www.ferguson.com Open in urlscan Pro
2a02:26f0:6c00:2aa::78a  Public Scan

Submitted URL: http://tags.bluekai.com/site/85350?e_id_s85350=d7d76cc40d6ca0a4012eb5ae25c7ec49dfe268af7c7fe19082d72deeb43310b0&p_id_s85...
Effective URL: https://www.ferguson.com/contactUs?utm_medium=email&utm_source=marketing&utm_campaign=rtoct22seasonaljobs&utm_bg=restrade...
Submission: On October 31 via api from IE — Scanned from DE

Form analysis 3 forms found in the DOM

POST /misc/ajax/getFlyoutLoginJSON.jsp;jsessionid=m7h6U14uIUd2O2riUXOAMGCKEv-x9oqIH7uLZ-ij?_DARGS=/www/cartridges/header/header.jsp.banner-login

<form method="post" autocomplete="off" action="/misc/ajax/getFlyoutLoginJSON.jsp;jsessionid=m7h6U14uIUd2O2riUXOAMGCKEv-x9oqIH7uLZ-ij?_DARGS=/www/cartridges/header/header.jsp.banner-login" id="bannerLogin" data-di-form-track="">
  <div style="display:none"><input name="_dyncharset" type="hidden" value="UTF-8" data-di-id="di-id-c0772797-d19c5a97"> </div>
  <div style="display:none"><input name="_dynSessConf" type="hidden" value="-5607712555737546178" data-di-id="di-id-c0772797-66de826"> </div><input name="/ferguson/userprofiling/ProfileAuthenticationFormHandler.loginRESTCall" type="hidden"
    value="true" data-di-id="di-id-f1c3c800-d33cea21"><input name="_D:/ferguson/userprofiling/ProfileAuthenticationFormHandler.loginRESTCall" type="hidden" value=" " data-di-id="di-id-c6280c8b-aec667c3"><input
    name="/ferguson/userprofiling/ProfileAuthenticationFormHandler.replyJSON" type="hidden" value="true" data-di-id="di-id-f81f9e98-2f607603"><input name="_D:/ferguson/userprofiling/ProfileAuthenticationFormHandler.replyJSON" type="hidden" value=" "
    data-di-id="di-id-47997f0-9b0bdb7e"><input name="/ferguson/userprofiling/ProfileAuthenticationFormHandler.value.login" id="banner_login" type="text" value="" data-di-id="#banner_login"><input
    name="_D:/ferguson/userprofiling/ProfileAuthenticationFormHandler.value.login" type="hidden" value=" " data-di-id="di-id-2bbf4975-3c297ad2"><input name="/ferguson/userprofiling/ProfileAuthenticationFormHandler.value.password" id="banner_password"
    type="password" value="" data-di-id="#banner_password"><input name="_D:/ferguson/userprofiling/ProfileAuthenticationFormHandler.value.password" type="hidden" value=" " data-di-id="di-id-c6280c8b-f5470b1c"><label class="fcheckbox fchecked"><input
      name="/ferguson/userprofiling/ProfileAuthenticationFormHandler.autoLogin" checked="checked" id="banner_autoLogin" type="checkbox" value="" data-di-id="#banner_autoLogin" style="width: 100%; height: 100%; margin-left: -10000px;"></label><input
    name="_D:/ferguson/userprofiling/ProfileAuthenticationFormHandler.autoLogin" type="hidden" value=" " data-di-id="di-id-47997f0-1c5d1887"><input name="/ferguson/userprofiling/ProfileAuthenticationFormHandler.login" id="login_btn_submit"
    type="hidden" value="submit" data-di-id="#login_btn_submit"><input name="_D:/ferguson/userprofiling/ProfileAuthenticationFormHandler.login" type="hidden" value=" " data-di-id="di-id-b377ff2a-3013cd1e">
  <div style="display:none"><input name="_DARGS" type="hidden" value="/www/cartridges/header/header.jsp.banner-login" data-di-id="di-id-6955ec9a-ae5e39d0"> </div>
</form>

POST /misc/ajax/getFlyoutLoginJSON.jsp;jsessionid=m7h6U14uIUd2O2riUXOAMGCKEv-x9oqIH7uLZ-ij?_DARGS=/www/cartridges/header/detailsUser-Anonymous.jsp.flyout-login

<form data-login-link="/myAccount/login" method="post" autocomplete="off" action="/misc/ajax/getFlyoutLoginJSON.jsp;jsessionid=m7h6U14uIUd2O2riUXOAMGCKEv-x9oqIH7uLZ-ij?_DARGS=/www/cartridges/header/detailsUser-Anonymous.jsp.flyout-login"
  id="flyout-login" data-link="https://www.ferguson.com/myAccount/profileLanding" data-di-form-track="">
  <div style="display:none"><input name="_dyncharset" type="hidden" value="UTF-8"> </div>
  <div style="display:none"><input name="_dynSessConf" type="hidden" value="-5607712555737546178"> </div>
  <p class="title">Login to Your Account</p>
  <div class="input">
    <input name="/ferguson/userprofiling/ProfileAuthenticationFormHandler.redirectURL" type="hidden" class="js-header-current-uri" value=""><input name="_D:/ferguson/userprofiling/ProfileAuthenticationFormHandler.redirectURL" type="hidden"
      value=" "><input name="/ferguson/userprofiling/ProfileAuthenticationFormHandler.replyJSON" type="hidden" value="true"><input name="_D:/ferguson/userprofiling/ProfileAuthenticationFormHandler.replyJSON" type="hidden" value=" ">
    <div>
      <label>Email Address</label>
      <input onblur="bindCaptchaToSubmitButton('js-header-email','js-header-login')" maxlength="75" name="login" placeholder="Enter your email" id="js-header-email" data-check-name="loginOnBlur" type="text" class="text-input mb-15 input-required"
