business.amazon.ca Open in urlscan Pro
65.8.178.89  Public Scan

Form analysis
2 forms found in the DOM

Name: new_form — POST https://www.amazonbusiness.ca/l/760653/2020-08-26/dkd1

<form data-thankyoupagepath="https://business.amazon.ca/en/contact-us" id="new_form" name="new_form" data-uid="form-container-565364016" enctype="application/x-www-form-urlencoded"
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  action="https://www.amazonbusiness.ca/l/760653/2020-08-26/dkd1" method="POST">
  <input type="hidden" name=":formstart" value="/content/amzn-biz/ca/en/contact-us/jcr:content/root/container/formcontainer_copy">
  <input type="hidden" name="_charset_" value="utf-8">
  <input type="hidden" name="ecid" class="ecidInput" value="18208504744626555460285053741181531360">
  <input type="hidden" name="ref_" value="ref_">
  <input type="hidden" name="cu_source" value="https://business.amazon.ca/en/contact-us">
  <div style="position:absolute; left:-9999px; top: -9999px;">
    <label for="pardot_extra_field">Comments</label>
    <input type="text" id="pardot_extra_field" name="pardot_extra_field" spellcheck="false" tabindex="-1" aria-describedby="pardot_extra_field--error">
    <div class="error" id="pardot_extra_field--error"></div>
  </div>
  <div class="cmp-form--pardot" id="abm-form-pardoterror" data-default-error-message="Your form could not be submitted due to an error">
    <div class="cmp-form--pardot--icon">!</div>
    <p>Your form could not be submitted due to an error</p>
  </div>
  <div
    class="formtext text aem-GridColumn--offset--medium--0 aem-GridColumn--medium--none aem-GridColumn--large--5 aem-GridColumn--offset--large--0 aem-GridColumn--xlarge--4 aem-GridColumn--large--none aem-GridColumn aem-GridColumn--small--12 aem-GridColumn--default--4 aem-GridColumn--medium--8">
    <div class="cmp-form-text " data-uid="form-text-1551540304">
      <label for="form-text-1551540303">First name*</label>
      <input class="cmp-form-text__text" data-cmp-hook-form-text="input" type="text" id="form-text-1551540303" name="first_name" required="" spellcheck="false" autocomplete="on" aria-describedby="form-text-1551540303--error">
      <div class="error" id="form-text-1551540303--error"></div>
    </div>
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  <div
    class="formtext text aem-GridColumn--offset--medium--0 aem-GridColumn--medium--none aem-GridColumn--large--5 aem-GridColumn--offset--large--0 aem-GridColumn--xlarge--4 aem-GridColumn--large--none aem-GridColumn aem-GridColumn--small--12 aem-GridColumn--default--4 aem-GridColumn--medium--8">
    <div class="cmp-form-text " data-uid="form-text-798413750">
      <label for="form-text-798413749">Last name*</label>
      <input class="cmp-form-text__text" data-cmp-hook-form-text="input" type="text" id="form-text-798413749" name="last_name" required="" spellcheck="false" autocomplete="on" aria-describedby="form-text-798413749--error">
      <div class="error" id="form-text-798413749--error"></div>
    </div>
  </div>
  <div
    class="formtext text aem-GridColumn--offset--medium--0 aem-GridColumn--medium--none aem-GridColumn--large--5 aem-GridColumn--offset--large--0 aem-GridColumn--xlarge--4 aem-GridColumn--large--none aem-GridColumn aem-GridColumn--small--12 aem-GridColumn--default--4 aem-GridColumn--medium--8">
    <div class="cmp-form-text " data-uid="form-text-150501590">
      <label for="form-text-150501589">Work email address*</label>
      <input class="cmp-form-text__text" data-cmp-hook-form-text="input" type="text" id="form-text-150501589" name="email" required="" spellcheck="false" autocomplete="on" aria-describedby="form-text-150501589--error">
      <div class="error" id="form-text-150501589--error"></div>
    </div>
  </div>
  <div
    class="formtext text aem-GridColumn--offset--medium--0 aem-GridColumn--medium--none aem-GridColumn--large--5 aem-GridColumn--offset--large--0 aem-GridColumn--xlarge--4 aem-GridColumn--large--none aem-GridColumn aem-GridColumn--small--12 aem-GridColumn--default--4 aem-GridColumn--medium--8">
