portal.criticalimpact.com Open in urlscan Pro
199.167.225.41  Public Scan

Form analysis
1 forms found in the DOM

Name: form1 — POST /procenter/procenter.cfm?save=1&action=profile&eid=a20b4695c9b7b18fbf4f362dd83f7e1a&jid=7b8fd79c94c7d9583947229f28c3afba&c=29891

<form name="form1" id="form1" action="/procenter/procenter.cfm?save=1&amp;action=profile&amp;eid=a20b4695c9b7b18fbf4f362dd83f7e1a&amp;jid=7b8fd79c94c7d9583947229f28c3afba&amp;c=29891" method="post" onsubmit="return _CF_checkform1(this)">
  <div>
    <div class="ci_procenter_header" id="ci_procenter_manage_subscriptions">
      <div>
      </div> Manage Subscription
    </div>
    <div class="content">
      <div class="ci_procenter_names">
        <div class="ci_procenter_form_label"> First Name: </div>
        <input name="firstname" id="firstname" type="text" value="Nicole" class="ci_procenter_text_box">
      </div>
      <div class="ci_procenter_names">
        <div class="ci_procenter_form_label"> Last Name: </div>
        <input name="lastname" id="lastname" type="text" value="Schlack" class="ci_procenter_text_box">
      </div>
      <div style="clear: both;"></div>
      <div class="ci_procenter_form_label"> Email: </div>
      <input name="email" id="email" type="text" value="nicole.schlack@bcbsnc.com" class="ci_procenter_text_box" size="50"> <input name="id" id="id" type="hidden" value="a20b4695c9b7b18fbf4f362dd83f7e1a">
      <div>
        <input name="Update" id="Update" type="submit" value="Update" class="ci_procenter_update_btn">
      </div>
      <div class="ci_procenter_end_line"> &nbsp; </div>
    </div>
    <div class="ci_procenter_header" id="ci_procenter_preferences"> My Preferences </div>
    <div class="content" id="ci_procenter_preferences_subtext"> Indicate whether you would like to receive emails in HTML or text only. Then click the Update button. <br><br>
      <input name="prefhtml" id="prefhtml" type="radio" value="1" checked="checked"> HTML Emails &nbsp;&nbsp;&nbsp; <input name="prefhtml" id="prefhtml" type="radio" value="2"> Text Emails<br><br>
      <input name="Update" id="Update" type="submit" value="Update" class="ci_procenter_update_btn">
    </div>
    <div class="ci_procenter_end_line" id="ci_procenter_email_pref_line"> &nbsp; </div>
    <div class="ci_procenter_header" id="ci_procenter_unsubscribe_all"> Unsubscribe From All </div>
    <div class="content" id="ci_procenter_unsubscribe_all_subtext"> If you wish to unsubscribe from ALL email from Kingdom Insurance Group, check the box and click the update button below. <br><br>
      <input name="unsubscribe" id="unsubscribe" type="checkbox" style="float:left; width: 22px;">
      <div id="ci_procenter_unsubscribe_checkbox" style="margin-left:26px; padding-top:3px;">Please remove me from any future publications.</div><br>
      <input name="Update" id="Update" type="submit" value="Update" class="ci_procenter_update_btn">
    </div>
  </div>
</form>

Text Content

Manage Subscription
First Name:
Last Name:

Email:

 
My Preferences
Indicate whether you would like to receive emails in HTML or text only. Then
click the Update button.

HTML Emails     Text Emails


 
Unsubscribe From All
If you wish to unsubscribe from ALL email from Kingdom Insurance Group, check
the box and click the update button below.


Please remove me from any future publications.