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2606:4700::6811:daf2  Public Scan

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Submitted URL: https://momentumos.com/
Effective URL: https://www.successcircles.net/5ttinfographic?r_done=1
Submission: On July 25 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

POST https://app.kartra.com//process/add_lead/uBerINOfsR9c

<form action="https://app.kartra.com//process/add_lead/uBerINOfsR9c" data-input-class="kartra_optin_input_giant" data-submit-bg="#fa920a" data-submit-color="#FFFFFF" data-submit-type="Solid" data-submit-size="kartra_btn_giant"
  data-submit-corners="Rounded" class="filled_optin unique_class__t0z31kqjx form_class_z1CQktIy0FoQ js_kartra_trackable_object unique_class__crf42v77q form_class_JcLS7guBxQYf form_class_4ic1DJpxKeYf form_class_uBerINOfsR9c" data-submit-text="Submit"
  data-submit-bold="700" data-display-icons="true" data-submit-shadow="btn_shadow_small" data-field-style="box" data-field-bg="#ffffff" data-field-color="#282828" style="margin: 0px 0px 14px;" data-optin-id="uBerINOfsR9c"
  data-domain="https://app.kartra.com/" data-text-color="" target="_top" method="POST" data-kt-type="optin" data-kt-value="uBerINOfsR9c" data-kt-owner="XpeGyQky" data-asset-id="0">
  <div class="kartra_optin_r">
    <style>
      div[class*="leads_capture"] .kartra_page_optin_form .unique_class__crf42v77q .kartra_optin_tnc-form button.btn.dropdown-toggle,
      div[class*="leads_capture"] .kartra_page_optin_form .unique_class__crf42v77q .kartra_optin_cg button.btn.dropdown-toggle {
        background-color: #ffffff;
        color: #282828 !important;
      }

      .unique_class__crf42v77q .kartra_optin_i {
        color: #282828 !important;
      }

      .unique_class__crf42v77q .kartra_optin_clabel {
        color: !important;
      }

      .unique_class__crf42v77q ::-webkit-input-placeholder {
        color: #282828 !important;
        opacity: 0.7;
      }

      .unique_class__crf42v77q ::-moz-placeholder {
        color: #282828 !important;
        opacity: 0.7;
      }

      .unique_class__crf42v77q :-ms-input-placeholder {
        color: #282828 !important;
        opacity: 0.7;
      }

      .unique_class__crf42v77q :-moz-placeholder {
        color: #282828 !important;
        opacity: 0.7;
      }

