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Submitted URL: https://outreach.senate.gov/iqextranet/iqClickTrk.aspx?&cid=quorum_schatz-iq&crop=16733.79327560.7110870.30529824&report_id=...
Effective URL: https://www.schatz.senate.gov/contact/newsletter-sign-up
Submission: On August 21 via api from BE
Effective URL: https://www.schatz.senate.gov/contact/newsletter-sign-up
Submission: On August 21 via api from BE
Form analysis
2 forms found in the DOMPOST https://www.schatz.senate.gov/contact/newsletter-sign-up
<form id="30783AA7-0097-B190-5A16-5ACFDDD1E136" action="https://www.schatz.senate.gov/contact/newsletter-sign-up" method="post">
<div class="control-group">
<div class="controls"><input id="input-4269BB24-09AD-F173-0969-DB7C5C612AFF" name="input_4269BB24-09AD-F173-0969-DB7C5C612AFF" type="hidden" value="newsletterSignUp"></div>
</div>
<fieldset>
<legend>Your Name</legend>
<div class="row">
<div class="col-md-2">
<div class="control-group"><label class="control-label" for="input-3082099C-0B76-0B52-F353-58E95C40C57E">Prefix<span class="required">*</span></label>
<div class="controls"><select id="input-3082099C-0B76-0B52-F353-58E95C40C57E" name="input_3082099C-0B76-0B52-F353-58E95C40C57E" class="validate['required']">
<option value="">--</option>
<option value="null">None</option>
<option value="Mr.">Mr.</option>
<option value="Ms.">Ms.</option>
<option value="Mrs.">Mrs.</option>
<option value="Miss">Miss</option>
<option value="Dr.">Dr.</option>
<option value="Prof.">Prof.</option>
<option value="Hon.">Hon.</option>
<option value="Fr.">Fr.</option>
<option value="Sister">Sister</option>
<option value="Rabbi">Rabbi</option>
<option value="Reverend">Reverend</option>
<option value="Fleet Admiral">Fleet Admiral</option>
<option value="Admiral">Admiral</option>
<option value="Vice Admiral">Vice Admiral</option>
<option value="Rear Admiral (upper half)">Rear Admiral (upper half)</option>
<option value="Rear Admiral (lower half)">Rear Admiral (lower half)</option>
<option value="Captain">Captain</option>
<option value="Commander">Commander</option>
<option value="Lieutenant Commander">Lieutenant Commander</option>
<option value="Lieutenant">Lieutenant</option>
<option value="Lieutenant, Junior Grade">Lieutenant, Junior Grade</option>
<option value="Ensign">Ensign</option>
<option value="Master Chief Petty Officer of the Navy">Master Chief Petty Officer of the Navy</option>
<option value="Master Chief Petty Officer">Master Chief Petty Officer</option>
<option value="Senior Chief Petty Officer">Senior Chief Petty Officer</option>
<option value="Chief Petty Officer">Chief Petty Officer</option>
<option value="Petty Officer First Class">Petty Officer First Class</option>
<option value="Petty Officer Second Class">Petty Officer Second Class</option>
<option value="Petty Officer Third Class">Petty Officer Third Class</option>
<option value="Seaman">Seaman</option>
<option value="Seaman Apprentice">Seaman Apprentice</option>
<option value="Seaman Recruit">Seaman Recruit</option>
<option value="Chief Warrant Officer">Chief Warrant Officer</option>
<option value="Warrant Officer">Warrant Officer</option>
<option value="Sgt Major Of The Corps">Sgt Major Of The Corps</option>
<option value="Sergeant Major">Sergeant Major</option>
<option value="Master Gunnery Sgt">Master Gunnery Sgt</option>
<option value="First Sergeant">First Sergeant</option>
<option value="Master Sergeant">Master Sergeant</option>
<option value="Gunnery Sergeant">Gunnery Sergeant</option>
<option value="Sergeant First Class">Sergeant First Class</option>