        value=""><input name="_D:login" type="hidden" value=" ">
    </div>
    <div class="password-box">
      <label>Password</label>
      <input autocomplete="new-password" maxlength="25" name="password" id="js-header-password" placeholder="Enter your password" data-check-name="password" type="password" class="text-input mb-5 input-required" value=""><input name="_D:password"
        type="hidden" value=" "><i class="fg-icon-Show js-show-pwd show-pwd-btn"></i>
    </div>
  </div>
  <p class="note js-note">
    <a href="https://www.ferguson.com/myAccount/forgotPassword" class="blue small">Forgot Password?</a>
  </p>
  <label class="uikit">
    <label class="fcheckbox"><input name="/ferguson/userprofiling/ProfileAuthenticationFormHandler.autoLogin" style="width: 100%; height: 100%; opacity: 0; margin-left: -10000px;" type="checkbox" value="true"></label><input
      name="_D:/ferguson/userprofiling/ProfileAuthenticationFormHandler.autoLogin" type="hidden" value=" "><span>Keep me logged in</span>
  </label>
  <button id="js-header-login-recaptcha" type="hidden" style="visibility: hidden;"></button>
  <p><input type="button" value="Login" class="button mainly" id="js-header-login" disabled=""></p>
  <input name="/ferguson/userprofiling/ProfileAuthenticationFormHandler.login" type="hidden" value="submit"><input name="_D:/ferguson/userprofiling/ProfileAuthenticationFormHandler.login" type="hidden" value=" ">
  <div style="display:none"><input name="_DARGS" type="hidden" value="/www/cartridges/header/detailsUser-Anonymous.jsp.flyout-login"> </div>
</form>

POST /www/cartridges/main/local/sendUsAnEmail.jsp;jsessionid=m7h6U14uIUd2O2riUXOAMGCKEv-x9oqIH7uLZ-ij?_DARGS=/www/cartridges/main/local/sendUsAnEmail.jsp.locationForm-desktop

<form method="POST" autocomplete="off" action="/www/cartridges/main/local/sendUsAnEmail.jsp;jsessionid=m7h6U14uIUd2O2riUXOAMGCKEv-x9oqIH7uLZ-ij?_DARGS=/www/cartridges/main/local/sendUsAnEmail.jsp.locationForm-desktop" id="locationForm"
  data-di-form-track="">
  <div style="display:none"><input name="_dyncharset" type="hidden" value="UTF-8" data-di-id="di-id-e0b5c6a8-bac7ded2"> </div>
  <div style="display:none"><input name="_dynSessConf" type="hidden" value="-5607712555737546178" data-di-id="di-id-a0e53dce-66de826"> </div>
  <fieldset>
    <div class="col-lg-6 col-md-6">
      <h3>your information</h3>
      <div class="form-group showroom-form-group">
        <label for="name" data-di-id="di-id-611c3697-94f8669e">NAME</label>
        <input maxlength="66" name="/ferguson/location/ContactUsFormHandler.communicationMessage.name" data-check-name="shippingName" type="text" value="" class="text-input gray-border form-control " data-di-id="di-id-22e5b1c0-3217fbf3"><input
          name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.name" type="hidden" value=" " data-di-id="di-id-e334f7a6-ac8064a3">
      </div>
      <div class="form-group showroom-form-group">
        <label for="company" data-di-id="di-id-c2ef879f-7e04f60a">COMPANY<em class="ml-5">(optional)</em></label>
        <input maxlength="75" name="/ferguson/location/ContactUsFormHandler.communicationMessage.company" data-check-name="shippingCompanyName" type="text" value="" class="text-input gray-border form-control"
          data-di-id="di-id-e34e84d3-c72cd7a7"><input name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.company" type="hidden" value=" " data-di-id="di-id-4342dbe7-9f038235">
      </div>
      <div class="form-group showroom-form-group">
        <label for="address1" data-di-id="di-id-e486c3ae-7e964b45">ADDRESS</label>
        <input maxlength="35" name="/ferguson/location/ContactUsFormHandler.communicationMessage.address1" data-check-name="shippingAddress1" type="text" value="" class="text-input gray-border form-control "
          data-di-id="di-id-66ea1f3e-316531f6"><input name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.address1" type="hidden" value=" " data-di-id="di-id-4342dbe7-451fc8d6"><input maxlength="35"
          name="/ferguson/location/ContactUsFormHandler.communicationMessage.address2" data-check-name="shippingAddress2" type="text" value="" class="text-input gray-border form-control mt-10" data-di-id="di-id-66ea1f3e-33238faf"><input
          name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.address2" type="hidden" value=" " data-di-id="di-id-4342dbe7-4759768f">
      </div>
      <div class="form-group showroom-form-group">
        <label for="city" data-di-id="di-id-611c3697-e7801aac">CITY</label>
        <input maxlength="30" name="/ferguson/location/ContactUsFormHandler.communicationMessage.city" data-check-name="shippingCity" type="text" value="" class="text-input gray-border form-control " data-di-id="di-id-22e5b1c0-86d4e1ed"><input
