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Submitted URL: https://go.barriercompliance.com/e/952112/nt-remedi8-additional-services/4zcwz/178873775?h=j0dCHyGTKUW_aHmwhqv3LDv00gQkxAeEkZ2emQ...
Effective URL: https://go.barriercompliance.com/l/952112/2023-04-13/4zcqs?utm_source=remedi8&utm_medium=email&utm_campaign=FY23+REMEDI8+Correcti...
Submission: On April 13 via manual from US — Scanned from DE
Effective URL: https://go.barriercompliance.com/l/952112/2023-04-13/4zcqs?utm_source=remedi8&utm_medium=email&utm_campaign=FY23+REMEDI8+Correcti...
Submission: On April 13 via manual from US — Scanned from DE
Form analysis
1 forms found in the DOMPOST https://go.barriercompliance.com/l/952112/2023-04-13/4zcqs
<form accept-charset="UTF-8" method="post" action="https://go.barriercompliance.com/l/952112/2023-04-13/4zcqs" class="form" id="pardot-form">
<style type="text/css">
form.form p label {
color: #000000;
float: none;
text-align: left;
line-height: 1em;
width: auto;
}
form.form p.submit {
margin-left: 5px;
}
form.form p.no-label {
margin-left: 50px;
}
form.form span.value {
margin-left: 0px;
}
form.form p span.description {
margin-left: 0px;
}
form.form p.required label,
form.form span.required label {
background-position: top left;
background: none;
padding-left: 0px;
}
form.form .pd-checkbox .value span {
display: block !important;
}
form.form .pd-radio .value span {
display: block !important;
}
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<p class="form-field email pd-text required required-custom ">
<label class="field-label" for="952112_81278pi_952112_81278">Email *</label>
<input type="text" name="952112_81278pi_952112_81278" id="952112_81278pi_952112_81278" value="linda.mcbride@oa.mo.gov" class="text" size="30" maxlength="255" onchange="" onfocus=""><br><span class="description">Not Linda Mcbride?
<a target="_self" href="/form/incorrectProspect/account_id/952112/campaign_id/64931/form_id/10124/landing_page_id/5933/query_string/utm_source%3Dremedi8%26utm_medium%3Demail%26utm_campaign%3DFY23%2BREMEDI8%2BCorrectional%2BFacility%2BProgram%26utm_id%3DFY23%2BREMEDI8%2BCorrectional%2BFacility%2BProgram%26utm_term%3Dair%252Bduct%252Bphotoluminescent%252Bceiling%252Bgrid%252Bmanagement%26utm_content%3Dremedi8-additional-services">Click Here</a>.</span>
</p>
<div id="error_for_952112_81278pi_952112_81278" style="display:none"></div>
<p class="form-field comments pd-textarea required required-custom ">
<label class="field-label" for="952112_81287pi_952112_81287">Interested Services *</label>
<textarea name="952112_81287pi_952112_81287" id="952112_81287pi_952112_81287" onchange="" cols="40" rows="10" class="standard"></textarea>
</p>
<div id="error_for_952112_81287pi_952112_81287" style="display:none"></div>
<p class="form-field Do_You_Have_Life_Safety_Plans pd-checkbox required required-custom ">
<label class="field-label" for="952112_81290pi_952112_81290">Do you have Life Safety plans? *</label>
<span class="value"><span><input type="checkbox" name="952112_81290pi_952112_81290_902759" id="952112_81290pi_952112_81290_902759" value="902759" onchange=""><label class="inline"
for="952112_81290pi_952112_81290_902759">Yes</label></span><span><input type="checkbox" name="952112_81290pi_952112_81290_902762" id="952112_81290pi_952112_81290_902762" value="902762" onchange=""><label class="inline"
for="952112_81290pi_952112_81290_902762">No</label></span><span><input type="checkbox" name="952112_81290pi_952112_81290_902765" id="952112_81290pi_952112_81290_902765" value="902765" onchange=""><label class="inline"
for="952112_81290pi_952112_81290_902765">Not Sure</label></span></span>
</p>
<div id="error_for_952112_81290pi_952112_81290" style="display:none"></div>
<p style="position:absolute; width:190px; left:-9999px; top: -9999px;visibility:hidden;">
<label for="pi_extra_field">Comments</label>
<input type="text" name="pi_extra_field" id="pi_extra_field">
</p>
<!-- forces IE5-8 to correctly submit UTF8 content -->
<input name="_utf8" type="hidden" value="☃">
<p class="submit">
<input type="submit" accesskey="s" value="Submit My Quote Request">
</p>
<p><span style="color:#000000;"><span style="font-size:14px;"><em>By submiting this form you agree to be contacted by one of our Account Managers regarding your quote and applicable services.</em></span></span></p>
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<input type="hidden" name="hiddenDependentFields" id="hiddenDependentFields" value="">
</form>
Text Content
REQUEST A QUOTE FILL OUT THE FORM ON THIS PAGE TO RECEIVE A QUOTE FOR YOUR NEXT SERVICE OR TO SPEAK WITH ONE OF OUR DEDICATED ACCOUNT MANAGERS. REMEDI8 SPECIALIZES IN HELPING OUR CUSTOMERS NAVIGATE AND MAINTAIN THE COMPLEX WORLD OF SAFETY AND COMPLIANCE. YOUR QUOTE WILL BE BASED ON THE INFORMATION PROVIDED AND IS NOT A GUARANTEED PRICE FOR SERVICES. ACTUAL COSTS MAY CHANGE ONCE ALL PROJECT ELEMENTS ARE FINALIZED OR NEGOTIATED. Email * Not Linda Mcbride? Click Here. Interested Services * Do you have Life Safety plans? * YesNoNot Sure Comments By submiting this form you agree to be contacted by one of our Account Managers regarding your quote and applicable services.