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Submitted URL: https://goo.gl/forms/CqwHF1E0Dgd4ZPDN2
Effective URL: https://docs.google.com/forms/d/e/1FAIpQLSeRYhryMNydUf2rIfhJrScPmaP6gFWRMIIm1qI-ApQ94AsnXg/viewform?usp=send_form
Submission Tags: falconsandbox
Submission: On September 14 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST https://docs.google.com/forms/d/e/1FAIpQLSeRYhryMNydUf2rIfhJrScPmaP6gFWRMIIm1qI-ApQ94AsnXg/formResponse

<form action="https://docs.google.com/forms/d/e/1FAIpQLSeRYhryMNydUf2rIfhJrScPmaP6gFWRMIIm1qI-ApQ94AsnXg/formResponse" target="_self" method="POST" id="mG61Hd" jsmodel="TOfxwf Q91hve" data-response="%.@.[]]" data-first-entry="0" data-last-entry="3"
  data-is-first-page="true">
  <div jscontroller="yUS4Lc" jsaction="rcuQ6b:rcuQ6b;UxRBlf:rcuQ6b;">
    <div jsname="o6bZLc"><input type="hidden" name="entry.263633951" value=""><input type="hidden" name="entry.1170939528" value=""><input type="hidden" name="entry.1945522673" value=""></div>
  </div>
  <div class="freebirdFormviewerViewFormCard exportFormCard">
    <div class="freebirdFormviewerViewFormContent">
      <div class="freebirdFormviewerViewNoPadding">
        <div class="freebirdFormviewerViewHeaderHeader exportHeader ">
          <div class="freebirdFormviewerViewHeaderThemeStripe freebirdSolidBackground exportThemeStripe"></div>
          <div class="freebirdFormviewerViewHeaderHeaderBody">
            <div class="freebirdFormviewerViewHeaderTitleRow">
              <div class="freebirdFormviewerViewHeaderTitle exportFormTitle freebirdCustomFont" dir="auto" role="heading" aria-level="1">Update Your Organization's Billing Contact Information for AAIMCheck Services</div>
            </div>
            <div class="freebirdFormviewerViewHeaderDescription" dir="auto">AAIMCheck distributes invoices through electronic communication (email) on the last day of each month. A valid email address is required to be kept on file for invoicing
              purposes. Please take a moment to provide your updated billing information for your organization.<br><br>Question, please contact the AAIM team at 314.754.0236 or <a href="mailto:solutions.team@aaimea.org">solutions.team@aaimea.org</a>.
            </div>
            <div jsname="F0H8Yc" class="freebirdCommonViewSecurequizSecureQuizBannerContainer"></div>
          </div>
          <div class="freebirdFormviewerViewHeaderHeaderSeparator"></div>
          <div class="freebirdFormviewerViewHeaderHeaderFooter">
            <div class="freebirdFormviewerViewHeaderEmailAndSaveStatusContainer"></div>
            <div class="freebirdFormviewerViewHeaderRequiredLegend" aria-hidden="true" dir="auto">* Erforderlich</div>
          </div>
        </div>
      </div>
      <div class="freebirdFormviewerViewItemList" role="list">
        <div role="listitem">
          <div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" class="freebirdFormviewerComponentsQuestionBaseRoot freebirdFormviewerComponentsQuestionTextRoot freebirdFormviewerViewEmailCollectionField">
            <div jscontroller="v4y9Mc" jsaction="rcuQ6b:vZc4S;sPvj8e:d3sQLd;O22p3e:zjh6rb;AHmuwe:h06R8;b2trFe:eVidQc;">
              <div class="freebirdFormviewerComponentsQuestionBaseHeader">
                <div class="freebirdFormviewerComponentsQuestionBaseTitle exportItemTitle freebirdCustomFont" dir="auto" role="heading" aria-level="3">E-Mail-Adresse<span class="freebirdFormviewerComponentsQuestionBaseRequiredAsterisk" id="i4"
                    aria-label="Pflichtfrage"> *</span></div>
              </div>
              <div class="quantumWizTextinputPaperinputEl freebirdFormviewerComponentsQuestionTextShort freebirdFormviewerComponentsQuestionTextTextInput freebirdThemedInput modeLight" jscontroller="pxq3x"
                jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV" jsshadow="" jsname="YPqjbf">
                <div class="quantumWizTextinputPaperinputMainContent exportContent">
                  <div class="quantumWizTextinputPaperinputContentArea exportContentArea">
                    <div class="quantumWizTextinputPaperinputInputArea"><input type="email" class="quantumWizTextinputPaperinputInput exportInput" jsname="YPqjbf" autocomplete="email" tabindex="0" aria-label="Ihre E-Mail-Adresse" required=""