          name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.city" type="hidden" value=" " data-di-id="di-id-e334f7a6-18437ebd">
      </div>
      <div class="form-group row">
        <div class="col-lg-4 col-md-5">
          <label for="state" data-di-id="di-id-ac6b75f7-e2c201be">STATE</label>
          <div class="select secondary form-control ">
            <input name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.state" type="hidden" value=" " data-di-id="di-id-2db8058c-42d2dff5"><span class="select-el"><select
                name="/ferguson/location/ContactUsFormHandler.communicationMessage.state" data-check-name="shippingState" id="sendUsAnEmailState" class="form-control" tabindex="1" style="z-index: 8; visibility: hidden;">
                <option value="">&nbsp;</option>
                <option value="AL">AL - Alabama</option>
                <option value="AK">AK - Alaska</option>
                <option value="AZ">AZ - Arizona</option>
                <option value="AR">AR - Arkansas</option>
                <option value="CA">CA - California</option>
                <option value="CO">CO - Colorado</option>
                <option value="CT">CT - Connecticut</option>
                <option value="DE">DE - Delaware</option>
                <option value="DC">DC - District of Columbia</option>
                <option value="FL">FL - Florida</option>
                <option value="GA">GA - Georgia</option>
                <option value="HI">HI - Hawaii</option>
                <option value="ID">ID - Idaho</option>
                <option value="IL">IL - Illinois</option>
                <option value="IN">IN - Indiana</option>
                <option value="IA">IA - Iowa</option>
                <option value="KS">KS - Kansas</option>
                <option value="KY">KY - Kentucky</option>
                <option value="LA">LA - Louisiana</option>
                <option value="ME">ME - Maine</option>
                <option value="MD">MD - Maryland</option>
                <option value="MA">MA - Massachusetts</option>
                <option value="MI">MI - Michigan</option>
                <option value="MN">MN - Minnesota</option>
                <option value="MS">MS - Mississippi</option>
                <option value="MO">MO - Missouri</option>
                <option value="MT">MT - Montana</option>
                <option value="NE">NE - Nebraska</option>
                <option value="NV">NV - Nevada</option>
                <option value="NH">NH - New Hampshire</option>
                <option value="NJ">NJ - New Jersey</option>
                <option value="NM">NM - New Mexico</option>
                <option value="NY">NY - New York</option>
                <option value="NC">NC - North Carolina</option>
                <option value="ND">ND - North Dakota</option>
                <option value="OH">OH - Ohio</option>
                <option value="OK">OK - Oklahoma</option>
                <option value="OR">OR - Oregon</option>
                <option value="PA">PA - Pennsylvania</option>
                <option value="RI">RI - Rhode Island</option>
                <option value="SC">SC - South Carolina</option>
                <option value="SD">SD - South Dakota</option>
                <option value="TN">TN - Tennessee</option>
                <option value="TX">TX - Texas</option>
                <option value="UT">UT - Utah</option>
                <option value="VT">VT - Vermont</option>
                <option value="VA">VA - Virginia</option>
                <option value="WA">WA - Washington</option>
                <option value="WV">WV - West Virginia</option>
                <option value="WI">WI - Wisconsin</option>
                <option value="WY">WY - Wyoming</option>
              </select>
              <div class="sim-select" tabindex="0">
                <div class="sim-head"><span class="current" str="">&nbsp;</span><span class="sim-arrow"></span></div>
                <div class="sim-list">
                  <ul>
                    <li class="hover   " str="">&nbsp;</li>
                    <li class="   " str="AL" data-di-id="di-id-82644419-18dee0d0">AL - Alabama</li>
                    <li class="   " str="AK" data-di-id="di-id-63daa850-5c91162b">AK - Alaska</li>
                    <li class="   " str="AZ" data-di-id="di-id-82644419-e32fc7cb">AZ - Arizona</li>
                    <li class="   " str="AR" data-di-id="di-id-82644419-e7edddd4">AR - Arkansas</li>
                    <li class="   " str="CA" data-di-id="di-id-fc348648-815e8170">CA - California</li>
                    <li class="   " str="CO" data-di-id="di-id-82644419-9f04c714">CO - Colorado</li>
                    <li class="   " str="CT" data-di-id="di-id-9e97cb55-441015d1">CT - Connecticut</li>
