www.goingcitgo.com
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Submitted URL: https://goingcitgo.com/
Effective URL: https://www.goingcitgo.com/
Submission: On June 08 via api from US — Scanned from DE
Effective URL: https://www.goingcitgo.com/
Submission: On June 08 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST https://webto.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8
<form method="POST" id="CITGOContactSubmit" class="fv-stacked-form" action="https://webto.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8" novalidate="">
<!-- <input type=hidden name='captcha_settings' value='{"keyname":"DigitalComms","fallback":"true","orgId":"00D1N000001RGO0","ts":""}'> -->
<input type="hidden" name="oid" value="00D1N000001RGO0">
<input type="hidden" name="retURL" value="http://goingcitgo.com/ThankYou.html">
<input type="hidden" id="lead_source" name="lead_source" value="Mailer">
<input type="hidden" id="recordType" name="recordType" value="0123l000001g1Hd">
<!-- ---------------------------------------------------------------------- -->
<!-- NOTE: These fields are optional debugging elements. Please uncomment -->
<!-- these lines if you wish to test in debug mode. -->
<!-- <input type="hidden" name="debug" value=1> -->
<!-- <input type="hidden" name="debugEmail" -->
<!-- value="brad.miles@strategicgrowthinc.com"> -->
<!-- ---------------------------------------------------------------------- -->
<div class="grid-x grid-padding-x align-center">
<div class="cell small-12 medium-10 large-3 flex-container flex-dir-column medium-flex-dir-row large-flex-dir-column small-up-2 medium-up-2 large-up-1">
<!--div class="card flex-child-shrink cardBlue">
<div class="card-section flex-container">
<h5 class="text-center align-self-middle">Complete and submit this form and receive a<br />$25 VISA<sup>®</sup> Gift Card.</h5>
<p></p>
</div>
</div-->
<div class="card flex-child-auto cardbgTransparent">
<div class="card-section">
<h6 class="text-center">LEARN MORE ABOUT THIS LIMITED TIME OFFER</h6>
<div class="input-group">
<!--
<select class="input-group-field noBorder" onChange="window.open(this.value)">
<option value="#">Select your State </option>
<option value="/images/CITGOReimageIncentiveNE.pdf">Northeast</option>
<option value="/images/CITGOReimageIncentiveAR.pdf">Arkansas</option>
<option value="/images/CITGOReimageIncentive.pdf">Wisconsin</option>
</select>
-->
</div>
<p class="text-center"><a href="/presentations/B2BFlyerGoingCITGO.pdf" target="_new"><img src="images/picLimitedTimeOfferFlyer.png" class="shadow"></a></p>
</div>
</div>
<a href="https://www.citgo.com/getmedia/c945cfd0-5eda-42e5-95a5-c2b7d1c785fb/2022ByTheNumbers.pdf" target="_new">
<div class="card flex-child-auto cardbgGrey">
<div class="card-image">
<img src="images/bannerCITGObytheNumbers.jpg">
</div>
<div class="card-section">
<h6 class="text-center"><small>LEARN MORE ABOUT CITGO</small></h6>
</div>
</div>
</a>
<a href="https://www.citgomarketnet.com/MarketNetWebOther/BrandManagement/BrandImageBrochure.pdf" target="_new">
<div class="card flex-child-auto cardbgGrey">
<div class="card-image">
<img src="images/bannerCITGOBrandImage.jpg">
</div>
<div class="card-section">
<h6 class="text-center"><small>Explore Our Brand Image</small></h6>
</div>
</div>
</a>
</div>
<div class="small-12 medium-5 large-3 cell">
<fieldset class="fieldset noBorder">
<legend>PERSONAL INFORMATION<div class="required smFont">* Required Fields</div>
</legend>
<div class="form-group formMaginAdjust">
<label for="first_name">First Name <span class="required">*</span>
<div class="input-group">
<span class="input-group-label">
<i class="fa fa-user"></i>
</span>
<input id="first_name" maxlength="80" name="first_name" size="20" type="text" class="input-group-field" placeholder="Enter First Name">
</div>
</label>
</div>
<div class="form-group">
<label for="last_name">Last Name <span class="required">*</span>
<div class="input-group">
<span class="input-group-label">
<i class="fa fa-id-card"></i>
</span>
<input id="last_name" maxlength="80" name="last_name" size="20" type="text" class="input-group-field" placeholder="Enter Last Name">
</div>
</label>
</div>
<div class="form-group">
<label for="email">Email Address <span class="required">*</span>
<div class="input-group">
<span class="input-group-label">
<i class="fa fa-envelope"></i>
</span>
