Need to submit form

I have been unsuccessfully for nearly two weeks to get my employee discount activated.  I have tried to fax the form and my government ID, and the fax number listed on the form is always unavailable.  I have gone to the local Verizon store, only to be told they cannot process it there.  Can I submit the forms via email to get them reviewed?  If so, what email address should I send them to?  Please help!!  Thank you!!

If you fill out the form at this link, you'll be given the opportunity to upload your information:
Verizon Wireless Employer Discounts: Eligibility | Verizon Wireless

Similar Messages

  • Need Help: Submit form through email

    I need to submit my form to an email address on single click of a button.
    The submit type can be either XML or PDF. But i should neither get any warning nor it should open the Email Client.
    And everything should happen within Adobe Reader 9.
    Is this possible?
    Thanks in Advance,
    Nith

    Hi Nith,
    I saw this question and was interested in what sort of database setup you've got etc. Im a bit new and was just starting to explore how or if you could establish a database to take and store  the information directly from the forms
    I know this is a bit off topic.... but any pointers would be appreciated. I have CS4 master suite (no other livecycle products or budget for them though) and Office 2007.  
    I had been using a custom xml parser to pull the info and put it into target files but this has no storage/reuse potential and is getting real "clunky" so im keen to learn about databases and livecycle.  
    cheers

  • Need to submit form to more than one person

    I am making a facility bookings form for the place I work at.  Once someone has completed the form there needs to be a submit button.  I need the form to be emailed to multiple people.  How do I create a submit button, and how do I make the form email to the correct people.

    Hi,
    If you are creating the form using FormsCentral, a submit button will be added to your form automatically. To send email notification to multiple people, please check out http://forums.adobe.com/docs/DOC-1424 for instructions.
    Thanks,
    Wenlan

  • Submit form through hyperlink

    Hello,
    Problem is....... i need to submit form through hyperlink.
    the following is my code. when i executed it i am getting the same value for all the input buttons in the for loop. So, when i click any hyperlink i am getting only one output.
    can u guide me in this issue.....its urgent...........
    <form name='myform' action="items.jsp" method=post>
    <%
    while(rs.next())
         String s=rs.getString(1);
    %>
         <input type=hidden value=<%= s %> name=nnnn >
         <%= s %>
         <br>
    <SCRIPT language="JavaScript">
    function submitform()
    document.myform.submit();
    </SCRIPT>
    <%
    out.println("</form>");
    Thanks in Advance
    Sri

    i'm not sure but i think you want something like this...
    function submitForm(selectedValue) {
    document.myForm.myInput.value = selectedValue;
    document.myForm.submit();
    and put one of these in your code
    <input type="hidden" name="myInput">
    and in each of you links do
    <a href="javascript:submitForm('<%= whatever %>')">link</a>
    get it?