                    <li class="   " str="DE" data-di-id="di-id-82644419-d2566de0">DE - Delaware</li>
                    <li class="   " str="DC" data-di-id="di-id-656879a6-a2dc72ad">DC - District of Columbia</li>
                    <li class="   " str="FL" data-di-id="di-id-82644419-991934de">FL - Florida</li>
                    <li class="   " str="GA" data-di-id="di-id-82644419-f7603c8d">GA - Georgia</li>
                    <li class="   " str="HI" data-di-id="di-id-63daa850-aa8bf807">HI - Hawaii</li>
                    <li class="   " str="ID" data-di-id="di-id-63daa850-bae7bc74">ID - Idaho</li>
                    <li class="   " str="IL" data-di-id="di-id-82644419-4c536718">IL - Illinois</li>
                    <li class="   " str="IN" data-di-id="di-id-82644419-c559b31">IN - Indiana</li>
                    <li class="   " str="IA" data-di-id="di-id-d3aef905-9e3ce71f">IA - Iowa</li>
                    <li class="   " str="KS" data-di-id="di-id-63daa850-8279e1f0">KS - Kansas</li>
                    <li class="   " str="KY" data-di-id="di-id-82644419-e6505a4f">KY - Kentucky</li>
                    <li class="   " str="LA" data-di-id="di-id-fc348648-1cccafae">LA - Louisiana</li>
                    <li class="   " str="ME" data-di-id="di-id-63daa850-deb5419f">ME - Maine</li>
                    <li class="   " str="MD" data-di-id="di-id-82644419-5a4216a2">MD - Maryland</li>
                    <li class="   " str="MA" data-di-id="di-id-70fb0934-99c2005e">MA - Massachusetts</li>
                    <li class="   " str="MI" data-di-id="di-id-82644419-36164f76">MI - Michigan</li>
                    <li class="   " str="MN" data-di-id="di-id-fc348648-65cc7cad">MN - Minnesota</li>
                    <li class="   " str="MS" data-di-id="di-id-9e97cb55-6c8d07b7">MS - Mississippi</li>
                    <li class="   " str="MO" data-di-id="di-id-82644419-88fb26d">MO - Missouri</li>
                    <li class="   " str="MT" data-di-id="di-id-82644419-94da5c54">MT - Montana</li>
                    <li class="   " str="NE" data-di-id="di-id-82644419-923e8970">NE - Nebraska</li>
                    <li class="   " str="NV" data-di-id="di-id-63daa850-b48b3ce6">NV - Nevada</li>
                    <li class="   " str="NH" data-di-id="di-id-70fb0934-645c3721">NH - New Hampshire</li>
                    <li class="   " str="NJ" data-di-id="di-id-fc348648-fbc1356f">NJ - New Jersey</li>
                    <li class="   " str="NM" data-di-id="di-id-fc348648-5f8b7b02">NM - New Mexico</li>
                    <li class="   " str="NY" data-di-id="di-id-82644419-d192ecd2">NY - New York</li>
                    <li class="   " str="NC" data-di-id="di-id-70fb0934-2532a783">NC - North Carolina</li>
                    <li class="   " str="ND" data-di-id="di-id-9e97cb55-798441ef">ND - North Dakota</li>
                    <li class="   " str="OH" data-di-id="di-id-d3aef905-e1b4de3f">OH - Ohio</li>
                    <li class="   " str="OK" data-di-id="di-id-82644419-1928c612">OK - Oklahoma</li>
                    <li class="   " str="OR" data-di-id="di-id-63daa850-50189bf2">OR - Oregon</li>
                    <li class="   " str="PA" data-di-id="di-id-9e97cb55-69e29962">PA - Pennsylvania</li>
                    <li class="   " str="RI" data-di-id="di-id-9e97cb55-c68bd647">RI - Rhode Island</li>
                    <li class="   " str="SC" data-di-id="di-id-70fb0934-a48ba90e">SC - South Carolina</li>
                    <li class="   " str="SD" data-di-id="di-id-9e97cb55-c008ceb">SD - South Dakota</li>
                    <li class="   " str="TN" data-di-id="di-id-fc348648-bb6ce3f9">TN - Tennessee</li>
                    <li class="   " str="TX" data-di-id="di-id-63daa850-d4bb4ce6">TX - Texas</li>
                    <li class="   " str="UT" data-di-id="di-id-d3aef905-8f6bc0f0">UT - Utah</li>
                    <li class="   " str="VT" data-di-id="di-id-82644419-c2505583">VT - Vermont</li>
                    <li class="   " str="VA" data-di-id="di-id-82644419-5f68e775">VA - Virginia</li>
                    <li class="   " str="WA" data-di-id="di-id-fc348648-1e4cd284">WA - Washington</li>
                    <li class="   " str="WV" data-di-id="di-id-70fb0934-80c1585c">WV - West Virginia</li>
                    <li class="   " str="WI" data-di-id="di-id-fc348648-bd6f0647">WI - Wisconsin</li>
                    <li class="   " str="WY" data-di-id="di-id-82644419-5841f3e0">WY - Wyoming</li>
                  </ul>
                </div>
              </div>
            </span>
          </div>
        </div>
        <div class="col-lg-4 col-md-5">
          <label for="zipCode" data-di-id="di-id-c5193abb-55215be3">ZIP CODE</label>