      div[class*="leads_capture"] .kartra_page_optin_form .kartra_optin_wrapper .unique_class__crf42v77q input[type=radio]+small,
      div[class*="leads_capture"] .kartra_page_optin_form .kartra_optin_wrapper .unique_class__crf42v77q input[type=checkbox]+small {
        background-color: #ffffff;
      }
    </style>
    <div class="kartra_optin_c1">
      <div class="kartra_optin_cg">
        <div class="kartra_optin_controls kartra_optin_input_giant kartra_optin_icon"><i class="kartra_optin_i kartraico-person" style="color: rgb(40, 40, 40);"></i>
          <div class="kartra_optin_asterisk"></div><input type="text" placeholder="First name" class="required_uBerINOfsR9c js_kartra_santitation kartra_optin_ti" name="first_name" data-santitation-type="front_name"
            style="background-color: rgb(255, 255, 255); color: rgb(40, 40, 40);">
        </div>
      </div>
      <div class="kartra_optin_cg">
        <div class="kartra_optin_controls kartra_optin_input_giant kartra_optin_icon"><i class="kartra_optin_i kartraico-person" style="color: rgb(40, 40, 40);"></i>
          <div class="kartra_optin_asterisk"></div><input type="text" placeholder="Last name..." class="required_uBerINOfsR9c js_kartra_santitation kartra_optin_ti" name="last_name" data-santitation-type="front_name"
            style="background-color: rgb(255, 255, 255); color: rgb(40, 40, 40);">
        </div>
      </div>
      <div class="kartra_optin_cg">
        <div class="kartra_optin_controls kartra_optin_input_giant kartra_optin_icon"><i class="kartra_optin_i kartraico-email" style="color: rgb(40, 40, 40);"></i>
          <div class="kartra_optin_asterisk"></div><input type="text" placeholder="Email" class="required_uBerINOfsR9c js_kartra_santitation kartra_optin_ti" name="email" data-santitation-type="email"
            style="background-color: rgb(255, 255, 255); color: rgb(40, 40, 40);">
        </div>
      </div>
      <div class="kartra_optin_cg">
        <div class="kartra_optin_controls kartra_optin_input_giant kartra_optin_icon"><i class="kartra_optin_i kartraico-edit" style="color: rgb(40, 40, 40);"></i><input type="text" autocomplete="false" placeholder="Mobile Number..." name="custom_3"
            class="js_kartra_santitation kartra_optin_ti" data-santitation-type="normal" style="background-color: rgb(255, 255, 255); color: rgb(40, 40, 40);"></div>
      </div>
      <div class="kartra_optin_cg">
        <div class="js_gdpr_wrapper clearfix kartra_optin_gdpr_wrppr" style="display: none;">
          <div class="gdpr_communications js_gdpr_communications kartra_optin_cg kartra_optin_gdpr_terms">
            <div class="kartra-optin-checkbox">
              <label class="kartra_optin_field-label kartra-optin-checkbox">
                <input name="gdpr_communications" type="checkbox" class="js_gdpr_communications_check" value="1">
                <small></small>
                <span class="js_gdpr_label_communications">I would like to receive future communications</span>
              </label>
            </div>
          </div>
          <div class="gdpr_terms js_gdpr_terms kartra_optin_cg kartra_optin_gdpr_terms">
            <div class="kartra-optin-checkbox">
              <label class="kartra_optin_field-label kartra-optin-checkbox">
                <input name="gdpr_terms" type="checkbox" class="js_gdpr_terms_check" value="1">
                <small></small>
                <span class="js_gdpr_label_terms">I agree to the GDPR Terms &amp; Conditions</span><!--
                --><button type="button" class="kartra_gdpr_popover_button js_gdpr_button_popover_trigger js_theme_border">
                  <i class="kartraico-info_letter js_kartra_popover_trigger js_kartra_popover_gdpr_trigger" data-popover="js_kartra_gdpr_popover"></i>
                </button>
              </label>
            </div>
            <div class="js_kartra_gdpr_popover js_kartra_popover kartra_optin_gdpr_terms_offer" style="display: none;">
              <div class="kartra_optin_popover">
                <div class="kartra_optin_popover-content kartra_optin_popover-content-npadding">
                  <span class="js_gdpr_terms_text">I confirm that I am at least 16 years of age or older<br>
                    <br> I have read and accept any EULA, Terms and Conditions, Acceptable Use Policy, and/or Data Processing Addendum which has been provided to me in connection with the software, products and/or services. <br>
                    <br> I have been fully informed and consent to the collection and use of my personal data for any purpose in connection with the software, products and/or services. <br>
                    <br> I understand that certain data, including personal data, must be collected or processed in order for you to provide any products or services I have requested or contracted for. I understand that in some cases it may be
                    required to use cookies or similar tracking to provide those products or services.. <br>
                    <br> I understand that I have the right to request access annually to any personal data you have obtained or collected regarding me. You have agreed to provide me with a record of my personal data in a readable format. <br>
                    <br> I also understand that I can revoke my consent and that I have the right to be forgotten. If I revoke my consent you will stop collecting or processing my personal data. I understand that if I revoke my consent, you may be
                    unable to provide contracted products or services to me, and I can not hold you responsible for that. <br>
                    <br> Likewise, if I properly request to be forgotten, you will delete the data you have for me, or make it inaccessible. I also understand that if there is a dispute regarding my personal data, I can contact someone who is
                    responsible for handling data-related concerns. If we are unable to resolve any issue, you will provide an independent service to arbitrate a resolution. If I have any questions regarding my rights or privacy, I can contact the
                    email address provided.</span>
                </div>
                <button type="button" class="js_gdpr_popover_close kartra_optin_popover-close js_utility_popover_close">
                  <i class="kartraico-clear"></i>
                </button>
              </div>
            </div>
          </div>
        </div><button type="submit" class="kartra_optin_submit_btn kartra_optin_btn_block kartra_optin_btn_giant submit_button_uBerINOfsR9c btn-rounded btn_shadow_small"
          style="background-color: rgb(250, 146, 10); color: rgb(255, 255, 255); font-weight: 700;">Submit</button>
      </div>
    </div>
  </div><input type="hidden" name="referrer" value="y2hm81AMP3oQ"><input type="hidden" name="kuid" value="527fba9b-c6c0-4fd5-8eef-b7459e487752">
</form>

Text Content

Disclaimer: Upon completing the form, you will become part of our Success
Circles mailing list. Please be assured that we will not spam you with countless
emails nor share or sell your information. We are here to share with you high
value content that you ask for.

THANK YOU!

Please complete the form below and you will have access to the 5toThrive
Framework infographic.

I would like to receive future communications
I agree to the GDPR Terms & Conditions
I confirm that I am at least 16 years of age or older

I have read and accept any EULA, Terms and Conditions, Acceptable Use Policy,
and/or Data Processing Addendum which has been provided to me in connection with
the software, products and/or services.

I have been fully informed and consent to the collection and use of my personal
data for any purpose in connection with the software, products and/or services.

I understand that certain data, including personal data, must be collected or
processed in order for you to provide any products or services I have requested
or contracted for. I understand that in some cases it may be required to use
cookies or similar tracking to provide those products or services..

I understand that I have the right to request access annually to any personal
data you have obtained or collected regarding me. You have agreed to provide me
with a record of my personal data in a readable format.

I also understand that I can revoke my consent and that I have the right to be
forgotten. If I revoke my consent you will stop collecting or processing my
personal data. I understand that if I revoke my consent, you may be unable to
provide contracted products or services to me, and I can not hold you
responsible for that.

Likewise, if I properly request to be forgotten, you will delete the data you
have for me, or make it inaccessible. I also understand that if there is a
dispute regarding my personal data, I can contact someone who is responsible for
handling data-related concerns. If we are unable to resolve any issue, you will
provide an independent service to arbitrate a resolution. If I have any
questions regarding my rights or privacy, I can contact the email address
provided.
Submit

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