act.turnoutpac.org
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2600:9000:225b:ea00:1d:a99:1900:93a1
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Submitted URL: https://links.e.turnoutpac.org/els/v2/gdXwSr~L7LMR/bHlzeWxsVU8yUm5DTW1Ta2F0K0RtTnJSWGhtQUlnc202K3ozS1pzbnpmdHpqRU5rbTZxVVdqWXNN...
Effective URL: https://act.turnoutpac.org/pet-save-medicare-pc-nc?utm_source=MS_EM_PET_2024.11.16_B4_Medicare-save_X__F1_S1_C1__acstc-main...
Submission: On November 16 via api from BE — Scanned from DE
Effective URL: https://act.turnoutpac.org/pet-save-medicare-pc-nc?utm_source=MS_EM_PET_2024.11.16_B4_Medicare-save_X__F1_S1_C1__acstc-main...
Submission: On November 16 via api from BE — Scanned from DE
Form analysis
2 forms found in the DOMPOST https://ptp.trilogyforms.com/save
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<input type="hidden" name="ActivityCode" data-role="form-name" value="pet.save-medicare-pc-nc">
<h2 class="landing-action-headline">↓ YOU MUST SIGN ↓</h2>
<div class="field-grouping">
<div class="field-row">
<div class="field">
<label class="field-label field-label-hide" for="FirstName"> First Name </label>
<input class="field-input " id="FirstName" name="FirstName" type="text" placeholder="First Name" data-msg-required="First Name Required">
</div>
<div class="field">
<label class="field-label field-label-hide" for="LastName"> Last Name </label>
<input class="field-input" id="LastName" name="LastName" type="text" placeholder="Last Name" data-msg-required="Last Name Required">
</div>
</div>
</div>
<div class="button-row">
<button class="button-submit" type="submit"> SUBMIT YOUR SIGNATURE → </button>
</div>
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POST https://ptp.trilogyforms.com/save
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<input type="hidden" name="ActivityCode" value="pet.save-medicare-pc-nc-survey">
<input type="hidden" name="EmailAddress" data-role="EmailAddress">
<section class="survey-step scene-position-1 " data-auto-advance="" data-scene="Question 3" style="display:none">
<h2 class="landing-action-step-headline">YOU'RE ALMOST DONE: ANSWER A FEW MORE QUICK QUESTIONS!</h2>
<div class="grouping grouping-radio">
<div class="grouping-question">How important is it to you personally to protect and expand vital programs like Medicare and Social Security?</div>
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<div class="button-row">
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<section class="survey-step scene-position-2 " data-auto-advance="" data-scene="Question 4" style="display:none">
<div class="yes_no">
<div class="yes_no-question">House Speaker Mike Johnson is an election-denying Trump loyalist who wants to cut vital programs like Medicare, Medicaid, and Social Security. <br><br> Are you concerned about the future of Social Security under
another Trump presidency with Republicans in control of both chambers of Congress?</div>
<div class="yes_no-options">
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<input class="yes_no-option-input" type="radio" name="_radio" value="No" id="field_340238_2">
<label class="yes_no-option-label" for="field_340238_2"> No </label>
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</div>
</div>
<div class="button-row">
</div>
</section>
<section class="survey-step scene-position-3 " data-auto-advance="" data-scene="Question 5" style="display:none">
<div class="yes_no">
<div class="yes_no-question">Do you think it's fair to cut Social Security when seniors have paid into it their entire working lives?</div>
<div class="yes_no-options">
<div class="yes_no-option" data-destination="">
<input class="yes_no-option-input" type="radio" name="_radio" value="Yes" id="field_340240_1">
<label class="yes_no-option-label" for="field_340240_1"> Yes </label>
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<div class="option" data-destination="">
<input class="yes_no-option-input" type="radio" name="_radio" value="No" id="field_340240_2">
<label class="yes_no-option-label" for="field_340240_2"> No </label>
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<div class="button-row">
</div>
</section>
<section class="survey-step scene-position-4 " data-auto-advance="" data-scene="Question 6" style="display:none">
<div class="yes_no">
<div class="yes_no-question">Did you know that Social Security is the major source of income for most of America’s seniors?</div>
<div class="yes_no-options">
<div class="yes_no-option" data-destination="">
<input class="yes_no-option-input" type="radio" name="_radio" value="Yes" id="field_340242_1">
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<label class="yes_no-option-label" for="field_340242_2"> No </label>
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<div class="button-row">
</div>
</section>
<section class="survey-step scene-position-5 " data-auto-advance="" data-scene="Question 7" style="display:none">