          <input maxlength="9" name="/ferguson/location/ContactUsFormHandler.communicationMessage.zipCode" data-check-name="shippingPostalCode" type="tel" value="" class="text-input form-control gray-border js-zipCode "
            data-di-id="di-id-db587030-ec574d98"><input name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.zipCode" type="hidden" value=" " data-di-id="di-id-6df6ad8f-9b7ec5e6">
        </div>
      </div>
      <div class="form-group">
        <h4 class="fc-grey fs-16">UNITED STATES</h4>
      </div>
      <div class="form-group showroom-form-group clearfix">
        <div class="type-group pull-left hidden-md">
          <label for="type" data-di-id="di-id-d8e6c769-1e6a476c">TYPE</label>
          <div class="select secondary form-control">
            <input name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.phoneType" type="hidden" value=" " data-di-id="di-id-a8fa4579-2a62e336"><span class="select-el"><select
                name="/ferguson/location/ContactUsFormHandler.communicationMessage.phoneType" class="form-control js-type-select" tabindex="1" style="z-index: 8; visibility: hidden;">
                <option value="Mobile">Mobile</option>
                <option value="Home">Home</option>
                <option value="Work" selected="">Work</option>
                <option value="Other">Other</option>
              </select>
              <div class="sim-select" tabindex="0">
                <div class="sim-head"><span class="current" str="Work">Work</span><span class="sim-arrow"></span></div>
                <div class="sim-list">
                  <ul>
                    <li class="   " str="Mobile" data-di-id="di-id-77678e61-17069ebb">Mobile</li>
                    <li class="   " str="Home" data-di-id="di-id-6fd48751-322767f9">Home</li>
                    <li class="hover   " str="Work" data-di-id="di-id-6fd48751-10bf03a9">Work</li>
                    <li class="   " str="Other" data-di-id="di-id-6fd48751-9ba95c27">Other</li>
                  </ul>
                </div>
              </div>
            </span>
          </div>
        </div>
        <div class="phone-group pull-left">
          <div class="phone-filed">
            <label for="phone-4" data-di-id="di-id-bcd79e01-259b3663">PHONE NUMBER</label>
            <div class="inline-filed">
              <span class="input-bracket">(</span>
              <input maxlength="3" pattern="\d*" name="/ferguson/location/ContactUsFormHandler.communicationMessage.phoneAreaCode" data-check-name="shippingPhoneNumber" type="text" value="" class="text-input gray-border input-length "
                data-di-id="di-id-1bb1ff0b-6f2ca9"><input name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.phoneAreaCode" type="hidden" value=" " data-di-id="di-id-adeb2dff-5ba4cc0f"><span class="input-bracket">)</span>
              <input maxlength="3" pattern="\d*" name="/ferguson/location/ContactUsFormHandler.communicationMessage.phoneFirstHalf" data-check-name="shippingPhoneNumber" type="text" value="" class="text-input gray-border input-length "
                data-di-id="di-id-fbc097ea-58e88507"><input name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.phoneFirstHalf" type="hidden" value=" " data-di-id="di-id-adeb2dff-4ac72366"><input maxlength="4" pattern="\d*"
                name="/ferguson/location/ContactUsFormHandler.communicationMessage.phoneSecondHalf" data-check-name="shippingPhoneNumber" type="text" value="" class="text-input gray-border third-input input-length "
                data-di-id="di-id-fbc097ea-c801a27f"><input name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.phoneSecondHalf" type="hidden" value=" " data-di-id="di-id-c2757efa-aaf17ecb">
            </div>
          </div>
        </div>
        <div id="js-ext-container" class="ext-group pull-left">
          <label for="ext" data-di-id="di-id-e5803e69-7020578a">EXT</label>
          <input maxlength="6" name="/ferguson/location/ContactUsFormHandler.communicationMessage.phoneExtension" id="phoneExtensionInput" data-check-name="shippingFaxNumber" type="tel" value=""
            class="text-input gray-border form-control input-length" data-di-id="#phoneExtensionInput"><input name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.phoneExtension" type="hidden" value=" "
            data-di-id="di-id-84cf52f8-c306df45">
        </div>
        <div class="shippingPhoneNumberError pull-left">
        </div>
      </div>
      <div class="form-group row">
        <div class="col-lg-10 col-md-10">
          <label for="email" data-di-id="di-id-73119374-c71fb3bb">EMAIL ADDRESS</label>
          <input maxlength="75" name="/ferguson/location/ContactUsFormHandler.communicationMessage.emailAddress" data-check-name="recipientEmail" type="text" value="" class="text-input gray-border form-control "
