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POST /machform/view.php

<form id="form_32652" class="appnitro top_label" method="post" data-highlightcolor="#ccdced" action="/machform/view.php">
  <div class="form_description">
    <h2>Federal Employee Whitepaper Request Form</h2>
    <p>Please complete the form below and we will email you the link to this Whitepaper.</p>
  </div>
  <ul>
    <li id="li_1">
      <label class="description" for="element_1">First Name <span id="required_1" aria-hidden="true" class="required">*</span></label>
      <div>
        <input id="element_1" name="element_1" aria-required="true" class="element text medium" type="text" value="">
      </div>
    </li>
    <li id="li_2">
      <label class="description" for="element_2">Last Name <span id="required_2" aria-hidden="true" class="required">*</span></label>
      <div>
        <input id="element_2" name="element_2" aria-required="true" class="element text medium" type="text" value="">
      </div>
    </li>
    <li id="li_3">
      <label class="description" for="element_3">City <span id="required_3" aria-hidden="true" class="required">*</span></label>
      <div>
        <input id="element_3" name="element_3" aria-required="true" class="element text medium" type="text" value="">
      </div>
    </li>
    <li id="li_4">
      <label class="description" for="element_4">State <span id="required_4" aria-hidden="true" class="required">*</span></label>
      <div>
        <input id="element_4" name="element_4" aria-required="true" class="element text medium" type="text" value="">
      </div>
    </li>
    <li id="li_9">
      <label class="description" for="element_9">Zip <span id="required_9" aria-hidden="true" class="required">*</span></label>
      <div>
        <input id="element_9" name="element_9" aria-required="true" class="element text medium" type="text" value="">
      </div>
    </li>
    <li id="li_13">
      <label class="description" for="element_13">Email <span id="required_13" aria-hidden="true" class="required">*</span></label>
      <div>
        <input id="element_13" name="element_13" aria-required="true" class="element text medium" type="text" maxlength="255" value="">
      </div>
    </li>
    <li id="li_11" class="phone">
      <fieldset>
        <legend style="color: transparent;height: 0px;font-size: 0px;">Phone</legend>
        <span class="description">Phone <span id="required_11" aria-hidden="true" class="required">*</span></span>
        <span class="phone_1">
          <input id="element_11_1" name="element_11_1" aria-required="true" class="element text" size="3" maxlength="3" value="" type="text"> - <label for="element_11_1">###</label>
        </span>
        <span class="phone_2">
          <input id="element_11_2" name="element_11_2" aria-required="true" class="element text" size="3" maxlength="3" value="" type="text"> - <label for="element_11_2">###</label>
        </span>
        <span class="phone_3">
          <input id="element_11_3" name="element_11_3" aria-required="true" class="element text" size="4" maxlength="4" value="" type="text">
          <label for="element_11_3">####</label>
        </span>
      </fieldset>
    </li>
    <li id="li_7">
      <label class="description" for="element_7">Extension if any </label>
      <div>
        <input id="element_7" name="element_7" class="element text medium" type="text" value="">
      </div>
    </li>
    <li id="li_8">
      <label class="description" for="element_8">Age <span id="required_8" aria-hidden="true" class="required">*</span></label>
      <div>
        <input id="element_8" name="element_8" aria-required="true" class="element text medium" type="text" value="">
      </div>
    </li>
    <li id="li_12" class="phone">
      <fieldset>
        <legend style="color: transparent;height: 0px;font-size: 0px;">Cell Phone (Optional) Used only for a day before webinar reminder.</legend>
        <span class="description">Cell Phone (Optional) Used only for a day before webinar reminder. </span>
        <span class="phone_1">
          <input id="element_12_1" name="element_12_1" class="element text" size="3" maxlength="3" value="" type="text"> - <label for="element_12_1">###</label>
        </span>
        <span class="phone_2">
          <input id="element_12_2" name="element_12_2" class="element text" size="3" maxlength="3" value="" type="text"> - <label for="element_12_2">###</label>
        </span>
        <span class="phone_3">
          <input id="element_12_3" name="element_12_3" class="element text" size="4" maxlength="4" value="" type="text">
          <label for="element_12_3">####</label>
        </span>
      </fieldset>
    </li>
    <li id="li_buttons" class="buttons">
      <input type="hidden" name="form_id" value="32652">
      <input type="hidden" id="mfsid" name="mfsid" value="2a4d7a8c68be6e666f8ca67131f8db5f">
      <input type="hidden" name="submit_form" value="1">
      <input type="hidden" name="page_number" value="1">
      <input id="submit_form" class="button_text" type="submit" name="submit_form" value="Submit">
    </li>
  </ul>
</form>

Text Content

FEDERAL EMPLOYEE WHITEPAPER REQUEST FORM


FEDERAL EMPLOYEE WHITEPAPER REQUEST FORM

Please complete the form below and we will email you the link to this
Whitepaper.

 * First Name *
   
 * Last Name *
   
 * City *
   
 * State *
   
 * Zip *
   
 * Email *
   
 * Phone Phone * - ### - ### ####
 * Extension if any
   
 * Age *
   
 * Cell Phone (Optional) Used only for a day before webinar reminder. Cell Phone
   (Optional) Used only for a day before webinar reminder. - ### - ### ####
 *