www.cbtnuggets.com Open in urlscan Pro
76.76.21.22  Public Scan

Submitted URL: https://click.email.cbtnuggets.com/?qs=690936f83e371b4ab2c4543a28e9bc26fc91fc54e2ba48dbeeefb7446fd472b13d4cf51f50e803124a45673374ec...
Effective URL: https://www.cbtnuggets.com/contactus
Submission Tags: falconsandbox
Submission: On September 13 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

#

<form action="#" id="contact-form">
  <div class="StyledFormFields-sc-1s7p2xc-4 cHzrKg">
    <div>
      <div class="StyledSelect-sc-1s7p2xc-14 jpLEnb"><label for="department" class="StyledLabelTop-sc-r7qvoc-0 cgSyGL">Who would you like to speak to? <i class="StyledI-sc-1s7p2xc-3 bpGGfr"></i></label>
        <div data-at="department-LabelContainer" class="StyledSelectLabelContainer-sc-1l9gdxb-0 iBdDhw">
          <div data-at="department-Container" class="StyledSelectContainer-sc-zapx6x-0 hybnyQ"><select id="department" data-at="department" name="department" class="StyledSelect-sc-1t1nmfc-0 kODsPN">
              <option value="ls">Customer Service &amp; Support</option>
              <option value="sales">Sales</option>
            </select></div>
        </div>
      </div>
      <div class="StyledInputContainer-sc-1s7p2xc-6 gIvMZA"><label class="StyledLabelTop-sc-r7qvoc-0 cgSyGL">What level of support is needed?</label>
        <div class="StyledRadioGroup-sc-1s7p2xc-12 ksPGFW">
          <div class="StyledRadioButton-sc-1s7p2xc-13 jSennr"><input type="radio" id="Billing-0" name="supportLevel" data-at="Billing-radio-button" class="StyledRadio-sc-capg88-0 gxHprA" value="Billing"><label for="Billing-0"
              class="StyledLabelRight-sc-r7qvoc-1 dvOQRt radio-label">Billing</label></div>
          <div class="StyledRadioButton-sc-1s7p2xc-13 jSennr"><input type="radio" id="Technical Support-1" name="supportLevel" data-at="Technical Support-radio-button" class="StyledRadio-sc-capg88-0 gxHprA" value="Technical Support"><label
              for="Technical Support-1" class="StyledLabelRight-sc-r7qvoc-1 dvOQRt radio-label">Technical Support</label></div>
          <div class="StyledRadioButton-sc-1s7p2xc-13 jSennr"><input type="radio" id="Feedback-2" name="supportLevel" data-at="Feedback-radio-button" class="StyledRadio-sc-capg88-0 gxHprA" value="Feedback"><label for="Feedback-2"
              class="StyledLabelRight-sc-r7qvoc-1 dvOQRt radio-label">Feedback</label></div>
          <div class="StyledRadioButton-sc-1s7p2xc-13 jSennr"><input type="radio" id="Other-3" name="supportLevel" data-at="Other-radio-button" class="StyledRadio-sc-capg88-0 gxHprA" value="Other"><label for="Other-3"
              class="StyledLabelRight-sc-r7qvoc-1 dvOQRt radio-label">Other</label></div>
        </div>
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      <div class="StyledInputContainer-sc-1s7p2xc-6 gIvMZA"><label for="firstName" class="StyledLabelTop-sc-r7qvoc-0 cgSyGL">First name<i class="StyledI-sc-1s7p2xc-3 bpGGfr"></i></label>
        <div data-at="firstName-LabelContainer" class="StyledInputLabelContainer-sc-ezkjet-0 jyHGFL">
          <div data-at="firstName-Container" class="StyledInputContainer-sc-zd6sdv-0 jCzYzb"><input id="firstName" type="text" data-at="firstName" name="firstName" class="StyledInput-sc-kfy8f4-0 csastw" value=""></div>
        </div>
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      <div class="StyledInputContainer-sc-1s7p2xc-6 gIvMZA"><label for="lastName" class="StyledLabelTop-sc-r7qvoc-0 cgSyGL">Last name<i class="StyledI-sc-1s7p2xc-3 bpGGfr"></i></label>
        <div data-at="lastName-LabelContainer" class="StyledInputLabelContainer-sc-ezkjet-0 jyHGFL">
          <div data-at="lastName-Container" class="StyledInputContainer-sc-zd6sdv-0 jCzYzb"><input id="lastName" type="text" data-at="lastName" name="lastName" class="StyledInput-sc-kfy8f4-0 csastw" value=""></div>
        </div>
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      <div class="StyledInputContainer-sc-1s7p2xc-6 gIvMZA"><label for="email" class="StyledLabelTop-sc-r7qvoc-0 cgSyGL">Email<i class="StyledI-sc-1s7p2xc-3 bpGGfr"></i></label>
        <div data-at="email-LabelContainer" class="StyledInputLabelContainer-sc-ezkjet-0 jyHGFL">
          <div data-at="email-Container" class="StyledInputContainer-sc-zd6sdv-0 jCzYzb"><input id="email" type="text" data-at="email" name="email" class="StyledInput-sc-kfy8f4-0 csastw" value=""></div>
        </div>
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      <div class="StyledInputContainer-sc-1s7p2xc-6 gIvMZA"><label for="order" class="StyledLabelTop-sc-r7qvoc-0 cgSyGL">Order number<i class="StyledI-sc-1s7p2xc-3 bpGGfr">- optional</i></label>
        <div data-at="order-LabelContainer" class="StyledInputLabelContainer-sc-ezkjet-0 jyHGFL">