            data-di-id="di-id-8f7d7157-10cbdd33"><input name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.emailAddress" type="hidden" value=" " data-di-id="di-id-cee189ed-59332fe3">
        </div>
      </div>
      <div class="form-group contact-radio-box-row">
        <label for="contactu" data-di-id="di-id-bcd79e01-3abeb885">BEST WAY TO CONTACT YOU?</label>
        <div class="contact-radio-box">
          <label data-di-id="di-id-371248ba-2ff3c0e8">
            <label class="fradio fchecked"><input name="/ferguson/location/ContactUsFormHandler.communicationMessage.contactType" checked="checked" type="radio" value="work phone"
                style="width: 100%; height: 100%; margin-left: -10000px;"></label><input name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.contactType" type="hidden" value=" "><span>Work Phone</span>
          </label>
          <label data-di-id="di-id-ac6b75f7-90564285">
            <label class="fradio"><input name="/ferguson/location/ContactUsFormHandler.communicationMessage.contactType" type="radio" value="email" style="width: 100%; height: 100%; margin-left: -10000px;"></label><input
              name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.contactType" type="hidden" value=" "><span>Email</span>
          </label>
        </div>
      </div>
      <div class="form-group contact-check-box-row">
        <label for="email" data-di-id="di-id-bcd79e01-fec548f4">BEST TIME TO REACH YOU?</label>
        <div class="ai-choose-check-box">
          <p class="ai-check-item" data-di-id="di-id-d8e6c769-70324e72">
            <label>
              <label class="fcheckbox"><input name="/ferguson/location/ContactUsFormHandler.communicationMessage.reachType.morning" type="checkbox" value="true" style="width: 100%; height: 100%; margin-left: -10000px;"></label><input
                name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.reachType.morning" type="hidden" value=" "><span>Morning</span>
            </label>
          </p>
          <p class="ai-check-item" data-di-id="di-id-ac6b75f7-108f0676">
            <label>
              <label class="fcheckbox"><input name="/ferguson/location/ContactUsFormHandler.communicationMessage.reachType.afternoon" type="checkbox" value="true" style="width: 100%; height: 100%; margin-left: -10000px;"></label><input
                name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.reachType.afternoon" type="hidden" value=" "><span>Afternoon</span>
            </label>
          </p>
          <p class="ai-check-item" data-di-id="di-id-d8e6c769-b5c418d4">
            <label>
              <label class="fcheckbox"><input name="/ferguson/location/ContactUsFormHandler.communicationMessage.reachType.evening" type="checkbox" value="true" style="width: 100%; height: 100%; margin-left: -10000px;"></label><input
                name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.reachType.evening" type="hidden" value=" "><span>Evening</span>
            </label>
          </p>
        </div>
      </div>
      <div class="form-group form-group-last contact-check-box-row">
        <label for="email" data-di-id="di-id-bcd79e01-e80e80a">NEED ADDITIONAL SUPPORT?</label>
        <div>
          <p class="mb-5" data-di-id="di-id-206c149e-540bb984">Contact us at: <a href="tel:1-800-721-2590" class="fc-blue f-bold">1-800-721-2590</a></p>
          <p class="" data-di-id="di-id-9d7785f9-395ca300">Hours of operation: Monday - Friday 8a.m. - 6p.m. EST</p>
        </div>
      </div>
    </div>
    <div class="col-lg-6 col-md-6">
      <h3>your business</h3>
      <div class="ai-choose-box">
        <p class="ai-choose-title" data-di-id="di-id-2ca7b4ef-ae43cec3"> What best describes you or your business? </p>
        <div class="ai-choose-check-box email-right-check-box">
          <div class="ai-check-item">
            <label data-di-id="di-id-206c149e-8f6f8971">
              <label class="fcheckbox"><input name="/ferguson/location/ContactUsFormHandler.communicationMessage.businessType.homeownerOrConsumer" type="checkbox" value="true" style="width: 100%; height: 100%; margin-left: -10000px;"></label><input
                name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.businessType.homeownerOrConsumer" type="hidden" value=" "><span>Homeowner / Consumer</span>
            </label>
          </div>
          <div class="ai-check-item">
            <label data-di-id="di-id-fefb1d12-e6db028a">
              <label class="fcheckbox"><input name="/ferguson/location/ContactUsFormHandler.communicationMessage.businessType.kitchenAndBathDealer" type="checkbox" value="true" style="width: 100%; height: 100%; margin-left: -10000px;"></label><input
