communications.bnlaw.com.au Open in urlscan Pro
119.9.22.121  Public Scan

Form analysis
1 forms found in the DOM

POST https://communications.bnlaw.com.au/API/Form/Process

<form action="https://communications.bnlaw.com.au/API/Form/Process" method="post" accept-charset="utf-8" data-prefill="prefill">
  <p class="single_line_text hidden">
    <label for="Vx_FirstSecondOrThirdName">
      <textarea name="Vx_FirstSecondOrThirdName" id="Vx_FirstSecondOrThirdName" class="form-control"></textarea>
    </label>
  </p>
  <p class="single_line_text_sf half_width">
    <label for="VxForm_SF_FirstName__c">First Name *</label>
    <input type="text" name="VxForm_SF_FirstName__c" id="VxForm_SF_FirstName__c" class="form-control required" maxlength="255" value="Luke">
  </p>
  <p class="single_line_text_sf half_width">
    <label for="VxForm_SF_LastName__c">Last Name *</label>
    <input type="text" name="VxForm_SF_LastName__c" id="VxForm_SF_LastName__c" class="form-control required" maxlength="255" value="Panuccio">
  </p>
  <p class="single_line_text_sf half_width">
    <label for="VxForm_SF_Email__c">Email *</label>
    <input type="text" name="VxForm_SF_Email__c" id="VxForm_SF_Email__c" class="form-control required" maxlength="255" value="luke.panuccio@chubb.com">
  </p>
  <p class="single_line_text_sf half_width">
    <label for="VxForm_SF_Title__c">Job Title *</label>
    <input type="text" name="VxForm_SF_Title__c" id="VxForm_SF_Title__c" class="form-control required" maxlength="255" value="">
  </p>
  <p class="single_line_text_sf half_width">
    <label for="VxForm_SF_Company__c">Company *</label>
    <input type="text" name="VxForm_SF_Company__c" id="VxForm_SF_Company__c" class="form-control required" maxlength="255" value="Chubb Insurance">
  </p>
  <p class="single_line_text_sf half_width">
    <label for="VxForm_SF_MailingAddressLine1__c">Street Address</label>
    <input type="text" name="VxForm_SF_MailingAddressLine1__c" id="VxForm_SF_MailingAddressLine1__c" class="form-control" maxlength="255" value="">
  </p>
  <p class="single_line_text_sf half_width">
    <label for="VxForm_SF_MailingCity__c">City *</label>
    <input type="text" name="VxForm_SF_MailingCity__c" id="VxForm_SF_MailingCity__c" class="form-control required" maxlength="255" value="Brisbane">
  </p>
  <p class="single_line_text_sf half_width">
    <label for="VxForm_SF_MailingState__c">State or Province *</label>
    <input type="text" name="VxForm_SF_MailingState__c" id="VxForm_SF_MailingState__c" class="form-control required" maxlength="255" value="Queensland">
  </p>
  <p class="single_line_text_sf half_width">
    <label for="VxForm_SF_MailingCountry__c">Country *</label>
    <input type="text" name="VxForm_SF_MailingCountry__c" id="VxForm_SF_MailingCountry__c" class="form-control required" maxlength="255" value="AU">
  </p>
  <p class="single_line_text_sf half_width">
    <label for="VxForm_SF_MailingPostalCode__c">Post Code</label>
    <input type="text" name="VxForm_SF_MailingPostalCode__c" id="VxForm_SF_MailingPostalCode__c" class="form-control" maxlength="255" value="">
  </p>
  <p class="instruction_paragraph"><span><b>Please select your areas of interest:</b></span></p>
  <p class="oneplace_preferences"><span>Insurance &amp; Health</span>
    <label class="inline " for="all-case-notes">
      <input type="checkbox" name="SF_Subscribe" value="CN" id="all-case-notes" class="form-control"> &nbsp;<span>All Case Notes</span></label><label class="inline " for="class-actions">
      <input type="checkbox" name="SF_Subscribe" value="CA" id="class-actions" class="form-control"> &nbsp;<span>Class Actions</span></label><label class="inline " for="building--construction-and-property">
      <input type="checkbox" name="SF_Subscribe" value="BC" id="building--construction-and-property" class="form-control"> &nbsp;<span>Building, Construction &amp; Property</span></label>
