<div id="x_sms_widget"> <div id="x_sms_widget_thanks" style="display: none">Thank you for joining - you will receive a confirmation text shortly!</div> <form method="POST" action="https://kiosk.bespeakinc.com/class/client/ajax/ajax_subscriberenter.php" id="x_sms_widget_form" onsubmit="return x_widget_submit();" novalidate=""> <input type="hidden" name="campaign_id" value="93811"> <input type="hidden" name="alert_admin" value="0"> <input type="hidden" name="admin_alert_message" value="{first} {last} requested more info via the web widget for {campaign}. Contact them at {mobile}"> <div id="x_sms_widget_title">Earn Rewards</div> <div id="x_sms_widget_desc">Enter your details to join our Mobile Rewards Program!</div> <div class="x_sms_widget_group x_sms_widget_fname" style="display:block;"> <label for="x_sms_widget_fname">First Name</label> <input type="text" id="x_sms_widget_fname" name="fname" size="10" class="x_sms_widget_input" placeholder="Your first name" required="required" style="background-image: url(&quot;data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAABHklEQVQ4EaVTO26DQBD1ohQWaS2lg9JybZ+AK7hNwx2oIoVf4UPQ0Lj1FdKktevIpel8AKNUkDcWMxpgSaIEaTVv3sx7uztiTdu2s/98DywOw3Dued4Who/M2aIx5lZV1aEsy0+qiwHELyi+Ytl0PQ69SxAxkWIA4RMRTdNsKE59juMcuZd6xIAFeZ6fGCdJ8kY4y7KAuTRNGd7jyEBXsdOPE3a0QGPsniOnnYMO67LgSQN9T41F2QGrQRRFCwyzoIF2qyBuKKbcOgPXdVeY9rMWgNsjf9ccYesJhk3f5dYT1HX9gR0LLQR30TnjkUEcx2uIuS4RnI+aj6sJR0AM8AaumPaM/rRehyWhXqbFAA9kh3/8/NvHxAYGAsZ/il8IalkCLBfNVAAAAABJRU5ErkJggg==&quot;); background-repeat: no-repeat; background-attachment: scroll; background-size: 16px 18px; background-position: 98% 50%;"> </div> <div class="x_sms_widget_group x_sms_widget_lname" style="display:none;"> <label for="x_sms_widget_lname">Last Name</label> <input type="text" id="x_sms_widget_lname" name="lname" size="10" class="x_sms_widget_input" placeholder="Your last name"> </div> <div class="x_sms_widget_group"> <label for="x_sms_widget_phone">Phone</label> <input type="text" id="x_sms_widget_phone" name="phone" size="10" class="x_sms_widget_input" placeholder="Your cell number" required=""> </div> <div class="x_sms_widget_group x_sms_widget_email" style="display: none;"> <label for="x_sms_widget_email">Email Address</label> <input type="text" id="x_sms_widget_email" name="email" size="10" class="x_sms_widget_input" placeholder="Your email address"> </div> <div class="x_sms_widget_group x_sms_widget_message" style="display:none;"> <label for="x_sms_widget_message">Message</label> <div class="x_sms_counter">

<span class="x_sms_count">0/160</span> <input type="text" id="x_sms_widget_message" name="message" size="10" class="x_sms_widget_input text-limited" placeholder="Your message" maxlength="160" onkeyup="x_widget_updateTextLimits();"> </div> </div> <div class="x_sms_widget_group"> <div class="x_sms_widget_group_part_100"> <input id="x_sms_widget_btn" name="submit" type="submit" value="Sign Up"> </div> </div> <div class="x_sms_widget_group"> <p id="x_sms_widget_terms">You will receive up to 4 messages per month. Msg and data rates apply. Text STOP to stop. <a target="_blank" href="https://kiosk.bespeakinc.com/terms-and-privacy/#privacy/" title="Click here to read our Privacy Policy">Privacy Policy</a> | <a target="_blank" href="https://kiosk.bespeakinc.com/terms-and-privacy//" title="Click here to read our Terms and Conditions">Terms and Conditions</a></p> </div> </form> <script type="text/javascript"> function x_widget_updateTextLimits(){ var el = document.getElementById('x_sms_widget_message'); var val = el.value; var max = el.attributes.maxlength.value; var curLen = val.length; var display = curLen + '/' + max; var counter = el.previousSibling.previousSibling; counter.firstChild.nodeValue = display; if(curLen > max){ counter.classList.add('text-danger'); } else { counter.classList.remove('text-danger'); } } x_widget_updateTextLimits(); function x_widget_show_results(valid){ if (valid){ document.getElementById('x_sms_widget_form').style.display = 'none'; document.getElementById('x_sms_widget_thanks').style.display = 'block'; } } function x_widget_send(url, data){ var xhr, formData = '';

