hsc.pontrx.com
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13.224.103.24
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URL:
https://hsc.pontrx.com/
Submission Tags: @phishunt_io
Submission: On January 02 via api from DE — Scanned from DE
Submission Tags: @phishunt_io
Submission: On January 02 via api from DE — Scanned from DE
Form analysis 1 forms found in the DOM
<form novalidate="" autocomplete="off">
<div class="MuiBox-root css-vtpeil">
<div class="MuiBox-root css-ah8329">
<div class="MuiFormControl-root css-v32g54"><label
class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeMedium MuiInputLabel-standard MuiFormLabel-colorPrimary MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeMedium MuiInputLabel-standard css-1sxoxq8"
data-shrink="true" for="firstName">First Name*</label>
<div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-vsihrj">
<div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl css-x6tohg"><input aria-invalid="false" id="firstName" name="firstName" placeholder="Enter First Name" type="text"
class="MuiInputBase-input MuiOutlinedInput-input css-19kg0ag" value="">
<fieldset aria-hidden="true" class="MuiOutlinedInput-notchedOutline css-igs3ac">
<legend class="css-ihdtdm"><span class="notranslate"></span></legend>
</fieldset>
</div>
</div>
</div>
<div class="MuiFormControl-root css-1ayok5m"><label
class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeMedium MuiInputLabel-standard MuiFormLabel-colorPrimary MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeMedium MuiInputLabel-standard css-1sxoxq8"
data-shrink="true" for="lastName">Last Name*</label>
<div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-vsihrj">
<div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl css-x6tohg"><input aria-invalid="false" id="lastName" name="lastName" placeholder="Enter Last Name" type="text"
class="MuiInputBase-input MuiOutlinedInput-input css-19kg0ag" value="">
<fieldset aria-hidden="true" class="MuiOutlinedInput-notchedOutline css-igs3ac">
<legend class="css-ihdtdm"><span class="notranslate"></span></legend>
</fieldset>
</div>
</div>
</div>
</div>
</div>
<div class="MuiGrid-root MuiGrid-container MuiGrid-spacing-xs-2 css-15qpk7b">
<div class="MuiGrid-root MuiGrid-item css-idl18h">
<div class="MuiFormControl-root MuiFormControl-fullWidth css-ffcg82"><label
class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeMedium MuiInputLabel-outlined MuiFormLabel-colorPrimary MuiFormLabel-filled MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeMedium MuiInputLabel-outlined css-50qphc"
data-shrink="true" for="countryCode">Country Code</label>
<div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl css-f1s5d9">
<div tabindex="0" role="combobox" aria-controls=":r3:" aria-expanded="false" aria-haspopup="listbox" aria-labelledby="countryCode" id="countryCode"
class="MuiSelect-select MuiSelect-outlined MuiInputBase-input MuiOutlinedInput-input css-u8u4fn"><span role="img" class="emojiFlag" aria-label="United States"
style="display: inline-block; font-size: 1.5rem; line-height: 1.5rem; vertical-align: middle; margin-right: 5px;">🇺🇸</span>US</div><input aria-invalid="false" name="countryCode" aria-hidden="true" tabindex="-1"
class="MuiSelect-nativeInput css-1k3x8v3" value="US"><svg class="MuiSvgIcon-root MuiSvgIcon-fontSizeMedium MuiSelect-icon MuiSelect-iconOutlined css-1636szt" focusable="false" aria-hidden="true" viewBox="0 0 24 24"
data-testid="ArrowDropDownIcon">
<path d="M7 10l5 5 5-5z"></path>
</svg>
<fieldset aria-hidden="true" class="MuiOutlinedInput-notchedOutline css-igs3ac">
<legend class="css-ihdtdm"><span class="notranslate"></span></legend>
</fieldset>
</div>
<p class="MuiFormHelperText-root MuiFormHelperText-sizeMedium MuiFormHelperText-contained MuiFormHelperText-filled css-g4z9sj"></p>
</div>
<div class="MuiFormControl-root css-w5vsk8"><label
class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeMedium MuiInputLabel-standard MuiFormLabel-colorPrimary MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeMedium MuiInputLabel-standard css-1sxoxq8"
data-shrink="true" for="phoneNumber">Phone Number*</label>
<div class="MuiFormControl-root MuiTextField-root css-104kkcy">
<div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-formControl css-bmix9n"><input aria-invalid="false" id="phoneNumber" name="phoneNumber" placeholder="Enter Phone Number" type="text"
class="MuiInputBase-input MuiOutlinedInput-input css-19kg0ag" value="+1 ">
<fieldset aria-hidden="true" class="MuiOutlinedInput-notchedOutline css-igs3ac">
<legend class="css-ihdtdm"><span class="notranslate"></span></legend>
</fieldset>
</div>
</div>
</div>
</div>
<div class="MuiGrid-root MuiGrid-container MuiGrid-spacing-xs-2 css-1axzeo4">
<div class="MuiGrid-root css-138vx8t">
