app.firefly.cloud
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54.156.24.254
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Submitted URL: https://d2n-gv04.na1.hs-sales-engage.com/Ctc/5G+23284/d2N-Gv04/Jll2-6qcW7Y8-PT6lZ3mkW6mP2D983tFSnW964LwV2WQ_vcW4r2vfL1ttlxdW39GPqd3vbTZmW...
Effective URL: https://app.firefly.cloud/event_register.asp?id=10823&r=AAAFEGAAEAAAlceAAB
Submission: On June 24 via manual from IN — Scanned from DE
Effective URL: https://app.firefly.cloud/event_register.asp?id=10823&r=AAAFEGAAEAAAlceAAB
Submission: On June 24 via manual from IN — Scanned from DE
Form analysis
2 forms found in the DOMName: register — POST /portal/?portal=CDCP&p=register
<form name="register" action="/portal/?portal=CDCP&p=register" method="POST" id="register-form" data-hs-cf-bound="true">
<input type="hidden" id="hidden-portals" name="portals" value="CCP,CDCP,CENP,CP,CSP">
<input type="hidden" id="hidden-portal" name="portal" value="CDCP">
<input type="hidden" id="hidden-course" name="course" value="CCNA">
<input type="hidden" id="hidden-id" name="id" value="10823">
<input type="hidden" id="hidden-r" name="r" value="AAAFEGAAEAAAlceAAB">
<input type="hidden" id="hidden-utm_source" name="utm_source" value="">
<input type="hidden" id="hidden-utm_medium" name="utm_medium" value="">
<input type="hidden" id="hidden-utm_source" name="utm_campaign" value="">
<input type="hidden" id="hidden-gclid" name="gclid" value="">
<div class="row">
<div class="col-lg-12">
<h3>Email Address</h3>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<input type="text" name="email" id="email" value="" class="form-control" placeholder="Your email address *" required="">
</div>
</div>
<div class="row">
<div class="col-lg-12 font-italic"> Please note you can only be registered in one event at any given time. If you need help with registration, please contact <a href="mailto:support@firefly.cloud">support@firefly.cloud</a><br>Thank you! </div>
</div>
<div class="row">
<div class="col-lg-12">
<button class="btn btn-primary text-uppercase" type="submit" name="submit" style="width:100%; margin-top:10px; margin-bottom:30px;">Register</button>
</div>
</div>
</form>
Name: register — POST
<form name="register" action="" method="POST" id="registerForm" class="checkout woocommerce-checkout" novalidate="novalidate" data-hs-cf-bound="true">
<input name="regtype" id="regtype" type="hidden" value="1">
<input name="registeredby" type="hidden" value="web">
<input name="eventid" id="eventid" type="hidden" value="10823">
<input name="r" type="hidden" value="AAAFEGAAEAAAlceAAB">
<input type="hidden" name="utm_source" value="">
<input type="hidden" name="utm_medium" value="">
<input type="hidden" name="utm_campaign" value="">
<input type="hidden" name="gclid" value="">
<input name="walkin" type="hidden" value="">
<input name="student_num" id="student_num" type="hidden" value="0">
<div class="row">
<div class="col-lg-12">
<h2 class="font-weight-normal underlined_orange text-dark">New Registration</h2>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<h3>Your Contact Information</h3>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<input type="text" class="form-control" name="contactnamefirst" id="contactnamefirst" placeholder="First Name *" value="" required="" data-msg-required="Please enter Your First Name" aria-required="true">
</div>
</div>
<div class="row">
<div class="col-lg-12">
<input type="text" class="form-control" name="contactnamelast" id="contactnamelast" placeholder="Last Name *" value="" required="" data-msg-required="Please enter Your Last Name" aria-required="true">
</div>
</div>
<div class="row">
<div class="col-lg-12">
<input type="text" class="form-control" name="companyname" id="companyname" placeholder="Company Name *" value="" required="" data-msg-required="Please enter Company Name" aria-required="true">
</div>
</div>
<div class="row">
<div class="col-lg-12">
<input type="text" class="form-control" name="contactemail" id="contactemail" placeholder="Email Address *" value="" required="" data-msg-required="Please enter Your Email Address" aria-required="true">
