www.jettools.com
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23.79.158.126
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Submitted URL: https://hinterlandtravels.com/4750-E001/
Effective URL: https://www.jettools.com/us/en/product-registration-form/
Submission: On October 19 via manual from IN — Scanned from DE
Effective URL: https://www.jettools.com/us/en/product-registration-form/
Submission: On October 19 via manual from IN — Scanned from DE
Form analysis 1 forms found in the DOM
POST https://webto.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8
<form action="https://webto.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8" method="POST" onsubmit="validateMutliSelect(event);">
<input type="hidden" name="oid" value="00D2E000000nLQo">
<input type="hidden" name="retURL" value="https://jpw.secure.force.com/fileupload?RecordId=jt101920215696">
<input type="hidden" id="recordType" name="recordType" value="0122E000001Arau">
<input type="hidden" id="lead_source" name="lead_source" value="Website - JET">
<div id="product-registration-form" class="container">
<div class="row">
<div class="col">
<div class="row">
<div class="col-md-4">
<label for="first_name">First Name *</label>
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<div class="col-md-8">
<input id="first_name" maxlength="40" name="first_name" size="20" type="text" required=""><br>
</div>
</div>
<div class="row">
<div class="col-md-4">
<label for="last_name">Last Name *</label>
</div>
<div class="col-md-8">
<input id="last_name" maxlength="80" name="last_name" size="20" type="text" required="">
</div>
</div>
<div class="row">
<div class="col-md-4">
<label for="company">Company </label>
</div>
<div class="col-md-8">
<input id="company" maxlength="40" name="company" size="20" type="text"><br>
</div>
</div>
<div class="row">
<div class="col-md-4">
<label for="street">Street *</label>
</div>
<div class="col-md-8">
<textarea name="street" required=""></textarea>
</div>
</div>
<div class="row">
<div class="col-md-4">
<label for="city">City *</label>
</div>
<div class="col-md-8">
<input id="city" maxlength="40" name="city" size="20" type="text" required="">
</div>
</div>
<div class="row">
<div class="col-md-4">
<label for="state">State *</label>
</div>
<div class="col-md-8">
<input id="state" maxlength="20" name="state" size="20" type="text" required="">
</div>
</div>
<div class="row">
<div class="col-md-4">
<label for="zip">Zip Code *</label>
</div>
<div class="col-md-8">
<input id="zip" maxlength="20" name="zip" size="20" type="text" required="">
</div>
</div>
<div class="row">
<div class="col-md-4">
<label for="phone">Phone *</label>
</div>
<div class="col-md-8">
<input id="phone" maxlength="40" name="phone" size="20" type="text" required="">
</div>
</div>
<div class="row">
<div class="col-md-4">
<label for="email">Email *</label>
</div>
<div class="col-md-8">
<input id="email" maxlength="80" name="email" size="20" type="text" required="">
</div>
</div>
<div class="row">
<div class="col-md-4">
<label for="brand">Brand:</label>
</div>
<div class="col-md-8">
<input id="00N2E00000ItBCj" name="00N2E00000ItBCj" type="checkbox" value="1" checked=""> Jet
</div>
</div>
<div class="row">
<div id="divProdLineMessage" class="col-md-4" style="color:#BE1C22;font-weight:bold;display: none;">
<label>Only one Product Line selection is allowed</label>
</div>
<div class="col-md-4">
<label for="product-line">Product Line (select only 1 option):</label>
</div>
<div class="col-md-8">
<select id="00N2E00000ItFrX" multiple="multiple" name="00N2E00000ItFrX" title="Product Line">
<option value="Select">Select...</option>
<option value="Jet Woodworking">Jet Woodworking</option>
<option value="Metalworking">JET Metalworking</option>
<option value="Lifting System">Lifting System</option>
<option value="Metal Forming">Metal Forming</option>
<option value="Air Tools">Air Tools</option>
<option value="Shop Tools">Shop Tools</option>
<option value="Jet Elite">Jet Elite</option>
</select>
</div>
</div>
<div class="row">
<div class="col-md-4">
<label for="primary-use">Primary Use for Product:</label>
</div>
<div class="col-md-8">
<input type="radio" id="00N2E00000ItYUk" name="00N2E00000ItYUk" value="Professional"><label for="00N2E00000ItYUk">Professional</label>
<br>
<input type="radio" id="00N2E00000ItYUk" name="00N2E00000ItYUk" value="Personal"><label for="00N2E00000ItYUk">Personal</label>
</div>
</div>
<div class="row">
<div class="col-md-4">
<label for="where-purchased">Where Product Was Purchased:</label>
</div>
<div class="col-md-8">
<input type="radio" id="00N2E00000ItYUp" name="00N2E00000ItYUp" value="Online"><label for="00N2E00000ItYUp">Online</label><br>
<input type="radio" id="00N2E00000ItYUp" name="00N2E00000ItYUp" value="Retail / Distributor"><label for="00N2E00000ItYUp">Retail / Distributor</label><br>
</div>
</div>
<div class="row">
