encompass65500.activehosted.com
Open in
urlscan Pro
2606:4700::6811:ce1f
Public Scan
URL:
https://encompass65500.activehosted.com/f/embed.php?id=7
Submission: On August 16 via manual from KH — Scanned from CA
Submission: On August 16 via manual from KH — Scanned from CA
Form analysis
0 forms found in the DOMText Content
window.cfields = []; window._show_thank_you = function(id, message, trackcmp_url, email) { var form = document.getElementById('_form_' + id + '_'), thank_you = form.querySelector('._form-thank-you'); form.querySelector('._form-content').style.display = 'none'; thank_you.innerHTML = message; thank_you.style.display = 'block'; const vgoAlias = typeof visitorGlobalObjectAlias === 'undefined' ? 'vgo' : visitorGlobalObjectAlias; var visitorObject = window[vgoAlias]; if (email && typeof visitorObject !== 'undefined') { visitorObject('setEmail', email); visitorObject('update'); } else if (typeof(trackcmp_url) != 'undefined' && trackcmp_url) { // Site tracking URL to use after inline form submission. _load_script(trackcmp_url); } if (typeof window._form_callback !== 'undefined') window._form_callback(id); }; window._show_unsubscribe = function(id, message, trackcmp_url, email) { var form = document.getElementById('_form_' + id + '_'), unsub = form.querySelector('._form-thank-you'); var branding = form.querySelector('._form-branding'); if (branding) { branding.style.display = 'none'; } form.querySelector('._form-content').style.display = 'none'; unsub.style.display = 'block'; form.insertAdjacentHTML('afterend', message) const vgoAlias = typeof visitorGlobalObjectAlias === 'undefined' ? 'vgo' : visitorGlobalObjectAlias; var visitorObject = window[vgoAlias]; if (email && typeof visitorObject !== 'undefined') { visitorObject('setEmail', email); visitorObject('update'); } else if (typeof(trackcmp_url) != 'undefined' && trackcmp_url) { // Site tracking URL to use after inline form submission. _load_script(trackcmp_url); } if (typeof window._form_callback !== 'undefined') window._form_callback(id); }; window._show_error = function(id, message, html) { var form = document.getElementById('_form_' + id + '_'), err = document.createElement('div'), button = form.querySelector('button'), old_error = form.querySelector('._form_error'); if (old_error) old_error.parentNode.removeChild(old_error); err.innerHTML = message; err.className = '_error-inner _form_error _no_arrow'; var wrapper = document.createElement('div'); wrapper.className = '_form-inner'; wrapper.appendChild(err); button.parentNode.insertBefore(wrapper, button); var submitButton = form.querySelector('[id^="_form"][id$="_submit"]'); submitButton.disabled = false; submitButton.classList.remove('processing'); if (html) { var div = document.createElement('div'); div.className = '_error-html'; div.innerHTML = html; err.appendChild(div); } }; window._show_pc_confirmation = function(id, header, detail, show, email) { var form = document.getElementById('_form_' + id + '_'), pc_confirmation = form.querySelector('._form-pc-confirmation'); if (pc_confirmation.style.display === 'none') { form.querySelector('._form-content').style.display = 'none'; pc_confirmation.innerHTML = "<div class='_form-title'>" + header + "</div>" + "<p>" + detail + "</p>" + "<button class='_submit' id='hideButton'>Manage preferences</button>"; pc_confirmation.style.display = 'block'; var mp = document.querySelector('input[name="mp"]'); mp.value = '0'; } else { form.querySelector('._form-content').style.display = 'inline'; pc_confirmation.style.display = 'none'; } var hideButton = document.getElementById('hideButton'); // Add event listener to the button hideButton.addEventListener('click', function() { var submitButton = document.querySelector('#_form_7_submit'); submitButton.disabled = false; submitButton.classList.remove('processing'); var mp = document.querySelector('input[name="mp"]'); mp.value = '1'; window.location.href = window.location.href; }); const vgoAlias = typeof visitorGlobalObjectAlias === 'undefined' ? 'vgo' : visitorGlobalObjectAlias; var visitorObject = window[vgoAlias]; if (email && typeof visitorObject !== 'undefined') { visitorObject('setEmail', email); visitorObject('update'); } else if (typeof(trackcmp_url) != 'undefined' && trackcmp_url) { // Site tracking URL to use after inline form submission. _load_script(trackcmp_url); } if (typeof window._form_callback !