    <div class="cmp-form-text " data-uid="form-text-104047064">
      <label for="form-text-104047065">Phone*</label>
      <input class="cmp-form-text__text" data-cmp-hook-form-text="input" type="text" id="form-text-104047065" name="phone" required="" spellcheck="false" autocomplete="on" aria-describedby="form-text-104047065--error">
      <div class="error" id="form-text-104047065--error"></div>
    </div>
  </div>
  <div
    class="formtext text aem-GridColumn--offset--medium--0 aem-GridColumn--medium--none aem-GridColumn--large--5 aem-GridColumn--offset--large--0 aem-GridColumn--xlarge--4 aem-GridColumn--large--none aem-GridColumn aem-GridColumn--small--12 aem-GridColumn--default--4 aem-GridColumn--medium--8">
    <div class="cmp-form-text " data-uid="form-text-220254320">
      <label for="form-text-220254321">Business name*</label>
      <input class="cmp-form-text__text ui-autocomplete-input" data-cmp-hook-form-text="input" type="text" id="form-text-220254321" name="company" required="" spellcheck="false" autocomplete="off" aria-describedby="form-text-220254321--error"
        value="Heinly Marketing" placeholder="To select, begin typing.">
      <div class="error" id="form-text-220254321--error"></div>
    </div>
  </div>
  <div
    class="formoptions options aem-GridColumn--offset--medium--0 aem-GridColumn--medium--none aem-GridColumn--large--5 aem-GridColumn--offset--large--0 aem-GridColumn--xlarge--4 aem-GridColumn--large--none aem-GridColumn aem-GridColumn--small--12 aem-GridColumn--default--4 aem-GridColumn--medium--8">
    <fieldset class="cmp-form-options cmp-form-options--drop-down  datasource-checkbox " data-uid="form-options-444711559">
      <!--suppress XmlDuplicatedId -->
      <label class="cmp-form-options__label" for="form-options-444711558" id="form-options-444711558_label">Industry*</label>
      <div class="cmp-form-options__wrapper  ">
        <div class="cmp-form-options__wrapper__field cmp-form-options__wrapper__field--drop-down publish abm-ul-select addScroll" data-cmp-constraint-message="Please enter a selection" aria-labelledby="form-options-444711558_label"
          id="form-options-444711558" role="listbox" data-name="cu_industry" data-dependentfieldlist="[]" aria-expanded="false">
          <!-- If mandatory-->
          <span tabindex="0" data-content="--Select--" data-value="--Select--" class="disabled active dropdown-placeholder" role="option">- Select one -<img id="ul-arrow0" aria-hidden="true"
              src="https://static-assets.business.amazon.com/etc.clientlibs/amzn-biz/clientlibs/clientlib-site/resources/images/icons/small-chevron-down.svg" alt="arrow" class="arrows"></span>
          <!--This is for Dynamic dropdown-->
          <span tabindex="0" data-content="Agriculture" data-value="Agriculture" class="" role="option">Agriculture</span>
          <span tabindex="0" data-content="Business Services" data-value="Business Services" class="" role="option">Business Services</span>
          <span tabindex="0" data-content="Construction" data-value="Construction" class="" role="option">Construction</span>
          <span tabindex="0" data-content="Consumer Products &amp; Services" data-value="Consumer Products &amp; Services" class="" role="option">Consumer Products &amp; Services</span>
          <span tabindex="0" data-content="Education" data-value="Education" class="" role="option">Education</span>
          <span tabindex="0" data-content="Energy &amp; Utilities" data-value="Energy &amp; Utilities" class="" role="option">Energy &amp; Utilities</span>
          <span tabindex="0" data-content="Financial Services" data-value="Financial Services" class="" role="option">Financial Services</span>
          <span tabindex="0" data-content="Government" data-value="Government" class="" role="option">Government</span>