                name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.businessType.kitchenAndBathDealer" type="hidden" value=" "><span>Kitchen &amp; Bath Dealer</span>
            </label>
          </div>
          <div class="ai-check-item contact-right-check-box">
            <label class="pull-left" data-di-id="di-id-be776bf3-a4b3b288">
              <label class="fcheckbox"><input name="/ferguson/location/ContactUsFormHandler.communicationMessage.businessType.contractor" type="checkbox" value="true" style="width: 100%; height: 100%; margin-left: -10000px;"></label><input
                name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.businessType.contractor" type="hidden" value=" "><span>Contractor</span>
            </label>
            <div class="select secondary">
              <input name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.businessType.contractorContent" type="hidden" value=" " data-di-id="di-id-b4a6f62a-5b81c425"><span class="select-el"><select
                  name="/ferguson/location/ContactUsFormHandler.communicationMessage.businessType.contractorContent" class="form-control" tabindex="1" style="z-index: 8; visibility: hidden;">
                  <option value="">Choose One</option>
                  <option value="Builder">Builder</option>
                  <option value="Electrical">Electrical</option>
                  <option value="Fire Sprinkler">Fire Sprinkler</option>
                  <option value="General">General</option>
                  <option value="HVAC">HVAC</option>
                  <option value="Irrigation">Irrigation</option>
                  <option value="Mechanical">Mechanical</option>
                  <option value="Plumber">Plumber</option>
                  <option value="Utility">Utility</option>
                  <option value="Well Drill/Pump Dealer">Well Drill/Pump Dealer</option>
                  <option value="Other">Other</option>
                </select>
                <div class="sim-select" tabindex="0">
                  <div class="sim-head"><span class="current" str="">Choose One</span><span class="sim-arrow"></span></div>
                  <div class="sim-list">
                    <ul>
                      <li class="hover   " str="" data-di-id="di-id-9e97cb55-9a51b34">Choose One</li>
                      <li class="   " str="Builder" data-di-id="di-id-82644419-f3f0da0c">Builder</li>
                      <li class="   " str="Electrical" data-di-id="di-id-9e97cb55-e9fd3bb1">Electrical</li>
                      <li class="   " str="Fire Sprinkler" data-di-id="di-id-c8a8c0f9-a1dc67c2">Fire Sprinkler</li>
                      <li class="   " str="General" data-di-id="di-id-82644419-ebfe430f">General</li>
                      <li class="   " str="HVAC" data-di-id="di-id-63daa850-15c4a422">HVAC</li>
                      <li class="   " str="Irrigation" data-di-id="di-id-9e97cb55-38a6fef1">Irrigation</li>
                      <li class="   " str="Mechanical" data-di-id="di-id-9e97cb55-64ea79c8">Mechanical</li>
                      <li class="   " str="Plumber" data-di-id="di-id-82644419-3e4965ec">Plumber</li>
                      <li class="   " str="Utility" data-di-id="di-id-82644419-5606c222">Utility</li>
                      <li class="   " str="Well Drill/Pump Dealer" data-di-id="di-id-a5a2d23f-d760bb6a">Well Drill/Pump Dealer</li>
                      <li class="   " str="Other" data-di-id="di-id-63daa850-f5253f33">Other</li>
                    </ul>
                  </div>
                </div>
              </span>
            </div>
          </div>
          <div class="ai-check-item">
            <label data-di-id="di-id-be776bf3-68d6fa1d">
              <label class="fcheckbox"><input name="/ferguson/location/ContactUsFormHandler.communicationMessage.businessType.industrial" type="checkbox" value="true" style="width: 100%; height: 100%; margin-left: -10000px;"></label><input
                name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.businessType.industrial" type="hidden" value=" "><span>Industrial</span>
            </label>
          </div>
          <div class="ai-check-item">
            <label data-di-id="di-id-bcd79e01-d0f1e7a6">
              <label class="fcheckbox"><input name="/ferguson/location/ContactUsFormHandler.communicationMessage.businessType.municipality" type="checkbox" value="true" style="width: 100%; height: 100%; margin-left: -10000px;"></label><input
                name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.businessType.municipality" type="hidden" value=" "><span>Municipality</span>
            </label>
          </div>
          <div class="ai-check-item">
            <label data-di-id="di-id-fefb1d12-4838c29d">
