online-membership-form

<!doctype html> <html lang="en"> <head> <meta charset="utf-8"/> <meta content="IE=edge,chrome=1" http-equiv="X-UA-Compatible"/> <meta name="viewport" content="width=device-width, initial-scale=1"/> <link rel="icon" href="/content/dam/prnewswire/icons/2019-Q4-PRN-Icon-32-32.png" type="image/png"/> <meta name="adobeLaunchScript" content="//assets.adobedtm.com/launch-ENb957f6e7383d4549b191e1190ed5476e.min"/> <link rel="stylesheet" href="/etc.clientlibs/prncom/clientlibs/clientlibs-common.min.css" type="text/css"> <script src="https://code.jquery.com/jquery-3.5.0.min.js"></script> <meta name="description"/> <title>online-membership-form</title> <meta name="msvalidate.01" content="9D28F7743C790DD88F2D9C7375EF7ED5"/> <meta name="p:domain_verify" content="7d052ac42aa9e7505635404745861994"/> <meta name="referrer" content="no-referrer-when-downgrade"/> <meta name="author" content=""/> <meta name="cf_entity_thumbnail_url" 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content="https://www.prnewswire.com/account/online-membership-form/"/> <meta name="robots" content="index, follow"/> <link rel="canonical" href="https://www.prnewswire.com/account/online-membership-form/"/>  </head> <body class="prncom prncom_index home-page home lpPage blue-theme"> <a href="https://www.cision.com/about/accessibility/" tabindex="0" class="skipNavLink screen-only">Accessibility Statement</a> <a href="#main" tabindex="0" class="skipNavLink screen-only">Skip Navigation</a> <div class="page-wrap"> <div class="lpHeader"><div class="header bg-navy"> <div class="container">  <a class="logo-brand" href="https://www.prnewswire.com" target="_self"> <img src="/content/dam/PRN-white.png" alt=""/> </a> </div> </div> </div> <div class="lpAccountCreate"> <section class="newFormStyle" id="form"> <div class="container"> <div class="row"> <div class="col-sm-12"> <div class="lpHeading"> <h2>Leverage the Industry’s Leading, Most Sourced Press Release Distribution Network in the World</h2> 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src="https://www.google.com/recaptcha/api.js?render=6LcND_QUAAAAAP1F-ViHZtRv64_xwiGtTa9A4q8f" async defer></script> <form id="prneloquaForm" name="USprnnmf" class="form requestDemo" method="post"> <input type="hidden" name="elqFormName" value="USprnnmf" id="elqFormName"/> <input type="hidden" name="elqResourceCategory" id="elqResourceCategory"/> <input type="hidden" name="actionURL" value="https://s1632284857.t.eloqua.com/e/f2" id="actionURL"/> <input type="hidden" name="gACampaign1" value="" id="gACampaign1"/> <input type="hidden" name="elqSiteID" value="1632284857"/> <input type="hidden" name="gAContent1" value="" id="gAContent1"/> <input type="hidden" name="gAMedium1" value="" id="gAMedium1"/> <input type="hidden" name="gASource1" value="" id="gASource1"/> <input type="hidden" name="gATerm1" value="" id="gATerm1"/> <input type="hidden" name="originalGACampaign1" value="" id="originalGACampaign1"/> <input type="hidden" name="originalGAContent1" value="" id="originalGAContent1"/> <input type="hidden" name="originalGAMedium1" value="" id="originalGAMedium1"/> <input type="hidden" name="originalGASource1" value="" id="originalGASource1"/> <input type="hidden" name="originalGATerm1" value="" id="originalGATerm1"/> <input type="hidden" name="sFDCLastCampaignID" id="sFDCLastCampaignID" value=""/> <input type="hidden" name="CLID" value="site_header" id="CLID"/> <input type="hidden" id="gclid" name="GCLID__c" value=""/> <input type="hidden" id="url" name="url" value=""/> <input type="hidden" id="site_refer" name="site_refer" value=""/> <input type="hidden" id="campaign_id" name="campaign_id" value=""/> <input type="hidden" name="retURL" value="/account/OnlineMembershipFormThankyou"/> <input type="hidden" name="leadSourceMostRecent1" value=""/> <input type="hidden" name="demoCampaignID" id="demoCampaignID"/> <input type="hidden" name="campaignId" id="campaignId" value="7010W00000237u8QAA"/> <input type="hidden" name="elqCustomerGUID" value=""/> <input type="hidden" name="elqCookieWrite" value="0"/> <input type="hidden" id="recaptchaToken" name="recaptchaToken" size="1" value=""/> <input type="hidden" id="phoneErrorMsg" name="phoneErrorMsg" value="Please enter in this format"/> <div