<div class="yes_no">
<div class="yes_no-question">Do you agree that we have a moral responsibility to care for and ensure that our seniors are afforded a basic standard of living?</div>
<div class="yes_no-options">
<div class="yes_no-option" data-destination="">
<input class="yes_no-option-input" type="radio" name="_radio" value="Agree" id="field_340244_1">
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<input class="yes_no-option-input" type="radio" name="_radio" value="Disagree" id="field_340244_2">
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<div class="button-row">
</div>
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<section class="survey-step scene-position-6 " data-scene="Question 8" style="display:none">
<div class="grouping grouping-checkbox">
<div class="grouping-question">Another Trump presidency means that our work is far from over. <br><br> Would you make a small sacrifice today to help rebuild our Democratic infrastructure so we can fight back against Trump’s dangerous policies
at every turn?</div>
<div class="grouping-answers ">
</div>
</div>
<div class="button-row">
<button class="button-submit next">YES!</button>
</div>
</section>
<section class="survey-step scene-position-7 upsell final" data-auto-advance="" data-scene="Upsell" style="display:none">
<center>
<p><span style="font-size: 18pt;"><strong>We spent our bank account down to ZERO to boost Democratic Voter Turnout on Election Day.</strong></span></p>
<p> </p>
<p><span style="font-size: 18pt;"><strong>We don’t regret leaving it all on the line… but we need an influx of cash immediately to fight back against another Trump Presidency.</strong></span></p>
</center>
<div class="button-grouping">
<h3 class="button-grouping-headline">Will you chip in $14.82 (our average donation!) to Progressive Turnout Project to help rebuild our Democratic Infrastructure to defend against Trump’s attacks on our democracy? Concerned donors are standing
by to 300%-Match your donation: <div class="express-blurb"><span style="color: grey;font-size:16px;"> Please use the buttons below to start a monthly donation through ActBlue >></span></div>
</h3>
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<label class="button-grouping-option-label" for="donate_14_82"> DONATE: $14.82 </label>
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<label class="button-grouping-option-label" for="donate_35"> DONATE: $35 </label>
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<input class="button-grouping-option-input" type="radio" name="donate" value="https://secure.actblue.com/donate/ms_ptp_surv_2024_pe-mg-300x?recurring=auto&amount=50" id="donate_50">
<label class="button-grouping-option-label" for="donate_50"> DONATE: $50 </label>
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Text Content
Hub Sign the petition to stand with President Biden and SAVE Medicare from Mike Johnson’s GOP House Majority ↓ YOU MUST SIGN ↓ First Name Last Name SUBMIT YOUR SIGNATURE → 0% Completed YOU'RE ALMOST DONE: ANSWER A FEW MORE QUICK QUESTIONS! How important is it to you personally to protect and expand vital programs like Medicare and Social Security? Very Important Somewhat Important I have no opinion Somewhat Unimportant Very Unimportant House Speaker Mike Johnson is an election-denying Trump loyalist who wants to cut vital programs like Medicare, Medicaid, and Social Security. Are you concerned about the future of Social Security under another Trump presidency with Republicans in control of both chambers of Congress? Yes No Do you think it's fair to cut Social Security when seniors have paid into it their entire working lives? Yes No Did you know that Social Security is the major source of income for most of America’s seniors? Yes No Do you agree that we have a moral responsibility to care for and ensure that our seniors are afforded a basic standard of living? Agree Disagree Another Trump presidency means that our work is far from over. Would you make a small sacrifice today to help rebuild our Democratic infrastructure so we can fight back against Trump’s dangerous policies at every turn? YES! We spent our bank account down to ZERO to boost Democratic Voter Turnout on Election Day. We don’t regret leaving it all on the line… but we need an influx of cash immediately to fight back against another Trump Presidency. WILL YOU CHIP IN $14.82 (OUR AVERAGE DONATION!) TO PROGRESSIVE TURNOUT PROJECT TO HELP REBUILD OUR DEMOCRATIC INFRASTRUCTURE TO DEFEND AGAINST TRUMP’S ATTACKS ON OUR DEMOCRACY? CONCERNED DONORS ARE STANDING BY TO 300%-MATCH YOUR DONATION: PLEASE USE THE BUTTONS BELOW TO START A MONTHLY DONATION THROUGH ACTBLUE >> DONATE: $14.82 DONATE: $3 DONATE: $35 DONATE: $50 DONATE CUSTOM AMOUNT Paid for by Progressive Turnout Project and not authorized by any candidate or candidate's committee. Privacy PolicyContact