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cdn.mercurymagazines.com Open in urlscan Pro
2606:2800:233:1cb7:261b:1f9c:2074:3c  Public Scan

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Submitted URL: https://links.mail3.m2mediagroup.com/els/v2/dkm-sNpvgWQK/NDQxazJYUVFSQzJrRCtPRkVLbmRseXZoUHpmdzZTWFlBbnptdGgyQmFNK0t2RlJwNUduSnBnbkwx...
Effective URL: https://cdn.mercurymagazines.com/121-121002984/index.html
Submission: On April 24 via api from BE — Scanned from DE

Form analysis 1 forms found in the DOM

Name: entry — POST https://www.mercurymagazines.com/entry/121/121002984

<form id="entry" name="entry" onsubmit="return validate()" method="POST" action="https://www.mercurymagazines.com/entry/121/121002984">
  <input type="hidden" name="source" value="121">
  <input type="hidden" name="promotion" value="121002984">
  <input type="hidden" name="a_title" value="">
  <input type="hidden" name="a_company" value="">
  <input type="hidden" name="a_street1" value="">
  <input type="hidden" name="a_street2" value="">
  <input type="hidden" name="a_city" value="">
  <input type="hidden" name="a_state" value="">
  <input type="hidden" name="a_zip" value="">
  <input type="hidden" name="p_phone" value="">
  <input type="hidden" name="p_fax" value="">
  <input type="hidden" name="redirect_url" value="">
  <input type="hidden" name="a_company_size_id" value="">
  <div class="panels">
    <div id="panel-1" class="panel">
      <div class="about-you fieldset mb-4 mb-md-0 mt-lg-4">
        <h3>Start Here</h3>
        <div class="row">
          <div class="col-12 col-md-6 pr-md-1">
            <div class="form-group first-name">
              <input name="name_first" value="[NAME_FIRST]" class="form-control" required="" type="text" placeholder="First Name">
            </div>
          </div>
          <div class="col-12 col-md-6 pl-md-1">
            <div class="form-group last-name last">
              <input name="name_last" value="[NAME_LAST]" class="form-control" required="" type="text" placeholder="Last Name">
            </div>
          </div>
        </div>
        <div class="form-group email">
          <input name="email" value="[EMAIL]" required="" class="form-control" type="email" placeholder="Your Work Email Address">
        </div>
        <div class="form-group confirm-email">
          <input name="email2" value="[EMAIL]" required="" class="form-control" type="email" placeholder="Confirm Email Address">
        </div>
        <div class="form-group country">
          <select name="location" required="" class="form-control select2-hidden-accessible" data-placeholder="Country" tabindex="-1" aria-hidden="true">
            <option></option>
            <option selected="" value="US">United States</option>
            <option value="other">Other</option>
          </select><span class="select2 select2-container select2-container--mercury" dir="ltr" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
                aria-expanded="false" tabindex="0" aria-labelledby="select2-location-nh-container"><span class="select2-selection__rendered" id="select2-location-nh-container" title="United States">United States</span><span
                  class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
        </div>
      </div>
      <div class="tools mt-4 d-none d-md-block clearfix">
        <button class="change-panel btn btn-primary float-right" data-target="panel-2">Next</button>
      </div>
    </div>
    <div id="panel-2" class="panel mt-4 mt-md-0 d-md-none">
      <div class="company-size fieldset mb-4 mb-md-0 mt-lg-4">
        <h3>Company Size</h3>
        <div class="form-group company-size">
          <select name="company_size_id" class="form-control select2-hidden-accessible" data-placeholder="# of Employees" tabindex="-1" aria-hidden="true">
            <option></option>
            <option value="14">1-4</option>
            <option value="13">5-9</option>
            <option value="12">10-24</option>
            <option value="1">25-49</option>
            <option value="2">50-99</option>
            <option value="3">100-249</option>
            <option value="4">250-499</option>
            <option value="5">500-999</option>
            <option value="6">1,000-2,499</option>
            <option value="11">2,500-4,999</option>
            <option value="10">5,000-9,999</option>
            <option value="9">10,000-19,999</option>
            <option value="8">20,000-49,999</option>
            <option value="7">50,000+</option>
          </select><span class="select2 select2-container select2-container--mercury" dir="ltr" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
                aria-expanded="false" tabindex="0" aria-labelledby="select2-company_size_id-6r-container"><span class="select2-selection__rendered" id="select2-company_size_id-6r-container"><span class="select2-selection__placeholder"># of
                    Employees</span></span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
        </div>
      </div>
      <div class="company-industry fieldset mb-4 mb-md-0">
        <h3>Industry</h3>
        <div class="form-group industry">
          <select required="" name="industry1" class="form-control select2-hidden-accessible" data-placeholder="My Company's Industry..." tabindex="-1" aria-hidden="true">
            <option></option>
            <option data-index="0" value="X">Agricultural</option>
            <option data-index="1" value="X">Auto/Aviation/Transport</option>
            <option data-index="2" value="X">Business Svcs/Financial</option>
            <option data-index="3" value="X">Communications/Utility</option>
            <option data-index="4" value="X">Computers/Internet/Tech</option>
            <option data-index="5" value="X">Construction/Building</option>
            <option data-index="6" value="X">Education</option>
            <option data-index="7" value="X">Food/Beverage/Lodging</option>
            <option data-index="8" value="X">Government/Public Svc</option>
            <option data-index="9" value="X">Manufacturing</option>
            <option data-index="10" value="X">Media/Marketing</option>
            <option data-index="11" value="X">Medical/Dental/Science</option>
            <option data-index="12" value="X">Retail</option>
            <option data-index="13" value="X">Textiles/Clothing</option>