                        dir="auto" data-initial-dir="auto" data-initial-value="">
                      <div jsname="LwH6nd" class="quantumWizTextinputPaperinputPlaceholder exportLabel" aria-hidden="true">Ihre E-Mail-Adresse</div>
                    </div>
                    <div class="quantumWizTextinputPaperinputUnderline exportUnderline"></div>
                    <div jsname="XmnwAc" class="quantumWizTextinputPaperinputFocusUnderline exportFocusUnderline"></div>
                  </div>
                </div>
                <div class="quantumWizTextinputPaperinputCounterErrorHolder">
                  <div jsname="ty6ygf" class="quantumWizTextinputPaperinputHint exportHint"></div>
                </div>
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            </div>
            <div jsname="Rfh2Tc" class="freebirdFormviewerComponentsQuestionBaseValidationError" id="i3" role="alert"></div>
          </div>
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        <div class="freebirdFormviewerViewNumberedItemContainer" role="listitem">
          <div jsmodel="CP1oW" data-params="%.@.[436281923,&quot;Organization's Name&quot;,null,0,[[263633951,[],true,[],[],null,null,null,null,null,[null,[]]]],null,null,null,[]],&quot;i5&quot;,&quot;i6&quot;,&quot;i7&quot;,false]" class="m2">
            <div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" class="freebirdFormviewerComponentsQuestionBaseRoot">
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                <div class="freebirdFormviewerComponentsQuestionBaseTitleDescContainer">
                  <div id="i5" class="freebirdFormviewerComponentsQuestionBaseTitle exportItemTitle freebirdCustomFont" role="heading" aria-level="3" aria-describedby="i8">Organization's Name<span
                      class="freebirdFormviewerComponentsQuestionBaseRequiredAsterisk" id="i8" aria-label="Pflichtfrage"> *</span></div>
                  <div class="freebirdFormviewerComponentsQuestionBaseDescription" id="i6"></div>
                </div>
              </div>
              <div jscontroller="oCiKKc" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;sPvj8e:d3sQLd;AHmuwe:h06R8;" class="freebirdFormviewerComponentsQuestionTextRoot">
                <div class="quantumWizTextinputPaperinputEl freebirdFormviewerComponentsQuestionTextShort freebirdFormviewerComponentsQuestionTextTextInput freebirdThemedInput modeLight" jscontroller="pxq3x"
                  jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV" jsshadow="" jsname="YPqjbf">
                  <div class="quantumWizTextinputPaperinputMainContent exportContent">
                    <div class="quantumWizTextinputPaperinputContentArea exportContentArea">
                      <div class="quantumWizTextinputPaperinputInputArea"><input type="text" class="quantumWizTextinputPaperinputInput exportInput" jsname="YPqjbf" autocomplete="off" tabindex="0" aria-labelledby="i5" aria-describedby="i6 i7"
                          required="" dir="auto" data-initial-dir="auto" data-initial-value="">
                        <div jsname="LwH6nd" class="quantumWizTextinputPaperinputPlaceholder exportLabel" aria-hidden="true">Meine Antwort</div>
                      </div>
                      <div class="quantumWizTextinputPaperinputUnderline exportUnderline"></div>
                      <div jsname="XmnwAc" class="quantumWizTextinputPaperinputFocusUnderline exportFocusUnderline"></div>
                    </div>
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                  <div class="quantumWizTextinputPaperinputCounterErrorHolder">
                    <div jsname="ty6ygf" class="quantumWizTextinputPaperinputHint exportHint"></div>
                  </div>
                </div>
              </div>
              <div jsname="Rfh2Tc" class="freebirdFormviewerComponentsQuestionBaseValidationError" id="i7" role="alert"></div>
            </div>
          </div>
        </div>
        <div class="freebirdFormviewerViewNumberedItemContainer" role="listitem">
          <div jsmodel="CP1oW"
