mt-ins.com Open in urlscan Pro
2606:4700:3037::ac43:ba96  Public Scan

Form analysis
1 forms found in the DOM

Name: clientForm — POST ThankYou.php

<form id="clientForm" name="clientForm" method="post" action="ThankYou.php">
  <fieldset>
    <div class="row-fluid">
      <div class="span12">
        <input name="client_fname" required="" class="span12" id="fname" type="text" placeholder="Your First name">
      </div>
    </div>
    <div class="row-fluid">
      <div class="span12">
        <input name="client_lname" required="" class="span12" id="lname" type="text" placeholder="Your Last name">
      </div>
    </div>
    <div class="row-fluid">
      <div class="span12">
        <input name="client_email" required="" class="span12" id="email" type="email" placeholder="Your valid email address">
      </div>
    </div>
    <div class="row-fluid">
      <div class="span12">
        <input name="client_company" required="" class="span12" id="company_name" type="text" placeholder="Company Name">
      </div>
    </div>
    <div class="row-fluid">
      <div class="span12">
        <input name="client_sic" readonly="" value="6411" required="" id="SIC" type="text" placeholder="SIC" style="visibility:hidden;">
      </div>
    </div>
    <div class="row-fluid">
      <div class="span12">
        <input name="phone" class="span12" id="phone" type="number" placeholder="Your phone number">
      </div>
    </div>
    <div class="row-fluid">
      <div class="span12">
        <input name="client_zip" required="" class="span12" id="zip" type="text" placeholder="Zip Code">
      </div>
    </div>
    <div class="row-fluid">
      <div class="span12">
        <select id="client_interest_level" name="client_interest_level" required="">
          <option value="">Interest level - Please Select</option>
          <option value="Contact Me Now">Contact Me Now</option>
          <option value="Need More Information">Need More Information</option>
          <option value="Just Looking">Just Looking</option>
        </select>
      </div>
    </div>
    <div class="row-fluid">
      <label class="form-label">What are the Primary Products you sell?</label>
      <div class="span12">
        <select id="chk_group" name="chk_group[]" multiple="">
        </select>
      </div>
    </div>
  </fieldset>
</form>

Text Content

WHY SUBSCRIBE?
- TWO REASONS:

1. BECAUSE OF OUR PROMISE TO OUR READERS!

We promises to provide you with new product and sales-oriented articles,
webinars and information that’s sharply focused on providing you with strategies
you can use to grow your practice rapidly and experience greater success. We
further promise to work with active industry professionals to identify issues
relevant to your business, and to deliver proven solutions you can implement
immediately to see a positive difference in your bottom line.

2.WHEN YOU RECEIVE THIS ONE-OF-A-KIND BIMONTHLY WEB PUBLICATION, YOU'LL GET:

A treasure trove of articles rich with sales tips and strategies How-to content
that will assist you in expanding your business Step-by-step write-ups from Top
Producers on how they are succeeding Insider tips from experts Trends,
legislation and news that affects your business.



DON'T WAIT JOIN US NOW

GET YOUR FREE SUBSCRIPTION AND START CLOSING MORE SALES TODAY!

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

Interest level - Please Select Contact Me Now Need More Information Just Looking
What are the Primary Products you sell?