https://www.americaneducational.us/ltc-school.html

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Variáveis JavaScript · 5 encontrada(s)

Variáveis JavaScript globais carregadas no objeto janela de uma página são variáveis declaradas fora das funções e acessíveis de qualquer lugar no código dentro do escopo atual

NomeTipo
onbeforetoggleobject
documentPictureInPictureobject
onscrollendobject
$function
jQueryfunction

Mensagens de registro do console · 1 encontrada(s)

Mensagens registradas no console web

TipoCategoriaLog
errornetwork
URL
https://www.americaneducational.us/favicon.ico
Texto
Failed to load resource: the server responded with a status of 404 ()

HTML

O corpo HTML bruto da página

<!DOCTYPE html><html><head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>American Employee Services</title>
<style type="text/css">

  input:required:invalid, input:focus:invalid {
    background-image: url(/images/invalid.png);
    background-position: right top;
    background-repeat: no-repeat;
  }
  input:required:valid {
    background-image: url(/images/valid.png);
    background-position: right top;
    background-repeat: no-repeat;
  }

</style>
<link href="css/style-ltc.css" rel="stylesheet">
<script type="text/javascript" src="https://ajax.googleapis.com/ajax/libs/jquery/1.6.2/jquery.min.js"></script>
<script type="text/javascript" src="js/jquery.maskedinput-1.3.min.js"></script>


<script type="text/javascript" src="js/phonemask.js"></script>

<script type="text/javascript" charset="utf-8">
	jQuery(function($) {
		$.mask.definitions['~']='[+-]';
		$('#date').mask('99/99/9999');
	});
</script>
</head>
<body>
<div class="color-border">
    </div>
<div id="maincontainer">

<div id="topsection"><img src="images/head.jpg" alt="American Employee Services" align="left" style="width:100%; max-width:750px; height:auto;"></div>
<div style="clear:both;"></div>
<div id="contentwrapper">
	<div id="contentcolumn">
		<div class="innertube">
<div class="wrapper">
		<div id="main" style="padding:0 0 0 0;" class="clearfix">
		
		<!-- Form -->
        <form action="quote.php" method="post" enctype="application/x-www-form-urlencoded" id="contact-form">
                    <input type="hidden" name="s" value="AES">
                    <input type="hidden" name="a" value="AES">
            <h2>Long Term Care Insurance - Information Request</h2>
			<h4>Please complete the form below and our representative will contact you.<br> <span style="color:#F00">* indicates required fields</span> </h4>
			<div class="form-row">
                <div class="column-half">
                    <label>
                        <span><h5>*</h5> First Name:</span>
                        <input placeholder="Please enter your first name" type="text" tabindex="1" name="first_name" data-validate="required" required="" autofocus="">
                    </label>
                </div>
                <div class="column-half">
                    <label>
                        <span><h5>*</h5> Last Name:</span>
                        <input placeholder="Please enter your last name" type="text" tabindex="2" name="last_name" data-validate="required" required="">
                    </label>
                </div>
            </div>
 
            <div class="form-row">
				<div class="column-half">
                    <label>
                        <span><h5>*</h5> City:</span>
                        <input placeholder="Please enter your city" type="text" tabindex="3" name="city" required="">
                    </label>
                </div>
            	<div class="column-half">
                    <label>
                        <span><h5>*</h5> State:</span>
                         <select name="Market" id="Market" type="select" tabindex="4" required="">
                            <option value="default">Choose...</option>
                            <option value="AL">Alabama</option>
                            <option value="AK">Alaska</option>
                            <option value="AZ">Arizona</option>
                            <option value="AR">Arkansas</option>
                            <option value="CA">California</option>
                            <option value="CO">Colorado</option>
                            <option value="CT">Connecticut</option>
                            <option value="DE">Delaware</option>
                            <option value="DC">District Of Columbia</option>
                            <option value="FL">Florida</option>
                            <option value="GA">Georgia</option>
                            <option value="HI">Hawaii</option>
                            <option value="ID">Idaho</option>
                            <option value="IL">Illinois</option>
                            <option value="IN">Indiana</option>
                            <option value="IA">Iowa</option>
                            <option value="KS">Kansas</option>
                            <option value="KY">Kentucky</option>
                            <option value="LA">Louisiana</option>
                            <option value="ME">Maine</option>
                            <option value="MD">Maryland</option>
                            <option value="MA">Massachusetts</option>
                            <option value="MI">Michigan</option>
                            <option value="MN">Minnesota</option>
                            <option value="MS">Mississippi</option>
                            <option value="MO">Missouri</option>
                            <option value="MT">Montana</option>
                            <option value="NE">Nebraska</option>
                            <option value="NV">Nevada</option>
                            <option value="NH">New Hampshire</option>
                            <option value="NJ">New Jersey</option>
                            <option value="NM">New Mexico</option>
                            <option value="NY">New York</option>
                            <option value="NC">North Carolina</option>
                            <option value="ND">North Dakota</option>
                            <option value="OH">Ohio</option>
                            <option value="OK">Oklahoma</option>
                            <option value="OR">Oregon</option>
                            <option value="PA">Pennsylvania</option>
                            <option value="RI">Rhode Island</option>
                            <option value="SC">South Carolina</option>
                            <option value="SD">South Dakota</option>
                            <option value="TN">Tennessee</option>
                            <option value="TX">Texas</option>
                            <option value="UT">Utah</option>
                            <option value="VT">Vermont</option>
                            <option value="VA">Virginia</option>
                            <option value="WA">Washington</option>
                            <option value="WV">West Virginia</option>
                            <option value="WI">Wisconsin</option>
                            <option value="WY">Wyoming</option>
                        </select>
                    </label>
                </div>
                               
            </div>
            <div style="clear:both;"></div>
            <div class="form-row">
            	 <div class="column-half">
                    <label>
                        <span><h5>*</h5> Zip Code:</span>
                        <input placeholder="Please enter your zip" type="text" tabindex="5" name="zip" required="">
                    </label>
                </div>
                <div class="column-half">
                    <label>
                        <span><h5>*</h5> Age of Insured:</span>
                        <input placeholder="Please enter age" type="text" tabindex="6" name="age" required="">
                    </label>
                </div>
            </div>
            <div style="clear:both;"></div>
            <div class="form-row">
                <div class="column-half">
                    <label>
                        <span><h5>*</h5> Email Address:</span>
                        <input placeholder="Please enter your email" type="email" tabindex="7" name="email" required="">
                    </label>
                </div>
                <div class="column-half">
                    <label>
                        <span><h5>*</h5> 
                        Cell Phone:</span>
                         <input id="txtPhoneNumber" name="FancyPhoneNumber" tabindex="8" placeholder="(XXX) XXX-XXXX" type="text" required="">
                    </label>
                </div>
            </div>
			<input id="txtHiddenPhoneNumber" name="PhoneNumber" type="hidden" value="">
			<div>
				<button name="submit" type="submit" id="contact-submit">Send</button>
			</div>
		</form>
		<!-- /Form -->
		
		</div>
	</div>

	<script src="js/scripts.js"></script>
		</div>
	</div>
</div>



<div id="footer"> 
<p><strong>AES - American Employee Services</strong></p>
			<p>953 Pavilion Street Suite #3 Cincinnati, OH 45202 </p>
			<p>Tol Free:  866-242-6940  |  <a href="http://www.americaneducational.us/email.html">Unsubscribe your Email</a></p>
</div>

</div>


</body></html>