            data-params="%.@.[2043138919,&quot;Organization's ID&quot;,&quot;Your organization's 6 digit ID can be located on the top left portion of your invoices.&quot;,0,[[1170939528,[],false,[],[],null,null,null,null,null,[null,[]]]],null,null,null,[]],&quot;i9&quot;,&quot;i10&quot;,&quot;i11&quot;,false]"
            class="m2">
            <div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" class="freebirdFormviewerComponentsQuestionBaseRoot">
              <div class="freebirdFormviewerComponentsQuestionBaseHeader">
                <div class="freebirdFormviewerComponentsQuestionBaseTitleDescContainer">
                  <div id="i9" class="freebirdFormviewerComponentsQuestionBaseTitle exportItemTitle freebirdCustomFont" role="heading" aria-level="3">Organization's ID</div>
                  <div class="freebirdFormviewerComponentsQuestionBaseDescription" id="i10">Your organization's 6 digit ID can be located on the top left portion of your invoices.</div>
                </div>
              </div>
              <div jscontroller="oCiKKc" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;sPvj8e:d3sQLd;AHmuwe:h06R8;" class="freebirdFormviewerComponentsQuestionTextRoot">
                <div class="quantumWizTextinputPaperinputEl freebirdFormviewerComponentsQuestionTextShort freebirdFormviewerComponentsQuestionTextTextInput freebirdThemedInput modeLight" jscontroller="pxq3x"
                  jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV" jsshadow="" jsname="YPqjbf">
                  <div class="quantumWizTextinputPaperinputMainContent exportContent">
                    <div class="quantumWizTextinputPaperinputContentArea exportContentArea">
                      <div class="quantumWizTextinputPaperinputInputArea"><input type="text" class="quantumWizTextinputPaperinputInput exportInput" jsname="YPqjbf" autocomplete="off" tabindex="0" aria-labelledby="i9" aria-describedby="i10 i11"
                          dir="auto" data-initial-dir="auto" data-initial-value="">
                        <div jsname="LwH6nd" class="quantumWizTextinputPaperinputPlaceholder exportLabel" aria-hidden="true">Meine Antwort</div>
                      </div>
                      <div class="quantumWizTextinputPaperinputUnderline exportUnderline"></div>
                      <div jsname="XmnwAc" class="quantumWizTextinputPaperinputFocusUnderline exportFocusUnderline"></div>
                    </div>
                  </div>
                  <div class="quantumWizTextinputPaperinputCounterErrorHolder">
                    <div jsname="ty6ygf" class="quantumWizTextinputPaperinputHint exportHint"></div>
                  </div>
                </div>
              </div>
              <div jsname="Rfh2Tc" class="freebirdFormviewerComponentsQuestionBaseValidationError" id="i11" role="alert"></div>
            </div>
          </div>
        </div>
        <div class="freebirdFormviewerViewNumberedItemContainer" role="listitem">
          <div jsmodel="CP1oW"
            data-params="%.@.[1353493770,&quot;Your Name (i.e. Last Name, First Name)&quot;,null,0,[[1945522673,[],true,[],[],null,null,null,null,null,[null,[]]]],null,null,null,[]],&quot;i13&quot;,&quot;i14&quot;,&quot;i15&quot;,false]" class="m2">
            <div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" class="freebirdFormviewerComponentsQuestionBaseRoot">
              <div class="freebirdFormviewerComponentsQuestionBaseHeader">
                <div class="freebirdFormviewerComponentsQuestionBaseTitleDescContainer">
                  <div id="i13" class="freebirdFormviewerComponentsQuestionBaseTitle exportItemTitle freebirdCustomFont" role="heading" aria-level="3" aria-describedby="i16">Your Name (i.e. Last Name, First Name)<span
                      class="freebirdFormviewerComponentsQuestionBaseRequiredAsterisk" id="i16" aria-label="Pflichtfrage"> *</span></div>
                  <div class="freebirdFormviewerComponentsQuestionBaseDescription" id="i14"></div>
                </div>
              </div>
              <div jscontroller="oCiKKc" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;sPvj8e:d3sQLd;AHmuwe:h06R8;" class="freebirdFormviewerComponentsQuestionTextRoot">
                <div class="quantumWizTextinputPaperinputEl freebirdFormviewerComponentsQuestionTextShort freebirdFormviewerComponentsQuestionTextTextInput freebirdThemedInput modeLight" jscontroller="pxq3x"
