express.quincycompressor.com Open in urlscan Pro
54.235.201.165  Public Scan

Form analysis
1 forms found in the DOM

POST https://express.quincycompressor.com/lp/form-submit

<form action="https://express.quincycompressor.com/lp/form-submit" method="post" class="async" id="iabjw">
  <div class="fields">
    <div class="row">
      <div class="column">
        <label for="name">Name<sup class="required">*</sup></label>
        <input type="text" name="name" required="">
      </div>
      <!-- /.column -->
      <div class="column">
        <label for="email">Email<sup class="required">*</sup></label>
        <input type="text" name="email" required="">
      </div>
      <!-- /.column -->
    </div>
    <!-- /.row -->
    <div class="row">
      <div class="column">
        <label for="phone">Phone</label>
        <input type="text" name="phone">
      </div>
      <!-- /.column -->
      <div class="column">
        <label for="company">Company</label>
        <input type="text" name="company">
      </div>
      <!-- /.column -->
    </div>
    <!-- /.row -->
    <div class="row">
      <div class="column">
        <label for="address">Street Address<sup class="required">*</sup></label>
        <input type="text" name="address" required="">
      </div>
      <!-- /.column -->
      <div class="column">
        <div class="row">
          <div class="column small-4">
            <label for="state">State<sup class="required">*</sup></label>
            <input type="text" name="state" required="">
          </div>
          <!-- /.column -->
          <div class="column small-8">
            <label for="zip">Zipcode</label>
            <input type="text" name="zip">
          </div>
          <!-- /.column -->
        </div>
      </div>
      <!-- /.column -->
    </div>
    <!-- /.row -->
    <div class="row">
      <div class="column">
        <label for="best_time">Best Time to Call<sup class="required">*</sup></label>
        <select name="best_time" required="">
          <option value="" selected="selected">Choose...</option>
          <option value="morning">Morning</option>
          <option value="afternoon">Afternoon</option>
          <option value="evening">Evening</option>
        </select>
      </div>
      <!-- /.column -->
      <div class="column">
        <label for="industry">Industry</label>
        <select name="industry">
          <option value="" selected="selected">Choose...</option>
          <option value="Aerospace">Aerospace</option>
          <option value="Agriculture or Farm">Agriculture/Farm</option>
          <option value="Amusement Parks">Amusement Parks</option>
          <option value="Automotive">Automotive</option>
          <option value="Brewing">Brewing</option>
          <option value="Climate Control">Climate Control</option>
          <option value="Dry Cleaning">Dry Cleaning</option>
          <option value="Energy Exploration">Energy Exploration</option>
          <option value="Food and Beverage">Food &amp; Beverage</option>
          <option value="Low Pressure">Low Pressure</option>
          <option value="Manufacturing">Manufacturing</option>
          <option value="Mining">Mining</option>
          <option value="Natural Gas">Natural Gas</option>
          <option value="Oil and Gas">Oil &amp; Gas</option>
          <option value="Painting">Painting</option>
          <option value="Pharmaceutical">Pharmaceutical</option>
          <option value="Plastics">Plastics</option>
          <option value="Plumbing">Plumbing</option>
          <option value="Textiles">Textiles</option>
          <option value="Woodworking">Woodworking</option>
          <option value="Other">Other</option>
        </select>
      </div>
      <!-- /.column -->
    </div>
    <!-- /.row -->
    <div class="row">
      <div class="column">
        <label>
          <input type="checkbox" name="privacy_policy" value="1" required=""> I have read and accept the <a href="https://www.quincycompressor.com/about-us/legal-notice/" target="_blank">privacy policy</a>. </label>
        <button class="button">Submit</button>
      </div>
      <!-- /.column -->
    </div>
    <!-- /.row -->
  </div>
  <!-- /.fields -->
  <div class="callout alert hide error-message">
    <p>There was an error submitting the form.</p>
  </div>
  <!-- /.callout -->
  <div class="callout success hide success-message">
    <p>Thank you. We will be in touch!</p>
  </div>
  <!-- /.callout -->
  <input type="hidden" name="sender_id" value="25867"><input type="hidden" name="recipient_id" value="4370686"><input type="hidden" name="drip_piece_id" value="1973">
</form>

Text Content

IN STOCK TODAY!


If you�re looking for a highly efficient 5�30 hp compressor and/or refrigerated
dryer, Quincy has over�600 Rotary Screw Compressors and over�1000 Air Dryers IN
STOCK TODAY! Contact us to learn more.


Name*
Email*
Phone
Company
Street Address*
State*
Zipcode
Best Time to Call* Choose... Morning Afternoon Evening
Industry Choose... Aerospace Agriculture/Farm Amusement Parks Automotive Brewing
Climate Control Dry Cleaning Energy Exploration Food & Beverage Low Pressure
Manufacturing Mining Natural Gas Oil & Gas Painting Pharmaceutical Plastics
Plumbing Textiles Woodworking Other
I have read and accept the privacy policy. Submit

There was an error submitting the form.

Thank you. We will be in touch!