<option value="Staff Sergeant">Staff Sergeant</option>
<option value="Sergeant">Sergeant</option>
<option value="Corporal">Corporal</option>
<option value="Lance Corporal">Lance Corporal</option>
<option value="Private First Class">Private First Class</option>
<option value="Private">Private</option>
<option value="General of the Air Force">General of the Air Force</option>
<option value="General">General</option>
<option value="Lieutenant General">Lieutenant General</option>
<option value="Major General">Major General</option>
<option value="Brigadier General">Brigadier General</option>
<option value="Colonel">Colonel</option>
<option value="Lieutenant Colonel">Lieutenant Colonel</option>
<option value="Major">Major</option>
<option value="First Lieutenant">First Lieutenant</option>
<option value="Second Lieutenant">Second Lieutenant</option>
<option value="Chief Master Sergeant of the Air Force">Chief Master Sergeant of the Air Force</option>
<option value="Command Chief Master Sergeant">Command Chief Master Sergeant</option>
<option value="Chief Master Sergeant">Chief Master Sergeant</option>
<option value="Senior Master Sergeant">Senior Master Sergeant</option>
<option value="Technical Sergeant">Technical Sergeant</option>
<option value="Senior Airman">Senior Airman</option>
<option value="Airman First Class">Airman First Class</option>
<option value="Airman">Airman</option>
</select></div>
</div>
</div>
<div class="col-md-5">
<div class="control-group"><label class="control-label" for="input-308209CE-A08E-5280-DE63-29EB76DF4C13">First Name<span class="required">*</span></label>
<div class="controls"><input id="input-308209CE-A08E-5280-DE63-29EB76DF4C13" name="input_308209CE-A08E-5280-DE63-29EB76DF4C13" class="validate['required']" type="text" placeholder="Required"></div>
</div>
</div>
<div class="col-md-5">
<div class="control-group"><label class="control-label" for="input-308209FF-C8C7-0FEC-7A63-7B4F8A47C347">Last Name<span class="required">*</span></label>
<div class="controls"><input id="input-308209FF-C8C7-0FEC-7A63-7B4F8A47C347" name="input_308209FF-C8C7-0FEC-7A63-7B4F8A47C347" class="validate['required']" type="text" placeholder="Required"></div>
</div>
</div>
</div>
</fieldset>
<fieldset>
<legend>Your Contact Information</legend>
<div class="row">
<div class="col-md-6">
<div class="control-group"><label class="control-label" for="input-30905CF7-FA3B-9141-2ECB-8AEFDBDE8BE6">Home Phone</label>
<div class="controls"><input id="input-30905CF7-FA3B-9141-2ECB-8AEFDBDE8BE6" name="input_30905CF7-FA3B-9141-2ECB-8AEFDBDE8BE6" class="validate['phone']" type="text"></div>
</div>
</div>
<div class="col-md-6">
<div class="control-group"><label class="control-label" for="input-30905D2A-C7BF-3828-E2AF-ACAC5E87AD0D">Work Phone</label>
<div class="controls"><input id="input-30905D2A-C7BF-3828-E2AF-ACAC5E87AD0D" name="input_30905D2A-C7BF-3828-E2AF-ACAC5E87AD0D" class="validate['phone']" type="text"></div>
</div>
</div>
</div>
<div class="row">
<div class="col-md-6">
<div class="control-group"><label class="control-label" for="email">Email<span class="required">*</span></label>
<div class="controls"><input id="email" name="input_3095DA26-9475-216F-02BA-67E43C5CBE29" class="validate['required','email']" type="text" placeholder="Required"></div>
</div>
</div>
<div class="col-md-6">
<div class="control-group"><label class="control-label" for="input-3095DA5F-E9E7-6199-E63C-98F843021002">Verify Email<span class="required">*</span></label>
