newcustomer.hytt.com Open in urlscan Pro
104.196.242.68 Public Scan

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URL:
https://newcustomer.hytt.com/
Submission: On September 15 via automatic, source certstream-suspicious (September 15th 2021, 7:35:08 pm UTC) — Scanned from DE

Form analysis
1 forms found in the DOM

POST https://webto.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8

<form class="salesforce-form" action="https://webto.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8" method="POST" novalidate="">
  <input type="hidden" name="oid" value="00D3j0000001yRh">
  <input type="hidden" name="retURL" value="https://hytt.com/thank-you/">
  <h2 class="form-section-heading">Business Contact Information</h2>
  <div class="form-two-columns">
    <div class="column">
      <label for="first_name">First Name<span class="required">*</span></label>
      <input id="first_name" maxlength="40" name="first_name" size="20" type="text" required="">
    </div>
    <div class="column">
      <label for="last_name">Last Name<span class="required">*</span></label>
      <input id="last_name" maxlength="80" name="last_name" size="20" type="text" required="">
    </div>
  </div>
  <div class="form-two-columns">
    <div class="column">
      <label for="title">Title<span class="required">*</span></label>
      <input id="title" maxlength="40" name="title" size="20" type="text" required="">
    </div>
    <div class="column">
      <label for="company">Company<span class="required">*</span></label>
      <input id="company" maxlength="40" name="company" size="20" type="text" required="">
    </div>
  </div>
  <label for="email">Email<span class="required">*</span></label>
  <input id="email" maxlength="80" name="email" size="20" type="email" required="">
  <label for="phone">Phone<span class="required">*</span></label>
  <input id="phone" maxlength="40" name="phone" size="20" type="tel" required="">
  <label>Registered Company Address<span class="required">*</span></label>
  <label for="country" class="small">Country</label>
  <select class="select-nation" data-address-group="customer" id="country" name="country" title="Country">
    <option value="">Select country…</option>
    <option value="USA">USA</option>
    <option value="Canada">Canada</option>
  </select>
  <label for="street" class="small">Street</label><textarea name="street" required=""></textarea>
  <div class="form-two-columns">
    <div class="column">
      <label for="city" class="small">City</label>
      <input id="city" maxlength="40" name="city" size="20" type="text" required="">
    </div>
    <div class="column">
      <label for="state" class="small">State/Province</label>
      <select class="select-state-province" data-address-group="customer" id="state" name="state" required="" disabled="">
        <option value="">Select a country…</option>
      </select>
    </div>
  </div>
  <label for="zip" class="small">Zip</label><input id="zip" maxlength="20" name="zip" size="20" type="text" required="">
  <label for="url">Website</label>
  <input id="url" maxlength="255" name="url" size="20" type="url" placeholder="www.example.com">
  <div class="form-two-columns">
    <div class="column">
      <label for="00N7f0000023SCy">Date Business Commenced <i class="far fa-calendar-alt" aria-hidden="true"></i><span class="required">*</span></label>
      <span class="dateInput dateOnlyInput">
        <input class="date-picker" id="00N3j00000GbyGP" name="00N3j00000GbyGP" size="12" type="text" placeholder="MM/DD/YYYY" pattern="\d{2}/\d{2}/\d{4}" data-parsley-error-message="Enter date as MM/DD/YYYY." required="">
      </span>
    </div>
    <div class="column">
      <label for="00N3j00000GbyG4">Business Entity Type</label>
      <select id="00N3j00000GbyG4" name="00N3j00000GbyG4" title="Business Entity Type">
        <option value="">Select type…</option>
        <option value="Sole Proprietorship">Sole Proprietorship</option>
        <option value="LLP">LLP</option>
        <option value="LLC">LLC</option>
        <option value="Corporation">Corporation</option>
        <option value="S-Corp">S-Corp</option>
        <option value="Other">Other</option>
      </select>
    </div>
  </div>
  <label for="00N3j00000GbyGW">How Did You Learn About Us?</label>
  <select id="00N3j00000GbyGW" name="00N3j00000GbyGW" title="How Did You Learn About Us?">
    <option value="" selected="">Let us know…</option>
    <option value="Media">Media</option>
    <option value="Plant Visits">Plant Visits</option>
    <option value="Reward">Reward</option>
    <option value="Service Center Manager">Service Center Manager</option>
    <option value="Spot Quote">Spot Quote</option>
    <option value="Tank Wash">Tank Wash</option>
    <option value="Tradeshows">Tradeshows</option>
    <option value="Website">Website</option>
    <option value="Word of Mouth">Word of Mouth</option>
  </select>
  <h2 class="form-section-heading">Business &amp; Trade References</h2>
  <h3 class="form-section-subheading">Reference 1</h3>
  <div class="form-two-columns">
    <div class="column">
      <label for="00N3j00000GbyG6">Company Name</label>
      <input id="00N3j00000GbyG6" maxlength="255" name="00N3j00000GbyG6" size="20" type="text">
    </div>
    <div class="column">
      <label for="00N3j00000GbyG8">Email</label>
      <input id="00N3j00000GbyG8" maxlength="80" name="00N3j00000GbyG8" size="20" type="text">
    </div>
  </div>
  <label for="00N3j00000GbyG9">Phone</label>
  <input id="00N3j00000GbyG9" maxlength="40" name="00N3j00000GbyG9" size="20" type="tel">
  <label>Company Address</label>
  <label for="00N3j00000GbyG7" class="small">Country</label>
  <select class="select-nation" data-address-group="ref-1" id="00N3j00000GbyG7" name="00N3j00000GbyG7" title="Business Ref 1: Country">