<div class="col-md-4">
<label for="purchase-date">Product Purchase Date*:</label>
</div>
<div class="col-md-8">
<span class="dateInput dateOnlyInput">
<input id="00N2E00000ItYUf" name="00N2E00000ItYUf" size="12" type="text" required="">
</span>
</div>
</div>
<div class="row">
<div class="col-md-4">
<label for="model-number">Product Model Number*:</label>
</div>
<div class="col-md-8">
<input id="00N2E00000ItYUu" maxlength="150" name="00N2E00000ItYUu" size="20" type="text" required="">
</div>
</div>
<div class="row">
<div class="col-md-4">
<label for="stock-number">Product Stock Number*:</label>
</div>
<div class="col-md-8">
<input id="00N2E00000ItYUz" maxlength="150" name="00N2E00000ItYUz" size="20" type="text" required="">
</div>
</div>
<div class="row">
<div class="col-md-4">
<label for="serial-number">Product Serial Number*:</label>
</div>
<div class="col-md-8">
<input id="00N2E00000ItYV4" maxlength="150" name="00N2E00000ItYV4" size="20" type="text" required="">
</div>
</div>
<div class="row">
<div class="col-md-4">
<label for="birth-date">Birth Date:</label>
</div>
<div class="col-md-8">
<span class="dateInput dateOnlyInput"><input id="00N2E00000ItYUa" name="00N2E00000ItYUa" size="12" type="text">
</span>
</div>
</div>
<div class="row">
<div class="col-md-4">
<label for="purchase-factor">Determining Factor for Purchase:</label>
</div>
<div class="col-md-8">
<input type="checkbox" id="00N2E00000ItYV9" name="00N2E00000ItYV9" value="Price"><label for="00N2E00000ItYUk">Price</label><br>
<input type="checkbox" id="00N2E00000ItYV9" name="00N2E00000ItYV9" value="Quality"><label for="00N2E00000ItYUk">Quality</label><br>
<input type="checkbox" id="00N2E00000ItYV9" name="00N2E00000ItYV9" value="Features"><label for="00N2E00000ItYUk">Features</label><br>
<input type="checkbox" id="00N2E00000ItYV9" name="00N2E00000ItYV9" value="Parts Availability"><label for="00N2E00000ItYUk">Parts Availability</label><br>
<input type="checkbox" id="00N2E00000ItYV9" name="00N2E00000ItYV9" value="Reputation / Brand"><label for="00N2E00000ItYUk">Reputation / Brand</label><br>
<input type="checkbox" id="00N2E00000ItYV9" name="00N2E00000ItYV9" value="Service"><label for="00N2E00000ItYUk">Service</label><br>
<input type="checkbox" id="00N2E00000ItYV9" name="00N2E00000ItYV9" value="Availability"><label for="00N2E00000ItYUk">Availability</label><br>
<input type="checkbox" id="00N2E00000ItYV9" name="00N2E00000ItYV9" value="Salesperson"><label for="00N2E00000ItYUk">Salesperson</label><br>
<input type="checkbox" id="00N2E00000ItYV9" name="00N2E00000ItYV9" value="Country of Origin"><label for="00N2E00000ItYUk">Country of Origin</label><br>
<input type="checkbox" id="00N2E00000ItYV9" name="00N2E00000ItYV9" value="Financing"><label for="00N2E00000ItYUk">Financing</label><br>
<input type="checkbox" id="00N2E00000ItYV9" name="00N2E00000ItYV9" value="Warranty"><label for="00N2E00000ItYUk">Warranty</label><br>
</div>
</div>
<input type="hidden" id="00N1k000005qOm2" name="00N1k000005qOm2" value="1"><br>
<div class="row">
<div class="col-md-4">
<div class="g-recaptcha" data-sitekey="6LdcNs0ZAAAAALPa3d6wqSXpsw5RQKVICCmsxjbh">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LdcNs0ZAAAAALPa3d6wqSXpsw5RQKVICCmsxjbh&co=aHR0cHM6Ly93d3cuamV0dG9vbHMuY29tOjQ0Mw..&hl=de&v=qljbK_DTcvY1PzbR7IG69z1r&size=normal&cb=buwh992t2ebv"
width="304" height="78" role="presentation" name="a-ogycnig3m9bo" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div><br>
</div>
</div>
<div class="row">
<div class="col" style="text-align: center;">
<input class="submit" type="submit" name="submit" value="Continue to Proof of Purchase">
</div>
</div>
<input type="hidden" id="00N2E00000JAcOZ" name="00N2E00000JAcOZ" value="jt101920215696">
</div>
</div>
</div>
</form>Text Content
PRODUCT REGISTRATION FORM Please fill out the below Product Registration form to register your new JET Tools machine. To successfully register your product, accurately fill in each required field and attach a copy of your purchase receipt for verification. Failure to fully populate the form or provide proof of purchase will result in your product registration being incomplete. If you have any questions, please Contact Us or call 1.800.274.6848 First Name * Last Name * Company Street * City * State * Zip Code * Phone * Email * Brand: Jet Only one Product Line selection is allowed Product Line (select only 1 option): Select... Jet Woodworking JET Metalworking Lifting System Metal Forming Air Tools Shop Tools Jet Elite Primary Use for Product: Professional Personal Where Product Was Purchased: Online Retail / Distributor Product Purchase Date*: Product Model Number*: Product Stock Number*: Product Serial Number*: Birth Date: Determining Factor for Purchase: Price Quality Features Parts Availability Reputation / Brand Service Availability Salesperson Country of Origin Financing Warranty