referfcbheartland.com
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13.82.175.96
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Submitted URL: https://referfcbheartland.org/
Effective URL: https://referfcbheartland.com/
Submission: On August 27 via api from US — Scanned from DE
Effective URL: https://referfcbheartland.com/
Submission: On August 27 via api from US — Scanned from DE
Form analysis
1 forms found in the DOMName: ReferralForm — POST /Home#section2;
<form class="form" action="/Home#section2;" enctype="multipart/form-data" id="ReferralForm" method="post" name="ReferralForm" novalidate="novalidate">
<input value="" data-val="true" data-val-number="The field CampaignId must be a number." id="CampaignId" name="CampaignId" type="hidden">
<fieldset>
<div class="input-holder">
<div class="row valid-parent">
<div class="col-6 pl-0">
<label for="YourFirstName">Your First Name</label>
<input class="form-control" data-val="true" data-val-regex="Use letters only please" data-val-regex-pattern="^[\w\s']+$" data-val-required="Please enter your first name." id="ReferrerFirstName" name="YourFirstName"
placeholder="Your First Name" type="text" value="">
<span class="field-validation-valid" data-valmsg-for="YourFirstName" data-valmsg-replace="true"></span>
<span id="sharelinkFirstNameValidation" class="field-validation-error" style="visibility: hidden;">Please enter your first name</span>
</div>
<div class="col-6 pr-0">
<label for="YourLastName">Your Last Name</label>
<input class="form-control" data-val="true" data-val-regex="Use letters only please" data-val-regex-pattern="^[\w\s']+$" data-val-required="Please enter your last name." id="ReferrerLastName" name="YourLastName" placeholder="Your Last Name"
type="text" value="">
<span class="field-validation-valid" data-valmsg-for="YourLastName" data-valmsg-replace="true"></span>
<span id="sharelinkLastNameValidation" class="field-validation-error" style="visibility: hidden;">Please enter your last name</span>
</div>
</div>
<div class="row valid-parent">
<label for="YourEmail">Your Email</label>
<input class="form-control" data-val="true" data-val-email="The email address is not valid" data-val-required="Please enter your email address." id="ReferrerEmail" name="YourEmail" placeholder="Your Email" type="email" value="">
<span class="field-validation-valid" data-valmsg-for="YourEmail" data-valmsg-replace="true"></span>
<span id="sharelinkEmailValidation" class="field-validation-error" style="visibility: hidden;">Invalid email</span>
<br>
</div>
<div class="row valid-parent">
<label for="BranchId">Branch Visited Most Often</label>
<select id="BranchId" name="BranchId" class="form-control select-referral-branch">
<option value="" disabled="disabled">Select Branch</option>
<option value="56EE7194-619F-4535-9672-5F75704F82F4">Clinton Banking Center</option>
<option value="51F6AC7B-50F9-4FD7-BC77-F2ABB1C290B3">Dresden Banking Center</option>
<option value="19A72817-B2D8-4C6B-93E5-5F206D567481">Dyersburg Banking Center </option>
<option value="9c4d74e4-8833-41e6-a4cc-6df6678bd131">Dyersburg Mall Blvd </option>
<option value="E1E083FF-A052-4D78-A389-4488AF2AF50D">Fancy Farm Banking Center</option>
<option value="F9113AC3-5193-443B-BEE5-8FD28FDD5CDA">Kevil Banking Center</option>
<option value="980B479A-6BB0-443E-A130-5CF464B8092B">LaCenter Banking Center</option>
<option value="090FE1F8-EB6B-4199-A201-6C510A7B766C">Martin Banking Center</option>
<option value="1FAC18E3-13C9-4F9C-AB66-518F7EB21587">Martin Downtown Banking Center</option>
<option value="0904C8CE-A31D-409D-946F-77C41132E7F9">Online Branch</option>
<option value="3ce9d9ec-9d0f-4368-9471-05ea0ade23d0">South Fulton Banking Center</option>
<option value="AA37D73D-8ED7-4EED-8326-15AE9D91B7A7">Wickliffe Banking Center</option>
</select>
</div>
<div class="col-md-12 text-center">
<ul class="nav nav-pills center-pills justify-content-center">
<li class="nav-item"><a class="nav-link" data-toggle="tab" href="#home" id="homeTabNav">Email A Friend</a></li>
<li class="nav-item"><a class="nav-link active" data-toggle="tab" href="#sharelink" id="sharelinkTabNav">Get Shareable Link</a></li>
</ul>
</div>
<div class="tab-content">
<div id="home" class="tab-pane" style="margin-top: 20px;">
<div class="row valid-parent">
<div class="col-6 pl-0">
<label for="FriendsFirstName">Your Friend's First Name</label>
<input class="form-control" data-val="true" data-val-regex="Use letters only please" data-val-regex-pattern="^[\w\s']+$" data-val-required="Please enter your friend's first name." id="FriendsFirstName" name="FriendsFirstName"
placeholder="Friend's First Name" type="text" value="">
<span class="field-validation-valid" data-valmsg-for="FriendsFirstName" data-valmsg-replace="true"></span><br>
</div>
<div class="col-6 pr-0">
<label for="FriendsLastName">Your Friend's Last Name</label>
<input class="form-control" data-val="true" data-val-regex="Use letters only please" data-val-regex-pattern="^[\w\s']+$" data-val-required="Please enter your friend's last name." id="FriendsLastName" name="FriendsLastName"
placeholder="Friend's Last Name" type="text" value="">
<span class="field-validation-valid" data-valmsg-for="FriendsLastName" data-valmsg-replace="true"></span><br>
</div>
</div>
<div class="row valid-parent">
