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Submitted URL: https://medianetworkco.com/
Effective URL: https://www.simplermedia.com/
Submission: On November 01 via api from US — Scanned from DE
Effective URL: https://www.simplermedia.com/
Submission: On November 01 via api from US — Scanned from DE
Form analysis 2 forms found in the DOM
Name: contact-us — POST
<form id="a7cbd9449d4e3a69ba161ceff32e52b0" name="contact-us" method="POST" action=""
data-model="{"post_id":3345,"block_id":"a7cbd9449d4e3a69ba161ceff32e52b0","form_id":"10615","domain":"app-sj02","munchkin":"706-YIA-261","thank_you_page":"https:\/\/www.simplermedia.com\/ty-general-contact","thank_you_message":""}"
class="FormControlForm">
<label class="FormControl __type-text __width_w50" id="control_c376f9384077c7ea5c5f4bd8ec719dc0">
<strong class="FormControl__title">First Name <span class="FormControl__title__required">*</span></strong>
<input id="c376f9384077c7ea5c5f4bd8ec719dc0" required="" type="text" class="FormControl__input " value="" data-mkto-name="FirstName">
</label>
<label class="FormControl __type-text __width_w50" id="control_12e153089071152a37b6859d7a7dc2fe">
<strong class="FormControl__title">Last Name <span class="FormControl__title__required">*</span></strong>
<input id="12e153089071152a37b6859d7a7dc2fe" required="" type="text" class="FormControl__input " value="" data-mkto-name="LastName">
</label>
<label class="FormControl __type-email __width_w50" id="control_afb99936ed22ce348c8f61d6ccada39c">
<strong class="FormControl__title">Email <span class="FormControl__title__required">*</span></strong>
<input id="afb99936ed22ce348c8f61d6ccada39c" required="" type="email" class="FormControl__input " value="" data-mkto-name="Email">
</label>
<label class="FormControl __type-phone __width_w50" id="control_2325cff1c1721339cef893c8457aea0b">
<strong class="FormControl__title">Phone</strong>
<input id="2325cff1c1721339cef893c8457aea0b" type="phone" class="FormControl__input " value="" data-mkto-name="Phone">
</label>
<label class="FormControl __type-select __width_w50" id="control_2c927ea5c16e0d9c9b1f0134558ed1b3">
<strong class="FormControl__title">Your interest <span class="FormControl__title__required">*</span></strong>
<select id="2c927ea5c16e0d9c9b1f0134558ed1b3" required="" type="select" class="FormControl__input " value="" data-mkto-name="contactReqInterest">
<option value="" selected=""></option>
<option value="Advertising / Marketing Services">Advertising / Marketing Services</option>
<option value="Editorial / Tip / Contributor Network">Editorial / Tip / Contributor Network</option>
<option value="IMPACT Awards Help">IMPACT Awards Help</option>
<option value="Membership / Subscriptions">Membership / Subscriptions</option>
<option value="Privacy / Delete My Info">Privacy / Delete My Info</option>
<option value="Research Services">Research Services</option>
<option value="Speaking / Guest Opportunities">Speaking / Guest Opportunities</option>
<option value="Technical Support">Technical Support</option>
<option value="Other">Other</option>
</select>
</label>
<label class="FormControl __type-textarea __width_w50" id="control_c790910243ba64a7f83283ecad530723">
<strong class="FormControl__title">Comments <span class="FormControl__title__required">*</span></strong>
<textarea id="c790910243ba64a7f83283ecad530723" required="" type="textarea" class="FormControl__input " value="" data-mkto-name="contactReqComments"></textarea>
</label>
<label class="FormControl __type-checkbox __width_w100 __has_value __unchecked" id="control_0d8d6d9ffb01063714e70bbd863ae6b3">
<input id="0d8d6d9ffb01063714e70bbd863ae6b3" type="checkbox" class="FormControl__input " value="true" data-mkto-name="optInPrivacyPolicy">
<strong class="FormControl__title">I agree to respect SMG’s terms of use for its information services and to receive electronic communications in accordance with the
<a href="/policies/privacy-policy/" target="_blank">SMG privacy policy</a>.</strong>
<p class="FormControl__description"></p>
</label>
<div class="FormControl __type-submit" id="control_0cba295a4b67bf4f67911b03621b9720">
<button id="0cba295a4b67bf4f67911b03621b9720" type="submit" class="FormControl__input " value="">Submit</button>
</div>
</form><form class="FormControlForm__MarketoForm"></form>Text Content
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