  • Need submit form code

    I know almost nothing about coding and fear my eyes will be permanently crossed by all the solutions I've searched for and tried over the last week. What I need is (a) the php or perl code to tell the submit button to send the entire form and (b) instructions about exactly where to put it.
    Thank you in advance for anyone who can help.
    This is the page with the form
    http://www.newmeadowcamp.com/brochureask.html
    This is the dreamweaver cs5 code behind it
    <table width="888" align="center" cellpadding="0" cellspacing="0">
      <tr>
        <th width="444" align="center" valign="middle" bgcolor="#FFFFFF" scope="col"><table width="392" align="center" cellpadding="0" cellspacing="0">
          <tr>
            <td width="390" align="left" valign="top" bgcolor="#FFFFFF"><p class="smsubhed"></p>
              <p class="smsubhed"> </p>
              <p class="smsubhed">
                <label for="Please send a New Meadow brochure to:"></label>
                <input name="Please send a New Meadow brochure to:" type="checkbox" id="Please send a New Meadow brochure to:" value="yes" />
                <label for="Please send a New Meadow brochure to:"></label>
                Please send a New Meadow brochure to: </p>
              <p class="xsmsubhed"><br />
                Parent's name</p>
              <p class="xsmsubhed">
                <label for="Parent's name"></label>
                <input name="Parent's name" type="text" id="Parent's name" size="50" />
                <label for="textfield2"></label>
                <label for="parentname"></label>
                <label for="parentname"></label>
                <label for="parent's name"></label>
                </p>
              <p class="xsmsubhed"> Child's name</p>
              <p class="xsmsubhed">
                <label for="Child's name"></label>
                <input name="Child's name" type="text" id="Child's name" size="50" />
                </p>
              <p class="xsmsubhed">Child's age</p>
              <p class="xsmsubhed">
                <input name="Child's age" type="text" id="Child's age" size="15" />
                </p>
              <p class="xsmsubhed">Address</p>
              <p class="xsmsubhed">
                <label for="Address"></label>
                <input name="Address" type="text" id="Address" size="50" />
                </p>
              <label for="textfield4"></label>
              <p class="xsmsubhed">City</p>
              <p class="xsmsubhed">
                <label for="City"></label>
                <input name="City" type="text" id="City" size="50" />
                </p>
              <label for="textfield5"></label>
              <p class="xsmsubhed">State</p>
              <p class="xsmsubhed">
                <label for="State"></label>
                <select name="State" id="State">
                  <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="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" selected="selected">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>Washington, D.C.</option>
                  <option value="WV">West Virginia</option>
                  <option value="WI">Wisconsin</option>
                  <option value="WY">Wyoming</option>
                  </select>
                </p>
              <label for="textfield6"></label>
              <p class="xsmsubhed">Zip</p>
              <p class="xsmsubhed">
                <label for="Zip"></label>
                <input name="Zip" type="text" id="Zip" size="50" />
                </p>
              <label for="email"></label>
              <p class="xsmsubhed">Email</p>
              <p>
                <label for="textfield8"></label>
                <label for="Email"></label>
                <input name="Email" type="text" id="Email" size="50" />
                </p>
              <p class="smsubhed"> </p>
              <p class="smsubhed">
                <label for="Please send a New Meadow brochure to:2"></label>
                <input name="Please send a New Meadow brochure to:2" type="checkbox" id="Please send a New Meadow brochure to:2" value="yes" />
                <span class="xsmsubhed">I also have a question for New Meadow:</span></p>
              <p class="smsubhed">
                <label for="I also have a question for New Meadow"></label>
                <textarea name="I also have a question for New Meadow" id="I also have a question for New Meadow" cols="50" rows="5"></textarea>
                </p>
              <p>  </p>
              <table width="170" height="46" cellpadding="0" cellspacing="0">
                <tr>
                  <td width="88" align="left"><form action="" name="form1" target="_top" id="form1">
                    <input type="submit" name="button" id="button" value="Submit" />
                  </form></td>
                  <td width="88" align="left"><input type="reset" /></td>
                  </tr>
              </table></td>
            </tr>
      </table></th>
      </tr>
    </table>

    Your form is not declared and doesn't do anything.
    When you create a form, you need to declare it.
    Then you need to say what the form does or what it calls.
    Here's an example:
    <form action="dothis.php" method="post">
      First name: <input type="text" name="fname"><br>
      Last name: <input type="text" name="lname"><br>
      <input type="submit" value="Submit">
    </form>
    Now, the action="" part should call server-side code that collects all of your data and sends it in an email to whomever you wish. But since you did not declare your form and did not give it an action or a method, you have the entry blanks but it's just going to sit there.
    -Mark

