info.cipherhealth.com
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3.92.120.28
Public Scan
URL:
https://info.cipherhealth.com/emailPreference/epc/183332/_cuUTzHeMxgIJiH-wEvrXA3WxB92_4MpqQqW2jDVduY/309c1753c751ce4dd7536820b...
Submission: On July 20 via api from US — Scanned from DE
Submission: On July 20 via api from US — Scanned from DE
Form analysis
1 forms found in the DOMPOST https://info.cipherhealth.com/emailPreference/e/epc/183332/5zSzcdwBxYEy9oYKHpXN61hYqjXVNkdNW7I-QAjQEks/238/309c1753c751ce4dd7536820baa71242c71c84f557bd09ef68a6e0844994ed2e
<form accept-charset="UTF-8" method="post" action="https://info.cipherhealth.com/emailPreference/e/epc/183332/5zSzcdwBxYEy9oYKHpXN61hYqjXVNkdNW7I-QAjQEks/238/309c1753c751ce4dd7536820baa71242c71c84f557bd09ef68a6e0844994ed2e" class="form"
id="pardot-form">
<p><img align="left" alt="" border="0" height="70" src="https://info.cipherhealth.com/l/183332/2018-05-27/2s68vc/183332/58670/CipherHealth_Logo_1_.png" style="width: 300px; height: 70px; float: left; border-width: 0px; border-style: solid;"
width="300"></p>
<p> </p>
<p> </p>
<p> </p>
<p><strong>Please select which lists you would like to receive email communications from.</strong></p>
<p class="form-field pd-email required %%form-field-dependency-css%%">
<label class="field-label" for="piEmailPrefEmail">Your Email Address</label>
<input type="text" name="piEmailPrefEmail" id="piEmailPrefEmail" value="p*****a@m*****n.org" class="text" readonly="readonly">
</p>
<div id="error_for_piEmailPrefEmail" style="display:none"></div>
<p class="form-field %%form-field-class-type%% required %%form-field-dependency-css%%">
<input type="hidden" name="piEmToken" id="piEmToken" value="Akcw7upaUqdvK_CimNUwxgAeM4LpCwSM75V5tLhzjnY" readonly="readonly">
</p>
<div id="error_for_piEmToken" style="display:none"></div>
<p class="form-field email-pref pd-checkbox %%form-field-dependency-css%%">
<input type="checkbox" name="list[]" id="list_114382" value="114382"> <label class="inline" for="list_114382">Blog Subscription</label>
</p>
<div id="error_for_list_114382" style="display:none"></div>
<p class="form-field email-pref pd-checkbox %%form-field-dependency-css%%">
<input type="checkbox" name="list[]" id="list_128850" value="128850"> <label class="inline" for="list_128850">Event Newsletter</label>
</p>
<div id="error_for_list_128850" style="display:none"></div>
<p class="form-field email-pref pd-checkbox %%form-field-dependency-css%%">
<input type="checkbox" name="list[]" id="list_128847" value="128847"> <label class="inline" for="list_128847">Monthly Newsletter</label>
</p>
<div id="error_for_list_128847" style="display:none"></div>
<p class="form-field email-pref pd-checkbox %%form-field-dependency-css%%">
<input type="checkbox" name="list[]" id="list_106705" value="106705"> <label class="inline" for="list_106705">Product Updates</label>
</p>
<div id="error_for_list_106705" style="display:none"></div>
<p class="form-field %%form-field-css-classes%% %%form-field-class-type%% no-label %%form-field-dependency-css%%">
<a href="https://info.cipherhealth.com/unsubscribe/u/183332/309c1753c751ce4dd7536820baa71242c71c84f557bd09ef68a6e0844994ed2e/1206515424" onclick="return confirm(this.getAttribute('data-confirm'));" data-confirm="Are you sure you want to opt out from all future email communications?" target="_top">Opt out from all email communications</a>
</p>
<div id="error_for_gUnsub" style="display:none"></div>
<p style="position:absolute; width:190px; left:-9999px; top: -9999px;visibility:hidden;">
<label for="pi_extra_field">Comments</label>
<input type="text" name="pi_extra_field" id="pi_extra_field">
</p>
<!-- forces IE5-8 to correctly submit UTF8 content -->
<input name="_utf8" type="hidden" value="☃">
<p class="submit">
<input type="submit" accesskey="s" value="Save Preferences">
</p>
<script type="text/javascript">
//<![CDATA[
var anchors = document.getElementsByTagName("a");
for (var i = 0; i < anchors.length; i++) {
var anchor = anchors[i];
if (anchor.getAttribute("href") && !anchor.getAttribute("target")) {
anchor.target = "_top";
}
}
//]]>
</script>
</form>
Text Content
Please select which lists you would like to receive email communications from. Your Email Address Blog Subscription Event Newsletter Monthly Newsletter Product Updates Opt out from all email communications Comments