</div>
</div>
<div class="row">
<div class="col-lg-12">
<input type="text" class="form-control" name="referred" id="referred" placeholder="Referred by" value="" data-msg-required="Please enter Referred by">
</div>
</div>
<br>
<div class="row">
<div class="col-sm-12">
<div class="checkbox">
<label><input name="for" id="forA" type="radio" value="self" onclick="javascript:hideStudentInfo();" required="" data-msg-required="Please select your registering" aria-required="true">I am registering myself.</label>
</div>
</div>
</div>
<div class="row">
<div class="col-sm-12">
<div class="checkbox">
<label><input name="for" id="forB" type="radio" value="other" onclick="javascript:showStudentInfo();" required="" data-msg-required="Please select your registering" aria-required="true">I am registering someone else.</label>
</div>
</div>
</div>
<div class="row">
<div class="col-sm-12">
<div class="checkbox">
<label><input name="for" id="forC" type="radio" value="full" onclick="javascript:fullStudentInfo();" required="" data-msg-required="Please select your registering" aria-required="true">I am registering myself and someone else.</label>
</div>
</div>
</div>
<br>
<label for="for" class="error" style="display:none;"></label>
<div id="entry0" class="myInput" style="display: none;">
<div class="row">
<div class="col-lg-12">
<h3 id="reference" name="reference"><!--My Registration--></h3>
</div>
</div>
</div>
<div id="entry1" class="clonedInput" style="display: none;">
<div class="row">
<p></p>
</div>
<div class="row">
<div class="col-lg-12">
<h3 id="reference" name="reference" class="heading-reference">Student Registration #1</h3>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<input type="text" class="form-control input_studentnamefirst" name="ID1_studentnamefirst" id="ID1_studentnamefirst" placeholder="First Name *" value="" required="" data-msg-required="Please enter First Name" aria-required="true">
</div>
<div class="col-lg-6">
<input type="text" class="form-control input_studentnamelast" name="ID1_studentnamelast" id="ID1_studentnamelast" placeholder="Last Name *" value="" required="" data-msg-required="Please enter Last Name" aria-required="true">
</div>
</div>
<div class="row">
<div class="col-lg-12">
<input type="text" class="form-control input_studentcompanyname" name="ID1_studentcompanyname" id="ID1_studentcompanyname" placeholder="Company Name *" value="" required="" data-msg-required="Please enter Company Name" aria-required="true">
</div>
</div>
<div class="row">
<div class="col-lg-12">
<select class="form-control input_studentfunction" name="ID1_studentfunction" id="ID1_studentfunction" required="" data-msg-required="Please enter Job Function" aria-required="true">
<option value="" disabled="" selected="">Job Function *</option>
<option value="7">IT Executive (eg Director, VP, CxO)</option>
<option value="3">Post-Sales Engineering (eg Field/Implementation Engineer)</option>
<option value="8">Recruitment/Human resources</option>
<option value="1">Sales (eg Account Manager, Sales Executive)</option>
<option value="4">Systems Administration (eg DC, Cloud, Network, etc)</option>
<option value="6">Systems Architecture (eg DC, Cloud, Network, etc)</option>
<option value="5">Systems Engineering (eg DC, Cloud, Network, etc)</option>
<option value="2">Technical Pre-Sales (eg Sales Engineer, Solution Architect)</option>
</select>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<input type="text" class="form-control input_studenttitle" name="ID1_studenttitle" id="ID1_studenttitle" placeholder="Job Title (optional)" value="">
</div>
</div>
<div class="row">
<div class="col-lg-12">
<input type="text" class="form-control input_studentemail" name="ID1_studentemail" id="ID1_studentemail" placeholder="Email *" value="" required="" data-msg-required="Please enter Email" aria-required="true">
</div>
</div>
<div class="row">
<div class="col-lg-12">
<input type="text" class="form-control input_studentphone" name="ID1_studentphone" id="ID1_studentphone" placeholder="Phone (optional)" value="">
