marketing.barnumfg.com
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207.189.124.69
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Submitted URL: https://marketing.barnumfg.com/acton/ct/24359/s-9fda-2104/Bct/l-sf-rpt-00O4z000005olME-1519d/l-sf-rpt-00O4z000005olME-1519d:140...
Effective URL: https://marketing.barnumfg.com/acton/fs/blocks/showLandingPage/a/24359/p/p-00e1/t/page/fm/0?sid=TV2:b7iitIs62
Submission: On November 11 via api from US — Scanned from DE
Effective URL: https://marketing.barnumfg.com/acton/fs/blocks/showLandingPage/a/24359/p/p-00e1/t/page/fm/0?sid=TV2:b7iitIs62
Submission: On November 11 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST //marketing.barnumfg.com/acton/forms/userSubmit.jsp
<form class="ao-form ao-responsive" id="ao-form-a6a9f6b6-3595-41f8-8d86-a0aa9db28260"
style="font-size: 14pt; font-family: 'Open Sans', sans-serif; color: rgb(0, 0, 0); background-image: none; margin: 10px; padding: 10px; background-repeat: no-repeat; background-size: auto; background-position: center center;" method="POST"
action="//marketing.barnumfg.com/acton/forms/userSubmit.jsp" data-validate-blur="">
<div class="ao-row" style="background-color: rgb(0, 37, 74); padding: 20px;" id="row-r1596127962810">
<div class="ao-column ao-column-12 tablet-ao-column-1 mobile-ao-column-1" style="padding: 0px;" id="column-c1596127908096">
<div class="ao-column-inner" style="background-color: transparent; padding: 0px; border-radius: 0px; border-color: inherit; border-style: inherit; border-width: 0px;">
<div style="" class="ao-block-wrapper">
<div id="block-b1596127921270" class="ao-image-block center">
<img src="https://marketing.barnumfg.com/cdnr/forpci69/acton/attachment/24359/f-b9022671-f7e1-4e36-a6d3-54db72dae6a8/1/-/-/-/-/image.png" style="border-radius: 0px;" alt=""><br>
</div>
</div>
</div>
</div>
</div>
<div class="ao-row" style="padding: 20px 0px 0px;" id="row-r1571254709860">
<div class="ao-column ao-column-12 tablet-ao-column-1 mobile-ao-column-1" style="padding: 0px;" id="column-c1571254641471">
<div class="ao-column-inner" style="background-color: transparent; padding: 0px 8px; border-radius: 0px; border-color: inherit; border-style: inherit; border-width: 0px;">
<div style="padding-bottom: 0px;" class="ao-block-wrapper">
<div id="block-b1571253152323" class="ao-input-block ao-left">
<label for="b1571253152323" class="ao-form-label"> First Name <span class="ao-required">*</span>
</label>
<input id="b1571253152323" name="First Name" type="text" placeholder="Type Here " value="" data-type="text" tabindex="1" class="ao-form-field ao-left" data-error-message="required|Required field" data-validator="required">
<span class="ao-form-error-message"> </span>
</div>
</div>
<div style="padding-bottom: 0px;" class="ao-block-wrapper">
<div id="block-b1571253201042" class="ao-input-block ao-left">
<label for="b1571253201042" class="ao-form-label"> Last Name <span class="ao-required">*</span>
</label>
<input id="b1571253201042" name="Last Name" type="text" placeholder="Type Here " value="" data-type="text" tabindex="2" class="ao-form-field ao-left" data-error-message="required|Required field" data-validator="required">
<span class="ao-form-error-message"> </span>
</div>
</div>
<div style="padding-bottom: 0px;" class="ao-block-wrapper">
<div id="block-b1571256010796" class="ao-input-block ao-left">
<label for="b1571256010796" class="ao-form-label"> Email Address <span class="ao-required">*</span>
</label>
<input id="b1571256010796" name="Primary Email" type="text" placeholder="Type Here " value="" data-type="text" tabindex="3" class="ao-form-field ao-left" data-error-message="required|Required field::email|Invalid email address"
data-validator="required|email">
<span class="ao-form-error-message"> </span>
</div>
</div>
<div style="" class="ao-block-wrapper">
<div id="block-b1594823803913" class="ao-input-block ao-left">
<label for="b1594823803913" class="ao-form-label"> Phone Number <span class="ao-required">*</span>
</label>
<input id="b1594823803913" name="Phone" type="text" placeholder="(XXX) XXX-XXXX " value="" data-type="text" tabindex="4" class="ao-form-field ao-left" data-error-message="required|Required field" data-validator="required">
<span class="ao-form-error-message"> </span>
</div>
</div>
</div>
</div>
</div>
<div class="ao-row" style="padding: 0px;" id="row-">
<div class="ao-column ao-column-6 tablet-ao-column-1 mobile-ao-column-1" style="padding: 0px;" id="column-c1594822747792">
<div class="ao-column-inner" style="background-color: transparent; padding: 0px 8px; border-radius: 0px; border-color: inherit; border-style: inherit; border-width: 0px;">
<div style="" class="ao-block-wrapper">
<div id="block-b1594823739922" class="ao-combo-block ao-left">
<label for="b1594823739922" class="ao-form-label"> Preferred method of contact: <span class="ao-required">*</span>
</label>