          <div data-at="order-Container" class="StyledInputContainer-sc-zd6sdv-0 jCzYzb"><input id="order" type="text" data-at="order" name="order" class="StyledInput-sc-kfy8f4-0 csastw" value=""></div>
        </div>
      </div>
      <div class="StyledSelect-sc-1s7p2xc-14 jpLEnb"><label for="country" class="StyledLabelTop-sc-r7qvoc-0 cgSyGL">Country <i class="StyledI-sc-1s7p2xc-3 bpGGfr"></i></label>
        <div data-at="country-LabelContainer" class="StyledSelectLabelContainer-sc-1l9gdxb-0 iBdDhw">
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              <option value="Cambodia Kingdom of">Cambodia Kingdom of</option>
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              <option value="Cape Verde">Cape Verde</option>
              <option value="Cayman Islands">Cayman Islands</option>
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              <option value="Chile">Chile</option>
              <option value="China">China</option>
              <option value="Christmas Island">Christmas Island</option>
              <option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
              <option value="Colombia">Colombia</option>
              <option value="Comoros">Comoros</option>
              <option value="Congo The Democratic Republic of the">Congo The Democratic Republic of the</option>
              <option value="Congo">Congo</option>
              <option value="Cook Islands">Cook Islands</option>
              <option value="Costa Rica">Costa Rica</option>
              <option value="Croatia">Croatia</option>
              <option value="Cuba">Cuba</option>
              <option value="Cyprus">Cyprus</option>
              <option value="Czech Republic">Czech Republic</option>
              <option value="Denmark">Denmark</option>
              <option value="Djibouti">Djibouti</option>
              <option value="Dominica">Dominica</option>
              <option value="Dominican Republic">Dominican Republic</option>
              <option value="Timor-Leste">Timor-Leste</option>
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              <option value="Equatorial Guinea">Equatorial Guinea</option>
              <option value="Eritrea">Eritrea</option>
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              <option value="Ethiopia">Ethiopia</option>
              <option value="Falkland Islands">Falkland Islands</option>
              <option value="Faroe Islands">Faroe Islands</option>
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              <option value="Former USSR">Former USSR</option>
              <option value="France (European Territory)">France (European Territory)</option>
              <option value="France">France</option>
              <option value="French Guyana">French Guyana</option>
              <option value="French Southern Territories">French Southern Territories</option>
              <option value="Gabon">Gabon</option>
              <option value="Gambia">Gambia</option>
              <option value="Georgia">Georgia</option>
              <option value="Germany">Germany</option>
              <option value="Ghana">Ghana</option>
              <option value="Gibraltar">Gibraltar</option>
              <option value="Great Britain">Great Britain</option>
              <option value="Greece">Greece</option>
              <option value="Greenland">Greenland</option>
              <option value="Grenada">Grenada</option>
              <option value="Guadeloupe (French)">Guadeloupe (French)</option>
              <option value="Guam (USA)">Guam (USA)</option>
              <option value="Guatemala">Guatemala</option>
              <option value="Guinea Bissau">Guinea Bissau</option>
              <option value="Guinea">Guinea</option>
              <option value="Guyana">Guyana</option>
              <option value="Haiti">Haiti</option>
              <option value="Heard and McDonald Islands">Heard and McDonald Islands</option>
              <option value="Holy See (Vatican City State)">Holy See (Vatican City State)</option>
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              <option value="Hong Kong">Hong Kong</option>
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              <option value="Kazakhstan">Kazakhstan</option>
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              <option value="Kuwait">Kuwait</option>
              <option value="Kyrgyz Republic (Kyrgyzstan)">Kyrgyz Republic (Kyrgyzstan)</option>
              <option value="Laos">Laos</option>
              <option value="Latvia">Latvia</option>
              <option value="Lebanon">Lebanon</option>
