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Submitted URL: https://click.exct.legacyresearch.com/?qs=d693c6a1d150d0b4870e9846ef9f0a9f922476dd28e004487f57049cfe12780b92af3e4e58aeefba063dc79ead58...
Effective URL: https://signup.caseyresearch.com/?cid=MKT401591&eid=MKT639789&step=start&plcid=PLC142355&SNAID=SAC0019427707&email=gsheard@bcbsm....
Submission: On June 23 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

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  <div _ngcontent-c1="" class="form-group sna-b2b-email-wrapper"><label _ngcontent-c1="" for="b2bEmail">Email</label><input _ngcontent-c1="" class="form-control sna-b2b-email ng-untouched ng-pristine ng-invalid" id="b2bEmail" maxlength="80"
      name="email" required="" type="email" pattern="/^[A-Z0-9._%+-]+@[A-Z0-9.-]+\.[A-Z]{2,6}$/i"><!----></div>
  <div _ngcontent-c1="" class="form-group sna-b2b-first-name-wrapper"><label _ngcontent-c1="" for="b2bFirstName">First Name</label><input _ngcontent-c1="" class="form-control sna-b2b-first-name ng-untouched ng-pristine ng-invalid" id="b2bFirstName"
      maxlength="40" name="firstName" required="" type="text"><!----></div>
  <div _ngcontent-c1="" class="form-group sna-b2b-last-name-wrapper"><label _ngcontent-c1="" for="b2bLastName">Last Name</label><input _ngcontent-c1="" class="form-control sna-b2b-last-name ng-untouched ng-pristine ng-invalid" id="b2bLastName"
      maxlength="80" name="lastName" required="" type="text"><!----></div>
  <div _ngcontent-c1="" class="form-group sna-b2b-contact-record-type">
    <div _ngcontent-c1=""><label _ngcontent-c1="">Type</label></div><label _ngcontent-c1="" class="radio-inline"><input _ngcontent-c1="" class="sna-b2b-contact-record-type-radio ng-untouched ng-pristine ng-valid" name="contactRecordType" type="radio"
        value="bd"> Broker-Dealer </label><label _ngcontent-c1="" class="radio-inline"><input _ngcontent-c1="" class="sna-b2b-contact-record-type-radio ng-untouched ng-pristine ng-valid" name="contactRecordType" type="radio" value="ria"> Registered
      Investment Advisor </label>
  </div>
</form>

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