class="resetLink"> <a href="javascript:;" class="univform_clearbtn" type="reset">Clear the form. </a> </div> <div class="col-sm-12 lp-dnone"> <div style="text-align: left;"><h2 style="font-weight: 400; border-bottom: solid 5.0px rgb(202,200,200);"></h2> </div> <p></p> </div> <div class="univform_fullwidth"> <div class="col-sm-6" style='display:block !important'> <div class="form-group"> <label for="firstName"><span class="required">*</span>First Name:</label> <input id="firstName" name="firstName" class="form-control elqformfield" type="text" required="" placeholder="First Name:" oninvalid="this.setCustomValidity('Please fill out this field')" onchange="this.setCustomValidity('')" autocomplete="given-name"/> </div> </div> <div class="col-sm-6" style='display:block !important'> <div class="form-group"> <label for="lastName"><span class="required">*</span>Last Name:</label> <input id="lastName" name="lastName" class="form-control elqformfield" type="text" required="" placeholder="Last Name:" oninvalid="this.setCustomValidity('Please fill out this field')" onchange="this.setCustomValidity('')" autocomplete="family-name"/> </div> </div> <div class="col-sm-6"> <div class="form-group"> <label for="emailAddress"><span class="required">*</span>Company Email:</label> <input type="email" class="form-control" pattern="[^@]+@[^@]+\.[a-zA-Z]{2,}" name="emailAddress" id="emailAddress" placeholder="Company Email:" required="" oninvalid="this.setCustomValidity('Please enter a valid email id: test@test.com')" onchange="this.setCustomValidity('')" autocomplete="email"/> </div> </div> <div class="col-sm-6" style='display:block !important'> <div class="form-group"> <label for="busPhone"><span class="required">*</span>Preferred Phone Number:</label> <input class="form-control" type="tel" pattern="^((\+)|([1-9]{1,4}[ \-]*)|($[0-9]{2,3}$[ \-]*)|([0-9]{2,4})[ \-]*)*?[0-9]{3,4}?[ \-]*[0-9]{3,4}?$" name="busPhone" id="busPhone" required="" title="Must be a Phone Number" oninvalid="this.setCustomValidity('Please enter in this format')" onchange="this.setCustomValidity('')" autocomplete="tel"/> </div> </div> <div class="col-sm-6" style='display:block !important'> <div class="form-group"> <label for="country"><span class="required">*</span>Country/Region:</label> <select class="form-control elqformfield" id="country" name="country" title="" required="" oninvalid="this.setCustomValidity('Please select an item from the list')" onchange="this.setCustomValidity('')" autocomplete="country-name"> <option value="" selected="selected">-- Please Select --</option> </select> </div> </div> <div class="col-sm-6" style='display:block !important'> <div class="form-group"> <label for="company"><span class="required">*</span>Organization Name:</label> <input type="text" class="form-control" id="organizationName" name="organizationName" placeholder="Organization Name:" required="" autocomplete="organization"/> <div class="help-block with-errors"></div> </div> </div> <div class="col-sm-6"> <div id="responseState" class="responseRequestDemo"> <div class="form-group"> <label for="state"><span class="required">*</span>State/Province:</label> <select class="form-control" name="state" id="state" required="" oninvalid="this.setCustomValidity('Please select an item from the list')" onchange="this.setCustomValidity('')" autocomplete="address-level1"> </select> </div> </div> </div> <div class="col-sm-6" style='display:none !important'> <div class="form-group"> <input type="hidden" name="poidefaultval" value="None" id="poidefaultval"/> <label for="dropdownMenu"> Main Product of Interest:</label> <select class="form-control poiJson" name="dropdownMenu" id="dropdownMenu" oninvalid="this.setCustomValidity('Please select an item from the list')" onchange="this.setCustomValidity('')"> <option value="">-- Please Select --</option> </select> </div> </div> <div class="col-sm-6" style='display:block !important'> <div class="form-group"> <label for="website"><span class="required">*</span>Website URL:</label> <input type="text" class="form-control" name="website" id="website" pattern="^(http(s)?:\/\/[a-zA-Z]{2,8}\.|[a-zA-Z]{2,8}\.|)[a-zA-Z0-9!-_$@][^@]+\.