== 'undefined') window._form_callback(id); }; window._load_script = function(url, callback, isSubmit) { var head = document.querySelector('head'), script = document.createElement('script'), r = false; var submitButton = document.querySelector('#_form_7_submit'); script.charset = 'utf-8'; script.src = url; if (callback) { script.onload = script.onreadystatechange = function() { if (!r && (!this.readyState || this.readyState == 'complete')) { r = true; callback(); } }; } script.onerror = function() { if (isSubmit) { if (script.src.length > 10000) { _show_error("66BEB5FA3E402", "Sorry, your submission failed. Please shorten your responses and try again."); } else { _show_error("66BEB5FA3E402", "Sorry, your submission failed. Please try again."); } submitButton.disabled = false; submitButton.classList.remove('processing'); } } head.appendChild(script); }; (function() { if (window.location.search.search("excludeform") !== -1) return false; var getCookie = function(name) { var match = document.cookie.match(new RegExp('(^|; )' + name + '=([^;]+)')); return match ? match[2] : null; } var setCookie = function(name, value) { var now = new Date(); var time = now.getTime(); var expireTime = time + 1000 * 60 * 60 * 24 * 365; now.setTime(expireTime); document.cookie = name + '=' + value + '; expires=' + now + ';path=/; Secure; SameSite=Lax;'; } var addEvent = function(element, event, func) { if (element.addEventListener) { element.addEventListener(event, func); } else { var oldFunc = element['on' + event]; element['on' + event] = function() { oldFunc.apply(this, arguments); func.apply(this, arguments); }; } } var _removed = false; var _form_output = '\<style\>@import url(https:\/\/fonts.bunny.net\/css?family=ibm-plex-sans:400,600);\<\/style\>\<style\>\n#_form_66BEB5FA3E402_{font-size:14px;line-height:1.6;font-family:arial, helvetica, sans-serif;margin:0}#_form_66BEB5FA3E402_ *{outline:0}._form_hide{display:none;visibility:hidden}._form_show{display:block;visibility:visible}#_form_66BEB5FA3E402_._form-top{top:0}#_form_66BEB5FA3E402_._form-bottom{bottom:0}#_form_66BEB5FA3E402_._form-left{left:0}#_form_66BEB5FA3E402_._form-right{right:0}#_form_66BEB5FA3E402_ input[type=\"text\"],#_form_66BEB5FA3E402_ input[type=\"tel\"],#_form_66BEB5FA3E402_ input[type=\"date\"],#_form_66BEB5FA3E402_ textarea{padding:6px;height:auto;border:#979797 1px solid;border-radius:4px;color:#000000 !important;font-size:14px;-webkit-box-sizing:border-box;-moz-box-sizing:border-box;box-sizing:border-box}#_form_66BEB5FA3E402_ textarea{resize:none}#_form_66BEB5FA3E402_ ._submit{-webkit-appearance:none;cursor:pointer;font-family:arial, sans-serif;font-size:14px;text-align:center;background:#333333 !important;border:0 !important;-moz-border-radius:4px !important;-webkit-border-radius:4px !important;border-radius:4px !important;color:#FFFFFF !important;padding:10px !important}#_form_66BEB5FA3E402_ ._submit:disabled{cursor:not-allowed;opacity:0.4}#_form_66BEB5FA3E402_ ._submit.processing{position:relative}#_form_66BEB5FA3E402_ ._submit.processing::before{content:\"\";width:1em;height:1em;position:absolute;z-index:1;top:50%;left:50%;border:double 3px transparent;border-radius:50%;background-image:linear-gradient(#333333, #333333), conic-gradient(#333333, #FFFFFF);background-origin:border-box;background-clip:content-box, border-box;animation:1200ms ease 0s infinite normal none running _spin}#_form_66BEB5FA3E402_ ._submit.processing::after{content:\"\";position:absolute;top:0;bottom:0;left:0;right:0;background:#333333 !important;border:0 !important;-moz-border-radius:4px !important;-webkit-border-radius:4px !important;border-radius:4px !important;color:#FFFFFF !important;padding:10px !important}@keyframes _spin{0%{transform:translate(-50%, -50%) rotate(90deg)}100%{transform:translate(-50%, -50%) rotate(450deg)}}#_form_66BEB5FA3E402_ ._close-icon{cursor:pointer;background-image:url(\"https:\/\/d226aj4ao1t61q.cloudfront.net\/esfkyjh1u_forms-close-dark.png\");background-repeat:no-repeat;background-size:14.2px 14.2px;position:absolute;display:block;top:11px;right:9px;overflow:hidden;width:16.2px;height:16.2px}#_form_66BEB5FA3E402_ ._close-icon:before{position:relative}#_form_66BEB5FA3E402_ ._form-body{margin-bottom:30px}#_form_66BEB5FA3E402_ ._form-image-left{width:150px;float:left}#_form_66BEB5FA3E402_ ._form-content-right{margin-left:164px}#_form_66BEB5FA3E402_ ._form-branding{color:#fff;font-size:10px;clear:both;text-align:left;margin-top:30px;font-weight:100}#_form_66BEB5FA3E402_ ._form-branding ._logo{display:block;width:130px;height:14px;margin-top:6px;background-image:url(\"https:\/\/d226aj4ao1t61q.cloudfront.net\/hh9ujqgv5_aclogo_li.png\");background-size:130px auto;background-repeat:no-repeat}#_form_66BEB5FA3E402_ .form-sr-only{position:absolute;width:1px;height:1px;padding:0;margin:-1px;overflow:hidden;clip:rect(0, 0, 0, 0);border:0}#_form_66BEB5FA3E402_ ._form-label,#_form_66BEB5FA3E402_ ._form_element ._form-label{font-weight:bold;margin-bottom:5px;display:block}#_form_66BEB5FA3E402_._dark ._form-branding{color:#333}#_form_66BEB5FA3E402_._dark ._form-branding ._logo{background-image:url(\"https:\/\/d226aj4ao1t61q.cloudfront.net\/jftq2c8s_aclogo_dk.png\")}#_form_66BEB5FA3E402_ ._form_element{position:relative;margin-bottom:10px;font-size:0;max-width:100%}#_form_66BEB5FA3E402_ ._form_element *{font-size:14px}#_form_66BEB5FA3E402_ ._form_element._clear{clear:both;width:100%;float:none}#_form_66BEB5FA3E402_ ._form_element._clear:after{clear:left}#_form_66BEB5FA3E402_ ._form_element input[type=\"text\"],#_form_66BEB5FA3E402_ ._form_element input[type=\"date\"],#_form_66BEB5FA3E402_ ._form_element select,#_form_66BEB5FA3E402_ ._form_element textarea:not(.g-recaptcha-response){display:block;width:100%;-webkit-box-sizing:border-box;-moz-box-sizing:border-box;box-sizing:border-box;font-family:inherit}#_form_66BEB5FA3E402_ ._field-wrapper{position:relative}#_form_66BEB5FA3E402_ ._inline-style{float:left}#_form_66BEB5FA3E402_ ._inline-style input[type=\"text\"]{width:150px}#_form_66BEB5FA3E402_ ._inline-style:not(._clear)+._inline-style:not(._clear){margin-left:20px}#_form_66BEB5FA3E402_ ._form_element img._form-image{max-width:100%}#_form_66BEB5FA3E402_ ._form_element ._form-fieldset{border:0;padding:0.01em 0 0 0;margin:0;min-width:0}#_form_66BEB5FA3E402_ ._clear-element{clear:left}#_form_66BEB5FA3E402_ ._full_width{width:100%}#_form_66BEB5FA3E402_ ._form_full_field{display:block;width:100%;margin-bottom:10px}#_form_66BEB5FA3E402_ input[type=\"text\"]._has_error,#_form_66BEB5FA3E402_ textarea._has_error{border:#F37C7B 1px solid}#_form_66BEB5FA3E402_ input[type=\"checkbox\"]._has_error{outline:#F37C7B 1px solid}#_form_66BEB5FA3E402_ ._error{display:block;position:absolute;font-size:14px;z-index:10000001}#_form_66BEB5FA3E402_ ._error._above{padding-bottom:4px;bottom:39px;right:0}#_form_66BEB5FA3E402_ ._error._below{padding-top:8px;top:100%;right:0}#_form_66BEB5FA3E402_ ._error._above ._error-arrow{bottom:-4px;right:15px;border-left:8px solid transparent;border-right:8px solid transparent;border-top:8px solid #FFDDDD}#_form_66BEB5FA3E402_ ._error._below ._error-arrow{top:0;right:15px;border-left:8px solid transparent;border-right:8px solid transparent;border-bottom:8px solid #FFDDDD}#_form_66BEB5FA3E402_ ._error-inner{padding:12px 12px 12px 36px;background-color:#FFDDDD;background-image:url(\"data:image\/svg+xml,%3Csvg width=\'16\' height=\'16\' viewBox=\'0 0 16 16\' fill=\'none\' xmlns=\'http:\/\/www.w3.org\/2000\/svg\'%3E%3Cpath fill-rule=\'evenodd\' clip-rule=\'evenodd\' d=\'M16 8C16 12.4183 12.4183 16 8 16C3.58172 16 0 12.4183 0 8C0 3.58172 3.58172 0 8 0C12.4183 0 16 3.58172 16 8ZM9 3V9H7V3H9ZM9 13V11H7V13H9Z\' fill=\'%23CA0000\'\/%3E%3C\/svg%3E\");background-repeat:no-repeat;background-position:12px center;font-size:14px;font-family:arial, sans-serif;font-weight:600;line-height:16px;color:#000;text-align:center;text-decoration:none;-webkit-border-radius:4px;-moz-border-radius:4px;border-radius:4px;box-shadow:0px 1px 4px rgba(31, 33, 41, 0.298295)}#_form_66BEB5FA3E402_ ._error-inner._form_error{margin-bottom:5px;text-align:left}#_form_66BEB5FA3E402_ ._button-wrapper ._error-inner._form_error{position:static}#_form_66BEB5FA3E402_ ._error-inner._no_arrow{margin-bottom:10px}#_form_66BEB5FA3E402_ ._error-arrow{position:absolute;width:0;height:0}#_form_66BEB5FA3E402_ ._error-html{margin-bottom:10px}.pika-single{z-index:10000001 !important}#_form_66BEB5FA3E402_ input[type=\"text\"].datetime_date{width:69%;display:inline}#_form_66BEB5FA3E402_ select.datetime_time{width:29%;display:inline;height:32px}#_form_66BEB5FA3E402_ input[type=\"date\"].datetime_date{width:69%;display:inline-flex}#_form_66BEB5FA3E402_ input[type=\"time\"].datetime_time{width:29%;display:inline-flex}@media (min-width:320px) and (max-width:667px){::-webkit-scrollbar{display:none}#_form_66BEB5FA3E402_{margin:0;width:100%;min-width:100%;max-width:100%;box-sizing:border-box}#_form_66BEB5FA3E402_ *{-webkit-box-sizing:border-box;-moz-box-sizing:border-box;box-sizing:border-box;font-size:1em}#_form_66BEB5FA3E402_ ._form-content{margin:0;width:100%}#_form_66BEB5FA3E402_ ._form-inner{display:block;min-width:100%}#_form_66BEB5FA3E402_ ._form-title,#_form_66BEB5FA3E402_ ._inline-style{margin-top:0;margin-right:0;margin-left:0}#_form_66BEB5FA3E402_ ._form-title{font-size:1.2em}#_form_66BEB5FA3E402_ ._form_element{margin:0 0 20px;padding:0;width:100%}#_form_66BEB5FA3E402_ ._form-element,#_form_66BEB5FA3E402_ ._inline-style,#_form_66BEB5FA3E402_ input[type=\"text\"],#_form_66BEB5FA3E402_ label,#_form_66BEB5FA3E402_ p,#_form_66BEB5FA3E402_ textarea:not(.g-recaptcha-response){float:none;display:block;width:100%}#_form_66BEB5FA3E402_ ._row._checkbox-radio label{display:inline}#_form_66BEB5FA3E402_ ._row,#_form_66BEB5FA3E402_ p,#_form_66BEB5FA3E402_ label{margin-bottom:0.7em;width:100%}#_form_66BEB5FA3E402_ ._row input[type=\"checkbox\"],#_form_66BEB5FA3E402_ ._row input[type=\"radio\"]{margin:0 !important;vertical-align:middle !important}#_form_66BEB5FA3E402_ ._row input[type=\"checkbox\"]+span label{display:inline}#_form_66BEB5FA3E402_ ._row span label{margin:0 !important;width:initial !important;vertical-align:middle !important}#_form_66BEB5FA3E402_ ._form-image{max-width:100%;height:auto !important}#_form_66BEB5FA3E402_ input[type=\"text\"]{padding-left:10px;padding-right:10px;font-size:16px;line-height:1.3em;-webkit-appearance:none}#_form_66BEB5FA3E402_ input[type=\"radio\"],#_form_66BEB5FA3E402_ input[type=\"checkbox\"]{display:inline-block;width:1.3em;height:1.3em;font-size:1em;margin:0 0.3em 0 0;vertical-align:baseline}#_form_66BEB5FA3E402_ button[type=\"submit\"]{padding:20px;font-size:1.5em}#_form_66BEB5FA3E402_ ._inline-style{margin:20px 0 0 !important}}#_form_66BEB5FA3E402_{position:relative;text-align:left;margin:25px auto 0;padding:20px;-webkit-box-sizing:border-box;-moz-box-sizing:border-box;box-sizing:border-box;background:#FFFFFF !important;border:0px solid #B0B0B0 !important;-moz-border-radius:0px !important;-webkit-border-radius:0px !important;border-radius:0px !important;color:#000000}#_form_66BEB5FA3E402_._inline-form,#_form_66BEB5FA3E402_._inline-form ._form-content{font-family:\"IBM Plex Sans\", Helvetica, sans-serif}#_form_66BEB5FA3E402_._inline-form ._row span,#_form_66BEB5FA3E402_._inline-form ._row label{font-family:\"IBM Plex Sans\", Helvetica, sans-serif;font-size:14px;font-weight:400;line-height:1.6em}#_form_66BEB5FA3E402__inlineform input[type=\"text\"],#_form_66BEB5FA3E402__inlineform input[type=\"date\"],#_form_66BEB5FA3E402__inlineform input[type=\"tel\"],#_form_66BEB5FA3E402__inlineform select,#_form_66BEB5FA3E402__inlineform textarea:not(.g-recaptcha-response){font-family:\"IBM Plex Sans\", Helvetica, sans-serif;font-size:14px;font-weight:400;font-color:#000000;line-height:1.6em}#_form_66BEB5FA3E402_._inline-form ._html-code *:not(h1, h2, h3, h4, h5, h6),#_form_66BEB5FA3E402_._inline-form ._form-thank-you{font-family:\"IBM Plex Sans\", Helvetica, sans-serif}#_form_66BEB5FA3E402_._inline-form ._form-label,#_form_66BEB5FA3E402_._inline-form ._form-emailidentifier,#_form_66BEB5FA3E402_._inline-form ._form-checkbox-option-label{font-family:\"IBM Plex Sans\", Helvetica, sans-serif;font-size:14px;font-weight:700;line-height:1.6em}#_form_66BEB5FA3E402_._inline-form ._submit{margin-top:12px;font-family:\"IBM Plex Sans\", Helvetica, sans-serif}#_form_66BEB5FA3E402_._inline-form ._html-code h1,#_form_66BEB5FA3E402_._inline-form ._html-code h2,#_form_66BEB5FA3E402_._inline-form ._html-code h3,#_form_66BEB5FA3E402_._inline-form ._html-code h4,#_form_66BEB5FA3E402_._inline-form ._html-code h5,#_form_66BEB5FA3E402_._inline-form ._html-code h6,#_form_66BEB5FA3E402_._inline-form ._form-title{font-size:22px;line-height:normal;font-weight:600;margin-bottom:0}#_form_66BEB5FA3E402_._inline-form ._form-branding{font-family:\"IBM Plex Sans\", Helvetica, sans-serif;font-size:13px;font-weight:100;font-style:normal;text-decoration:none}#_form_66BEB5FA3E402_:before,#_form_66BEB5FA3E402_:after{content:\" \";display:table}#_form_66BEB5FA3E402_:after{clear:both}#_form_66BEB5FA3E402_._inline-style{width:auto;display:inline-block}#_form_66BEB5FA3E402_._inline-style input[type=\"text\"],#_form_66BEB5FA3E402_._inline-style input[type=\"date\"]{padding:10px 12px}#_form_66BEB5FA3E402_._inline-style button._inline-style{position:relative;top:27px}#_form_66BEB5FA3E402_._inline-style p{margin:0}#_form_66BEB5FA3E402_._inline-style ._button-wrapper{position:relative;margin:27px 12.5px 0 20px}#_form_66BEB5FA3E402_ ._form-thank-you{position:relative;left:0;right:0;text-align:center;font-size:18px}#_form_66BEB5FA3E402_ ._form-pc-confirmation ._submit{margin-top:16px}@media (min-width:320px) and (max-width:667px){#_form_66BEB5FA3E402_._inline-form._inline-style ._inline-style._button-wrapper{margin-top:20px !important;margin-left:0 !important}}#_form_66BEB5FA3E402_ .iti.iti--allow-dropdown.iti--separate-dial-code{width:100%}#_form_66BEB5FA3E402_ .iti input{width:100%;height:32px;border:#979797 1px solid;border-radius:4px}#_form_66BEB5FA3E402_ .iti--separate-dial-code .iti__selected-flag{background-color:#FFFFFF;border-radius:4px}#_form_66BEB5FA3E402_ .iti--separate-dial-code .iti__selected-flag:hover{background-color:rgba(0, 0, 0, 0.05)}#_form_66BEB5FA3E402_ .iti__country-list{border-radius:4px;margin-top:4px;min-width:460px}#_form_66BEB5FA3E402_ .iti__country-list--dropup{margin-bottom:4px}#_form_66BEB5FA3E402_ .phone-error-hidden{display:none}#_form_66BEB5FA3E402_ .phone-error{color:#E40E49}#_form_66BEB5FA3E402_ .phone-input-error{border:1px solid #E40E49 !important}#_form_66BEB5FA3E402_._inline-form ._form-content ._form-list-subscriptions-field fieldset{margin:0;margin-bottom:1.1428571429em;border:none;padding:0}#_form_66BEB5FA3E402_._inline-form ._form-content ._form-list-subscriptions-field fieldset:last-child{margin-bottom:0}#_form_66BEB5FA3E402_._inline-form ._form-content ._form-list-subscriptions-field legend{margin-bottom:1.1428571429em}#_form_66BEB5FA3E402_._inline-form ._form-content ._form-list-subscriptions-field label{display:flex;align-items:flex-start;justify-content:flex-start;margin-bottom:0.8571428571em}#_form_66BEB5FA3E402_._inline-form ._form-content ._form-list-subscriptions-field label:last-child{margin-bottom:0}#_form_66BEB5FA3E402_._inline-form ._form-content ._form-list-subscriptions-field input{margin:0;margin-right:8px}#_form_66BEB5FA3E402_._inline-form ._form-content ._form-list-subscriptions-field ._form-checkbox-option-label{display:block;font-weight:400;margin-top:-4px}#_form_66BEB5FA3E402_._inline-form ._form-content ._form-list-subscriptions-field ._form-checkbox-option-label-with-description{display:block;font-weight:700;margin-top:-4px}#_form_66BEB5FA3E402_._inline-form ._form-content ._form-list-subscriptions-field ._form-checkbox-option-description{margin:0;font-size:0.8571428571em}#_form_66BEB5FA3E402_._inline-form ._form-content ._form-list-subscriptions-field ._form-subscriptions-unsubscribe-all-description{line-height:normal;margin-top:-2px}\<\/style\>\n\n\<div style=\"text-align: center;\"\>\n\<form method=\"POST\" action=\"https://encompass65500.activehosted.com\/proc.php\" id=\"_form_66BEB5FA3E402_\" class=\"_form _form_7 _inline-form _inline-style _dark\" novalidate data-styles-version=\"5\"\>\n \<input type=\"hidden\" name=\"u\" value=\"66BEB5FA3E402\" \/\>\n \<input type=\"hidden\" name=\"f\" value=\"7\" \/\>\n \<input type=\"hidden\" name=\"s\" \/\>\n \<input type=\"hidden\" name=\"c\" value=\"0\" \/\>\n \<input type=\"hidden\" name=\"m\" value=\"0\" \/\>\n \<input type=\"hidden\" name=\"act\" value=\"sub\" \/\>\n \<input type=\"hidden\" name=\"v\" value=\"2\" \/\>\n \<input type=\"hidden\" name=\"or\" value=\"48ca39b1a032d6f8091f8bf0845ddda7\" \/\>\n \<div class=\"_form-content\"\>\n \<div class=\"_form_element _x90520824 _inline-style _clear\" \>\n \<div class=\"_html-code\"\>\<p\>Signup for our monthly newsletter and receive 15% Off!\<\/p\>\<\/div\>\n \<\/div\>\n \<div class=\"_form_element _x19212861 _inline-style \" \>\n \<label for=\"fullname\" class=\"_form-label\"\>Full Name\<\/label\>\n \<div class=\"_field-wrapper\"\>\n \<input type=\"text\" id=\"fullname\" name=\"fullname\" placeholder=\"Type your name\" \/\>\n \<\/div\>\n\n \<\/div\>\n \<div class=\"_form_element _x92782667 _inline-style \" \>\n \<label for=\"email\" class=\"_form-label\"\>Email*\<\/label\>\n \<div class=\"_field-wrapper\"\>\n \<input type=\"text\" id=\"email\" name=\"email\" placeholder=\"Type your email\" required\/\>\n \<\/div\>\n\n \<\/div\>\n \<div class=\"_button-wrapper _inline-style\"\>\<button id=\"_form_7_submit\" class=\"_submit\" type=\"submit\"\>Submit\<\/button\>\<\/div\> \<div class=\"_clear-element\"\>\<\/div\>\n \<\/div\>\n \<div class=\"_form-thank-you\" style=\"display:none;\"\>\<\/div\>\n \<\/form\>\n\<\/div\>\n'; var _form_element = null, _form_elements = document.querySelectorAll('._form_7'); for (var fe = 0; fe < _form_elements.length; fe++) { _form_element = _form_elements[fe]; if (_form_element.innerHTML.trim() === '') break; _form_element = null; } if (!_form_element) { _form_element = document.createElement('div'); if (!document.body) { document.firstChild.appendChild(document.createElement('body')); } document.body.appendChild(_form_element); } _form_element.innerHTML = _form_output; var form_to_submit = document.getElementById('_form_66BEB5FA3E402_'); var allInputs = form_to_submit.querySelectorAll('input, select, textarea'), tooltips = [], submitted = false; var getUrlParam = function(name) { if (name.toLowerCase() !