<input id="email" maxlength="80" name="email" size="20" type="text" class="input-group-field" placeholder="example@email.com">
</div>
</label>
</div>
<div class="form-group">
<label for="phone">Phone Number <div class="input-group">
<span class="input-group-label">
<i class="fa fa-phone"></i>
</span>
<input id="phone" maxlength="40" name="phone" size="20" type="text" class="input-group-field" placeholder="(555) 555-5555"><br>
</div></label>
</div>
<div class="form-group">
<label for="description">Comments <div class="input-group">
<textarea name="description" rows="10"></textarea>
</div>
</label>
</div>
</fieldset>
</div>
<div class="small-12 medium-6 large-6 cell">
<fieldset class="fieldset">
<legend>LOCATION INFORMATION</legend>
<div class="form-group">
<label for="street">Street Address<span class="required">*</span>
<div class="input-group">
<span class="input-group-label">
<i class="fa fa-gas-pump"></i>
</span>
<input id="street" maxlength="80" name="street" size="20" type="text" class="input-group-field" placeholder="Enter Street Address">
</div>
</label>
</div>
<div class="grid-x grid-padding-x align-center">
<div class="small-12 medium-12 large-6 cell">
<div class="form-group">
<label for="city">City <span class="required">*</span>
<div class="input-group">
<input id="city" maxlength="255" name="city" size="20" type="text" class="input-group-field" placeholder="Enter City Name">
</div>
</label>
</div>
</div>
<div class="small-6 medium-6 large-3 cell">
<div class="form-group">
<label for="state">State <span class="required">*</span>
<div class="input-group">
<select id="state" name="state" title="State" class="input-group-field">
<option value="">Select</option>
<option value="AL">AL</option>
<option value="AK">AK</option>
<option value="AZ">AZ</option>
<option value="AR">AR</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DE">DE</option>
<option value="DC">DC</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>
</label>
</div>
</div>
<div class="small-6 medium-6 large-3 cell">
<div class="form-group">
<label for="zip">Zip Code <span class="required">*</span>
<div class="input-group">
<input id="zip" maxlength="255" name="zip" size="20" type="text" class="input-group-field" placeholder="Enter Zip Code">
</div>
</label>
</div>
</div>
<div class="small-6 medium-6 large-6 cell">
<div class="form-group">
<label for="00N3l00000PKupF">Current Gasoline Brand <span class="required">*</span>
<div class="input-group">
<select id="00N3l00000PKupF" name="00N3l00000PKupF" title="Current Brand" class="input-group-field">
<option value="">Select One</option>
<option value="Ground-Up">Ground-Up</option>
<option value="Chevron">Chevron</option>
<option value="Conoco">Conoco</option>
<option value="Exxon">Exxon</option>
<option value="Gulf">Gulf</option>
<option value="Irving Oil">Irving Oil</option>
<option value="Marathon">Marathon</option>
<option value="Mobil">Mobil</option>
<option value="Phillips 66">Phillips 66</option>
<option value="Shell">Shell</option>
<option value="Sunoco">Sunoco</option>
<option value="Texaco">Texaco</option>
<option value="Unbranded">Unbranded</option>
<option value="Valero">Valero</option>
<option value="Other">Other</option>
</select>
</div>
</label>
</div>
</div>
<div class="small-6 medium-6 large-6 cell">
<div class="form-group">
<label for="00N3l00000PKup7">Current Fuel Supplier <div class="input-group">
<input id="00N3l00000PKup7" maxlength="255" name="00N3l00000PKup7" size="20" type="text" class="input-group-field" placeholder="Distributor Name">
</div>
</label>
</div>
</div>
<div class="small-6 medium-6 large-6 cell">
<div class="form-group">
<label for="00N3l00000PKup8">Est. Gallons per Month <span class="required">*</span>
<div class="input-group">
<input id="00N3l00000PKup8" maxlength="255" name="00N3l00000PKup8" size="20" type="text" class="input-group-field" placeholder="Enter Gallons">
</div>
</label>
</div>
</div>
<div class="small-6 medium-6 large-6 cell">
<div class="form-group">
<label for="00N3l00000PKup6">Existing Contract Expiration Date <span class="required">*</span>
<div class="input-group">
<span class="input-group-label">
<i class="fa fa-calendar-alt" data-toggle=""></i>
</span>
<input id="00N3l00000PKup6" maxlength="255" name="00N3l00000PKup6" size="20" type="text" class="input-group-field" placeholder="Enter Expiration Date" data-input="">
</div>
</label>
</div>
</div>
</div>