    <label class="inline " for="ctp">
      <input type="checkbox" name="SF_Subscribe" value="CT" id="ctp" class="form-control"> &nbsp;<span>CTP</span></label>
    <label class="inline " for="cyber-risks-and-technology">
      <input type="checkbox" name="SF_Subscribe" value="CY" id="cyber-risks-and-technology" class="form-control"> &nbsp;<span>Cyber Risks &amp; Technology</span></label>
    <label class="inline " for="employment-and-safety">
      <input type="checkbox" name="SF_Subscribe" value="ELI" id="employment-and-safety" class="form-control"> &nbsp;<span>Employment &amp; Safety</span></label>
    <label class="inline " for="health-law">
      <input type="checkbox" name="SF_Subscribe" value="HL" id="health-law" class="form-control"> &nbsp;<span>Health Law</span></label>
    <label class="inline " for="professional-indemnity-and-financial-lines">
      <input type="checkbox" name="SF_Subscribe" value="PI" id="professional-indemnity-and-financial-lines" class="form-control"> &nbsp;<span>Professional Indemnity &amp; Financial Lines</span></label>
    <label class="inline " for="public-and-product-liability">
      <input type="checkbox" name="SF_Subscribe" value="PL" id="public-and-product-liability" class="form-control"> &nbsp;<span>Public &amp; Product Liability</span></label>
    <label class="inline " for="workers--compensation">
      <input type="checkbox" name="SF_Subscribe" value="WC" id="workers--compensation" class="form-control"> &nbsp;<span>Workers’ Compensation</span></label>
    <input type="hidden" name="SF_Subscribe" value="false" class="form-control">
  </p>
  <p class="oneplace_preferences"><span>Family Law, Wills &amp; Estates</span><label class="inline " for="parenting-and-children-s-matters"><input type="checkbox" name="SF_Subscribe" value="CD" id="parenting-and-children-s-matters"
        class="form-control">&nbsp;<span>Parenting &amp; Children’s Matters</span></label><label class="inline " for="divorce-and-separation"><input type="checkbox" name="SF_Subscribe" value="DS" id="divorce-and-separation"
        class="form-control">&nbsp;<span>Divorce &amp; Separation</span></label><label class="inline " for="domestic-and-family-abuse"><input type="checkbox" name="SF_Subscribe" value="DV" id="domestic-and-family-abuse"
        class="form-control">&nbsp;<span>Domestic and Family Abuse</span></label><label class="inline " for="international-family-law"><input type="checkbox" name="SF_Subscribe" value="IF" id="international-family-law"
        class="form-control">&nbsp;<span>International Family Law</span></label><label class="inline " for="property-settlements"><input type="checkbox" name="SF_Subscribe" value="PS" id="property-settlements"
        class="form-control">&nbsp;<span>Property Settlements</span></label><label class="inline " for="wills-and-estate"><input type="checkbox" name="SF_Subscribe" value="ES" id="wills-and-estate" class="form-control">&nbsp;<span>Wills &amp;
        Estate</span></label><label class="inline " for="child-support"><input type="checkbox" name="SF_Subscribe" value="CS" id="child-support" class="form-control">&nbsp;<span>Child Support</span></label><label class="inline "
      for="financial-agreements"><input type="checkbox" name="SF_Subscribe" value="FA" id="financial-agreements" class="form-control">&nbsp;<span>Financial Agreements</span></label><label class="inline "
      for="de-facto-and-same-sex-relationships"><input type="checkbox" name="SF_Subscribe" value="DF" id="de-facto-and-same-sex-relationships" class="form-control">&nbsp;<span>De Facto and Same Sex Relationships</span></label><label class="inline "
      for="dispute-resolution-options"><input type="checkbox" name="SF_Subscribe" value="DR" id="dispute-resolution-options" class="form-control">&nbsp;<span>Dispute Resolution Options</span></label><label class="inline "