              <option value="Lesotho">Lesotho</option>
              <option value="Liberia">Liberia</option>
              <option value="Libya">Libya</option>
              <option value="Liechtenstein">Liechtenstein</option>
              <option value="Lithuania">Lithuania</option>
              <option value="Luxembourg">Luxembourg</option>
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              <option value="Mauritius">Mauritius</option>
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              <option value="Mexico">Mexico</option>
              <option value="Micronesia">Micronesia</option>
              <option value="Moldavia">Moldavia</option>
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              <option value="Niger">Niger</option>
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              <option value="Norfolk Island">Norfolk Island</option>
              <option value="North Korea">North Korea</option>
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              <option value="Papua New Guinea">Papua New Guinea</option>
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              <option value="Pitcairn Island">Pitcairn Island</option>
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              <option value="Puerto Rico">Puerto Rico</option>
              <option value="Qatar">Qatar</option>
              <option value="Reunion (French)">Reunion (French)</option>
              <option value="Romania">Romania</option>
              <option value="Russian Federation">Russian Federation</option>
              <option value="Rwanda">Rwanda</option>
              <option value="S. Georgia &amp;amp; S. Sandwich Isls.">S. Georgia &amp;amp; S. Sandwich Isls.</option>
              <option value="Saint Helena">Saint Helena</option>
              <option value="Saint Kitts &amp;amp; Nevis Anguilla">Saint Kitts &amp;amp; Nevis Anguilla</option>
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              <option value="Saint Tome (Sao Tome) and Principe">Saint Tome (Sao Tome) and Principe</option>
              <option value="Saint Vincent &amp;amp; Grenadines">Saint Vincent &amp;amp; Grenadines</option>
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              <option value="South Korea">South Korea</option>
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              <option value="Sri Lanka">Sri Lanka</option>
              <option value="Sudan">Sudan</option>
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              <option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option>
              <option value="Swaziland">Swaziland</option>
              <option value="Sweden">Sweden</option>
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              <option value="Tanzania">Tanzania</option>
              <option value="Thailand">Thailand</option>
              <option value="Togo">Togo</option>
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              <option value="Tonga">Tonga</option>
              <option value="Trinidad and Tobago">Trinidad and Tobago</option>
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              <option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
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              <option value="Virgin Islands (USA)">Virgin Islands (USA)</option>
              <option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option>
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      <div class="StyledInputContainer-sc-1s7p2xc-6 gIvMZA"><label for="phone" class="StyledLabelTop-sc-r7qvoc-0 cgSyGL">Phone<i class="StyledI-sc-1s7p2xc-3 bpGGfr">- optional</i></label>
        <div data-at="phone-LabelContainer" class="StyledInputLabelContainer-sc-ezkjet-0 jyHGFL">
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      <div><label class="StyledLabelTop-sc-r7qvoc-0 cgSyGL">System</label><br>
        <p>Android / Other</p> <button id="systemChange" class="Standard-sc-u2gxo4-0 eeVhOG"> change</button>
      </div>
    </div>
    <div>
      <div class="StyledTextAreaContainer-sc-1s7p2xc-5 doKDzc"><label for="How can we help?"> How can we help? <i class="StyledI-sc-1s7p2xc-3 bpGGfr">(Max 1500 chars)</i> </label>
        <div><textarea id="How can we help?" name="message" rows="10" cols="20" maxlength="1500" data-at="message"></textarea></div>
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    <p>I have read and understood the <a href="/privacy" target="_blank" rel="noopener noreferrer">privacy policy</a>, and am able to consent to it.</p>
  </section>
</form>

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