          <span tabindex="0" data-content="Healthcare" data-value="Healthcare" class="" role="option">Healthcare</span>
          <span tabindex="0" data-content="Hospitality &amp; Travel" data-value="Hospitality &amp; Travel" class="" role="option">Hospitality &amp; Travel</span>
          <span tabindex="0" data-content="Insurance" data-value="Insurance" class="" role="option">Insurance</span>
          <span tabindex="0" data-content="Manufacturing" data-value="Manufacturing" class="" role="option">Manufacturing</span>
          <span tabindex="0" data-content="Media, Broadcast &amp; Digital" data-value="Media, Broadcast &amp; Digital" class="" role="option">Media, Broadcast &amp; Digital</span>
          <span tabindex="0" data-content="Mining" data-value="Mining" class="" role="option">Mining</span>
          <span tabindex="0" data-content="Non-Profit" data-value="Non-Profit" class="" role="option">Non-Profit</span>
          <span tabindex="0" data-content="Pharmaceuticals" data-value="Pharmaceuticals" class="" role="option">Pharmaceuticals</span>
          <span tabindex="0" data-content="Real Estate" data-value="Real Estate" class="" role="option">Real Estate</span>
          <span tabindex="0" data-content="Restaurant" data-value="Restaurant" class="" role="option">Restaurant</span>
          <span tabindex="0" data-content="Retail &amp; Wholesale" data-value="Retail &amp; Wholesale" class="" role="option">Retail &amp; Wholesale</span>
          <span tabindex="0" data-content="Sports, Arts &amp; Entertainment" data-value="Sports, Arts &amp; Entertainment" class="" role="option">Sports, Arts &amp; Entertainment</span>
          <span tabindex="0" data-content="Technology" data-value="Technology" class="" role="option">Technology</span>
          <span tabindex="0" data-content="Telecommunications" data-value="Telecommunications" class="" role="option">Telecommunications</span>
          <span tabindex="0" data-content="Transportation" data-value="Transportation" class="" role="option">Transportation</span>
        </div>
      </div>
      <input class="cmp-form-dropdownvalue" type="hidden" name="cu_industry" value="" aria-haspopup="listbox" aria-controls="form-options-444711558" role="combobox">
    </fieldset>
  </div>
  <div
    class="formoptions options aem-GridColumn--offset--medium--0 aem-GridColumn--medium--none aem-GridColumn--large--5 aem-GridColumn--offset--large--0 aem-GridColumn--xlarge--4 aem-GridColumn--large--none aem-GridColumn aem-GridColumn--small--12 aem-GridColumn--default--4 aem-GridColumn--medium--8">
    <fieldset class="cmp-form-options cmp-form-options--drop-down   " data-uid="form-options-251168551">
      <!--suppress XmlDuplicatedId -->
      <label class="cmp-form-options__label" for="form-options-251168552" id="form-options-251168552_label"># of Employees*</label>
      <div class="cmp-form-options__wrapper  ">
        <div class="cmp-form-options__wrapper__field cmp-form-options__wrapper__field--drop-down publish abm-ul-select addScroll" data-cmp-constraint-message="Please enter a selection" aria-labelledby="form-options-251168552_label"
          id="form-options-251168552" role="listbox" data-name="number_employees" data-dependentfieldlist="[]" aria-expanded="false">
          <!-- If mandatory-->
          <span tabindex="0" data-content="--Select--" data-value="--Select--" class="disabled active dropdown-placeholder" role="option">- Select one -<img id="ul-arrow1" aria-hidden="true"
              src="https://static-assets.business.amazon.com/etc.clientlibs/amzn-biz/clientlibs/clientlib-site/resources/images/icons/small-chevron-down.svg" alt="arrow" class="arrows"></span>
          <span tabindex="0" data-content="1 - 20" data-value="1 - 20" role="option">1 - 20</span>
          <span tabindex="0" data-content="21 - 100" data-value="21 - 100" role="option">21 - 100</span>
