petitions.signforgood.com Open in urlscan Pro
3.222.170.179  Public Scan

Form analysis
1 forms found in the DOM

POST /submit

<form action="/submit" method="POST" id="petitionForm" role="form" novalidate="novalidate">
  <div class="form-group ">
    <input type="text" name="firstName" id="firstName" placeholder="First Name" title="First Name" role="textbox" data-msg-required="First name is required." class="form-control text_input " data-rule-required="true" aria-required="true">
  </div>
  <div class="form-group hidden_xs">
    <input type="text" name="lastName" id="lastName" placeholder="Last Name" title="Last Name" role="textbox" data-msg-required="Last name is required." class="form-control text_input hide_on_mobile">
  </div>
  <!-- Email is required and cannot be blank. Email must also be a valid email address. -->
  <div class="form-group">
    <input type="email" name="email" id="email" placeholder="Email Address" title="Email Address" role="textbox" data-msg-required="Email address is required." data-rule-email="true" data-msg-email="Please enter a valid email address."
      class="form-control text_input " data-rule-required="true" aria-required="true">
    <!-- Support for mailcheck.js on signup page. https://github.com/Kicksend/mailcheck -->
    <div class="email-suggestion" style="display:none"> Did you mean <a class="suggested-email"><span class="address"></span>@<span class="domain"></span></a>? </div>
  </div>
  <!-- Zip code is required and cannot be blank. Zip code must also be a valid US code. -->
  <div class="form-group">
    <input type="text" name="zip" id="zip" placeholder="ZIP Code" title="ZIP Code" data-msg-required="Zip code is required." data-rule-zipcodeus="true" role="textbox" data-msg-zipcodeus="Please enter a valid zip code."
      class="form-control text_input hide_on_mobile">
  </div>
  <div class="form-group">
    <textarea name="comments" id="comments" placeholder="Share your note in support and appreciation for our nation’s veterans." title="Share your note in support and appreciation for our nation’s veterans."
      class="form-control textarea_input"></textarea>
  </div>
  <input type="hidden" name="campaign" id="campaign" value="ES-202411-veterans-day">
  <input type="hidden" name="code" id="mainCode" value="default">
  <input type="hidden" name="autoresponder" id="autoresponder" value="0">
  <input type="hidden" name="redirect" id="redirect" value="https://secure.easterseals.com/site/Donation2?idb=1007032688&amp;df_id=21645&amp;mfc_pref=T&amp;21645.donation=form1">
  <input type="hidden" name="mobile_commons_config" id="mobile_commons_config" value="">
  <input type="hidden" name="originalQuery" id="originalQuery" value="df_id=21645&amp;utm_campaign=202411veteransday&amp;utm_medium=email&amp;utm_source=engage&amp;s_src=jtk1442-su-d">
  <input type="submit" name="submit" id="submit" class="btn btn-danger btn-block" value="ADD YOUR NAME" role="button">
</form>

Text Content

Show your support and appreciation for our nation’s veterans!


SHOW YOUR SUPPORT AND APPRECIATION FOR OUR NATION’S VETERANS!

Did you mean @?




SHOW YOUR SUPPORT AND APPRECIATION FOR OUR NATION’S VETERANS!

We work every day to increase access to health care, child care, employment, and
mental health services for veterans. But for Veterans Day, we need your help to
show these heroes our gratitude and appreciation.

Will you sign our Veterans Day card now to support and honor our nation’s
veterans and thank them for their service to our country?


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