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96.47.0.66  Public Scan

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Submitted URL: https://j3owensgroup.emailonline2.com/url/2581366/3c5c1ba/
Effective URL: https://promimg.com/apps/rf5.asp?TKFC=302823&TKFE=16910604&TKFP=0
Submission: On November 16 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

Name: form1 — POST rf5_process.asp

<form id="form1" name="form1" method="post" action="rf5_process.asp">
  <table width="100%" border="0">
    <tbody>
      <tr>
        <td width="12%">&nbsp;</td>
        <td width="88%">
          <table width="100%" border="0">
            <tbody>
              <tr>
                <td>
                  <table width="100%" border="0">
                    <tbody>
                      <tr>
                        <td width="50%">
                          <font face="Arial, Helvetica, sans-serif">First Name</font>
                        </td>
                        <td width="50%">
                          <font face="Arial, Helvetica, sans-serif">Last Name</font>
                        </td>
                      </tr>
                      <tr>
                        <td><input name="FirstName" type="text" id="FirstName" value="Michael" size="35"></td>
                        <td><input name="LastName" type="text" id="LastName" value="Harris" size="32"></td>
                      </tr>
                    </tbody>
                  </table>
                </td>
              </tr>
              <input name="CompanyName" type="hidden" id="CompanyName" value="">
              <input name="Title" type="hidden" id="Title" value="">
              <tr>
                <td>
                  <input name="Addr1" type="hidden" id="Addr1" value="">
                  <input name="Addr2" type="hidden" id="Addr2" value=""> &nbsp; &nbsp; &nbsp; <table width="100%" border="0">
                    <tbody>
                      <tr></tr>
                      <tr>
                        <input name="City" type="hidden" id="City" value="" size="32" maxlength="50">
                        <input name="State" type="hidden" id="State" value="GA" size="2" maxlength="2">
                        <input name="Zip" type="hidden" id="Zip" value="" size="10" maxlength="10">
                      </tr>
                    </tbody>
                  </table>
                </td>
              </tr>
              <tr>
                <td>
                  <label> </label>
                  <table width="100%" border="0">
                    <tbody>
                      <tr>
                        <td width="21%">
                          <font face="Arial, Helvetica, sans-serif">Phone</font>
                        </td>
                        <td width="79%">
                          <font face="Arial, Helvetica, sans-serif">Ext</font>
                        </td>
                      </tr>
                      <tr>
                        <td><input name="Phone" type="text" id="Phone" value="4045106456" size="14" required=""></td>
                        <td><input name="PhoneExt" type="text" id="PhoneExt" size="6"></td>
                      </tr>
                    </tbody>
                  </table>
                </td>
              </tr>
              <tr>
                <td>
                  <table width="100%" border="0">
                    <tbody>
                      <tr>
                        <td>
                          <font face="Arial, Helvetica, sans-serif">E-Mail</font>
                        </td>
                      </tr>
                      <tr>
                        <td><input name="EMail" type="text" id="EMail" value="mharris2@delta.org" size="71" required=""></td>
                      </tr>
                    </tbody>
                  </table>
                </td>
              </tr>
              <tr>
                <td>&nbsp;</td>
              </tr>
              <tr>
                <td>&nbsp;</td>
              </tr>
            </tbody>
          </table>
        </td>
      </tr>
    </tbody>
  </table>
  <div align="center">
    <label>
      <input name="TKFC" type="hidden" id="TKFC" value="302823">
      <input name="TKFE" type="hidden" id="TKFE" value="16910604">
      <input name="CRD" type="hidden" id="CRD" value="">
      <input name="NPN" type="hidden" id="NPN" value="16747599">
      <input type="submit" name="Submit" id="Submit" value="View Video">
    </label>
  </div>
</form>

Text Content


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work with J3 Owens Group


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First Name Last Name

     



Phone Ext

E-Mail