contact.html

---
layout: page
title: Contact us!
permalink: /contact/
---

<!-- contact form start -->
<section id="contact-form">
  <div class="container">
    <div class="row">
      <h1>Drop Us A Note</h1>
      <p>Contact Granicus to talk to a representative.</p>
      <form method="post" name="NuCivic_US_contact_us" action="https://s2338.t.eloqua.com/e/f2" onsubmit="setTimeout(function(){if(document.querySelector){var s=document.querySelector('form#form2262 input[type=submit]');if(s){s.disabled=true;}}},100);return true;" id="form2262" class="elq-form" >
        <div class="col-md-4 col-sm-12">
          <div class="block">
            <input value="NuCivic_US_contact_us" type="hidden" name="elqFormName"  />
            <input value="2338" type="hidden" name="elqSiteId"  />
            <input name="elqCampaignId" type="hidden"  />
            <input type="hidden" name="lastSFDCcampaignID" value="70100000000TeKXAA0"  />
            <input type="hidden" name="leadsourcemostrecent1" value="Web - Inquiry"  />
            <input type="hidden" name="cname" value="NuCivic_Website_GN_All_Contact Us"  />
            <input type="hidden" name="OwnerNuCivic" value="1"  />
            <input type="hidden" name="BusinessUnit1" value="Marketing"  />
            <div class="form-group">
              <input id="field0" type="email" class="form-control" placeholder="Email Address" name="emailAddress" required>
            </div>
            <div class="form-group">
              <input id="field1" type="text" class="form-control" placeholder="First Name" name="firstName" required>
            </div>            
            <div class="form-group">
              <input id="field2" type="text" class="form-control" placeholder="Last Name" name="lastName" required>
            </div>
            <div class="form-group">
              <input id="field3" type="tel" class="form-control" placeholder="Business Phone" name="businessPhone" required>
            </div>
            <div class="form-group">
              <input id="field4" type="text" class="form-control" placeholder="Organization" name="company" required>
            </div>
            <div class="form-group">
              <input id="field5" type="text" class="form-control" placeholder="Title" name="title">
            </div>
          </div>
        </div>
        <div class="col-md-6 col-sm-12">
          <div class="block">
            <div class="form-group">
              <label for="field6">I am inquiring about one of the following:</label>
              <select id="field6" name="dropdownMenu">
                <option value="--Please Select--" >
                  --Please Select--
                </option>
                <option value="GovDelivery Products & Services" >
                  GovDelivery Products &amp; Services
                </option>
                <option value="Schedule a Demo" >
                  Schedule a Demo
                </option>
                <option value="Cutomer Support or Login help" >
                  Customer Support or Login help
                </option>
                <option value="Subscriber inquiry" >
                  Subscriber inquiry
                </option>
              </select>            
            </div>
            <div class="form-group-2">
              <textarea id="field7" name="description" class="form-control" rows="5" placeholder="Description of Inquiry"></textarea>
            </div>
            <br />
            <div class="form-group-2">
              <input type="submit" value="Submit" class="submit-button btn btn-primary btn-lg"/>
            </div>
          </div>
        </div>
     </form>
    </div>
  </div>
</section>
<script src="https://img.en25.com/i/livevalidation_standalone.compressed.js" type="text/javascript" ></script>