      for="spouse-maintenance"><input type="checkbox" name="SF_Subscribe" value="SM" id="spouse-maintenance" class="form-control">&nbsp;<span>Spouse Maintenance</span></label><input type="hidden" name="SF_Subscribe" value="false"
      class="form-control"></p>
  <p class="multiple_choice hidden_form" style="display:none"><span>Consent given</span><label class="inline" for="yes"><input type="hidden" name="VxForm_Consent" value="Yes" id="yes">&nbsp;<span>Yes</span></label></p>
  <p class="submit">
    <input value="Submit" type="submit" class="btn btn-sm btn-default">
  </p><input value="Preference " id="_strId" name="_strId" type="hidden" class="form-control"><input value="" id="__vx_email" name="__vx_email" type="hidden" class="form-control"><input
    value="../landing-pages/thank-you.asp\\VxForm_Consent\Yes\../landing-pages/thank-you.asp" id="__vx_redirect" name="__vx_redirect" type="hidden" class="form-control"><input value="155" id="_intSitePageId" name="_intSitePageId" type="hidden"
    class="form-control"><input value="" id="_strInteraction" name="_strInteraction" type="hidden" class="form-control"><input type="hidden" name="_autoActivityType" id="_autoActivityType" value="" class="form-control"><input type="hidden"
    name="_intIaFolderId" id="_intIaFolderId" value="" class="form-control"><input type="hidden" name="_vxUpdateMethod" id="_vxUpdateMethod" value="" class="form-control"><input type="hidden" name="_formId" id="_formId" value="23"
    class="form-control"><input type="hidden" name="_formName" id="_formName" value="Preference " class="form-control"><input type="hidden" name="_selected_FolderForDateId" id="_selected_FolderForDateId" value="" class="form-control"><input
    type="hidden" name="_dateProcessedField" id="_dateProcessedField" value="" class="form-control"><input type="hidden" name="_sourceFolder" id="_sourceFolder" value="" class="form-control"><input type="hidden" name="_ON24IntegrationEventGUID"
    id="_ON24IntegrationEventGUID" value="" class="form-control"><input type="hidden" name="VxForm_SF_CampaignId" class="form-control" value="P-a0U2j000002DknaEAC"><input type="hidden" name="_prefillOption" id="_prefillOption"
    value="../landing-pages/subscribe.asp" class="form-control"><input type="hidden" name="VxForm_SF_Use_Alternative_CampaignId" value="true" class="form-control"><input type="hidden" name="sid" value="8573b3ec-ff1f-4f15-80c0-172e2f5ad83f"><input
    type="hidden" name="_vx_workflow" value=""><input type="hidden" name="_intInstanceId" value="9"><input type="hidden" name="_available_lists" value=""><input type="hidden" name="_available_areas_of_interests" value="CN
CA
BC
CT
CY
ELI
HL
PI
PL
WC
CD
DS
DV
IF
PS
ES
CS
FA
DF
DR
SM">
</form>

Text Content

 


MANAGE YOUR PREFERENCES

Update your details and areas of interest by completing the form below. If the
details shown are not yours, please click here.

First Name *

Last Name *

Email *

Job Title *

Company *

Street Address

City *

State or Province *

Country *

Post Code

Please select your areas of interest:

Insurance & Health  All Case Notes  Class Actions  Building, Construction &
Property  CTP  Cyber Risks & Technology  Employment & Safety  Health Law
 Professional Indemnity & Financial Lines  Public & Product Liability  Workers’
Compensation

Family Law, Wills & Estates Parenting & Children’s Matters Divorce &
Separation Domestic and Family Abuse International Family Law Property
Settlements Wills & Estate Child Support Financial Agreements De Facto and Same
Sex Relationships Dispute Resolution Options Spouse Maintenance

Consent given Yes



 

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Barry.Nilsson. communications are intended to provide commentary and general
information. They should not be relied upon as legal advice. Formal legal advice
should be sought in particular transactions or on matters of interest arising
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