfileSection" style=""><label style="display:inline;"><input type="checkbox" name="updateMyProfile" checked="checked"><span><span class="text">Remember me so that I can use <i>Fast</i><b>Action</b> next
                  time.</span></span></label></div>
        </div>
      </div>
      <div class="at-row "><label class="at-text   PersonalUrl" id="NVSignupForm1195886-ContactInformation-PersonalUrl"> <small>(Optional)</small><input type="text" autocomplete="on" false="" title="" name="PersonalUrl" value="" maxlength="">
        </label></div>
      <div class="at-row ">
        <div class="at-markup TrackingPixel" id="NVSignupForm1195886-ContactInformation-TrackingPixel" style="display: none;"><img alt=""
            src="https://secure.ngpvan.com/v1/Track/J9Dc25pEuEilBkYRyyOYLQ2?formSessionId=197e3b20-cb5c-47f3-b992-1262ed1cecfa&amp;bName=chrome&amp;dType=desktop&amp;formVersion=2/22/2022 5:48:31 PM|2/15/2023 8:26:06 PM&amp;fUrl=aHR0cHM6Ly9zZWN1cmUubmdwdmFuLmNvbS9KOURjMjVwRXVFaWxCa1lSeXlPWUxRMg%3D%3D&amp;fRef="
            style="display:none"></div>
      </div>
    </div>
  </fieldset>
  <fieldset class="at-fieldset AdditionalInformation" id="NVSignupForm1195886-AdditionalInformation">
    <legend class="at-legend">Email Preferences</legend>
    <div class="at-fields">
      <div class="at-row at-row-full CustomFormFieldQuestion_3453759435523623">
        <label class="at-check  CustomFormFieldQuestion_3453759435523623" id="NVSignupForm1195886-AdditionalInformation-CustomFormFieldQuestion_3453759435523623"><input type="checkbox" required="" name="CustomFormFieldQuestion_3453759435523623">
          <span class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVSignupForm1195886-AdditionalInformation-CustomFormFieldQuestion_3453759435523623-label">I would like to receive less email.</span></span>
        </label>
      </div>
    </div>
  </fieldset>
  <div class="at-form-submit clearfix">
    <input type="submit" value="Submit" class="at-submit btn-at btn-at-primary">
    <div class="at-markup secure-processing-single-step-div" style="display: none;">
      <label class="secure-processing-label at-text"> Your donation will be securely processed.<div class="glyphicons glyphicons-lock" aria-hidden="true"></div>
      </label>
    </div>
  </div>
</form>

Text Content

Email Preferences


? Take future action with a single click.
Log in or  Sign up for FastAction


Contact Information
Email
Remember me so that I can use FastAction next time.
(Optional)

Email Preferences
I would like to receive less email.
Your donation will be securely processed.






SHOW YOUR SUPPORT
WITH A SINGLE CLICK

Autofill forms quickly and securely with FastAction
Sign up with your email address

Already have a FastAction account? Log in

By clicking "Log in," I confirm that I agree with the FastAction terms of
service and privacy policy.

×


SHOW YOUR SUPPORT
WITH A SINGLE CLICK

Autofill forms quickly and securely with FastAction
Log in with your email address

Don't have a FastAction account yet? Sign up

By clicking "Sign up," I confirm that I agree with the FastAction terms of
service and privacy policy.

×


SHOW YOUR SUPPORT
WITH A SINGLE CLICK

Autofill forms quickly and securely with FastAction
Sign up with your email address

Already have a FastAction account? Log in

By clicking "Log in," I confirm that I agree with the FastAction terms of
service and privacy policy.

×


SHOW YOUR SUPPORT
WITH A SINGLE CLICK

Autofill forms quickly and securely with FastAction
Log in with your email address

Don't have a FastAction account yet? Sign up

By clicking "Sign up," I confirm that I agree with the FastAction terms of
service and privacy policy.

×

Paid for by Marie Gluesenkamp Perez for Congress