[a-zA-Z]{2,18}(\/|)$" placeholder="Example URL: https://www.example.com" required="" title="Please enter a full URL, including https://" oninvalid="setCustomValidity('URL must be like https://www.example.com')" onchange="try{setCustomValidity('')}catch(e){}" autocomplete="url"/> <div class="help-block with-errors"></div> </div> </div> <div class="col-sm-6" style='display:block !important'> <div class="form-group"> <label for="address1"><span class="required">*</span>Address:</label> <input type="text" class="form-control" id="address1" name="address" placeholder="Address:" required="" minlength="5" oninvalid="setCustomValidity('Please enter a valid mailing address')" onchange="try{setCustomValidity('')}catch(e){}" autocomplete="street-address"/> <div class="help-block with-errors"></div> </div> </div> <div class="col-sm-6" style='display:block !important'> <div class="form-group"> <label for="city"><span class="required">*</span>City:</label> <input type="text" class="form-control" id="city" name="city" placeholder="City:" required="" oninvalid="this.setCustomValidity('Please fill out this field')" onchange="this.setCustomValidity('')" autocomplete="address-level2"/> <div class="help-block with-errors"></div> </div> </div> <div class="col-sm-6" style='display:block !important'> <div class="form-group"> <label for="city"><span class="required">*</span>Postal Code:</label> <input type="text" class="form-control" id="zipPostal" name="zipPostal" placeholder="Postal Code:" required="" oninvalid="this.setCustomValidity('Please fill out this field')" onchange="this.setCustomValidity('')" autocomplete="postal-code"/> <div class="help-block with-errors"></div> </div> </div> <div class="col-sm-6" style='display:block !important'> <div class="form-group"> <label for="pressReleasePackage1" style="font-weight: normal;"> <span class="required">*</span>How many releases are you planning to send in the next 12 months? </label> <select class="form-control" name="pressReleasePackage1" id="pressReleasePackage1" oninvalid="this.setCustomValidity('Please select an item from the list')" onchange="this.setCustomValidity('')" required=""> <option value="">-- Please Select --</option> </select> </div> </div> <div class="col-sm-12 mt-xl" style='display:block !important'> <label for="dropdownMenu"><span class="required">*</span>Would you like the news release contact information to appear on public websites and databases?</label> <br/> <div class="radio radio-inline"> <input type="radio" name="contactInformation" id="dropdownMenu-yes" value="1" checked=""/> <label for="dropdownMenu-yes"> Yes </label> </div> <div class="radio radio-inline"> <input type="radio" name="contactInformation" id="dropdownMenu-no" value="0"/> <label for="dropdownMenu-no"> No </label> </div> </div> <div class="col-sm-12" style='display:block !important'> <div class="form-group"> <div class="checkbox checkbox-primary"> <input type="checkbox" value="1" id="481" name="sendMyRelease"/> <label for="481"> I am ready to send my release within 48 hours.</label> </div> </div> </div> <div class="col-sm-12"> <div class="form-group"> <div class="checkbox checkbox-primary"> <input type="checkbox" value="1" id="termsAndConditions1" name="termsAndConditions" required="" oninvalid="this.setCustomValidity('Please check this box if you want to proceed')" onchange="this.setCustomValidity('')"/> <label for="termsAndConditions1"><span class="required">*</span>I agree that Cision’s Master Subscription Agreement at <a href="http://www.cision.com/legal/msa/" title="http://www.cision.com/legal/msa/" target="_blank">www.cision.com/legal/msa/</a> and the PR Services Appendix at <a href="http://www.cision.com/legal/service-appendices/pr-services-appendix/" title="http://www.cision.com/legal/service-appendices/pr-services-appendix/" target="_blank">www.cision.com/legal/service-appendices/pr-services-appendix/</a> will apply to the use of these Services. </label> </div> </div> </div> <div> <div class="col-sm-12"> <div class="form-group gdpr hide"> <div class="checkbox checkbox-primary"> <input type="checkbox" value="0" id="gDPROptIn1" name="gDPROptIn1" class="gdprchk" oninvalid="this.setCustomValidity('Please check this box if you want to proceed')" onchange="this.setCustomValidity('')"/> <label for="gDPROptIn1"><span class="required">* </span>Cision may use your details