          <span tabindex="0" data-content="101 - 250" data-value="101 - 250" role="option">101 - 250</span>
          <span tabindex="0" data-content="251 - 500" data-value="251 - 500" role="option">251 - 500</span>
          <span tabindex="0" data-content="501 - 1,000" data-value="501 - 1,000" role="option">501 - 1,000</span>
          <span tabindex="0" data-content="1,001 - 10,000" data-value="1,001 - 10,000" role="option">1,001 - 10,000</span>
          <span tabindex="0" data-content="10,000+" data-value="10,000+" role="option">10,000+</span>
          <!--This is for Dynamic dropdown-->
        </div>
      </div>
      <input class="cmp-form-dropdownvalue" type="hidden" name="number_employees" value="" aria-haspopup="listbox" aria-controls="form-options-251168552" role="combobox">
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  </div>
  <div
    class="formtext text aem-GridColumn--offset--medium--0 aem-GridColumn--medium--none aem-GridColumn--large--5 aem-GridColumn--offset--large--0 aem-GridColumn--xlarge--4 aem-GridColumn--large--none aem-GridColumn aem-GridColumn--small--12 aem-GridColumn--default--4 aem-GridColumn--medium--8">
    <div class="cmp-form-text " data-uid="form-text-1673260328">
      <label for="form-text-1673260327">Job title*</label>
      <input class="cmp-form-text__text" data-cmp-hook-form-text="input" type="text" id="form-text-1673260327" name="job_title" required="" spellcheck="false" autocomplete="on" aria-describedby="form-text-1673260327--error">
      <div class="error" id="form-text-1673260327--error"></div>
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  </div>
  <div
    class="formoptions options aem-GridColumn--offset--medium--0 aem-GridColumn--medium--none aem-GridColumn--large--5 aem-GridColumn--offset--large--0 aem-GridColumn--xlarge--4 aem-GridColumn--large--none aem-GridColumn aem-GridColumn--small--12 aem-GridColumn--default--4 aem-GridColumn--medium--8">
    <fieldset class="cmp-form-options cmp-form-options--drop-down   " data-uid="form-options-1061308579">
      <!--suppress XmlDuplicatedId -->
      <label class="cmp-form-options__label" for="form-options-1061308580" id="form-options-1061308580_label">Your role*</label>
      <div class="cmp-form-options__wrapper  ">
        <div class="cmp-form-options__wrapper__field cmp-form-options__wrapper__field--drop-down publish abm-ul-select addScroll" data-cmp-constraint-message="Please enter a selection" aria-labelledby="form-options-1061308580_label"
          id="form-options-1061308580" role="listbox" data-name="role" data-dependentfieldlist="[]" aria-expanded="false">
          <!-- If mandatory-->
          <span tabindex="0" data-content="--Select--" data-value="--Select--" class="disabled active dropdown-placeholder" role="option">- Select one -<img id="ul-arrow2" aria-hidden="true"
              src="https://static-assets.business.amazon.com/etc.clientlibs/amzn-biz/clientlibs/clientlib-site/resources/images/icons/small-chevron-down.svg" alt="arrow" class="arrows"></span>
          <span tabindex="0" data-content="C-Suite" data-value="C-Suite" role="option">C-Suite</span>
          <span tabindex="0" data-content="Director" data-value="Director" role="option">Director</span>
          <span tabindex="0" data-content="Manager" data-value="Manager" role="option">Manager</span>
          <span tabindex="0" data-content="Individual Contributor" data-value="Individual Contributor" role="option">Individual Contributor</span>
          <span tabindex="0" data-content="Business Owner" data-value="Business Owner" role="option">Business Owner</span>
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          <span tabindex="0" data-content="Other - Government" data-value="Other - Government" role="option">Other - Government</span>
          <!--This is for Dynamic dropdown-->
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      </div>
