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4 forms found in the DOM

<form class="form-inline my-2 my-lg-0 text-light">
  <a href="/" class="btn btn-sm btn-outline-light">Back to Site</a>
</form>

POST .

<form method="post" action="." class="register-switch">
  <input type="checkbox" id="NewUser">
  <label for="NewUser"><strong>Register Now</strong> - I don't have a My Bell account</label>
</form>

POST .

<form method="post" action="." id="login-form" class="login form">
  <input type="hidden" name="code" value="295442.433484259">
  <input type="hidden" name="action" value="login">
  <div class="form-group mb-2">
    <label class="mb-0">Your Email Address:</label>
    <input type="text" name="loginUser" id="loginUser" value="" class="form-control" spellcheck="false">
  </div>
  <div class="form-group mb-2">
    <label class="mb-0">Your Password:</label>
    <input type="password" name="loginPass" id="loginPass" class="form-control">
  </div>
  <div class="mb-2">
    <label class="forgot"><a href="/my-bell/forgot/?c=295442.433484259" title="Click here to have your sign in details sent to you by e-mail">I forgot my password</a></label>
  </div>
  <button type="submit" class="btn btn-primary" role="button">Sign In</button>
</form>

POST .

<form method="post" action="." id="register-form" class="login register" autocomplete="off" style="display:none;" novalidate="novalidate">
  <input type="hidden" name="code" value="295442.433484259">
  <input type="hidden" name="action" value="register">
  <div class="form-group mb-2">
    <label class="mb-0"><strong>*</strong>Your Email Address:</label>
    <input type="text" name="acctEmail" id="registerEmail" value="" class="form-control required email">
  </div>
  <div class="form-row">
    <div class="col-12 col-md-6 mb-2">
      <label class="mb-0"><strong>*</strong>Choose a Password:</label>
      <input type="password" name="acctPass" id="registerPass" class="form-control required">
    </div>
    <div class="col-12 col-md-6 mb-2">
      <label class="mb-0"><strong>*</strong>Retype Password:</label>
      <input type="password" name="acctPassRetype" id="registerPassRetype" class="form-control required">
    </div>
  </div>
  <div class="form-row">
    <div class="col-12 col-md-6 mb-2">
      <label class="mb-0"><strong>*</strong>First Name:</label>
      <input type="text" name="acctFirstName" id="registerFirstName" value="" class="form-control required">
    </div>
    <div class="col-12 col-md-6 mb-2">
      <label class="mb-0"><strong>*</strong>Last Name:</label>
      <input type="text" name="acctLastName" id="registerLastName" value="" class="form-control required">
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  <div class="form-group mb-2">
    <label class="mb-0">Pronouns:</label>
    <select name="acctPronouns" class="form-control">
      <option></option>
      <option value="she">She / her / hers</option>
      <option value="he">He / him / his</option>
      <option value="they">They / them / their</option>
      <option value="firstname">Use first name</option>
    </select>
  </div>
  <div class="form-group mb-2">
    <label class="mb-0">Company:</label>
    <input type="text" name="acctCompany" id="registerCompany" value="" class="form-control">
  </div>
  <div class="form-row">
    <div class="col-12 col-md-6 mb-2">
      <label class="mb-0">Title:</label>
      <input type="text" name="acctTitle" id="registerTitle" value="" class="form-control">
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    <div class="col-12 col-md-6 mb-2">
      <label class="mb-0">Business Phone:</label>
      <input type="text" name="acctPhone" id="registerPhone" value="" class="form-control">
    </div>
  </div>
  <h3 class="mt-3 mb-0">Business Address</h3>
  <div class="form-group mb-2">
    <label class="mb-0">Street Address:</label>
    <input type="text" name="acctAddress" id="registerAddress" value="" class="form-control">
  </div>
  <div class="form-row">
    <div class="col-12 col-md-5 mb-2">
      <label class="mb-0">City/Town:</label>
      <input type="text" name="acctCity" id="registerCity" value="" class="form-control">
    </div>
    <div class="col-8 col-md-4 mb-2">
      <label class="mb-0">State/Province:</label>
      <input type="text" name="acctState" id="registerState" value="" class="form-control">
    </div>
    <div class="col-4 col-md-3 mb-2">
      <label class="mb-0">Zip/Post Code:</label>
      <input type="text" name="acctPostCode" id="registerPostCode" value="" class="form-control">
    </div>
  </div>
  <div class="form-group mb-2">
    <label class="mb-0">Country:</label>
    <input type="text" name="acctCountry" id="registerCountry" value="" class="form-control" placeholder="United States">
  </div>
  <div class="d-flex pt-2 mb-2">
    <div class="mr-auto">
      <label for="newsletter_subscribe">
        <input type="checkbox" name="newsletter_subscribe" id="newsletter_subscribe" value="1"> Yes, please add me to the Bell Leadership mailing list. </label>
    </div>
    <div class="text-right">
      <p><strong>* = required</strong></p>
    </div>
  </div>
  <button type="submit" class="btn btn-primary" role="button">Create Account</button>
</form>

Text Content

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BELL PERSONALITY PROFILE


ASSOCIATE EVALUATION FOR BEN JUDY OF COGENTRIX ENERGY POWER MANAGEMENT LLC

You are completing an evaluation for Ben Judy with Cogentrix Energy Power
Management LLC. If this information is not correct, please contact the Bell
Leadership office at (919) 967-7904 or the person who sent you this email.

This is a rare opportunity for Ben to learn how others perceive him/her. You can
best help Ben by being as honest and constructive as possible in answering these
questions. There will be no identifying information tied to the feedback Ben
receives. Written responses, in the second part of this survey, are presented in
random order along with other feedback Ben receives. All of your responses to
the survey will be included in the survey results. If you wish to edit or remove
any responses, please contact Bell Leadership by the survey deadline.

The average time to complete this survey is 45 minutes. If you are unable to
complete the survey at one time, you will have access to save and return to it.

We cannot stress enough how valuable your feedback is and how much we appreciate
your efforts. If you have any questions, please email Elijah Bainbridge or call
us at (919) 967-7904.

If you established a password for a previous survey or program, please enter it
below to add this survey to your account.  You will use your My Bell account to
sign into your survey account in the future.  If you are new to Bell Leadership,
please click where indicated to complete the one-step registration form.  Once
signed in, you will be able to complete your associate evaluation for Ben
Judy with Cogentrix Energy Power Management LLC.

Please include your e-mail address in your account registration so you can
retrieve your login information should you need to do so.  (Your e-mail address
will be used solely to send your login information at your request.  Neither
your name nor your e-mail address will appear on any reports that this
participant may receive.)

Register Now - I don't have a My Bell account
Your Email Address:
Your Password:
I forgot my password
Sign In
*Your Email Address:
*Choose a Password:
*Retype Password:
*First Name:
*Last Name:
Pronouns: She / her / hers He / him / his They / them / their Use first name
Company:
Title:
Business Phone:


BUSINESS ADDRESS

Street Address:
City/Town:
State/Province:
Zip/Post Code:
Country:
Yes, please add me to the Bell Leadership mailing list.

* = required

Create Account


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