            <option data-index="14" value="X">Other Industries</option>
          </select><span class="select2 select2-container select2-container--mercury" dir="ltr" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
                aria-expanded="false" tabindex="0" aria-labelledby="select2-industry1-uj-container"><span class="select2-selection__rendered" id="select2-industry1-uj-container"><span class="select2-selection__placeholder">My Company's
                    Industry...</span></span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
        </div>
        <div class="form-group sub-industry p-1 sub-dropdown d-none">
          <select required="" name="industry2" class="form-control select2-hidden-accessible" data-placeholder="My Company's Sub Industry..." tabindex="-1" aria-hidden="true"></select><span class="select2 select2-container select2-container--mercury"
            dir="ltr" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0"
                aria-labelledby="select2-industry2-mn-container"><span class="select2-selection__rendered" id="select2-industry2-mn-container"><span class="select2-selection__placeholder">My Company's Sub Industry...</span></span><span
                  class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
        </div>
      </div>
      <div class="job-function fieldset mb-4 mb-md-0">
        <h3>Job Function</h3>
        <div class="form-group job-field">
          <select required="" name="job1" class="form-control select2-hidden-accessible" data-placeholder="My Field of Work..." tabindex="-1" aria-hidden="true">
            <option></option>
            <option data-index="0" value="X">General Management</option>
            <option data-index="1" value="X">Comp/Tech/IT/Internet</option>
            <option data-index="2" value="X">Advertising/Mktg/Sales</option>
            <option data-index="3" value="X">Finance</option>
            <option data-index="4" value="X">Legal</option>
            <option data-index="5" value="X">Engineering</option>
            <option data-index="6" value="X">Building/Facilities</option>
            <option data-index="7" value="X">Manufacturing</option>
            <option data-index="8" value="X">Government</option>
            <option data-index="9" value="X">Health/Med/Fire/Safety</option>
            <option data-index="10" value="X">Research Development</option>
            <option data-index="11" value="X">Publishing/Printing</option>
            <option data-index="12" value="X">Production</option>
            <option data-index="13" value="X">School/Library/Education</option>
            <option data-index="14" value="X">Other Function</option>
          </select><span class="select2 select2-container select2-container--mercury" dir="ltr" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
                aria-expanded="false" tabindex="0" aria-labelledby="select2-job1-11-container"><span class="select2-selection__rendered" id="select2-job1-11-container"><span class="select2-selection__placeholder">My Field of
                    Work...</span></span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
        </div>
        <div class="job-role form-group p-1 sub-dropdown d-none">
          <select required="" name="job2" class="form-control select2-hidden-accessible" data-placeholder="My Job Function..." tabindex="-1" aria-hidden="true"></select><span class="select2 select2-container select2-container--mercury" dir="ltr"
            style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-job2-j5-container"><span
                  class="select2-selection__rendered" id="select2-job2-j5-container"><span class="select2-selection__placeholder">My Job Function...</span></span><span class="select2-selection__arrow"
                  role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
        </div>
      </div>
      <div class="job-title fieldset mb-4 mb-md-0 d-none">
        <h3>Job Title</h3>
        <div class="form-group job">
          <select required="" name="job3" class="form-control select2-hidden-accessible" data-placeholder="My Title..." tabindex="-1" aria-hidden="true"></select><span class="select2 select2-container select2-container--mercury" dir="ltr"
            style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-job3-qh-container"><span
                  class="select2-selection__rendered" id="select2-job3-qh-container"><span class="select2-selection__placeholder">My Title...</span></span><span class="select2-selection__arrow"
                  role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
        </div>
      </div>
      <div class="tools mt-4 mb-5 mb-md-0">
        <div class="clearfix">
          <a href="#" class="change-panel d-none d-md-block float-md-left" data-target="panel-1"><svg class="svg-inline--fa fa-arrow-left fa-w-14" aria-hidden="true" data-prefix="fa" data-icon="arrow-left" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-fa-i2svg=""><path fill="currentColor" d="M257.5 445.1l-22.2 22.2c-9.4 9.4-24.6 9.4-33.9 0L7 273c-9.4-9.4-9.4-24.6 0-33.9L201.4 44.7c9.4-9.4 24.6-9.4 33.9 0l22.2 22.2c9.5 9.5 9.3 25-.4 34.3L136.6 216H424c13.3 0 24 10.7 24 24v32c0 13.3-10.7 24-24 24H136.6l120.5 114.8c9.8 9.3 10 24.8.4 34.3z"></path></svg><!-- <i class="fa fa-arrow-left" aria-hidden="true"></i> --> Back</a>
          <button class="btn btn-primary submit float-md-right">Next</button>
        </div>
      </div>
    </div>
  </div>
</form>

Text Content

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COMPANY SIZE

1-4 5-9 10-24 25-49 50-99 100-249 250-499 500-999 1,000-2,499 2,500-4,999
5,000-9,999 10,000-19,999 20,000-49,999 50,000+ # of Employees


INDUSTRY

AgriculturalAuto/Aviation/TransportBusiness
Svcs/FinancialCommunications/UtilityComputers/Internet/TechConstruction/BuildingEducationFood/Beverage/LodgingGovernment/Public
SvcManufacturingMedia/MarketingMedical/Dental/ScienceRetailTextiles/ClothingOther
IndustriesMy Company's Industry...
My Company's Sub Industry...


JOB FUNCTION

General
ManagementComp/Tech/IT/InternetAdvertising/Mktg/SalesFinanceLegalEngineeringBuilding/FacilitiesManufacturingGovernmentHealth/Med/Fire/SafetyResearch
DevelopmentPublishing/PrintingProductionSchool/Library/EducationOther FunctionMy
Field of Work...
My Job Function...


JOB TITLE

My Title...
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