to contact you with marketing communications (newsletters, webinar invitations, event invitations, product information and educational resources). For more information, please see our <a href="https://www.cision.com/legal/privacy-policy/">Privacy Notice</a>. </label> </div> </div> </div> <div class="col-sm-12"> <div class="form-group"> <div class="checkbox checkbox-primary" value="1" id="divTC"> <input type="checkbox" value="1" id="termcheck" name="termcheck" oninvalid="this.setCustomValidity('Please check this box if you want to proceed')" onchange="this.setCustomValidity('')" required/> <label for="termcheck"><span class="required">* </span>By submitting your information, you agree that Cision may use your information to contact you with marketing communications (newsletters, webinar invitations, event invitations, product information and educational resources). You can unsubscribe via a link in the footer of our marketing emails. For more information, please see our <a href="https://www.cision.com/legal/privacy-policy/">Privacy Notice.</a></label> </div> </div> </div> <div class="col-sm-12 optin"> <div class="form-group hide"> <div class="checkbox checkbox-primary"> <input type="checkbox" value="1" id="optin" name="optin"/> <label for="optin">By submitting your information, you agree that Cision may use your information to contact you with marketing communications (newsletters, webinar invitations, event invitations, product information and educational resources). You can unsubscribe via a link in the footer of our marketing emails. For more information, please see our <a href="https://www.cision.com/legal/privacy-policy/">Privacy Notice.</a></label> </div> </div> </div> </div> <div class="col-sm-12" id="recaptchaerror" style="display:none"> <p style="color:red;">Recaptcha validation fails Please try again</p> </div> <hr class="clear"/> <div class="col-sm-12 create-account-btn"> <button data-loading-text="<i class='fa fa-spinner fa-pulse fa-fw'></i> Submitting" id="contact-modal-submit" class="btn btn-primary mb-lg pull-right">CREATE MY ACCOUNT</button> </div> </div> </form> <script src="/etc.clientlibs/prncom/clientlibs/clientlib-library.min.js"></script> <script> // Show or hide eloqua fields based on `data-zi-input-enriched` property window._ziInputObserver = new MutationObserver(mutationRecords => { mutationRecords.filter(mutation=>((mutation.target.nodeName=='INPUT' || mutation.target.nodeName=='SELECT') && mutation.target.dataset.ziInputEnriched=='false')).map(mutation=>mutation.target.closest('.form-group').parentElement.style.display="block"); }); window._ziInputObserver.observe($('#prneloquaForm')[0], { attributes: true, subtree: true, attributeFilter: ['data-zi-input-enriched'] }) </script> <link rel="stylesheet" href="/etc.clientlibs/prncom/clientlibs/component-clientlibs/resources/css/intlTelInput.min.css" type="text/css"/> <script type="text/javascript" src="/etc.clientlibs/prncom/clientlibs/component-clientlibs/resources/js/intlTelInput.min.js"></script> <style> /*intlTelInput Phone Custom css */ .iti { width : 100%; } .iti .iti_error { border: 1px solid #FF7C7C; } .iti__flag { background-image: url("/content/dam/prnewswire/icons/flags.png"); } @media (-webkit-min-device-pixel-ratio: 2), (min-resolution: 192dpi) { .iti__flag {background-image: url("/content/dam/prnewswire/icons/flags@2x.png");} } </style> </div> </div> </div> </div> </section></div> <div class="lpImageText"> <section class="px-0 prn-blue"> <div class="container"> <div class="row"> <div class="col-sm-12"> <div class="lpHeading"> <h2><span style="color: rgb(0,168,224);">Unmatched Distribution Offerings and Results</span></h2> </div> </div> </div> <div class="row swap-mobile"> <div class="col-sm-6 order-mb-2"> <img src="/content/dam/lp-dummy.jpg" class="img-responsive imgtext"/> </div> <div class="col-sm-6 order-mb-1"> <div class="lp-list"> <ul> <li><h4 class="heading4">Leader in Global Reach</h4> <p>A network of 82k+ media & press release syndication outlets and 300k+ journalists & influencers</p> </li> <li><h4 class="heading4">Extensive Breadth and Depth of Targeting</h4> <p>Distribute to 170+ countries, 40+ languages,  200+ beats & verticals and more</p> </li> <li><h4 class="heading4">Advancing Innovation