<!--div class="form-group">
<div class="input-group">
<input type="checkbox" name="CITGOevent" value="yes"> <label for="CITGOevent" class="red"><strong>I want to attend a CITGO exclusive event.</strong></label>
</div>
</div-->
</fieldset>
<div class="small-12 medium-6 large-6 cell">
<fieldset class="fieldset">
<legend>TESTIMONIALS</legend>
<div class="grid-x grid-padding-x">
<div class="cell small-6">Illuminate Brand<br><a href="https://vimeo.com/citgo/review/672517865/724378aff5" target="_blank"><img src="/images/IlluminateBrandImage.jpg"></a></div>
<div class="cell small-6">Brand Advantage<br><a href="https://vimeo.com/citgo/review/672517946/0759ca0f53" target="_blank"><img src="/images/BrandAdvantageImage.jpg"></a></div>
<div class="cell small-6">Club CITGO Loyalty Program<br><a href="https://vimeo.com/citgo/review/719147037/3863e5b22d
" target="_blank"><img src="/images/ClubCITGORollBackRewards.jpg"></a></div>
</div>
</fieldset>
</div>
<!--div class="columns small-8 medium-8 ad">
<h5 class="text-center">ATTEND A CITGO EVENT</h5>
<p class="text-center lead">
Attend an exclusive event for a chance to win a $3,000
trip and many other prizes.
</p>
<p class="text-center fontWarning">
<em>No events are scheduled at this time.</em>
</p>
<div class="input-group"></****This should be blocked off **** />
<select class="input-group-field noBorder" onChange="window.open(this.value)">
<option value="#">Select Event Below</option>
<option value="http://www.cvent.com/d/x7q7gc">San Antonio, Texas - Aug. 26 or 27</option>
</select>
</div>
</p>
</div -->
</div>
<div class="cell" style="padding-left:35%;">
<div class="g-recaptcha" data-sitekey="6Lf18-MkAAAAAFcC2F1Op0LwqAc-5ba-uxN4rmoQ" data-callback="enableBtn" data-expired-callback="disableForm">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-d3pcukr2kkud" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
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</div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
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</div><iframe style="display: none;"></iframe>
</div>
</div>
<div class="form-group">
<input type="submit" id="submitContactRequest" name="submitContactRequest" class="float-right form-submit-button" value="SUBMIT" style="display:none;">
</div>
</div>
</form>Text Content
JOIN THE CITGO® BRAND AND GET YOUR FIRST LOAD FREE PLUS CITGO ILLUMINATE IMAGE UP TO A $70,000 VALUE! LEARN MORE ABOUT THIS LIMITED TIME OFFER LEARN MORE ABOUT CITGO EXPLORE OUR BRAND IMAGE PERSONAL INFORMATION * Required Fields First Name * Last Name * Email Address * Phone Number Comments LOCATION INFORMATION Street Address* City * State * Select AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code * Current Gasoline Brand * Select One Ground-Up Chevron Conoco Exxon Gulf Irving Oil Marathon Mobil Phillips 66 Shell Sunoco Texaco Unbranded Valero Other Current Fuel Supplier Est. Gallons per Month * Existing Contract Expiration Date * TESTIMONIALS Illuminate Brand Brand Advantage Club CITGO Loyalty Program Questions? Click here to email us or call 1-800-423-8434 option 1. *Offer of receiving up to $20,000 off of a location’s first TOP TIER™ CITGO TriCLEAN® gasoline purchase and up to $50,000 for Branding material/updates (“Offer”) is only available to approved locations in CITGO designated markets and are not currently branded CITGO. Offer only available to a location operator (“Operator”) who executes a CITGO-branded fuel supply agreement with a CITGO distributor (“Supplier”) for at least 60 months and completes CITGO branding by July 31, 2025. CITGO reserves the right to reject any location and/or Operator for any reason. Once approved by CITGO, Operator must submit a copy of the BOL and invoice for its first purchased load of TOP TIER CITGO TriCLEAN gasoline to Operator’s Supplier to redeem offer. Supplier then submits applicable reimbursement form to CITGO. CITGO will reimburse the amount of the BOL/invoice to Operator’s Supplier, up to a maximum of $20,000. Operator’s Supplier rebates the amount to Operator. Up to $50,000 in funds for Branding material/ updates subject to compliance with terms of the CITGO Illuminate Reimage Program. Other terms and conditions apply; see an authorized CITGO representative for more details. CITGO reserves the right to discontinue this Offer at any time without notice. © 2024 CITGO Petroleum Corporation