www.valuelinepro.com
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64.39.13.168
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Submitted URL: http://send.valueline.com/link.cfm?r=flJQ76tvBEegTmbHxYAlog~~&pe=BIf4ep6ACP8tK2dwA5P0ZI9tB7J25uPmvs6mrEalcwDvR7DtLAk2g...
Effective URL: https://www.valuelinepro.com/contact-us?utm_source=newsletter&utm_medium=email&utm_campaign=2023MayFreeTriall
Submission: On May 11 via manual from US — Scanned from DE
Effective URL: https://www.valuelinepro.com/contact-us?utm_source=newsletter&utm_medium=email&utm_campaign=2023MayFreeTriall
Submission: On May 11 via manual from US — Scanned from DE
Form analysis
1 forms found in the DOMPOST /contact-us?utm_source=newsletter&utm_medium=email&utm_campaign=2023MayFreeTriall
<form class="webform-client-form webform-client-form-561" action="/contact-us?utm_source=newsletter&utm_medium=email&utm_campaign=2023MayFreeTriall" method="post" id="webform-client-form-561" accept-charset="UTF-8">
<div>
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<!-- BEGIN OUTPUT from 'sites/all/modules/webform/templates/webform-form.tpl.php' -->
<div class="col-md-6 pull-left form-item webform-component webform-component-textfield webform-component--first-name form-group form-item form-item-submitted-first-name form-type-textfield form-group"> <label class="control-label"
for="edit-submitted-first-name">First Name <span class="form-required" title="This field is required.">*</span></label>
<input required="required" class="form-control form-text required" type="text" id="edit-submitted-first-name" name="submitted[first_name]" value="" size="60" maxlength="128">
</div>
<div class="col-md-6 pull-right form-item webform-component webform-component-textfield webform-component--last-name form-group form-item form-item-submitted-last-name form-type-textfield form-group"> <label class="control-label"
for="edit-submitted-last-name">Last Name <span class="form-required" title="This field is required.">*</span></label>
<input required="required" class="form-control form-text required" type="text" id="edit-submitted-last-name" name="submitted[last_name]" value="" size="60" maxlength="128">
</div>
<div class="col-md-12 form-item webform-component webform-component-textfield webform-component--city form-group form-item form-item-submitted-city form-type-textfield form-group"> <label class="control-label" for="edit-submitted-city">City <span
class="form-required" title="This field is required.">*</span></label>
<input required="required" class="form-control form-text required" type="text" id="edit-submitted-city" name="submitted[city]" value="" size="60" maxlength="128">
</div>
<div class="col-md-12 form-item webform-component webform-component-select webform-component--state form-group form-item form-item-submitted-state form-type-select form-group"> <label class="control-label" for="edit-submitted-state">State <span
class="form-required" title="This field is required.">*</span></label>
<select required="required" class="form-control form-select required" id="edit-submitted-state" name="submitted[state]">
<option value="" selected="selected">- Select -</option>
<option value="international">International</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AS">American Samoa</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MH">Marshall Islands</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="MP">Northern Marianas Islands</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PW">Palau</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
</div>
<div class="col-md-12 form-item webform-component webform-component-textfield webform-component--company form-group form-item form-item-submitted-company form-type-textfield form-group"> <label class="control-label"
for="edit-submitted-company">Company <span class="form-required" title="This field is required.">*</span></label>
<input required="required" class="form-control form-text required" type="text" id="edit-submitted-company" name="submitted[company]" value="" size="60" maxlength="128">
</div>
<div class="col-md-6 pull-left form-item webform-component webform-component-email webform-component--email-address form-group form-item form-item-submitted-email-address form-type-webform-email form-group"> <label class="control-label"
for="edit-submitted-email-address">Email Address <span class="form-required" title="This field is required.">*</span></label>
<input required="required" class="email form-control form-text form-email required" type="email" id="edit-submitted-email-address" name="submitted[email_address]" size="60">
</div>
<div class="col-md-12 form-item webform-component webform-component-textfield webform-component--day-phones form-group form-item form-item-submitted-day-phones form-type-textfield form-group"> <label class="control-label"
for="edit-submitted-day-phones">Day Phone <span class="form-required" title="This field is required.">*</span></label>
<input required="required" placeholder="(123) 456-7890" class="form-control form-text required" type="text" id="edit-submitted-day-phones" name="submitted[day_phones]" value="" size="60" maxlength="14">
</div>
<div class="col-md-6 form-item webform-component webform-component-select webform-component--reason-for-contact form-group form-item form-item-submitted-reason-for-contact form-type-select form-group"> <label class="control-label"
for="edit-submitted-reason-for-contact">Reason for Contact <span class="form-required" title="This field is required.">*</span></label>
<select required="required" class="form-control form-select required" id="edit-submitted-reason-for-contact" name="submitted[reason_for_contact]">
<option value="" selected="selected">- Select -</option>
<option value="promotional_marketing_inquiry">Promotional Marketing Inquiry</option>
<option value="question_about_my Account">Question about my Account</option>
<option value="customer_service_technical_issue">Customer Service/Technical Issue</option>
<option value="pricing_request">Pricing Request</option>
<option value="free_trial_request">Free Trial Request</option>
</select>
</div><input type="hidden" name="details[sid]">
<input type="hidden" name="details[page_num]" value="1">
<input type="hidden" name="details[page_count]" value="1">
<input type="hidden" name="details[finished]" value="0">
<input type="hidden" name="form_build_id" value="form-60__mEiZOlKE9t0g3_gw2qd0BgZIi3s0YFpTJ4MHGmQ">
<input type="hidden" name="form_id" value="webform_client_form_561">
<div class="form-actions"><button class="webform-submit button-primary btn btn-primary form-submit" type="submit" name="op" value="Submit">Submit</button>
</div>
<!-- END OUTPUT from 'sites/all/modules/webform/templates/webform-form.tpl.php' -->
</div>
</form>
Text Content
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