== 'email') { var params = new URLSearchParams(window.location.search); return params.get(name) || false; } // email is a special case because a plus is valid in the email address var qString = window.location.search; if (!qString) { return false; } var parameters = qString.substr(1).split('&'); for (var i = 0; i < parameters.length; i++) { var parameter = parameters[i].split('='); if (parameter[0].toLowerCase() === 'email') { return parameter[1] === undefined ? true : decodeURIComponent(parameter[1]); } } return false; }; var acctDateFormat = "%m/%d/%Y"; var getNormalizedDate = function(date, acctFormat) { var decodedDate = decodeURIComponent(date); if (acctFormat && acctFormat.match(/(%d|%e).*%m/gi) !== null) { return decodedDate.replace(/(\d{2}).*(\d{2}).*(\d{4})/g, '$3-$2-$1'); } else if (Date.parse(decodedDate)) { var dateObj = new Date(decodedDate); var year = dateObj.getFullYear(); var month = dateObj.getMonth() + 1; var day = dateObj.getDate(); return `${year}-${month < 10 ? `0${month}` : month}-${day < 10 ? `0${day}` : day}`; } return false; }; var getNormalizedTime = function(time) { var hour, minutes; var decodedTime = decodeURIComponent(time); var timeParts = Array.from(decodedTime.matchAll(/(\d{1,2}):(\d{1,2})\W*([AaPp][Mm])?/gm))[0]; if (timeParts[3]) { // 12 hour format var isPM = timeParts[3].toLowerCase() === 'pm'; if (isPM) { hour = parseInt(timeParts[1]) === 12 ? '12' : `${parseInt(timeParts[1]) + 12}`; } else { hour = parseInt(timeParts[1]) === 12 ? '0' : timeParts[1]; } } else { // 24 hour format hour = timeParts[1]; } var normalizedHour = parseInt(hour) < 10 ? `0${parseInt(hour)}` : hour; var minutes = timeParts[2]; return `${normalizedHour}:${minutes}`; }; for (var i = 0; i < allInputs.length; i++) { var regexStr = "field\\[(\\d+)\\]"; var results = new RegExp(regexStr).exec(allInputs[i].name); if (results != undefined) { allInputs[i].dataset.name = allInputs[i].name.match(/\[time\]$/) ? `${window.cfields[results[1]]}_time` : window.cfields[results[1]]; } else { allInputs[i].dataset.name = allInputs[i].name; } var fieldVal = getUrlParam(allInputs[i].dataset.name); if (fieldVal) { if (allInputs[i].dataset.autofill === "false") { continue; } if (allInputs[i].type == "radio" || allInputs[i].type == "checkbox") { if (allInputs[i].value == fieldVal) { allInputs[i].checked = true; } } else if (allInputs[i].type == "date") { allInputs[i].value = getNormalizedDate(fieldVal, acctDateFormat); } else if (allInputs[i].type == "time") { allInputs[i].value = getNormalizedTime(fieldVal); } else { allInputs[i].value = fieldVal; } } } var remove_tooltips = function() { for (var i = 0; i < tooltips.length; i++) { tooltips[i].tip.parentNode.removeChild(tooltips[i].tip); } tooltips = []; }; var remove_tooltip = function(elem) { for (var i = 0; i < tooltips.length; i++) { if (tooltips[i].elem === elem) { tooltips[i].tip.parentNode.removeChild(tooltips[i].tip); tooltips.splice(i, 1); return; } } }; var create_tooltip = function(elem, text) { var tooltip = document.createElement('div'), arrow = document.createElement('div'), inner = document.createElement('div'), new_tooltip = {}; if (elem.type != 'radio' && elem.type != 'checkbox') { tooltip.className = '_error'; arrow.className = '_error-arrow'; inner.className = '_error-inner'; inner.innerHTML = text; tooltip.appendChild(arrow); tooltip.appendChild(inner); elem.parentNode.appendChild(tooltip); } else { tooltip.className = '_error-inner _no_arrow'; tooltip.innerHTML = text; elem.parentNode.insertBefore(tooltip, elem); new_tooltip.no_arrow = true; } new_tooltip.tip = tooltip; new_tooltip.elem = elem; tooltips.push(new_tooltip); return new_tooltip; }; var resize_tooltip = function(tooltip) { var rect = tooltip.elem.getBoundingClientRect(); var doc = document.documentElement, scrollPosition = rect.top - ((window.pageYOffset || doc.scrollTop) - (doc.clientTop || 0)); if (scrollPosition < 40) { tooltip.tip.className = tooltip.tip.className.replace(/ ?(_above|_below) ?/g, '') + ' _below'; } else { tooltip.tip.className = tooltip.tip.className.replace(/ ?(_above|_below) ?/g, '') + ' _above'; } }; var resize_tooltips = function() { if (_removed) return; for (var i = 0; i < tooltips.length; i++) { if (!tooltips[i].no_arrow) resize_tooltip(tooltips[i]); } }; var validate_field = function(elem, remove) { var tooltip = null, value = elem.value, no_error = true; remove ? remove_tooltip(elem) : false; if (elem.type != 'checkbox') elem.className = elem.className.replace(/ ?