<div class="controls"><input id="input-3095DA5F-E9E7-6199-E63C-98F843021002" name="input_3095DA5F-E9E7-6199-E63C-98F843021002" class="validate['custom','%window.validate_3095DA5F_E9E7_6199_E63C_98F843021002']" type="text"
placeholder="Required"></div>
</div>
</div>
</div>
<div class="row">
<div class="col-md-6">
<div class="control-group"><label class="control-label" for="input-30984C24-F12E-D5BA-2588-BD47E17591DC">Street Address</label>
<div class="controls"><input id="input-30984C24-F12E-D5BA-2588-BD47E17591DC" name="input_30984C24-F12E-D5BA-2588-BD47E17591DC" type="text"></div>
</div>
</div>
<div class="col-md-6">
<div class="control-group"><label class="control-label" for="input-30984C56-A2CB-B807-7F50-91F9E0B6BBA5">Street Address (2)</label>
<div class="controls"><input id="input-30984C56-A2CB-B807-7F50-91F9E0B6BBA5" name="input_30984C56-A2CB-B807-7F50-91F9E0B6BBA5" type="text"></div>
</div>
</div>
</div>
<div class="row">
<div class="col-md-6">
<div class="control-group"><label class="control-label" for="input-30984C89-BE61-6810-4B96-26884B0F7A33">City<span class="required">*</span></label>
<div class="controls"><input id="input-30984C89-BE61-6810-4B96-26884B0F7A33" name="input_30984C89-BE61-6810-4B96-26884B0F7A33" class="validate['required']" type="text" placeholder="Required"></div>
</div>
</div>
<div class="col-md-2">
<div class="control-group"><label class="control-label" for="input-30984CBC-F128-E31F-C5A9-F3A456825F58">State<span class="required">*</span></label>
<div class="controls"><select id="input-30984CBC-F128-E31F-C5A9-F3A456825F58" name="input_30984CBC-F128-E31F-C5A9-F3A456825F58" class="validate['required']">
<option value="">--</option>
<option value="AL">AL</option>
<option value="AK">AK</option>
<option value="AR">AR</option>
<option value="AZ">AZ</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DC">DC</option>
<option value="DE">DE</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="IA">IA</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="ME">ME</option>
<option value="MD">MD</option>
<option value="MA">MA</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MS">MS</option>
<option value="MO">MO</option>
<option value="MT">MT</option>
<option value="NE">NE</option>
<option value="NV">NV</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NY">NY</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VT">VT</option>
<option value="VA">VA</option>
<option value="WA">WA</option>
<option value="WV">WV</option>
<option value="WI">WI</option>
<option value="WY">WY</option>
</select></div>
</div>
</div>
<div class="col-md-4">
<div class="control-group"><label class="control-label" for="input-30984CEF-DA77-BB71-FD83-677FE1B7E53A">Zip<span class="required">*</span></label>
<div class="controls"><input id="input-30984CEF-DA77-BB71-FD83-677FE1B7E53A" name="input_30984CEF-DA77-BB71-FD83-677FE1B7E53A" class="validate['required','%creativengine_forms_builder.validate.zip']" type="text" placeholder="Required">
</div>
</div>
</div>
</div>
</fieldset>
<fieldset>
<legend>Especially interested in the following issues:</legend>
<div class="control-group">
<div class="controls">
<div id="input-30A6E754-B441-0A98-035C-2EB635444F73" name="input_30A6E754-B441-0A98-035C-2EB635444F73" class="AmendTypeCheckboxes">
<div style="float: left; width: 100%;">
<div class="checkbox-container"><input type="checkbox" id="input-A94C7F3D-C069-4619-6CA6-E6EC78481168" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C7F3D-C069-4619-6CA6-E6EC78481168"><label
for="input-A94C7F3D-C069-4619-6CA6-E6EC78481168">Agriculture</label></div>