  • Struggling with the Submit Form

    My incomplete site has three links which don't seem to work at all. Unsurprisingly they are all the same file type and I don't have the slightest clue on how to fix it!
    http://www.expertpcguides.com/contact-us.html
    I have supplied the coding for one of my pages 'Site Feedback'. My goal is to create a send-able form where the user can contact us at [email protected]. You guys supplied me with this script, but for some reason (probably due to my own fault) it isn't working! Thanks for the help.
    Technical Support Page:
    <!DOCTYPE HTML>
    <html>
        <head>
            <meta charset="UTF-8">
            <meta name="viewport" content="width=device-width, initial-scale=1.0">
            <title>technical-support</title>
            <link rel="stylesheet" href="css/common-reset.css" type="text/css" media="screen" />
            <link rel="stylesheet" href="css/common-style.css" type="text/css" media="screen" />
            <link href="lightbox/css/lightbox.css" rel="stylesheet" />
            <link href='http://fonts.googleapis.com/css?family=Open+Sans%7CBaumans%7CArvo%7CRoboto' rel='stylesheet' type='text/css' />
            <script src="js/modernizr.js"></script>
            <script src="js/respond.min.js"></script>
            <!-- include extern jQuery file but fall back to local file if extern one fails to load !-->
            <script src="http://code.jquery.com/jquery-1.7.2.min.js"></script>
            <script type="text/javascript">window.jQuery || document.write('<script type="text/javascript" src="js\/1.7.2.jquery.min"><\/script>')</script>
            <script src="lightbox/js/lightbox.js"></script>
            <script src="js/prefixfree.min.js"></script>
            <script src="js/jquery.slides.min.js"></script>
            <!--[if lt IE 9]>
                <style>
                    header
                        margin: 0 auto 20px auto;
                    #four_columns .img-item figure span.thumb-screen
                        display:none;
                </style>
            <![endif]-->
            <script>
            $(function() {
              $('#slides').slidesjs({
                height: 235,
                navigation: false,
                pagination: false,
                effect: {
                  fade: {
                    speed: 2600
                callback: {
                    start: function(number)
                        $("#slider_content1,#slider_content2,#slider_content3").fadeOut(500);
                    complete: function(number)
                        $("#slider_content" + number).delay(200).fadeIn(1000);
                play: {
                    active: false,
                    auto: true,
                    interval: 28000,
                    pauseOnHover: false
            </script>
         <style type="text/css">
    <!--
    .style4 {
      font-size: 20px
    .style5 {color: #0000FF}
    .style6 {
      color: #0099CC;
      font-weight: bold;
    .style9 {
      color: #CCCCCC;
      font-size: 90%;
    .style12 {font-family: Georgia, "Times New Roman", Times, serif; color: #000000; font-size: 120%; }
    .style16 {color: #000099}
    .style45 {font-family: Georgia, "Times New Roman", Times, serif; color: #0000FF; font-size: 120%; }
    .style46 {color: #000000}
    -->
            </style>
    </head>
      <body>
            <header>           
                <h1 class="style5">Expertpcguides.com</h1>
              <p class="style6">Technology Explained.</p>
    <select id="alternative_menu" size="1">
                    <option>Home</option>
                    <option>About</option>
                    <option>Contact us</option>
                    <option>Login/Register</option>
                    <option>Forums</option>
    <option>Privacy Policy</option>
                    <option>Disclaimer</option>
                    <option>Legal Notice</option>
                </select>
                <nav>
                <h2 class="hidden">Our navigation</h2>
                    <ul>
                        <li><a href="index.html" class="style46">Home</a></li>
                      <li><a href="about-us.html" class="style46">About</a></li>
                      <li><a href="javascript:void(0)" class="style46">Contact us</a></li>
                      <li><a href="javascript:void(0)" class="style46">Login/Register</a></li>
                      <li><a href="javascript:void(0)" class="style46">Forums</a></li>
                  </ul>
                </nav>
            </header>
            <section id="spacer"> 
            <h2 class="hidden">Dolor sit amet</h2>         