<label for="FriendsEmail">Your Friend's Email</label>
<input class="form-control" data-val="true" data-val-email="The email address is not valid" data-val-required="Please enter your friend's email address." id="FriendsEmail" name="FriendsEmail" placeholder="Friend's Email" type="email"
value="">
<span class="field-validation-valid" data-valmsg-for="FriendsEmail" data-valmsg-replace="true"></span><br>
</div>
<!-- There is a default personal message -->
<div class="row valid-parent">
<label class="referral-message-text" for="PersonalMessage">Write a personal message here:</label>
<textarea class="referral-personal-message" cols="20" data-val="true" data-val-regex="Use letters only please" data-val-regex-pattern="^[\w\s\.,'!@#$%^&*(){}\[\]:;?~|_+-/\\`]+$" id="PersonalMessage" maxlength="500"
name="PersonalMessage" rows="4">Hey! I love banking here. You should check it out!</textarea>
<span class="field-validation-valid" data-valmsg-for="PersonalMessage" data-valmsg-replace="true"></span>
</div>
<div class="row">
<div>
<div class="grecaptcha-badge" data-style="bottomright"
style="width: 256px; height: 60px; display: block; transition: right 0.3s; position: fixed; bottom: 14px; right: -186px; box-shadow: gray 0px 0px 5px; border-radius: 2px; overflow: hidden;">
<div class="grecaptcha-logo"><iframe title="reCAPTCHA" width="256" height="60" role="presentation" name="a-mj3t5knnv8fw" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LdtuRoUAAAAAF5iHQRvRUhPEWIeWa7EnMrVapwR&co=aHR0cHM6Ly9yZWZlcmZjYmhlYXJ0bGFuZC5jb206NDQz&hl=de&v=i7X0JrnYWy9Y_5EYdoFM79kV&size=invisible&cb=dd8xbkz5hmin"></iframe>
</div>
<div class="grecaptcha-error"></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div><button class="g-recaptcha btn btn-block btn-submit" data-sitekey="6LdtuRoUAAAAAF5iHQRvRUhPEWIeWa7EnMrVapwR" data-callback="onSubmit">Send Referral</button>
</div>
<div class="row social-media">
<table>
<tbody>
<tr>
</tr>
</tbody>
</table>
</div><br><br>
</div>
<div id="sharelink" class="tab-pane active">
<div id="ShareLinkMobile" style="display: none;">
<div class="input-holder" style="padding: 10px 0px 0px 0px;">
<div class="row valid-parent" id="YourName">
<input readonly="" type="text" class="form-control" placeholder="Above name and email address required" id="ShareableLinkMobile">
</div>
</div>
<span>
<button class="btn btn-default" type="button" id="CopyLinkMobile" style="width: 100%;">
<span class="glyphicon glyphicon-copy" aria-hidden="true" style="position: sticky;" id="LinkGlyphicon"></span> Copy Link </button>
</span>
</div>
<div style="margin-top:60px;" id="ShareLinkDesktop">
<div class="input-group">
<input readonly="" type="text" class="form-control" placeholder="Above name and email address and branch required" id="ShareableLink">
<span class="input-group-btn center" style="margin-top: 10px;">
<button class="btn btn-default" type="button" id="CopyLink">
<span class="glyphicon glyphicon-copy" aria-hidden="true" style="position: sticky;" id="LinkGlyphicon"></span> Copy Link </button>
</span>
</div>
</div>
<div style="margin-top: 10px; text-align: center;"> Copy & paste the above link into text messages, emails, and social media to tell more friends! </div>
<div class="text-center mt-1">
<a type="button" class="btn btn-primary disabled facebook-sharelink" id="facebook-sharelink" href="" target="_blank">
<img class="sharelink-icon" src="/Content/B/images/facebook.svg"> Facebook
</a>
<a type="button" class="btn btn-primary disabled twitter-sharelink" id="twitter-sharelink" href="" target="_blank">
<img class="sharelink-icon" src="/Content/B/images/twitter-x.svg"> Twitter
</a>
<a type="button" class="btn btn-primary disabled linkedin-sharelink" id="linkedin-sharelink" href="" target="_blank">
<img class="sharelink-icon" src="/Content/B/images/linkedin.svg"> LinkedIn
</a>
</div>
</div>
</div>
</div>
</fieldset>
</form>
Text Content
Opener * home * make a referral * how it works * view rewards WE APPRECIATE YOUR REFERRALS! make a referral SEND A REFERRAL NOW Refer a friend today! Your First Name Please enter your first name Your Last Name Please enter your last name Your Email Invalid email Branch Visited Most Often Select Branch Clinton Banking Center Dresden Banking Center Dyersburg Banking Center Dyersburg Mall Blvd Fancy Farm Banking Center Kevil Banking Center LaCenter Banking Center Martin Banking Center Martin Downtown Banking Center Online Branch South Fulton Banking Center Wickliffe Banking Center * Email A Friend * Get Shareable Link Your Friend's First Name Your Friend's Last Name Your Friend's Email Write a personal message here: Hey! I love banking here. You should check it out! Send Referral Copy Link Copy Link Copy & paste the above link into text messages, emails, and social media to tell more friends! Facebook Twitter LinkedIn IT’S EASY! Referring a friend and receiving your free gift is as easy as 1, 2, 3! 1. Refer a friend 2. Your friend opens a checking account 3. Get your gift! GET YOUR GIFT! For every referral you make that results in a new account, you can earn one of these great gifts: FIRST COMMUNITY BANK OF THE HEARTLAND 114 E. Jackson Street Clinton, KY 42031 CONTACT US * Phone (800) 653-4301 * * © First Community Bank of the Heartland 2024 | Privacy Policy