_has_error ?/g, ''); if (elem.getAttribute('required') !== null) { if (elem.type == 'radio' || (elem.type == 'checkbox' && /any/.test(elem.className))) { var elems = form_to_submit.elements[elem.name]; if (!(elems instanceof NodeList || elems instanceof HTMLCollection) || elems.length <= 1) { no_error = elem.checked; } else { no_error = false; for (var i = 0; i < elems.length; i++) { if (elems[i].checked) no_error = true; } } if (!no_error) { tooltip = create_tooltip(elem, "Please select an option."); } } else if (elem.type =='checkbox') { var elems = form_to_submit.elements[elem.name], found = false, err = []; no_error = true; for (var i = 0; i < elems.length; i++) { if (elems[i].getAttribute('required') === null) continue; if (!found && elems[i] !== elem) return true; found = true; elems[i].className = elems[i].className.replace(/ ?_has_error ?/g, ''); if (!elems[i].checked) { no_error = false; elems[i].className = elems[i].className + ' _has_error'; err.push("Checking %s is required".replace("%s", elems[i].value)); } } if (!no_error) { tooltip = create_tooltip(elem, err.join('<br/>')); } } else if (elem.tagName == 'SELECT') { var selected = true; if (elem.multiple) { selected = false; for (var i = 0; i < elem.options.length; i++) { if (elem.options[i].selected) { selected = true; break; } } } else { for (var i = 0; i < elem.options.length; i++) { if (elem.options[i].selected && (!elem.options[i].value || (elem.options[i].value.match(/\n/g))) ) { selected = false; } } } if (!selected) { elem.className = elem.className + ' _has_error'; no_error = false; tooltip = create_tooltip(elem, "Please select an option."); } } else if (value === undefined || value === null || value === '') { elem.className = elem.className + ' _has_error'; no_error = false; tooltip = create_tooltip(elem, "This field is required."); } } if (no_error && (elem.id == 'field[]' || elem.id == 'ca[11][v]')) { if (elem.className.includes('phone-input-error')) { elem.className = elem.className + ' _has_error'; no_error = false; } } if (no_error && elem.name == 'email') { if (!value.match(/^[\+_a-z0-9-'&=]+(\.[\+_a-z0-9-']+)*@[a-z0-9-]+(\.[a-z0-9-]+)*(\.[a-z]{2,})$/i)) { elem.className = elem.className + ' _has_error'; no_error = false; tooltip = create_tooltip(elem, "Enter a valid email address."); } } if (no_error && /date_field/.test(elem.className)) { if (!value.match(/^\d\d\d\d-\d\d-\d\d$/)) { elem.className = elem.className + ' _has_error'; no_error = false; tooltip = create_tooltip(elem, "Enter a valid date."); } } tooltip ? resize_tooltip(tooltip) : false; return no_error; }; var needs_validate = function(el) { if(el.getAttribute('required') !== null){ return true } if(el.name === 'email' && el.value !== ""){ return true } if((el.id == 'field[]' || el.id == 'ca[11][v]') && el.className.includes('phone-input-error')){ return true } return false }; var validate_form = function(e) { var err = form_to_submit.querySelector('._form_error'), no_error = true; if (!submitted) { submitted = true; for (var i = 0, len = allInputs.length; i < len; i++) { var input = allInputs[i]; if (needs_validate(input)) { if (input.type == 'tel') { addEvent(input, 'blur', function() { this.value = this.value.trim(); validate_field(this, true); }); } if (input.type == 'text' || input.type == 'number' || input.type == 'time') { addEvent(input, 'blur', function() { this.value = this.value.trim(); validate_field(this, true); }); addEvent(input, 'input', function() { validate_field(this, true); }); } else if (input.type == 'radio' || input.type == 'checkbox') { (function(el) { var radios = form_to_submit.elements[el.name]; for (var i = 0; i < radios.length; i++) { addEvent(radios[i], 'click', function() { validate_field(el, true); }); } })(input); } else if (input.tagName == 'SELECT') { addEvent(input, 'change', function() { validate_field(this, true); }); } else if (input.type == 'textarea'){ addEvent(input, 'input', function() { validate_field(this, true); }); } } } } remove_tooltips(); for (var i = 0, len = allInputs.length; i < len; i++) { var elem = allInputs[i]; if (needs_validate(elem)) { if (elem.tagName.toLowerCase() !