Error from Hubspot Form API Submission on Pharmacist Form (Pharmacist.php)

Response: Server error

Our website provider is having
trouble loading this page

They're working on resolving the issue. Thank you for your patience.

In the meantime, you can refresh this page or go back to the previous page.

REQUEST ID: 51c640ce7968df00 IP ADDRESS: 50.62.176.123

Gateway time-out

The web server reported a gateway time-out error.


Info: url:"https:\/\/forms.hubspot.com\/uploads\/form\/v2\/133275\/59f3fc7a-d8a3-4658-b24c-960563008dcc"; content_type:"text\/html; charset=UTF-8"; http_code:504; header_size:773; request_size:312; filetime:-1; ssl_verify_result:0; redirect_count:0; total_time:5.118435; namelookup_time:0.004189; connect_time:0.005118; pretransfer_time:0.024593; size_upload:760; size_download:9063; speed_download:1770; speed_upload:148; download_content_length:9063; upload_content_length:760; starttransfer_time:0.024646; redirect_time:0; redirect_url:""; primary_ip:"104.16.251.5"; certinfo:[]; primary_port:443; local_ip:"50.62.176.123"; local_port:57034;
Status Code:504
CURL Error:
DATA:program_of_interest=Pharmacist&firstname=Jeanette&lastname=Revelez&phone=831-331-6560&email=jeanetteelaine86%40yahoo.com&state=CA&lead_status=New+Lead&lifecyclestage=lead&hs_context=%7B%22hutk%22%3A%2292f397994e4b8b0b00194de68f20ff00%22%2C%22ipAddress%22%3A%2250.204.241.84%22%2C%22pageUrl%22%3A%22https%3A%5C%2F%5C%2Fwww.achievetestprep.com%5C%2Fpharmacy-tech-to-pharmacist%3Fcampaign%3DFacebook%2BPharm%2BTech%2Bto%2BPharmacist%26utm_campaign%3DFacebook%2BPharm%2BTech%2Bto%2BPharmacist%26utm_source%3Dfacebook%26utm_medium%3Dpaidsocial%26fbclid%3DIwAR0c8FaCllOjnqDIL4eHlB27Iq3GT_sl23auBwWG5e7ejGCuAIkYYog8ZLc%22%2C%22pageName%22%3A%22Pharmacy+Tech+to+Pharmacist+%7C+Achieve+RFI%22%2C%22pageId%22%3A%2211103692700%22%7D&general_program_of_interest=Pharmacist
50.204.241.84
Aptos, California 95003
Form Title: Pharmacist
File Name: Pharmacist.php
Session ID: d1bpnpld7odtljbmiprrfln487
Form ID: 5c1b46bb830d0d1c7a76a5b7a0b13877
Key: eyJBIjoiMTBkMTUzdyIsIkIiOiJoYXlwdnMwIiwiQyI6IjhqMnB2eSIsIkQiOiJwazB5aWoiLCJFIjoieHo5NGZyIiwiRiI6IjE4bDN5d24ifQ==
Mozilla/5.0 (Windows NT 6.1; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/76.0.3809.100 Safari/537.36
PHP_SELF: /forms/Views/Pharmacist.php
SERVER_ADDR: 23.229.210.163
SERVER_NAME: www2.achievetestprep.com
SERVER_SOFTWARE: Apache
SERVER_PROTOCOL: HTTP/2.0
REQUEST_METHOD: POST
REQUEST_TIME: 1569511554
REQUEST_TIME_FLOAT: 1569511554.0756
DOCUMENT_ROOT: /home/atphosting/public_html/achievetestprep.com
HTTP_ACCEPT: */*
HTTP_ACCEPT_ENCODING: gzip, deflate, br
HTTP_ACCEPT_LANGUAGE: en-US,en;q=0.9
HTTP_HOST: www2.achievetestprep.com
HTTP_REFERER: https://www2.achievetestprep.com/forms/Views/Pharmacist.php?current_url=https%3A%2F%2Fwww.achievetestprep.com%2Fpharmacy-tech-to-pharmacist%3Fcampaign%3DFacebook%2BPharm%2BTech%2Bto%2BPharmacist%26utm_campaign%3DFacebook%2BPharm%2BTech%2Bto%2BPharmacist%26utm_source%3Dfacebook%26utm_medium%3Dpaidsocial%26fbclid%3DIwAR0c8FaCllOjnqDIL4eHlB27Iq3GT_sl23auBwWG5e7ejGCuAIkYYog8ZLc&page_title=Pharmacy%20Tech%20to%20Pharmacist%20%7C%20Achieve%20RFI&page_id=11103692700&campaign=Facebook+Pharm+Tech+to+Pharmacist&utm_campaign=Facebook+Pharm+Tech+to+Pharmacist&utm_source=facebook&utm_medium=paidsocial&fbclid=IwAR0c8FaCllOjnqDIL4eHlB27Iq3GT_sl23auBwWG5e7ejGCuAIkYYog8ZLc
