feedback.janesvilleathleticclub.com
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https://feedback.janesvilleathleticclub.com/
Submission: On July 04 via automatic, source certstream-suspicious — Scanned from DE
Submission: On July 04 via automatic, source certstream-suspicious — Scanned from DE
Form analysis
1 forms found in the DOMPOST /fsg?pageId=1f5c04c7-6412-4d9f-b5e8-1ce97f4426ba&variant=a
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<div class="fields">
<div class="lp-pom-form-field single-line-text" id="container_first_name"><label class="main lp-form-label" for="first_name" id="label_first_name" style="height: auto;"><span class="label-style">First Name *</span></label><input
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<div class="lp-pom-form-field single-line-text" id="container_last_name"><label class="main lp-form-label" for="last_name" id="label_last_name" style="height: auto;"><span class="label-style">Last Name *</span></label><input id="last_name"
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<div class="lp-pom-form-field single-line-text" id="container_phone_number"><label class="main lp-form-label" for="phone_number" id="label_phone_number" style="height: auto;"><span class="label-style">Phone Number</span></label><input
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<div class="lp-pom-form-field email" id="container_email"><label class="main lp-form-label" for="email" id="label_email" style="height: auto;"><span class="label-style">Email *</span></label><input id="email" name="email" type="email"
class="ub-input-item single text form_elem_email" required="" pattern="^[a-zA-Z0-9._%+-]+@[a-zA-Z0-9_-]+\.[a-zA-Z0-9-.]{2,61}$"></div>
<div class="lp-pom-form-field multi-line-text multi-group" id="container_what_would_improve_your_experience_with_the_janesville_athletic_club"><label class="main lp-form-label"
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the Janesville Athletic Club?</span></label><textarea id="what_would_improve_your_experience_with_the_janesville_athletic_club" name="what_would_improve_your_experience_with_the_janesville_athletic_club"
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<div class="lp-pom-form-field checkbox-group multi-group" id="container_would_you_like_speak_to_a_team_member_about_your_experience"><label class="main lp-form-label" for="would_you_like_speak_to_a_team_member_about_your_experience"
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<div class="option" id="ub-option-would_you_like_speak_to_a_team_member_about_your_experience-item-0"><input type="checkbox" id="would_you_like_speak_to_a_team_member_about_your_experience_yes_please_contact_me"
name="would_you_like_speak_to_a_team_member_about_your_experience" value="Yes, please contact me" class="checkbox form-builder-checkbox-input form_elem_would_you_like_speak_to_a_team_member_about_your_experience"><label
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Text Content
Contact Us LET US KNOW ABOUT YOUR MEMBERSHIP EXPERIENCE OR ANY IDEAS YOU HAVE TO MAKE THE CLUB EVEN BETTER! *Privacy Statement: You consent to follow-up voice, text and/or email communications from the Janesville Athletic Club at the phone number and email address provided. CALL THE JANESVILLE ATHLETIC CLUB: 608.756.3737 First Name * Last Name * Phone Number Email * What would improve your experience with the Janesville Athletic Club? Would you like speak to a team member about your experience? Yes, please contact me Submit