and Technology</h4> <p>Effortlessly generate, optimize and distribute press releases with the help of our proprietary AI-powered platform</p> </li> <li><h4 class="heading4">Data Security Is Our Top Priority</h4> <p>Multi-factor authentication and verification, including SOC 2 Type II Privacy and Security compliant</p> </li> <li><h4 class="heading4">24/7/365 Editorial Team Support</h4> <p>Available at any time to review your release, advise on improvements and distribute it</p> </li> <li><h4 class="heading4">99.9% Proofreading Accuracy</h4> <p>On average annually, we review and distribute 325k+ releases and maintain 99.9% proofreading accuracy</p> </li> </ul> <a href="javascript:;" data-scrollanimate="form" class="btn btn-primary">Get Started </a> </div> </div> </div> </div> </section> </div> <div class="lpTestimonial"> <section> <div class="container"> <div class="row"> <div class="col-sm-12"> <div class="lpHeading text-blue"> <h2>Hear What Others Are Saying About PR Newswire:</h2> </div> <div class="prn-testimonial"> <div class="card-view"> <span class="quote-icon"> <svg width="45" height="35" viewBox="0 0 45 35" fill="none" xmlns="http://www.w3.org/2000/svg"> <path opacity="0.8" d="M34.9846 34.416C29.1286 34.416 23.8486 29.904 23.8486 22.032C23.8486 13.584 28.3606 6.192 35.8486 0.911997L42.8566 6.576C39.7846 7.92 35.3686 12.144 34.1206 15.792C34.6006 15.6 35.5606 15.408 36.6166 15.408C41.2246 15.408 44.9686 18.96 44.9686 24.336C44.9686 29.904 40.3606 34.416 34.9846 34.416ZM0.136625 22.032C0.136625 13.584 4.64863 6.192 12.1366 0.911997L19.1446 6.576C16.0726 7.92 11.6566 12.144 10.4086 15.792C10.8886 15.6 11.8486 15.408 12.9046 15.408C17.5126 15.408 21.2566 18.96 21.2566 24.336C21.2566 29.904 16.6486 34.416 11.2726 34.416C5.41663 34.416 0.136625 29.904 0.136625 22.032Z" fill="#2078CA"/> </svg> </span> <p>We are incredibly fortunate as a brand to have a skilled PR Newswire rep who has been a long-standing, tried-and-true partner for Chipotle. She has helped identify areas of opportunity to maximize visibility and engagement for our press releases.”</p> <p>Erin Wolford<br /> Vice President, External Communications<br /> <b>Chipotle</b></p> </div> <div class="card-view"> <span class="quote-icon"> <svg width="45" height="35" viewBox="0 0 45 35" fill="none" xmlns="http://www.w3.org/2000/svg"> <path opacity="0.8" d="M34.9846 34.416C29.1286 34.416 23.8486 29.904 23.8486 22.032C23.8486 13.584 28.3606 6.192 35.8486 0.911997L42.8566 6.576C39.7846 7.92 35.3686 12.144 34.1206 15.792C34.6006 15.6 35.5606 15.408 36.6166 15.408C41.2246 15.408 44.9686 18.96 44.9686 24.336C44.9686 29.904 40.3606 34.416 34.9846 34.416ZM0.136625 22.032C0.136625 13.584 4.64863 6.192 12.1366 0.911997L19.1446 6.576C16.0726 7.92 11.6566 12.144 10.4086 15.792C10.8886 15.6 11.8486 15.408 12.9046 15.408C17.5126 15.408 21.2566 18.96 21.2566 24.336C21.2566 29.904 16.6486 34.416 11.2726 34.416C5.41663 34.416 0.136625 29.904 0.136625 22.032Z" fill="#2078CA"/> </svg> </span> <p>We’ve always found that competitors just don’t have the same list that PR Newswire has or the same reach. We used to have to do it all manually. PR Newswire’s feed just makes it so much easier.”</p> <p>Victoria Syme<br /> Manager of Marketing and Communications<br /> <b>Harmony Marketing</b></p> </div> <div class="card-view"> <span class="quote-icon"> <svg width="45" height="35" viewBox="0 0 45 35" fill="none" xmlns="http://www.w3.org/2000/svg"> <path opacity="0.8" d="M34.9846 34.416C29.1286 34.416 23.8486 29.904 23.8486 22.032C23.8486 13.584 28.3606 6.192 35.8486 0.911997L42.8566 6.576C39.7846 7.92 35.3686 12.144 34.1206 15.792C34.6006 15.6 35.5606 15.408 36.6166 15.408C41.2246 15.408 44.9686 18.96 44.9686 24.336C44.9686 29.904 40.3606 34.416 34.9846 34.416ZM0.136625 22.032C0.136625 13.584 4.64863 6.192 12.1366 0.911997L19.1446 6.576C16.0726 7.92 11.6566 12.144 10.4086 15.792C10.8886 15.6 11.8486 15.408 12.9046 15.408C17.5126 15.408 21.2566 18.96 21.2566 24.336C21.2566 29.904 16.6486 34.416 11.2726 34.416C5.41663 34.416 0.136625 29.904 0.136625 22.032Z" fill="#2078CA"/> </svg> </span> <p>We've been using PR Newswire for almost 3 years now and have been extremely satisfied with the coverage of our press releases. 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