                <p><span style="color:#5cb3ff;">D</span><span style="color:#6cbafe;">i</span><span style="color:#7cc1fe;">c</span><span style="color:#8cc9fd;">t</span><span style="color:#9cd0fd;">i</span><span style="color:#abd7fc;">o</span><span style="color:#bbdefc;">n</span><span style="color:#cbe6fb;">a</span><span style="color:#dbedfb;">r</span><span style="color:#ebf4fa;">y</span> | <span style="color:#ffffff;">A</span><span style="color:#dcf1ff;">r</span><span style="color:#b9e3ff;">t</span><span style="color:#96d5ff;">i</span><span style="color:#74c8ff;">c</span><span style="color:#51baff;">l</span><span style="color:#2eacff;">e</span><span style="color:#0b9eff;">s</span> | <span style="color:#1c95ff;">C</span><span style="color:#299bff;">o</span><span style="color:#35a0ff;">m</span><span style="color:#42a6ff;">p</span><span style="color:#4facff;">u</span><span style="color:#5bb2ff;">t</span><span style="color:#68b7ff;">e</span><span style="color:#75bdff;">r</span><span style="color:#81c3ff;"> </span><span style="color:#8ec9ff;">H</span><span style="color:#9bceff;">i</span><span style="color:#a7d4ff;">s</span><span style="color:#b4daff;">t</span><span style="color:#c1e0ff;">o</span><span style="color:#cde5ff;">r</span><span style="color:#daebff;">y</span> | <span style="color:#1c95ff;">F</span><span style="color:#2d9dff;">r</span><span style="color:#3fa5ff;">e</span><span style="color:#50adff;">e</span><span style="color:#62b6ff;"> </span><span style="color:#73beff;">D</span><span style="color:#85c6ff;">o</span><span style="color:#96ceff;">w</span><span style="color:#a8d6ff;">n</span><span style="color:#b9deff;">l</span><span style="color:#cbe7ff;">o</span><span style="color:#dcefff;">a</span><span style="color:#eef7ff;">d</span><span style="color:#ffffff;">s</span></p>
    <div class="search">
    <form id="searchbox_000429658622879505763:gczdzyghogq" action="https://www.google.com/cse/publicurl?cx=000429658622879505763:gczdzyghogq">
    <input value="000429658622879505763:gczdzyghogq" name="cx" type="hidden"/>
    <input value="FORID:11" name="cof" type="hidden"/>
    <input id="q" style="width:150px;" name="q" size="70" type="text" />
    <input value="Search" name="sa" type="submit"/>
    </form>
    </div>
        </section>
    <section id="boxcontent">
    <section id="four_columns">
                <h2 class="style16">
                    Support</h2>   
                <p class="style45">
                    <?phpif(isset($sent)) {
        echo "<h3>$sent</h3>";
    if(isset($error)) {
    echo "<h3>$error</h3>";
    ?>
    <form id="form1" name="form1" method="post" action="">
    <p><span class="style46"><strong>Name:</strong></span></p>
    <form name="form1" method="post" action="">
      <label>
      <input type="text" name="Namefield" id="Namefield">
      </label>
    </form>
    <p><span class="style46"><br />
    </span></p>
    <p><span class="style46"><strong>Email:</strong></span></p>
    <form name="form2" method="post" action="">
      <label>
      <input type="text" name="emailfield" id="emailfield">
      </label>
      <span class="style46"><br />
      </span>
    </form>
    <p><span class="style46"><strong>Computer Brand:</strong></span></p>
    <form name="form3" method="post" action="">
      <label>
      <select name="computerbrandfield" size="5" id="computerbrandfield">
        <option>Atari</option>
        <option>Compaq</option>
        <option>CTX</option>
        <option>Custom Built</option>
        <option>Cyber Max</option>
        <option>Dell</option>
        <option>Digital</option>
        <option>DTK</option>
        <option>E-machine</option>
        <option>Gateway</option>
        <option>Hand Held</option>
        <option>Hewlett Packard</option>
        <option>IBM</option>
        <option>Lenevo</option>
        <option>Macintosh</option>
        <option>Micron</option>
        <option>Midwest Micro</option>
        <option>NEC</option>
        <option>Packard Bell</option>
        <option>Quantex</option>
        <option>Sharp</option>
        <option>Sony</option>
        <option>Sun</option>
        <option>Systemax</option>
        <option>Tiger Direct</option>
        <option>Toshiba</option>
        <option>Twinhead</option>
        <option>Winbook</option>
        <option>Xi Computer</option>
        <option>Zenith</option>
        <option>Other Computer Brand</option>
        <option>Other Device</option>
      </select>
      </label>
    </form>
    <p><span class="style46"><br />
    </span></p>
    <p><span class="style46"><strong>Operating System:</strong></span></p>
    <form name="form4" method="post" action="">
      <label>
      <select name="computerbrandfield3" size="5" id="computerbrandfield3">
        <option>Windows 8</option>
        <option>Windows 7</option>
        <option>Windows Vista</option>
        <option>Windows XP</option>
        <option>Windows 2000</option>
        <option>Windows 2003</option>
        <option>Mac OS</option>
        <option>Linux Variant</option>
        <option>BSD</option>
        <option>DOS / PC-DOS</option>
        <option>OS/2 Warp</option>
        <option>Windows 98</option>
        <option>Windows 95</option>
        <option>Windows CE</option>
        <option>Windows ME</option>
        <option>Windows NT</option>
        <option>Windows 3.x</option>
        <option>Other</option>
        <option>Unknown</option>
        </select>
      </label>
    </form>
    <p><span class="style46"><br />
    </span></p>
    <p><span class="style46"><strong>Amount of RAM:</strong></span></p>
    <p><span class="style46">
      <select name="computerbrandfield2" size="5" id="computerbrandfield2">
