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POST /signup/bd2092aa55de716672058f1cab9a5081

<form action="/signup/bd2092aa55de716672058f1cab9a5081" method="post" class="form-register">
  <input type="hidden" id="csrf_token" name="csrf_token" value="7b75f6d28bca1f27efc6f7ba4614eb662938befdd3819408df419d4f465e0642">
  <div class="mjt-form-group" data-hj-masked="">
    <label class="mjt-label" for="firstname"> Firstname</label>
    <input type="text" class="mjt-input " id="firstname" name="firstname" value="">
  </div>
  <div class="mjt-form-group" data-hj-masked="">
    <label class="mjt-label" for="lastname"> Lastname</label>
    <input type="text" class="mjt-input " id="lastname" name="lastname" value="">
  </div>
  <div class="mjt-form-group password-show mb16i" data-hj-masked="">
    <label class="mjt-text mjt-signup-grey mjt-signup-family-std mjt-signup-medium mjt-label" for="password">Password</label>
    <div class="mjt-checkbox-input ">
      <div class="mjt-input-group">
        <input class="mjt-input-medium" type="password" data-testid="signUp-input-passwordField" id="password" name="password" value="" required="">
      </div>
      <div class="mjt-input-group2 verdict">
        <div class="progress-verdict"></div>
      </div>
      <label class="mjt-checkbox-group mjt-checkbox-label mb0">
        <span class="mjt-checkbox">
          <input id="show-password" data-testid="signUp-checkbox-showPassword" name="show-password" type="checkbox">
          <ins></ins>
        </span> Show </label>
    </div>
    <p class="mjt-sub mjt-signup-small mjt-signup-family-std mjt-signup-grey mt4" for="password">Min. 8 characters, 1 letter, 1 number and 1 special character</p>
    <div class="mjt-label-error mb0">
    </div>
  </div>
  <div class="mjt-form-group text-center">
    <input class="mjt-btn" name="submit" type="submit" value="Start now!">
  </div>
  <div class="mjt-form-group text-center">
    <p class="signup-notice mjt-small-text text-center"> By clicking the “Start Now!” button, I expressly agree to the Mailjet <a href="/r/terms-and-conditions/" class="mjt-link">Terms of Service</a> and understand that my account information will be
      used according to Mailjet <a href="/r/privacy-policy/" class="mjt-link">Privacy Policy</a>
    </p>
  </div>
</form>

Text Content

SIGN UP

to confirm your invitation for west@nursecore.com

Firstname
Lastname
Password

Show

Min. 8 characters, 1 letter, 1 number and 1 special character




By clicking the “Start Now!” button, I expressly agree to the Mailjet Terms of
Service and understand that my account information will be used according to
Mailjet Privacy Policy

Already registered? Sign in


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