for (item in data){ formData += item + '=' + data[item] + '&'; } xhr = new XMLHttpRequest(); xhr.open("POST", url, true); xhr.setRequestHeader("Content-type", "application/x-www-form-urlencoded"); xhr.onreadystatechange = function() { if(xhr.readyState == 4 && xhr.status == 200) { var response = xhr.responseText; var numberValid = response.indexOf('valid 10 digit phone') > -1 ? false : true; var status = numberValid ? true : false; x_widget_show_results(status); } } xhr.send(formData); } function x_widget_submit(){ var inputs, formData = { ajax: true }; inputs = document.querySelectorAll('#x_sms_widget_form input'); for (var i=0; i<inputs.length; i++) { inputs[i].classList.remove('x_sms_widget_error'); var name = inputs[i]['name']; var val = inputs[i]['value']; formData[name] = val; } var phone, required, emptyRequired; required = document.getElementById('x_sms_widget_form').querySelectorAll("[required]"); emptyRequired = []; for(i=0;i < required.length; i++){ if(required[i].value.length === 0){ emptyRequired.push(required[i].id); } } phone = document.getElementById('x_sms_widget_phone').value; if (phone.length < 10){ document.getElementById('x_sms_widget_phone').classList.add('x_sms_widget_error'); }

if (emptyRequired.length > 0){ for(i=0;i < emptyRequired.length; i++){ document.getElementById(emptyRequired[i]).classList.add('x_sms_widget_error'); } } if (phone.length < 10 || emptyRequired.length > 0) { return false; } else { var submitUrl = 'https://kiosk.bespeakinc.com/class/client/ajax/ajax_subscriberenter.php'; x_widget_send(submitUrl, formData); return false; } } </script> <style>#x_sms_widget.x_sms_dark{background: #242424;color: #fff;border-color: #444;}#x_sms_widget.x_sms_dark input{color:#555;}#x_sms_widget_thanks {font-size: 1.5em; padding: .75em .25em 1.5em; line-height: 1.5;}#x_sms_widget.x_sms_no_wrap{border:none;background:none;padding:none;box-shadow:none;}#x_sms_widget label,.x_sms_count{font-size: 12px;}.x_sms_counter{position: relative;}.x_sms_counter .x_sms_count{position:absolute;right:0;top:-25px;}#x_sms_widget{padding:10px 30px 0;background:rgba(255,255,255,.9);border:1px solid #d5d5d5;width:100%;max-width:300px;margin:20px auto;box-shadow:0 5px 5px rgba(0,0,0,.05);border-radius:3px}#x_sms_widget::after{clear:both;content:" ";display:block;width:100%}#x_sms_widget_title{font-size:26px;line-height:1.2;padding:10px 0;}#x_sms_widget_desc{font-size:14px;line-height:1.2;opacity:.8;margin-bottom:10px}#x_sms_widget_terms{font-size:11px;line-height:1.2;opacity:.6}.x_sms_widget_input[type=text]{border:1px solid #d5d5d5;font-size:12px;font-family:arial,sans-serif;display:block;width:100%;line-height:25px;height:auto;padding:5px;box-shadow:inset 1px 1px 2px rgba(0,0,0,.15)}.x_sms_widget_error.x_sms_widget_input[type=text]{border-color:#e74c3c}.x_sms_widget_group{margin-bottom:10px;clear:both;float:left;width:100%}.x_sms_widget_group_part_100{float:left;width:100%}.x_sms_widget_group_part_50{width:48%;float:left}.x_sms_widget_group_part_50:last-child{float:right}#x_sms_widget_btn{width:100%;font-size:16px;line-height:1.2;background:#2ecc71;color:#fff;text-shadow:1px 1px 0 rgba(0,0,0,.05);border-radius:3px;border:1px solid rgba(0,0,0,.1);border-bottom-width:3px;padding:10px 0}</style> </div>