<div id="b1594823739922" class="ao-combo-layout horizontal ao-left" data-validator="required" data-error-message="required|Required field">
<label class="ao-combo-label ao-column-label2 ">
<input type="radio" name="Best way to contact you" value="Phone" tabindex="5">
<span>Phone</span>
</label>
<label class="ao-combo-label ao-column-label2 ">
<input type="radio" name="Best way to contact you" value="Email" tabindex="5">
<span>Email</span>
</label>
<label class="ao-combo-label ao-column-label2 ">
<input type="radio" name="Best way to contact you" value="Both" tabindex="5">
<span>Both</span>
</label>
</div>
<span class="ao-form-error-message" clear="both"> </span>
</div>
</div>
</div>
</div>
<div class="ao-column ao-column-6 tablet-ao-column-1 mobile-ao-column-1" style="padding: 0px;" id="column-c1594823994956">
<div class="ao-column-inner" style="background-color: transparent; padding: 0px; border-radius: 0px; border-color: inherit; border-style: inherit; border-width: 0px;">
<div style="" class="ao-block-wrapper">
<div id="block-b1594824003242" class="ao-combo-block ao-left">
<label for="b1594824003242" class="ao-form-label"> Best times (ET) to contact you: <span class="ao-required">*</span>
</label>
<div class="ao-combo-layout horizontal ao-left" id="b1594824003242" data-validator="required" data-error-message="required|Required field">
<label class="ao-combo-label ao-column-label2 ">
<input type="checkbox" name="Best times to contact you:" tabindex="5" value="8:00AM - 10:00AM">
<span>8:00AM - 10:00AM</span>
</label>
<label class="ao-combo-label ao-column-label2 ">
<input type="checkbox" name="Best times to contact you:" tabindex="5" value="10:00AM - 12:00PM">
<span>10:00AM - 12:00PM</span>
</label>
<label class="ao-combo-label ao-column-label2 ">
<input type="checkbox" name="Best times to contact you:" tabindex="5" value="12:00PM - 2:00PM">
<span>12:00PM - 2:00PM</span>
</label>
<label class="ao-combo-label ao-column-label2 ">
<input type="checkbox" name="Best times to contact you:" tabindex="5" value="2:00PM - 4:00PM">
<span>2:00PM - 4:00PM</span>
</label>
<label class="ao-combo-label ao-column-label2 ">
<input type="checkbox" name="Best times to contact you:" tabindex="5" value="4:00PM - 6:00PM">
<span>4:00PM - 6:00PM</span>
</label>
</div>
<span class="ao-form-error-message" clear="both"> </span>
</div>
</div>
</div>
</div>
</div>
<div class="ao-row" style="padding: 20px 0px 0px;" id="row-r1593441359351">
<div class="ao-column ao-column-12 tablet-ao-column-1 mobile-ao-column-1" style="padding: 0px;" id="column-c1583259700942">
<div class="ao-column-inner" style="background-color: transparent; padding: 0px; border-radius: 0px; border-color: inherit; border-style: inherit; border-width: 0px;">
<div style="" class="ao-block-wrapper">
<div id="block-b1571253020117" class="ao-submit-block">
<div style="text-align: center">
<button type="submit" class="ao-form-submit"
style="background-color: rgb(0, 37, 74); background-image: none; background-repeat: no-repeat; background-size: auto; background-position: center center; color: rgb(255, 255, 255); border-radius: 18px; display: inline-block; text-decoration: none; font-size: 14pt; font-weight: normal; font-family: 'Open Sans', sans-serif; font-style: normal; border-style: solid; border-color: transparent; border-width: 0px; padding: 10px 30px;"
tabindex="6" onmouseover="this.style.backgroundColor = '#f09000'; this.style.color = '#ffffff'; this.style.borderColor = 'transparent';"
onmouseout="this.style.backgroundColor = '#00254a'; this.style.color = '#ffffff'; this.style.borderColor = 'transparent';">Schedule</button>
</div>
</div>
</div>
</div>
</div>
</div>
<input type="hidden" name="ao_form_neg_cap" value="">
<input type="hidden" name="ao_bot" id="ao_bot" value="nope">
<input type="hidden" name="ao_a" value="24359">
<input type="hidden" name="ao_f" value="a6a9f6b6-3595-41f8-8d86-a0aa9db28260">
<input type="hidden" name="ao_d" value="a6a9f6b6-3595-41f8-8d86-a0aa9db28260:d-0003">
<input type="hidden" name="ao_jstzo" value="">
<input type="hidden" name="ao_refurl" value="">
<input type="hidden" name="ao_target" value="https://marketing.barnumfg.com/acton/fs/blocks/showLandingPage/a/24359/p/p-00e1/t/page/fm/0?sid=TV2:b7iitIs62">
<input type="hidden" name="ao_cuid" value="">
<input type="hidden" name="ao_srcid" value="">
<input type="hidden" name="ao_nc" value="">
<input type="hidden" name="ao_pf" value="0">
<input type="hidden" name="ao_camp" value="">
<input type="hidden" name="ao_campid" value="">
<input type="hidden" name="ao_refemail" value="">
<input type="hidden" name="ao_iframe" value="">
<input type="hidden" name="ao_gatedpage" value="">
<input type="hidden" name="ao_gatedasset" value="">
</form>Text Content
First Name * Last Name * Email Address * Phone Number * Preferred method of contact: * Phone Email Both Best times (ET) to contact you: * 8:00AM - 10:00AM 10:00AM - 12:00PM 12:00PM - 2:00PM 2:00PM - 4:00PM 4:00PM - 6:00PM Schedule