    <option value="">Select country…</option>
    <option value="USA">USA</option>
    <option value="Canada">Canada</option>
  </select>
  <label for="00N3j00000GbyGB" class="small">Street</label>
  <textarea id="00N3j00000GbyGB" name="00N3j00000GbyGB" type="text" wrap="soft"></textarea>
  <div class="form-two-columns">
    <div class="column">
      <label for="00N3j00000GbyG5" class="small">City</label>
      <input id="00N3j00000GbyG5" maxlength="255" name="00N3j00000GbyG5" size="20" type="text">
    </div>
    <div class="column">
      <label for="00N3j00000GbyGA" class="small">State/Province</label>
      <select class="select-state-province" data-address-group="ref-1" id="00N3j00000GbyGA" name="00N3j00000GbyGA" title="Business Ref 1: State/Province" disabled="">
        <option value="">Select a country…</option>
      </select>
    </div>
  </div>
  <label for="00N3j00000GbyGE" class="small">Zip Code</label>
  <input id="00N3j00000GbyGE" maxlength="255" name="00N3j00000GbyGE" size="20" type="text">
  <label for="00N3j00000GbyGD">Website</label>
  <input id="00N3j00000GbyGD" maxlength="255" name="00N3j00000GbyGD" size="20" type="url" placeholder="www.example.com">
  <label for="00N3j00000GbyGC">Type of Account</label>
  <input id="00N3j00000GbyGC" name="00N3j00000GbyGC" type="text" placeholder="Manufacturer, Supplier, Distributor, etc…">
  <hr>
  <h3 class="form-section-subheading">Reference 2</h3>
  <div class="form-two-columns">
    <div class="column">
      <label for="00N3j00000GbyGG">Company Name</label>
      <input id="00N3j00000GbyGG" maxlength="255" name="00N3j00000GbyGG" size="20" type="text">
    </div>
    <div class="column">
      <label for="00N3j00000GbyGI">Email</label>
      <input id="00N3j00000GbyGI" maxlength="80" name="00N3j00000GbyGI" size="20" type="text">
    </div>
  </div>
  <label for="00N3j00000GbyGJ">Phone</label>
  <input id="00N3j00000GbyGJ" maxlength="40" name="00N3j00000GbyGJ" size="20" type="tel">
  <label>Company Address</label>
  <label for="00N3j00000GbyGH" class="small">Country</label>
  <select class="select-nation" data-address-group="ref-2" id="00N3j00000GbyGH" name="00N3j00000GbyGH" title="Business Ref 2: Country">
    <option value="">Select country…</option>
    <option value="USA">USA</option>
    <option value="Canada">Canada</option>
  </select>
  <label for="00N3j00000GbyGL" class="small">Street</label>
  <textarea id="00N3j00000GbyGL" name="00N3j00000GbyGL" type="text" wrap="soft"></textarea>
  <div class="form-two-columns">
    <div class="column">
      <label for="00N3j00000GbyGF" class="small">City</label>
      <input id="00N3j00000GbyGF" maxlength="255" name="00N3j00000GbyGF" size="20" type="text">
    </div>
    <div class="column">
      <label for="00N3j00000GbyGK" class="small">State/Province</label>
      <select class="select-state-province" data-address-group="ref-2" id="00N3j00000GbyGK" name="00N3j00000GbyGK" title="Business Ref 2: State/Province" disabled="">
        <option value="">Select a country…</option>
      </select>
    </div>
  </div>
  <label for="00N3j00000GbyGO" class="small">Zip Code</label>
  <input id="00N3j00000GbyGO" maxlength="255" name="00N3j00000GbyGO" size="20" type="text">
  <label for="00N3j00000GbyGN">Website</label>
  <input id="00N3j00000GbyGN" maxlength="255" name="00N3j00000GbyGN" size="20" type="url" placeholder="www.example.com">
  <label for="00N3j00000GbyGM">Type of Account</label>
  <input id="00N3j00000GbyGM" name="00N3j00000GbyGM" type="text" placeholder="Manufacturer, Supplier, Distributor, etc…">
  <label class="form-section-heading" for="00N3j00000GLA2C">Products Interest:</label>
  <div class="form-checkboxes-container">
    <div class="form-checkbox-container">
      <input id="interest_chemicals" value="Chemicals" type="checkbox" name="00N3j00000GLA2C" data-parsley-multiple="00N3j00000GLA2C">
      <label for="interest_chemicals">Chemicals</label>
    </div>
    <div class="form-checkbox-container">
      <input id="interest_logistics" value="Logistics" type="checkbox" name="00N3j00000GLA2C" data-parsley-multiple="00N3j00000GLA2C">
      <label for="interest_logistics">Logistics</label>
    </div>
    <div class="form-checkbox-container">
      <input id="interest_tank_wash" value="Tank Wash" type="checkbox" name="00N3j00000GLA2C" data-parsley-multiple="00N3j00000GLA2C">
      <label for="interest_tank_wash">Tank Wash</label>
    </div>
    <div class="form-checkbox-container">
      <input id="interest_power_only" value="Power Only" type="checkbox" name="00N3j00000GLA2C" data-parsley-multiple="00N3j00000GLA2C">
      <label for="interest_power_only">Power Only</label>
    </div>
    <div class="form-checkbox-container">
      <input id="interest_expedited_critical" value="Expedited/Critical" type="checkbox" name="00N3j00000GLA2C" data-parsley-multiple="00N3j00000GLA2C">
      <label for="interest_expedited_critical">Expedited/Critical</label>
    </div>
  </div>
  <h2 class="form-section-heading">Agreement</h2>
  <ol>
    <li>All invoices are to be paid 30 days from the date of the invoice.</li>
    <li>By submitting this application, you authorize Highway Transportation to make inquiries into the banking and business/trade references that you have supplied.</li>
  </ol>
  <input class="submission-date" id="00N3j00000GbyGR" name="00N3j00000GbyGR" size="12" type="text" hidden="">
  <input id="lead_source" name="lead_source" size="12" type="text" value="Website" hidden="">
  <input id="00N3j00000GbyGQ" name="00N3j00000GbyGQ" size="12" type="text" value="New Customer Reg Landing Page" hidden="">
  <div class="form-align-buttons-center">
    <input type="submit" name="submit">
  </div>
</form>

