www.schatz.senate.gov Open in urlscan Pro
2a02:26f0:1700:18b::1fd  Public Scan

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

Form analysis 2 forms found in the DOM

POST 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>
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      <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>
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      <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>
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      </div>
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  </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>
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      <div class="col-md-6">
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      </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>
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      </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>
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    </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>
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      </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>
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    <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>
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      </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>
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      </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>
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        </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">
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                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
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            <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
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            <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
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