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signup.html
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---
---
<!DOCTYPE html>
<html>
{% include head.html title="Get started with LocalData" %}
<body class="leads">
<header class="out">
<div class="photo" style="min-height:951px;">
<div class="a">
<h1 class="logo"><a href=".">LocalData</a></h1>
</div>
</div>
<div class="b measureme">
<h1 class="case"></h1>
<div id="sec-start">
<h1>Get started with LocalData</h1>
<h2>Fill out this quick form to tell us more about your needs. We'll be in touch shortly! Or, call us toll-free at <strong>866-944-4468</strong>.</h2>
</div>
<div class="hidden" id="sec-thanks">
<h1>Thank you! We will get back to you shortly.</h1>
</div>
<form action="" id="sec-form">
<div class="hidden req" id="req-message">Oops, you're missing some required fields.</div>
<div class="single">
<label for="form-name">Name<a class="req">*</a></label>
<input type="text" name="entry.1000000" id="form-name" placeholder="Your name" data-required="true" />
</div>
<div class="pair">
<div class="single">
<label for="form-email">Email<a class="req">*</a></label>
<input type="text" name="entry.1000019" id="form-email" data-required="true" placeholder="[email protected]" />
</div>
<div class="single">
<label for="form-phone">Phone<a class="req">*</a></label>
<input type="text" name="entry.1000018" id="form-phone" data-required="true" placeholder="(555) 555-1234" />
</div>
</div>
<div class="pair">
<div class="single">
<label for="form-title">Title</label>
<input type="text" name="entry.1000004" id="form-title" />
</div>
<div class="single">
<label for="form-organization">Organization</label>
<input type="text" name="entry.1000005" id="form-organization" class="wide" />
</div>
</div>
<!-- Organization type -->
<div class="multi">
<p class="question">What type of organization are you with?</p>
<div>
<input type="radio" name="entry.1000006" id="org-0" for="org-0" value="Nonprofit" />
<label for="org-0">Nonprofit</label>
</div>
<div>
<input type="radio" name="entry.1000006" id="org-1" for="org-1" value="Private sector" />
<label for="org-1">Private sector</label>
</div>
<div>
<input type="radio" name="entry.1000006" id="org-2" for="org-2" value="Government" />
<label for="org-2">Government</label>
</div>
</div>
<!-- Data collection history -->
<div class="hidden" data-condition="past-yes">
<div class="multi">
<p class="question">What tools do you use for data collection?</p>
<div>
<input type="checkbox" name="entry.1000015" id="tech-0" value="paper" />
<label for="tech-0">Pen and paper</label>
</div>
<div>
<input type="checkbox" name="entry.1000015" id="tech-1" value="__option__" />
<label for="tech-1">Technology</label>
</div>
<div class="hidden" data-condition="tech-1">
<label>Which products?</label>
<input type="text" name="entry.1000015.other_option_response" id="tech-other" />
</div>
</div>
</div>
<!-- <div class="req">* Required</div>
-->
<div style="display:none;">
<input type="text" name="entry.1000001" id="form-last-name" value="_"/>
</div>
<input type="hidden" name="pageHistory" value="0" />
<input type="hidden" name="submit" value="Submit" />
<input type="hidden" name"fbzx" value="8220583173966662487" />
<input type="submit" value="Submit" class="input-submit" id="form-submit" />
</form>
</form>
<iframe id="cm" src="cmform.html" width="0" height="0">
</iframe>
</div>
</header>
{% include footer.html %}
{% include js.html %}
<script src="js/interested.js"></script>
</body>
</html>