</div>
</div>
</div>
<p></p>
<div class="row" id="addDelButtons" style="display: none;">
<div class="col-lg-12">
<input type="button" class="btn" id="btnAdd" value="Add Another Student">
<input type="button" class="btn" id="btnDel" value="Remove This Student" disabled="disabled">
</div>
</div>
<p></p>
<div class="row">
<div class="col-sm-12">
<h3>Payment Method</h3>
<table width="100%" border="0" cellspacing="0" cellpadding="2" align="center">
<tbody>
<tr>
<td width="50" align="right"><input type="radio" name="pay_method" value="1" disabled="" required="" style="float:right;" data-msg-required="Please select your Payment Method" aria-required="true"></td>
<td>Credit Card</td>
</tr>
<tr id="pay_id_cc_1" style="display:none;">
<td align="right"></td>
<td><input type="radio" name="pay_myself" value="1" required="" data-msg-required="Please select your Payment Credit Card Method" aria-required="true"> I will pay for all registrants</td>
</tr>
<tr id="pay_id_cc_2" style="display:none;">
<td align="right"></td>
<td><input type="radio" name="pay_myself" value="2" required="" data-msg-required="Please select your Payment Credit Card Method" aria-required="true"> Each registrant pays for himself/herself</td>
</tr>
<tr>
<td></td>
<td><label for="pay_myself" class="error" style="display:none;"></label></td>
</tr>
<tr>
<td width="50" align="right"><input type="radio" name="pay_method" value="2" disabled="" required="" style="float:right;" data-msg-required="Please select your Payment Method" aria-required="true"></td>
<td>Cisco Learning Credits</td>
</tr>
<tr id="pay_id_clc" style="display:none;">
<td align="right"></td>
<td>
<div style="font-style:italic; font-weight:normal; margin:10px 0;"> After you click “REGISTER” you will be redirected to the Cisco page for this event to validate and process your CLCs using your Cisco Sales Order Number. Once this is
confirmed you will receive a confirmation email. If you need any help, please contact us at <a href="mailto:support@firefly.cloud">support@firefly.cloud</a>. Thank you! </div>
</td>
</tr>
<tr>
<td width="50" align="right"><input type="radio" name="pay_method" value="3" disabled="" required="" style="float:right;" data-msg-required="Please select your Payment Method" aria-required="true"></td>
<td>Purchase Order</td>
</tr>
<tr id="pay_id_po" style="display:none;">
<td align="right"></td>
<td>Purchase Order #<br><input class="input_text2_regform" type="text" name="pay_id_po"></td>
</tr>
<tr>
<td></td>
<td><label for="pay_method" class="error" style="display:none; color:red;"></label></td>
</tr>
</tbody>
</table>
</div>
</div>
<div id="priceReview" class="row" style="display:none;">
<div class="col-sm-12">
<h3>List Price Review</h3>
<input type="hidden" id="seat_price_usd" value="4195">
<input type="hidden" id="seat_price_clc" value="42">
<input type="hidden" id="currency" value="">
<table width="100%" border="0" cellspacing="0" cellpadding="2" align="center" style="margin-top:10px;">
<tbody>
<tr height="30" valign="middle">
<td width="50"></td>
<td>
<table>
<tbody>
<tr>
<td width="100">Seat Price</td>
<td width="100">
<div class="currency" style="text-transform:uppercase; display: inline-block;"></div> <div id="seat_price" style="text-transform:uppercase; display: inline-block;"></div>
</td>
</tr>
<tr>
<td>Total Price</td>
<td>
<div class="currency" style="text-transform:uppercase; display: inline-block;"></div> <div id="total_price" style="text-transform:uppercase; display: inline-block;"></div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div id="priceReviewUpgrade" class="row" style="margin-top:30px; display:none;">
<div class="col-sm-12">
<input type="hidden" name="individual_price" id="individual_price" value="">
<h3>List Price Review (after Upgrade to Subscription)</h3>
<table width="100%" border="0" cellspacing="0" cellpadding="2" align="center" style="margin-top:10px;">
<tbody>
<tr height="30" valign="middle">
<td width="50"></td>
<td>
<table>
<tbody>
<tr style="display:none;">
<td width="100">Seat Price</td>
<td width="100">