      <input class="cmp-form-dropdownvalue" type="hidden" name="role" value="" aria-haspopup="listbox" aria-controls="form-options-1061308580" role="combobox">
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  </div>
  <div
    class="formoptions options aem-GridColumn--offset--medium--0 aem-GridColumn--medium--none aem-GridColumn--large--5 aem-GridColumn--offset--large--0 aem-GridColumn--xlarge--4 aem-GridColumn--large--none aem-GridColumn aem-GridColumn--small--12 aem-GridColumn--default--4 aem-GridColumn--medium--8">
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      <!--suppress XmlDuplicatedId -->
      <label class="cmp-form-options__label" for="form-options-332385126" id="form-options-332385126_label">Contact Reason*</label>
      <div class="cmp-form-options__wrapper  ">
        <div class="cmp-form-options__wrapper__field cmp-form-options__wrapper__field--drop-down publish abm-ul-select addScroll" data-cmp-constraint-message="Please enter a selection" aria-labelledby="form-options-332385126_label"
          id="form-options-332385126" role="listbox" data-name="contact_reason" data-dependentfieldlist="[]" aria-expanded="false">
          <!-- If mandatory-->
          <span tabindex="0" data-content="--Select--" data-value="--Select--" class="disabled active dropdown-placeholder" role="option">- Select one -<img id="ul-arrow3" aria-hidden="true"
              src="https://static-assets.business.amazon.com/etc.clientlibs/amzn-biz/clientlibs/clientlib-site/resources/images/icons/small-chevron-down.svg" alt="arrow" class="arrows"></span>
          <span tabindex="0" data-content="I need help with registration" data-value="I need help with registration" role="option">I need help with registration</span>
          <span tabindex="0" data-content="Which email should I use to register?" data-value="Which email should I use to register?" role="option">Which email should I use to register?</span>
          <span tabindex="0" data-content="Should I keep my old Amazon account separate?" data-value="Should I keep my old Amazon account separate?" role="option">Should I keep my old Amazon account separate?</span>
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          <span tabindex="0" data-content="What are the benefits of an Amazon Business account?" data-value="What are the benefits of an Amazon Business account?" role="option">What are the benefits of an Amazon Business account?</span>
          <span tabindex="0" data-content="What's the difference between Prime and Amazon Business?" data-value="What's the difference between Prime and Amazon Business?" role="option">What's the difference between Prime and Amazon Business?</span>
          <span tabindex="0" data-content="How do I add/manage multiple users?" data-value="How do I add/manage multiple users?" role="option">How do I add/manage multiple users?</span>
          <span tabindex="0" data-content="I have billing/account questions" data-value="I have billing/account questions" role="option">I have billing/account questions</span>
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  <div
    class="button aem-GridColumn--small--none aem-GridColumn--medium--none aem-GridColumn--offset--large--0 aem-GridColumn--xlarge--none aem-GridColumn--default--none aem-GridColumn--xlarge--4 aem-GridColumn--offset--xlarge--0 aem-GridColumn--offset--default--0 aem-GridColumn--offset--medium--0 aem-GridColumn--large--5 aem-GridColumn--large--none aem-GridColumn aem-GridColumn--small--12 aem-GridColumn--offset--small--0 aem-GridColumn--default--3 aem-GridColumn--medium--8">
    <button data-form-cta="Submit" data-uid="button-1336343727" class="cmp-button Default cmp-button--center ">
      <span class="cmp-button__text" text="Oh hai">Submit</span>
    </button>
  </div>
  <!-- Loading spinner html -->
  <div class="abm-loader-overlay hide" role="alert" aria-live="polite">
    <span class="abm-loader"></span>
  </div>
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