www.crowncommercial.gov.uk Open in urlscan Pro
18.169.3.38  Public Scan

Form analysis
1 forms found in the DOM

POST /contact/submit

<form class="govuk-!-width-three-quarters pardot-submit" action="/contact/submit" method="POST" novalidate="">
  <input type="hidden" id="subject" maxlength="80" name="subject" size="20" value="contact">
  <input type="checkbox" name="surname" value="1" style="display:none !important" tabindex="-1" autocomplete="off">
  <div class="govuk-form-group">
    <fieldset class="govuk-fieldset" aria-describedby="how-contacted-conditional-hint">
      <legend class="govuk-fieldset__legend govuk-fieldset__legend--m">
        <h1 class="govuk-fieldset__heading"> Type of enquiry </h1>
      </legend>
      <span id="how-contacted-conditional-hint" class="govuk-hint"> Select one option. </span>
      <div class="govuk-radios govuk-radios--conditional" data-module="govuk-radios">
        <div class="govuk-radios__item">
          <input class="govuk-radios__input" id="how-contacted-conditional-1" name="origin" type="radio" value="Website - Enquiry" data-aria-controls="conditional-how-contacted-conditional-1" checked="">
          <label class="govuk-label govuk-radios__label" for="how-contacted-conditional-1"> General enquiry </label>
        </div>
        <div class="govuk-radios__item">
          <input class="govuk-radios__input" id="how-contacted-conditional-2" name="origin" type="radio" value="Website - Complaint" aria-controls="conditional-how-contacted-conditional-2" aria-expanded="false">
          <label class="govuk-label govuk-radios__label" for="how-contacted-conditional-2"> Feedback </label>
        </div>
        <div class="govuk-radios__conditional govuk-radios__conditional--hidden" id="conditional-how-contacted-conditional-2">
          <div class="govuk-form-group">
            <p>We like to receive feedback because it helps us to improve the services we offer. If you would like to give us feedback please use the form below.</p>
            <p>If you're unhappy with our service you can <a href="/make-a-complaint">make a complaint</a>.</p>
          </div>
        </div>
      </div>
    </fieldset>
  </div>
  <div class="govuk-form-group ">
    <label class="govuk-label" for="name">Name</label>
    <input class="govuk-input pardot-field " aria-describedby="full-name-error" id="name" maxlength="80" name="name" size="20" type="text" value="" autocomplete="name">
  </div>
  <div class="govuk-form-group ">
    <label class="govuk-label" for="00Nb0000009IXEs"> Job title </label>
    <input class="govuk-input " id="jobTitle" maxlength="100" name="00Nb0000009IXEs" size="20" type="text" value="" autocomplete="organization-title">
  </div>
  <div class="govuk-form-group ">
    <label class="govuk-label" for="email"> Email </label>
    <input class="govuk-input pardot-email " id="email" maxlength="80" name="email" size="20" type="email" value="" autocomplete="email" required="">
  </div>
  <div class="govuk-form-group">
    <fieldset class="govuk-fieldset" aria-describedby="waste-hint">
      <legend class="govuk-fieldset__legend govuk-fieldset__legend--m">
        <h1 class="govuk-fieldset__heading"> Do you require a callback? </h1>
      </legend>
      <div class="govuk-checkboxes">
        <div class="govuk-checkboxes__item">
          <input class="govuk-checkboxes__input" id="00Nb0000009IXEg" name="00Nb0000009IXEg" type="checkbox" value="1">
          <label class="govuk-label govuk-checkboxes__label" for="00Nb0000009IXEg"> Yes </label>
        </div>
      </div>
    </fieldset>
  </div>
  <div class="govuk-form-group ">
    <label class="govuk-label" for="phone" id="phone-label"> Telephone number (optional) </label>
    <input class="govuk-input " id="phone" maxlength="20" name="phone" size="20" type="text" value="" autocomplete="tel" required="">
  </div>
  <div class="govuk-form-group ">
    <label class="govuk-label" for="company"> Organisation </label>
    <input class="govuk-input pardot-field " id="company" maxlength="80" name="company" size="20" type="text" value="" autocomplete="organization">
  </div>
  <div class="govuk-form-group govuk-!-width-one-half ">
    <label class="govuk-label" for="post-code"> Organisation post code </label>
    <input class="govuk-input " id="post-code" maxlength="100" name="post-code" size="20" type="text" value="" autocomplete="postal-code">
  </div>
  <div id="conditional-fields" class="govuk-radios__conditional--hidden">
    <div class="govuk-form-group">
      <fieldset class="govuk-fieldset" aria-describedby="waste-hint">
        <legend class="govuk-fieldset__legend govuk-fieldset__legend--s">
          <h1 class="govuk-fieldset__heading"> Is your feedback about </h1>
        </legend>
        <div class="govuk-checkboxes">
          <div class="govuk-checkboxes__item">
            <input class="govuk-checkboxes__input" id="complaint-1" name="complaint" type="checkbox" value="Service">
            <label class="govuk-label govuk-checkboxes__label" for="complaint-1"> Service </label>
          </div>
          <div class="govuk-checkboxes__item">
            <input class="govuk-checkboxes__input" id="complaint-2" name="complaint" type="checkbox" value="Supplier staff">
            <label class="govuk-label govuk-checkboxes__label" for="complaint-2"> Supplier staff </label>
          </div>
          <div class="govuk-checkboxes__item">
            <input class="govuk-checkboxes__input" id="complaint-3" name="complaint" type="checkbox" value="Other">
            <label class="govuk-label govuk-checkboxes__label" for="complaint-3"> Other </label>
          </div>
        </div>
      </fieldset>
    </div>
  </div>
  <div class="govuk-form-group ">
    <label id="more-detail-label" class="govuk-label" for="more-detail">Can you provide more detail?</label>
    <span id="more-detail-hint" class="govuk-hint"> Do not include personal or financial information, like your credit card details. </span>
    <textarea class="govuk-textarea" style="" id="more-detail" name="more-detail" rows="5" aria-describedby="more-detail-hint" required=""></textarea>
  </div>
  <input type="hidden" class="govuk-!-width-full" name="description" id="salesforce-textarea">
  <p>For information about how we use your data, you can read our <a href="https://www.gov.uk/government/publications/crown-commercial-service-privacy-notice">privacy notice</a>. When you submit this form we will add you to our mailing list and send
    you our newsletters, or information about our products and services.</p>
  <p>You will receive an email when you submit your details. You can unsubscribe using the link in the email.</p>
  <div class="govuk-form-group">
    <button type="submit" id="submit" class="--gem-c-button govuk-!-font-size-18 govuk-!-font-weight-bold govuk-button gtm--submit-contact-form"> Send enquiry </button>
  </div>
</form>

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EMAIL:

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PHONE:

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CCS customer services team is available Monday to Friday, 9am to 5pm.


TYPE OF ENQUIRY

Select one option.
General enquiry
Feedback

We like to receive feedback because it helps us to improve the services we
offer. If you would like to give us feedback please use the form below.

If you're unhappy with our service you can make a complaint.

Name
Job title
Email


DO YOU REQUIRE A CALLBACK?

Yes
Telephone number (optional)
Organisation
Organisation post code


IS YOUR FEEDBACK ABOUT

Service
Supplier staff
Other
Can you provide more detail? Do not include personal or financial information,
like your credit card details.

For information about how we use your data, you can read our privacy notice.
When you submit this form we will add you to our mailing list and send you our
newsletters, or information about our products and services.

You will receive an email when you submit your details. You can unsubscribe
using the link in the email.

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