<div class="currency" style="text-transform:uppercase; display: inline-block;"></div> <div id="seat_price_upgrade" style="text-transform:uppercase; display: inline-block;"></div>
</td>
</tr>
<tr>
<td>Total Price</td>
<td>
<div class="currency" style="text-transform:uppercase; display: inline-block;"></div> <div id="total_price_upgrade" style="text-transform:uppercase; display: inline-block;"></div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="row" style="margin-top:30px;">
<div class="col-lg-12">
<div class="form-check form-check-inline">
<input type="checkbox" class="form-check-input" name="privacy_policy" id="privacy_policy" value="1" required="" aria-required="true">
<label class="form-check-label" for="privacy_policy" style="font-style:italic; font-weight:normal; margin:10px 0;">By checking this box you consent to be contacted by us regarding product support, services and offerings. For more information
on how we use and collect your data, please review our <a href="https://www.firefly.cloud/privacy-policy/" target="_blank">Privacy Policy</a> and Terms & Conditions <abbr class="required" title="required"
aria-required="true">*</abbr></label>
</div>
<label id="privacy_policy-error" class="error" for="privacy_policy" style="color:red;"></label>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<button class="btn btn-primary text-uppercase" type="submit" name="submit" style="width:100%; margin-top:10px; margin-bottom:30px;">Register</button>
</div>
</div>
<div>
<strong>Cancellation Policy</strong>
<p>If you need to cancel, we request that you provide notice sixteen (16) working days prior to the course start date. <a href="/?cmd=terms" target="_blank">Click here</a> for our full cancellation policy. Clicking the "register" button indicates
you have read and accept Firefly's cancellation terms.</p>
</div>
<input type="hidden" name="webinars" value="0">
</form>
Text Content
Find Courses | Contact Us IMPLEMENTING AND ADMINISTERING CISCO SOLUTIONS COURSE EVENT REGISTRATION Location: Remote-CST Dates: Jul 29, 2024 - Aug 02, 2024 Time: 09:00 - 17:00 CLC ELIGIBLE To redeem CLCs for this class Please complete the form below ALREADY A PASSPORT STUDENT? EMAIL ADDRESS Please note you can only be registered in one event at any given time. If you need help with registration, please contact support@firefly.cloud Thank you! Register NEW REGISTRATION YOUR CONTACT INFORMATION I am registering myself. I am registering someone else. I am registering myself and someone else. STUDENT REGISTRATION #1 Job Function *IT Executive (eg Director, VP, CxO)Post-Sales Engineering (eg Field/Implementation Engineer)Recruitment/Human resourcesSales (eg Account Manager, Sales Executive)Systems Administration (eg DC, Cloud, Network, etc)Systems Architecture (eg DC, Cloud, Network, etc)Systems Engineering (eg DC, Cloud, Network, etc)Technical Pre-Sales (eg Sales Engineer, Solution Architect) PAYMENT METHOD Credit Card I will pay for all registrants Each registrant pays for himself/herself Cisco Learning Credits After you click “REGISTER” you will be redirected to the Cisco page for this event to validate and process your CLCs using your Cisco Sales Order Number. Once this is confirmed you will receive a confirmation email. If you need any help, please contact us at support@firefly.cloud. Thank you! Purchase Order Purchase Order # LIST PRICE REVIEW Seat Price Total Price LIST PRICE REVIEW (AFTER UPGRADE TO SUBSCRIPTION) Seat Price Total Price By checking this box you consent to be contacted by us regarding product support, services and offerings. For more information on how we use and collect your data, please review our Privacy Policy and Terms & Conditions * Register Cancellation Policy If you need to cancel, we request that you provide notice sixteen (16) working days prior to the course start date. Click here for our full cancellation policy. Clicking the "register" button indicates you have read and accept Firefly's cancellation terms. 2024 Ⓒ Firefly US Holdings Inc. Terms & Conditions | Privacy Policy Blog Services Contact Us