                  jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV" jsshadow="" jsname="YPqjbf">
                  <div class="quantumWizTextinputPaperinputMainContent exportContent">
                    <div class="quantumWizTextinputPaperinputContentArea exportContentArea">
                      <div class="quantumWizTextinputPaperinputInputArea"><input type="text" class="quantumWizTextinputPaperinputInput exportInput" jsname="YPqjbf" autocomplete="off" tabindex="0" aria-labelledby="i13" aria-describedby="i14 i15"
                          required="" dir="auto" data-initial-dir="auto" data-initial-value="">
                        <div jsname="LwH6nd" class="quantumWizTextinputPaperinputPlaceholder exportLabel" aria-hidden="true">Meine Antwort</div>
                      </div>
                      <div class="quantumWizTextinputPaperinputUnderline exportUnderline"></div>
                      <div jsname="XmnwAc" class="quantumWizTextinputPaperinputFocusUnderline exportFocusUnderline"></div>
                    </div>
                  </div>
                  <div class="quantumWizTextinputPaperinputCounterErrorHolder">
                    <div jsname="ty6ygf" class="quantumWizTextinputPaperinputHint exportHint"></div>
                  </div>
                </div>
              </div>
              <div jsname="Rfh2Tc" class="freebirdFormviewerComponentsQuestionBaseValidationError" id="i15" role="alert"></div>
            </div>
          </div>
        </div>
      </div>
      <div class="freebirdFormviewerViewNavigationNavControls" jscontroller="lSvzH" jsaction="rcuQ6b:npT2md;JIbuQc:Gl574d(QR6bsb),V3upec(GeGHKb),HiUbje(M2UYVd),NPBnCf(OCpkoe);" data-shuffle-seed="6372627730185198161"
        data-should-execute-invisible-captcha-challenge="true" data-is-receipt-checked="true">
        <div class="freebirdFormviewerViewNavigationButtonsAndProgress">
          <div class="freebirdFormviewerViewNavigationLeftButtons">
            <div role="button" class="appsMaterialWizButtonEl appsMaterialWizButtonPaperbuttonEl appsMaterialWizButtonPaperbuttonProtected freebirdFormviewerViewNavigationNoSubmitButton freebirdThemedProtectedButtonM2" jscontroller="VXdfxd"
              jsaction="click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventMouseEvents=true|preventDefault=true); touchcancel:JMtRjd;focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;"
              jsshadow="" jsname="OCpkoe" tabindex="0">
              <div class="appsMaterialWizButtonPaperbuttonRipple exportInk" jsname="ksKsZd"></div>
              <div class="appsMaterialWizButtonPaperbuttonFocusOverlay exportOverlay"></div><span jsslot="" class="appsMaterialWizButtonPaperbuttonContent exportButtonContent"><span
                  class="appsMaterialWizButtonPaperbuttonLabel quantumWizButtonPaperbuttonLabel exportLabel">Weiter</span></span>
            </div>
          </div>
        </div>
        <div class="freebirdFormviewerViewNavigationPasswordWarning">Geben Sie niemals Passwörter über Google Formulare weiter.</div>
      </div><input type="hidden" name="fvv" value="1"><input type="hidden" name="draftResponse" value="[null,null,&quot;6372627730185198161&quot;]"><input type="hidden" name="pageHistory" value="0"><input type="hidden" name="fbzx"
        value="6372627730185198161">
    </div>
  </div>
</form>

Text Content

Update Your Organization's Billing Contact Information for AAIMCheck Services
AAIMCheck distributes invoices through electronic communication (email) on the
last day of each month. A valid email address is required to be kept on file for
invoicing purposes. Please take a moment to provide your updated billing
information for your organization.

Question, please contact the AAIM team at 314.754.0236 or
solutions.team@aaimea.org.


* Erforderlich
E-Mail-Adresse *
Ihre E-Mail-Adresse




Organization's Name *

Meine Antwort




Organization's ID
Your organization's 6 digit ID can be located on the top left portion of your
invoices.
Meine Antwort




Your Name (i.e. Last Name, First Name) *

Meine Antwort





Weiter
Geben Sie niemals Passwörter über Google Formulare weiter.
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