        <option>0mb-1GB</option>
        <option>1GB-2GB</option>
        <option>2GB-4GB</option>
        <option>More than 4GB</option>
        </select>
      </span></p>
    <p><span class="style46"><br />
    </span></p>
    <p><span class="style46"><strong>CPU Type:</strong></span></p>
    <p>
      <select name="computerbrandfield4" size="5" id="computerbrandfield4">
        <option>Power PC</option>
        <option>Rise mP6</option>
        <option>Transmeta Crusoe</option>
        <option>Other</option>
        <option>Unknown</option>
        </select>
    </p>
    <p> </p>
    <p><span class="style46"><strong>Computer Type:</strong></span><span class="style46"><br />
    </span></p>
    <p><span class="style46">
      <select name="computerbrandfield5" size="5" id="computerbrandfield5">
        <option>Desktop/Workstation</option>
        <option>Gaming System</option>
        <option>Laptop</option>
        <option>PDA / Mobile</option>
        <option>Server</option>
        <option>Other</option>
        </select>
      <br />
    </span></p>
    <label><span class="style46"><strong>Question:</strong><br />
    </span><br />
    <textarea name="textarea" id="textarea" cols="45" rows="5"></textarea>
    </label>
    <p> </p>
    <p>
    <label>
    <input type="submit" name="Submit" id="Submit" value="Submit" />
    </label>
    </p>
        <p class="style12"><br class="clear"/>
        </p>
      </section><br class="clear"/>
        </section>
    <section id="text_columns">
    <section class="column2"></section>
            </section>
    <footer>
          <h2 class="hidden">Our footer</h2>
          <section id="copyright">
            <h3 class="hidden">Copyright notice</h3>
            <div class="wrapper">
              <div class="social"> <a href="index.html"><img src="img/G.png" alt="G" width="25"/></a> <a href="index.html"><img src="img/U.png" alt="U" width="25"/></a> <a href="index.html"><img src="img/I.png" alt="I" width="25"/></a> <a href="index.html"><img src="img/D.png" alt="D" width="25"/></a> <a href="index.html"><img src="img/E.png" alt="E" width="25"/></a> <a href="index.html"><img src="img/S.png" alt="S" width="25"/></a> </div>
              &copy; Copyright 2014 by Expertpcguides.com. All Rights Reserved. </div>
    </section>
          <section class="wrapper">
            <h3 class="hidden">Footer content</h3>
            <article class="column hide">
              <h4>Site Links</h4>
                <div class="class1">
                  <p class="footer-text"><a href="web-contributors.html" >Developers/Contributors</a></p>
                </div>
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                  <p><a href="create-a-page.html" class="style10">Create a page</a></p>
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    Also, what's this about? There's no form at all!
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  • Is it possible to remove the submit form button that's automatically created when you distribute a form?

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    You can have more control on the email subject/ to and CC Email address, if you use a regular button and place the code in the click event.
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  • Submit Form Button Acrobat X Pro Mac

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    What I Need:
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  • How can i submit form-data with acrobat pocket pc

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    from the docu on my pocket pc:
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    Here is the answer to my own question. Don't use Distribute Form to generate the Reader-enabled form. Instead, in Acrobat 9, go to Advanced --> Extend Forms Fill-in and Save in Adobe Reader to generate the form. In Acrobat X, go to File>Save as.

  • "Submit Form" button automatically created when opening form in non-adobe program

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    Yes, that is correct.
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  • Responses not coming to my e-mail when "Submit Form" clicked

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    tonyb1117 wrote:
    It works! Thank you very much for pointing that out "bregent" and "osgood_". I have one more small problem though, when signing out my contact form the phone number field does not accept any phone number?
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  • Where does the "Submit Form" button get created and how can I change the associated email address?

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    Yes, that is correct.
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    Let me know if you need further info to help me out.
    Thanks again

  • Can I submit form using app.launchURL

    I want to submit a pdf form without replacing my page. I need it open in new tab.
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    No, you can't submit the form like that. You could submit some form data as
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