== "select") { elem.value = elem.value.trim(); } validate_field(elem) ? true : no_error = false; } } if (!no_error && e) { e.preventDefault(); } resize_tooltips(); return no_error; }; addEvent(window, 'resize', resize_tooltips); addEvent(window, 'scroll', resize_tooltips); var hidePhoneInputError = function(inputId) { var errorMessage = document.getElementById("error-msg-" + inputId); var input = document.getElementById(inputId); errorMessage.classList.remove("phone-error"); errorMessage.classList.add("phone-error-hidden"); input.classList.remove("phone-input-error"); }; var initializePhoneInput = function(input, defaultCountry) { return window.intlTelInput(input, { utilsScript: "https://unpkg.com/intl-tel-input@17.0.18/build/js/utils.js", autoHideDialCode: false, separateDialCode: true, initialCountry: defaultCountry, preferredCountries: [] }); } var setPhoneInputEventListeners = function(inputId, input, iti) { input.addEventListener('blur', function() { var errorMessage = document.getElementById("error-msg-" + inputId); if (input.value.trim()) { if (iti.isValidNumber()) { iti.setNumber(iti.getNumber()); if (errorMessage.classList.contains("phone-error")){ hidePhoneInputError(inputId); } } else { showPhoneInputError(inputId) } } else { if (errorMessage.classList.contains("phone-error")){ hidePhoneInputError(inputId); } } }); input.addEventListener("countrychange", function() { iti.setNumber(''); }); input.addEventListener("keydown", function(e) { var charCode = (e.which) ? e.which : e.keyCode; if (charCode > 31 && (charCode < 48 || charCode > 57) && charCode !== 8) { e.preventDefault(); } }); }; var showPhoneInputError = function(inputId) { var errorMessage = document.getElementById("error-msg-" + inputId); var input = document.getElementById(inputId); errorMessage.classList.add("phone-error"); errorMessage.classList.remove("phone-error-hidden"); input.classList.add("phone-input-error"); }; var _form_serialize = function(form){if(!form||form.nodeName!=="FORM"){return }var i,j,q=[];for(i=0;i<form.elements.length;i++){if(form.elements[i].name===""){continue}switch(form.elements[i].nodeName){case"INPUT":switch(form.elements[i].type){case"tel":q.push(form.elements[i].name+"="+encodeURIComponent(form.elements[i].previousSibling.querySelector('div.iti__selected-dial-code').innerText)+encodeURIComponent(" ")+encodeURIComponent(form.elements[i].value));break;case"text":case"number":case"date":case"time":case"hidden":case"password":case"button":case"reset":case"submit":q.push(form.elements[i].name+"="+encodeURIComponent(form.elements[i].value));break;case"checkbox":case"radio":if(form.elements[i].checked){q.push(form.elements[i].name+"="+encodeURIComponent(form.elements[i].value))}break;case"file":break}break;case"TEXTAREA":q.push(form.elements[i].name+"="+encodeURIComponent(form.elements[i].value));break;case"SELECT":switch(form.elements[i].type){case"select-one":q.push(form.elements[i].name+"="+encodeURIComponent(form.elements[i].value));break;case"select-multiple":for(j=0;j<form.elements[i].options.length;j++){if(form.elements[i].options[j].selected){q.push(form.elements[i].name+"="+encodeURIComponent(form.elements[i].options[j].value))}}break}break;case"BUTTON":switch(form.elements[i].type){case"reset":case"submit":case"button":q.push(form.elements[i].name+"="+encodeURIComponent(form.elements[i].value));break}break}}return q.join("&")}; const formSupportsPost = false; var form_submit = function(e) { e.preventDefault(); if (validate_form()) { // use this trick to get the submit button & disable it using plain javascript var submitButton = e.target.querySelector('#_form_7_submit'); submitButton.disabled = true; submitButton.classList.add('processing'); var serialized = _form_serialize( document.getElementById('_form_66BEB5FA3E402_') ).replace(/%0A/g, '\\n'); var err = form_to_submit.querySelector('._form_error'); err ? err.parentNode.removeChild(err) : false; async function submitForm() { var formData = new FormData(); const searchParams = new URLSearchParams(serialized); searchParams.forEach((value, key) => { if (key !== 'hideButton') { formData.append(key, value); } //formData.append(key, value); }); let request = { headers: { "Accept": "application/json" }, body: formData, method: "POST" }; let pageUrlParams = new URLSearchParams(window.location.search); if (pageUrlParams.has('t')) { request.headers.Authorization = 'Bearer ' + pageUrlParams.get('t'); } const response = await fetch('https://encompass65500.activehosted.com/proc.php?jsonp=true', request); return response.json(); } if (formSupportsPost) { submitForm().then((data) => { eval(data.js); }); } else { _load_script('https://encompass65500.activehosted.com/proc.php?' + serialized + '&jsonp=true', null, true); } } return false; }; addEvent(form_to_submit, 'submit', form_submit); })();