Text Content

 * 800-444-9814
 * Contact Us


NEW CUSTOMER REGISTRATION

Welcome! Start the partnership process by filling out the form below. Once
you’ve submitted your information, we’ll get you set up with a secure account.


BUSINESS CONTACT INFORMATION

First Name*
Last Name*
Title*
Company*
Email* Phone* Registered Company Address* Country Select country… USA Canada
Street
City
State/Province Select a country…
Zip Website
Date Business Commenced *
Business Entity Type Select type… Sole Proprietorship LLP LLC Corporation S-Corp
Other
How Did You Learn About Us? Let us know… Media Plant Visits Reward Service
Center Manager Spot Quote Tank Wash Tradeshows Website Word of Mouth


BUSINESS & TRADE REFERENCES


REFERENCE 1

Company Name
Email
Phone Company Address Country Select country… USA Canada Street
City
State/Province Select a country…
Zip Code Website Type of Account

--------------------------------------------------------------------------------


REFERENCE 2

Company Name
Email
Phone Company Address Country Select country… USA Canada Street
City
State/Province Select a country…
Zip Code Website Type of Account Products Interest:
Chemicals
Logistics
Tank Wash
Power Only
Expedited/Critical


AGREEMENT

 1. All invoices are to be paid 30 days from the date of the invoice.
 2. By submitting this application, you authorize Highway Transportation to make
    inquiries into the banking and business/trade references that you have
    supplied.



© 2021 Highway Transport. All Rights Reserved.

 * Privacy Policy

hytt.com
 * 
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 * 800-444-9814
 * Contact Us

 * Privacy Policy



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newcustomer.hytt.com Open in urlscan Pro 104.196.242.68 Public Scan

Form analysis 1 forms found in the DOM

POST https://webto.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8

Text Content

newcustomer.hytt.com Open in urlscan Pro
104.196.242.68 Public Scan

Form analysis
1 forms found in the DOM