app.okcciviccenter.com Open in urlscan Pro
142.0.165.140  Public Scan

URL: https://app.okcciviccenter.com/preferences?utm_medium=email&elq_cid=179144&elqTrackId=1f9b6a9bacd14b4db1f38fb3026fe2df&elq=d094...
Submission: On October 24 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

Name: UntitledForm-1649355810916POST https://app.okcciviccenter.com/e/f2?LP=10

<form method="post" name="UntitledForm-1649355810916" action="https://app.okcciviccenter.com/e/f2?LP=10" onsubmit="return handleFormSubmit(this)" id="form18" class="elq-form"><input value="UntitledForm-1649355810916" type="hidden"
    name="elqFormName"><input value="3033282" type="hidden" name="elqSiteId"><input name="elqCampaignId" type="hidden" value="124">
  <div class="layout container-fluid">
    <div class="row">
      <div class="grid-layout-col">
        <div class="layout-col col-sm-12 col-xs-12">
          <div id="formElement0" class="elq-field-style form-element-layout row">
            <div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe174">Email Address<span class="elq-required">*</span></label></div>
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div class="field-control-wrapper"><input type="text" class="elq-item-input" name="emailAddress" id="fe174" value="joshua.adams@americanfidelity.com" style="width:100%;" readonly="true"></div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="grid-layout-col">
        <div class="layout-col col-sm-12 col-xs-12">
          <div id="formElement1" class="elq-field-style form-element-layout row">
            <div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe175">First Name<span class="elq-required">*</span></label></div>
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div class="field-control-wrapper"><input type="text" class="elq-item-input" name="firstName" id="fe175" value="Megan" style="width:100%;"></div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="grid-layout-col">
        <div class="layout-col col-sm-12 col-xs-12">
          <div id="formElement2" class="elq-field-style form-element-layout row">
            <div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe176">Last Name<span class="elq-required">*</span></label></div>
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div class="field-control-wrapper"><input type="text" class="elq-item-input" name="lastName" id="fe176" value="Adams" style="width:100%;"></div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="grid-layout-col">
        <div class="layout-col col-sm-12 col-xs-12">
          <div id="formElement3" class="elq-field-style form-element-layout row">
            <div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe177">Zip or Postal Code</label></div>
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div class="field-control-wrapper"><input type="text" class="elq-item-input" name="zipPostal" id="fe177" value="73071" style="width:100%;"></div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="grid-layout-col">
        <div class="layout-col col-sm-12 col-xs-12">
          <div id="formElement4" class="elq-field-style form-element-layout row">
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div style="text-align:left;">
                    <h4 class="elq-heading form-element-form-text">Please select the information you would like to receive:</h4>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="grid-layout-col">
        <div class="layout-col col-sm-12 col-xs-12">
          <div id="formElement5" class="elq-field-style form-element-layout row">
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div>
                    <div class="single-checkbox-row row"><input type="checkbox" name="emailGroup1" id="fe179" data-subscription="true"><label class="checkbox-aligned elq-item-label" for="fe179">All Communications</label></div>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="grid-layout-col">
        <div class="layout-col col-sm-12 col-xs-12">
          <div id="formElement6" class="elq-field-style form-element-layout row">
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div>
                    <div class="single-checkbox-row row"><input type="checkbox" name="emailGroup2" id="fe180" data-subscription="true"><label class="checkbox-aligned elq-item-label" for="fe180">Regular Newsletters</label></div>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="grid-layout-col">
        <div class="layout-col col-sm-12 col-xs-12">
          <div id="formElement7" class="elq-field-style form-element-layout row">
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div>
                    <div class="single-checkbox-row row"><input type="checkbox" name="emailGroup3" id="fe181" data-subscription="true"><label class="checkbox-aligned elq-item-label" for="fe181">My Event Information Only</label></div>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="grid-layout-col">
        <div class="layout-col col-sm-12 col-xs-12">
          <div id="formElement8" class="elq-field-style form-element-layout row">
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div>
                    <div class="single-checkbox-row row"><input type="checkbox" name="emailGroup4" id="fe182" data-subscription="true"><label class="checkbox-aligned elq-item-label" for="fe182">Special Offers</label></div>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="grid-layout-col">
        <div class="layout-col col-sm-12 col-xs-12">
          <div id="formElement9" class="elq-field-style form-element-layout row">
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div style="text-align:left;">
                    <h4 class="elq-heading form-element-form-text">If you would like to unsubscribe from ALL email communications, please check the box below:</h4>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="grid-layout-col">
        <div class="layout-col col-sm-12 col-xs-12">
          <div id="formElement10" class="elq-field-style form-element-layout row">
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div>
                    <div class="single-checkbox-row row"><input type="checkbox" name="singleCheckbox" id="fe183"><label class="checkbox-aligned elq-item-label" for="fe183">Please remove me from all Civic Center Music Hall email communications</label>
                    </div>
                  </div>
                </div>
              </div>
              <div class="form-element-instruction">Please note that by unsubscribing you will no longer receive any email communications from Civic Center Music Hall, including emails about event information, special offers, and news updates.</div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="grid-layout-col">
        <div class="layout-col col-sm-12 col-xs-12">
          <div id="formElement11" class="elq-field-style form-element-layout row">
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div style="text-align:center;"><input type="Submit" class="submit-button-style " value="Submit" id="fe185"></div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div><input type="hidden" name="elqCookieWrite" id="fe184" value="1">
  </div>
</form>

Text Content

Subscription Management Form
*Required fields indicated with an asterisk.
Email Address*

First Name*

Last Name*

Zip or Postal Code


PLEASE SELECT THE INFORMATION YOU WOULD LIKE TO RECEIVE:

All Communications
Regular Newsletters
My Event Information Only
Special Offers

IF YOU WOULD LIKE TO UNSUBSCRIBE FROM ALL EMAIL COMMUNICATIONS, PLEASE CHECK THE
BOX BELOW:

Please remove me from all Civic Center Music Hall email communications
Please note that by unsubscribing you will no longer receive any email
communications from Civic Center Music Hall, including emails about event
information, special offers, and news updates.