app.okcciviccenter.com
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142.0.165.140
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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
Submission: On October 24 via api from US — Scanned from DE
Form analysis
1 forms found in the DOMName: UntitledForm-1649355810916 — POST 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">
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<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">
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<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>
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<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>
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<div class="field-control-wrapper"><input type="text" class="elq-item-input" name="firstName" id="fe175" value="Megan" style="width:100%;"></div>
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<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>
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<div class="field-control-wrapper"><input type="text" class="elq-item-input" name="lastName" id="fe176" value="Adams" style="width:100%;"></div>
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<div style="text-align:left;" class="col-sm-12 col-xs-12"><label class="elq-label " for="fe177">Zip or Postal Code</label></div>
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<div style="text-align:left;">
<h4 class="elq-heading form-element-form-text">Please select the information you would like to receive:</h4>
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<div class="row">
<div class="grid-layout-col">
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<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>
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<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>
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<div class="row">
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<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>
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<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>
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<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>
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</div>
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<div class="row">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
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<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>
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<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>
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<div style="text-align:center;"><input type="Submit" class="submit-button-style " value="Submit" id="fe185"></div>
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</div><input type="hidden" name="elqCookieWrite" id="fe184" value="1">
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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.