<div class="MuiBox-root css-1wp20lz"></div>
<p class="MuiTypography-root MuiTypography-body2 MuiTypography-alignCenter css-1bywhvq">OR</p>
</div><button class="pref-button" type="button">
<div class="MuiBox-root css-48u3e6">
<p class="MuiTypography-root MuiTypography-body1 MuiTypography-alignCenter css-b4240c">Use Email</p>
</div>
</button>
</div>
<div class="MuiGrid-root MuiGrid-item css-fpiww5">
<fieldset class="MuiFormControl-root css-13sljp9">
<div class="MuiFormGroup-root css-1h7anqn"><label class="MuiFormControlLabel-root MuiFormControlLabel-labelPlacementEnd css-6oeifh"><span
class="MuiButtonBase-root MuiCheckbox-root MuiCheckbox-colorPrimary MuiCheckbox-sizeMedium PrivateSwitchBase-root MuiCheckbox-root MuiCheckbox-colorPrimary MuiCheckbox-sizeMedium MuiCheckbox-root MuiCheckbox-colorPrimary MuiCheckbox-sizeMedium css-adjuf8"><input
class="PrivateSwitchBase-input css-1m9pwf3" name="agree" type="checkbox" data-indeterminate="false" value="false"><svg class="MuiSvgIcon-root MuiSvgIcon-fontSizeMedium css-vubbuv" focusable="false" aria-hidden="true"
viewBox="0 0 24 24" data-testid="CheckBoxOutlineBlankIcon">
<path d="M19 5v14H5V5h14m0-2H5c-1.1 0-2 .9-2 2v14c0 1.1.9 2 2 2h14c1.1 0 2-.9 2-2V5c0-1.1-.9-2-2-2z"></path>
</svg><span class="MuiTouchRipple-root css-w0pj6f"></span></span><span class="MuiTypography-root MuiTypography-body1 MuiFormControlLabel-label css-okbma4">
<div class="MuiBox-root css-164r41r">
<p class="MuiTypography-root MuiTypography-body2 MuiTypography-alignLeft css-1cpso70">By checking this box you agree to our
<a class="MuiBox-root css-1h5lcjs" target="_blank" href="https://pontrx.com/company/legal/privacy">Privacy Policy</a>,
<a class="MuiBox-root css-1h5lcjs" target="_blank" href="https://pontrx.com/company/legal/text-consent">Text Message and Email Optin Policy</a> and
<a class="MuiBox-root css-1h5lcjs" target="_blank" href="https://pontrx.com/company/legal/terms">Terms of Use</a>.</p>
</div>
</span></label>
<p class="MuiFormHelperText-root MuiFormHelperText-sizeMedium Mui-required css-1irug4c"></p>
</div>
</fieldset>
</div>
<div class="MuiGrid-root MuiGrid-item css-sowmvs">
<fieldset class="MuiFormControl-root css-13sljp9">
<div class="MuiFormGroup-root css-1h7anqn"><label class="MuiFormControlLabel-root MuiFormControlLabel-labelPlacementEnd css-6oeifh"><span
class="MuiButtonBase-root MuiCheckbox-root MuiCheckbox-colorPrimary MuiCheckbox-sizeMedium PrivateSwitchBase-root MuiCheckbox-root MuiCheckbox-colorPrimary MuiCheckbox-sizeMedium MuiCheckbox-root MuiCheckbox-colorPrimary MuiCheckbox-sizeMedium css-adjuf8"><input
class="PrivateSwitchBase-input css-1m9pwf3" name="smsAgree" type="checkbox" data-indeterminate="false" value="false"><svg class="MuiSvgIcon-root MuiSvgIcon-fontSizeMedium css-vubbuv" focusable="false" aria-hidden="true"
viewBox="0 0 24 24" data-testid="CheckBoxOutlineBlankIcon">
<path d="M19 5v14H5V5h14m0-2H5c-1.1 0-2 .9-2 2v14c0 1.1.9 2 2 2h14c1.1 0 2-.9 2-2V5c0-1.1-.9-2-2-2z"></path>
</svg><span class="MuiTouchRipple-root css-w0pj6f"></span></span><span class="MuiTypography-root MuiTypography-body1 MuiFormControlLabel-label css-okbma4">
<div class="MuiBox-root css-164r41r">
<p class="MuiTypography-root MuiTypography-body2 MuiTypography-alignLeft css-1cpso70">I would like to sign up for SMS discount coupons from PontRX. Message Frequency varies. Text HELP to —shortcode— for help. Text STOP to cancel. Text
Message <a class="MuiBox-root css-1h5lcjs" target="_blank" href="https://pontrx.com/company/legal/privacy">Opt In policy.</a>, SMS consent is not required to use our service.</p>
</div>
</span></label></div>
</fieldset>
</div>
<div class="MuiGrid-root MuiGrid-container MuiGrid-item css-140s3l8"><button
class="MuiButtonBase-root MuiButton-root MuiButton-contained MuiButton-containedPrimary MuiButton-sizeMedium MuiButton-containedSizeMedium Mui-disabled MuiButton-root MuiButton-contained MuiButton-containedPrimary MuiButton-sizeMedium MuiButton-containedSizeMedium css-16lhezu"
tabindex="-1" type="button" disabled="">Submit</button></div>
</div>
</form>Text Content
MENU Privacy PolicyTerms of UseText & Email Optin Policy 🇺🇸 English Thank you for visiting HEALTH SAVE CARD First Name* Last Name* Country Code 🇺🇸US Phone Number* OR Use Email By checking this box you agree to our Privacy Policy, Text Message and Email Optin Policy and Terms of Use. I would like to sign up for SMS discount coupons from PontRX. Message Frequency varies. Text HELP to —shortcode— for help. Text STOP to cancel. Text Message Opt In policy., SMS consent is not required to use our service. Submit Health Save Card has partnered with PontRx to streamline and improve your care experience -------------------------------------------------------------------------------- © PONTRX. 2023, INC. ALL RIGHTS RESERVED