<div class="checkbox-container"><input type="checkbox" id="input-A94C7F69-E9DD-8D92-2539-31CB3D32759E" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C7F69-E9DD-8D92-2539-31CB3D32759E"><label
for="input-A94C7F69-E9DD-8D92-2539-31CB3D32759E">Animal Welfare</label></div>
<div class="checkbox-container"><input type="checkbox" id="input-A94C7F82-F1BC-2844-F3E3-BE9A7CA1E520" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C7F82-F1BC-2844-F3E3-BE9A7CA1E520"><label
for="input-A94C7F82-F1BC-2844-F3E3-BE9A7CA1E520">Army Corps, Public Works, Infrastructure</label></div>
<div class="checkbox-container"><input type="checkbox" id="input-A94C7F98-C311-F5B2-18B1-F83F8F85A1E9" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C7F98-C311-F5B2-18B1-F83F8F85A1E9"><label
for="input-A94C7F98-C311-F5B2-18B1-F83F8F85A1E9">Arts, Humanities</label></div>
<div class="checkbox-container"><input type="checkbox" id="input-A94C7FAF-DFEA-0AC9-CDD5-AEA0CE4FA373" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C7FAF-DFEA-0AC9-CDD5-AEA0CE4FA373"><label
for="input-A94C7FAF-DFEA-0AC9-CDD5-AEA0CE4FA373">Asians, Pacific Islanders</label></div>
<div class="checkbox-container"><input type="checkbox" id="input-A94C7FC7-0184-9791-B1CE-599EACE9921E" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C7FC7-0184-9791-B1CE-599EACE9921E"><label
for="input-A94C7FC7-0184-9791-B1CE-599EACE9921E">Banking</label></div>
<div class="checkbox-container"><input type="checkbox" id="input-A94C7FDC-F865-E22F-8306-DDDB77BAAF12" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C7FDC-F865-E22F-8306-DDDB77BAAF12"><label
for="input-A94C7FDC-F865-E22F-8306-DDDB77BAAF12">Budget</label></div>
<div class="checkbox-container"><input type="checkbox" id="input-A94C7FF5-F604-B487-50AB-2EDB436DAD05" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C7FF5-F604-B487-50AB-2EDB436DAD05"><label
for="input-A94C7FF5-F604-B487-50AB-2EDB436DAD05">Census</label></div>
<div class="checkbox-container"><input type="checkbox" id="input-A94C800B-B09A-E8EB-BBFE-2F289A9BC6BB" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C800B-B09A-E8EB-BBFE-2F289A9BC6BB"><label
for="input-A94C800B-B09A-E8EB-BBFE-2F289A9BC6BB">Children/Family/ Adoption</label></div>
<div class="checkbox-container"><input type="checkbox" id="input-A94C8022-FABE-E905-1EB1-F5BDA98D7D14" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C8022-FABE-E905-1EB1-F5BDA98D7D14"><label
for="input-A94C8022-FABE-E905-1EB1-F5BDA98D7D14">Civil Rights</label></div>
<div class="checkbox-container"><input type="checkbox" id="input-A94C803A-BCB5-8543-2A47-89D82EA39567" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C803A-BCB5-8543-2A47-89D82EA39567"><label
for="input-A94C803A-BCB5-8543-2A47-89D82EA39567">Consumer Affairs</label></div>
<div class="checkbox-container"><input type="checkbox" id="input-A94C8053-9309-10CB-B003-EB9F99E300C3" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C8053-9309-10CB-B003-EB9F99E300C3"><label
for="input-A94C8053-9309-10CB-B003-EB9F99E300C3">Defense</label></div>
<div class="checkbox-container"><input type="checkbox" id="input-A94C806D-AA01-3988-F235-4C1DA2F891AF" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C806D-AA01-3988-F235-4C1DA2F891AF"><label
for="input-A94C806D-AA01-3988-F235-4C1DA2F891AF">Education</label></div>
<div class="checkbox-container"><input type="checkbox" id="input-A94C8083-FE1E-4704-7CEA-178594D0462A" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C8083-FE1E-4704-7CEA-178594D0462A"><label