              <label class="fcheckbox"><input name="/ferguson/location/ContactUsFormHandler.communicationMessage.businessType.governmentOrMilitary" type="checkbox" value="true" style="width: 100%; height: 100%; margin-left: -10000px;"></label><input
                name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.businessType.governmentOrMilitary" type="hidden" value=" "><span>Government / Military</span>
            </label>
          </div>
          <div class="ai-check-item contact-right-check-box">
            <label class="pull-left" data-di-id="di-id-c2ef879f-758c56a1">
              <label class="fcheckbox"><input name="/ferguson/location/ContactUsFormHandler.communicationMessage.businessType.other" type="checkbox" value="true" style="width: 100%; height: 100%; margin-left: -10000px;"></label><input
                name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.businessType.other" type="hidden" value=" "><span>Other:</span>
            </label>
            <input maxlength="35" name="/ferguson/location/ContactUsFormHandler.communicationMessage.businessType.otherContent" data-check-name="otherField" type="text" value="" class="text-input gray-border"
              data-di-id="di-id-c3f9c6a2-3daaf6f"><input name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.businessType.otherContent" type="hidden" value=" " data-di-id="di-id-6bd17ae-6d8739d2">
          </div>
        </div>
        <div class="ai-choose-check-box email-right-check-box">
          <p class="ai-choose-title" data-di-id="di-id-77678e61-3e2ff190"> Are You Currently a Ferguson Customer? </p>
          <div class="contact-radio-box">
            <label data-di-id="di-id-371248ba-1f1fdcf8">
              <label class="fradio"><input name="/ferguson/location/ContactUsFormHandler.communicationMessage.fergusonCustomer" type="radio" value="Yes" style="width: 100%; height: 100%; margin-left: -10000px;"></label><input
                name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.fergusonCustomer" type="hidden" value=" "><span>Yes</span>
            </label>
            <label data-di-id="di-id-c5193abb-248488e2">
              <label class="fradio"><input name="/ferguson/location/ContactUsFormHandler.communicationMessage.fergusonCustomer" type="radio" value="No" style="width: 100%; height: 100%; margin-left: -10000px;"></label><input
                name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.fergusonCustomer" type="hidden" value=" "><span>No</span>
            </label>
          </div>
        </div>
      </div>
      <div class="ai-right-cont">
        <div class="contact-right-box">
          <h3>your comments / questions</h3>
          <input name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.message" type="hidden" value=" " data-di-id="di-id-6df6ad8f-9c67f3ae"><textarea maxlength="500"
            name="/ferguson/location/ContactUsFormHandler.communicationMessage.message" class="contact-right-info"></textarea>
        </div>
        <div class="sendto-btn-box">
          <input name="/ferguson/location/ContactUsFormHandler.selectTitle" type="hidden" value="contactUs" data-di-id="di-id-fb23ce42-4b15d56"><input name="_D:/ferguson/location/ContactUsFormHandler.selectTitle" type="hidden" value=" "
            data-di-id="di-id-1243a0ee-2964c9a0"><input name="/ferguson/location/ContactUsFormHandler.contactUsErrorURL" type="hidden" value="/contactUs" data-di-id="di-id-5b91064f-a7922489"><input
            name="_D:/ferguson/location/ContactUsFormHandler.contactUsErrorURL" type="hidden" value=" " data-di-id="di-id-6ab4def5-9b387384"><input name="/ferguson/location/ContactUsFormHandler.contactUsSuccessURL" type="hidden"
            value="https://www.ferguson.com/contactUs/thank-you" data-di-id="di-id-90ebe6e7-87180a76"><input name="_D:/ferguson/location/ContactUsFormHandler.contactUsSuccessURL" type="hidden" value=" " data-di-id="di-id-d9b38472-5f79ccb4"><input
            name="/ferguson/location/ContactUsFormHandler.emailUs" type="submit" value="send to ferguson" class="button primary long" data-di-id="di-id-85930596-6bd0764"><input name="_D:/ferguson/location/ContactUsFormHandler.emailUs" type="hidden"
            value=" " data-di-id="di-id-f8e8571c-bc0732e2">
        </div>
      </div>
    </div>
  </fieldset>
  <div>
    <input name="/ferguson/location/ContactUsFormHandler.communicationMessage.branchId" type="hidden" value="" data-di-id="di-id-64e16742-f8b898e6"><input name="_D:/ferguson/location/ContactUsFormHandler.communicationMessage.branchId" type="hidden"
      value=" " data-di-id="di-id-8d366789-819b6151">
  </div>
  <div style="display:none"><input name="_DARGS" type="hidden" value="/www/cartridges/main/local/sendUsAnEmail.jsp.locationForm-desktop" data-di-id="di-id-fadbd4d0-ae5e39d0"> </div>
</form>

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