f.institutesagentbroker.org
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http://f.institutesagentbroker.org/nsti/0/a2vod0yZ0xfuwrZh6j3Zrkd5tczZbby1Z7uv
Submission: On April 20 via manual from US — Scanned from DE
Submission: On April 20 via manual from US — Scanned from DE
Form analysis
1 forms found in the DOMPOST ../../cast/list/OptOut
<form method="POST" action="../../cast/list/OptOut">
<input type="HIDDEN" name="ok" value="../../cast/list/optout.jsp?a2vod0yZ0xfuwrZh6j3Zrkd5tczZbby1Z7uv">
<input type="HIDDEN" name="error" value="../../cast/list/optout.jsp?a2vod0yZ0xfuwrZh6j3Zrkd5tczZbby1Z7uv&error=true">
<input type="HIDDEN" name="zt" value="a2vod0yZ0xfuwrZh6j3Zrkd5tczZbby1Z7uv">
<div class="modal-header">
<h4 class="modal-title">Unsubscribe</h4>
</div>
<div class="modal-card-body">
<div class="modal-body">
<div class="row">
<div class="col-sm-12">
<div class="row">
<div class="col-sm-12">
<h3>YOU WILL BE MISSED</h3>
<p> As soon as you click on the <b>UNSUBSCRIBE</b> button below, <b class="userem">sylvia.lewis@amfam.com</b> will be unsubscribed from our email list.</p>
<p class="small">Please feel free to let us know why you are Unsubscribing.</p>
<p>
<b>
</b>
</p><b>
<div class="form-group">
<label>Why I am Unsubscribing:</label>
<input type="TEXT" size="80" name="reason" class="form-control" placeholder="Reason"> <i class="optional">(optional)</i>
</div>
</b>
</div><b>
</b>
</div><b>
</b>
</div><b>
</b>
</div><b>
</b>
</div><b>
<div class="modal-footer">
<input class="btn btn-primary waves-effect waves-light" type="SUBMIT" value="UNSUBSCRIBE">
</div>
</b>
</div><b>
</b>
</form>
Text Content
UNSUBSCRIBE YOU WILL BE MISSED As soon as you click on the UNSUBSCRIBE button below, sylvia.lewis@amfam.com will be unsubscribed from our email list. Please feel free to let us know why you are Unsubscribing. Why I am Unsubscribing: (optional)