for="input-A94C8083-FE1E-4704-7CEA-178594D0462A">Elections, Campaign Finance</label></div>
<div class="checkbox-container"><input type="checkbox" id="input-A94C8099-DD35-9304-9ED9-8A9AB7C33025" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C8099-DD35-9304-9ED9-8A9AB7C33025"><label
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<div class="checkbox-container"><input type="checkbox" id="input-A94C80B4-B648-A2B3-DFDA-899B9A208543" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C80B4-B648-A2B3-DFDA-899B9A208543"><label
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<div class="checkbox-container"><input type="checkbox" id="input-A94C80CB-DB0A-1ACD-0FCA-C393D8CD67BC" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C80CB-DB0A-1ACD-0FCA-C393D8CD67BC"><label
for="input-A94C80CB-DB0A-1ACD-0FCA-C393D8CD67BC">Federal Workforce</label></div>
<div class="checkbox-container"><input type="checkbox" id="input-A94C80E0-DD74-3E3B-6FB1-D0B93CBD9FE3" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C80E0-DD74-3E3B-6FB1-D0B93CBD9FE3"><label
for="input-A94C80E0-DD74-3E3B-6FB1-D0B93CBD9FE3">Foreign Relations</label></div>
<div class="checkbox-container"><input type="checkbox" id="input-A94C80F7-B95C-4DC3-3F3D-83CB8F06111B" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C80F7-B95C-4DC3-3F3D-83CB8F06111B"><label
for="input-A94C80F7-B95C-4DC3-3F3D-83CB8F06111B">Governmental Affairs</label></div>
<div class="checkbox-container"><input type="checkbox" id="input-A94C810D-E64A-E915-C2A6-F7A11AF752C6" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C810D-E64A-E915-C2A6-F7A11AF752C6"><label
for="input-A94C810D-E64A-E915-C2A6-F7A11AF752C6">Gun Control</label></div>
<div class="checkbox-container"><input type="checkbox" id="input-A94C8123-9B03-BC28-A211-B510A3F39351" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C8123-9B03-BC28-A211-B510A3F39351"><label
for="input-A94C8123-9B03-BC28-A211-B510A3F39351">Health</label></div>
<div class="checkbox-container"><input type="checkbox" id="input-A94C813B-F223-7187-DF37-5E174DBBC38D" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C813B-F223-7187-DF37-5E174DBBC38D"><label
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<div class="checkbox-container"><input type="checkbox" id="input-A94C8151-9E06-3713-59A3-DAC1FACE8A1E" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C8151-9E06-3713-59A3-DAC1FACE8A1E"><label
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<div class="checkbox-container"><input type="checkbox" id="input-A94C8168-F5CD-A945-AFEB-5A4FBFF3981A" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C8168-F5CD-A945-AFEB-5A4FBFF3981A"><label
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<div class="checkbox-container"><input type="checkbox" id="input-A94C817D-D5C7-3D4B-EDA9-5E89C56A0FC2" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C817D-D5C7-3D4B-EDA9-5E89C56A0FC2"><label
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<div class="checkbox-container"><input type="checkbox" id="input-A94C8193-A9A4-62E3-47E5-ADD70FFF2C71" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C8193-A9A4-62E3-47E5-ADD70FFF2C71"><label
for="input-A94C8193-A9A4-62E3-47E5-ADD70FFF2C71">Labor</label></div>
<div class="checkbox-container"><input type="checkbox" id="input-A94C81A9-9DD8-78E6-E03C-8A1D3426AC48" name="input_30A6E754-B441-0A98-035C-2EB635444F73" value="A94C81A9-9DD8-78E6-E03C-8A1D3426AC48"><label
for="input-A94C81A9-9DD8-78E6-E03C-8A1D3426AC48">Native Americans, Indigenous Peoples</label></div>
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