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Submitted URL: https://campaigns-events.us-east-1.onpdr.com/track/link/n9v8v32odm/b5mkxcb24ktav59wboyipurom/e6l9ymw9n8
Effective URL: https://10xem.com/about-10x/contact/
Submission: On June 05 via api from IE — Scanned from US
Effective URL: https://10xem.com/about-10x/contact/
Submission: On June 05 via api from IE — Scanned from US
Form analysis
1 forms found in the DOMPOST /about-10x/contact/#gf_1
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_1" id="gform_1" action="/about-10x/contact/#gf_1">
<div class="gform_body gform-body">
<ul id="gform_fields_1" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_1_8" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_8">First name<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_8" id="input_1_8" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_1_9" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_9">Last name<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_9" id="input_1_9" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_1_2" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_2">Company name</label>
<div class="ginput_container ginput_container_text"><input name="input_2" id="input_1_2" type="text" value="" class="large" aria-invalid="false"> </div>
</li>
<li id="field_1_3" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_3">Email address<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_3" id="input_1_3" type="text" value="" class="large" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_1_4" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_4">Phone number<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_4" id="input_1_4" type="text" value="" class="large" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_1_6" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_6">What can we help you with?<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_6" id="input_1_6" class="textarea large" aria-required="true" aria-invalid="false" rows="10" cols="50"></textarea></div>
</li>
<li id="field_1_10" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_10">How did you learn about 10X? [Optional]</label>
<div class="ginput_container ginput_container_select"><select name="input_10" id="input_1_10" class="large gfield_select" aria-invalid="false">
<option value="Distributor">Distributor</option>
<option value="Online Search">Online Search</option>
<option value="Press / Article">Press / Article</option>
<option value="Trade Show">Trade Show</option>
<option value="Word of Mouth">Word of Mouth</option>
<option value="PaintSquare Article">PaintSquare Article</option>
</select></div>
</li>
<li id="field_1_11" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_1_11">Comments</label>
<div class="ginput_container"><input name="input_11" id="input_1_11" type="text" value=""></div>
<div class="gfield_description" id="gfield_description_1_11">This field is for validation purposes and should be left unchanged.</div>
</li>
</ul>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_1" class="gform_button button" value="Submit" onclick="if(window["gf_submitting_1"]){return false;} window["gf_submitting_1"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_1"]){return false;} window["gf_submitting_1"]=true; jQuery("#gform_1").trigger("submit",[true]); }"> <input type="hidden" name="gform_ajax"
value="form_id=1&title=&description=&tabindex=0">
<input type="hidden" class="gform_hidden" name="is_submit_1" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="1">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_1" value="WyJbXSIsIjRjNTI5MmY1YjEyMmRmODg2ZWQ0NTliZDBlZjJjZWMxIl0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_1" id="gform_target_page_number_1" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_1" id="gform_source_page_number_1" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
</form>
Text Content
* Products * EpiX * KinetiX * Why Superoxalloy? * FAQs * Library * Field Reports * News * Webinars * Videos * Buy Abrasive * Buy Online * Find a Distributor * About 10X * Contact CONTACT US HOW CAN WE HELPYOU BREAK THROUGH? CONTACT (260) 209-1207 info@10XEM.com If you have technical questions or would like to learn more about 10X Engineered Materials or meet with us in person, please complete this contact form and we’ll respond promptly. * First name* * Last name* * Company name * Email address* * Phone number* * What can we help you with?* * How did you learn about 10X? [Optional] DistributorOnline SearchPress / ArticleTrade ShowWord of MouthPaintSquare Article * Comments This field is for validation purposes and should be left unchanged. info@10XEM.com (260) 209-1207 1162 Manchester Ave Wabash, IN 46992 © 2022 10X Engineered Materials. All Rights Reserved. Privacy Policy | Terms & Conditions Notifications