HTTP_USER_AGENT: Mozilla/5.0 (Windows NT 6.1; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/76.0.3809.100 Safari/537.36
HTTPS: on
REMOTE_ADDR: 50.204.241.84
REMOTE_PORT: 52160
SCRIPT_FILENAME: /home/atphosting/public_html/achievetestprep.com/forms/Views/Pharmacist.php
SERVER_ADMIN: webmaster@www2.achievetestprep.com
SERVER_PORT: 443
SCRIPT_NAME: /forms/Views/Pharmacist.php
REQUEST_URI: /forms/Views/Pharmacist.php
Array ( [degree] => Array ( [label] => Degree of Interest [column] => 1 [required] => 1 [req_dependant] => None [type] => select [options] => Array ( [-- Select Program --] => [Pharmacy Tech to Pharmacist] => Pharmacist [Pharmacist] => Pharmacist [Healthcare Management] => Healthcare Management ) [sf_lead_field] => Initial_Program_of_Interest__c [sf_instructor_field] => [hs_field] => program_of_interest [note] => [valid] => 1 [post] => sek873 [value] => Pharmacist ) [fname] => Array ( [label] => First Name [column] => 1 [required] => 1 [req_dependant] => None [type] => text [size] => 25 [sf_lead_field] => First_Name__c [hs_field] => firstname [valid] => 1 [post] => sek874 [value] => Jeanette ) [lname] => Array ( [label] => Last Name [column] => 1 [required] => 1 [req_dependant] => None [type] => text [size] => 25 [sf_lead_field] => Name [hs_field] => lastname [valid] => 1 [post] => sek875 [value] => Revelez ) [phone] => Array ( [label] => Phone Number [column] => 1 [required] => 1 [req_dependant] => none [type] => phone [size] => 25 [sf_lead_field] => Mobile_Primary__c [hs_field] => phone [note] => [valid] => 1 [post] => sek876 [value] => 831-331-6560 ) [email] => Array ( [label] => Email Address [column] => 1 [required] => 1 [req_dependant] => None [type] => email [size] => 25 [sf_lead_field] => Email__c [hs_field] => email [valid] => 1 [post] => sek877 [value] => jeanetteelaine86@yahoo.com ) [state] => Array ( [label] => State/Province [column] => 1 [required] => 1 [req_dependant] => None [type] => select [sf_lead_field] => State__c [hs_field] => state [options] => Array ( [Alabama] => AL [Alaska] => AK [Arizona] => AZ [Arkansas] => AR [California] => CA [Colorado] => CO [Connecticut] => CT [Delaware] => DE [District of Columbia] => DC [Florida] => FL [Georgia] => GA [Hawaii] => HI [Idaho] => ID [Illinois] => IL [Indiana] => IN [Iowa] => IA [Kansas] => KS [Kentucky] => KY [Louisiana] => LA [Maine] => ME [Maryland] => MD [Massachusetts] => MA [Michigan] => MI [Minnesota] => MN [Mississippi] => MS [Missouri] => MO [Montana] => MT [Nebraska] => NE [Nevada] => NV [New Hampshire] => NH [New Jersey] => NJ [New Mexico] => NM [New York] => NY [North Carolina] => NC [North Dakota] => ND [Ohio] => OH [Oklahoma] => OK [Oregon] => OR [Pennsylvania] => PA [Rhode Island] => RI [South Carolina] => SC [South Dakota] => SD [Tennessee] => TN [Texas] => TX [Utah] => UT [Vermont] => VT [Virginia] => VA [Washington] => WA [West Virginia] => WV [Wisconsin] => WI [Wyoming] => WY ) [valid] => 1 [post] => sek878 [value] => CA ) )