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Form analysis
1 forms found in the DOM

POST /acuity/dashboard/confirmation

<form accept-charset="UTF-8" action="/acuity/dashboard/confirmation" class="simple_form edit_provider_user" id="activation-form" method="post" novalidate="novalidate">
  <div style="margin:0;padding:0;display:inline"><input name="utf8" type="hidden" value="✓"><input name="_method" type="hidden" value="put"><input name="authenticity_token" type="hidden" value="PA1Wikqa5w5pKFG2m5ZiDPMeUuSKgmM2fW9iwUu7v+s="></div>
  <fieldset>
    <legend>Account Activation for dhampton@acuity.com</legend>
    <div class="form-inputs">
      <div class="control-group password optional provider_user_password"><label class="password optional control-label" for="provider_user_password">Choose a Password:</label>
        <div class="controls"><input class="password optional" id="provider_user_password" name="provider_user[password]" size="50" type="password"></div>
      </div>
      <div class="control-group password optional provider_user_password_confirmation"><label class="password optional control-label" for="provider_user_password_confirmation">Password Confirmation:</label>
        <div class="controls"><input class="password optional" id="provider_user_password_confirmation" name="provider_user[password_confirmation]" size="50" type="password"></div>
      </div>
      <div class="control-group select optional provider_user_manager_id"><label class="select optional control-label" for="provider_user_manager_id">Select your manager:</label>
        <div class="controls"><select class="select optional" id="provider_user_manager_id" name="provider_user[manager_id]">
            <option value=""></option>
            <option value="">Manager not listed</option>
            <option value="6018">Alan Edwards</option>
            <option value="6019">Laura Pascoe</option>
            <option value="6020">Axel Rathke</option>
            <option value="6029">Joseph Balcaitis</option>
            <option value="6038">Michael Splittgerber</option>
            <option value="6048">Lorna Johnson</option>
            <option value="6059">Darren Meiselwitz</option>
            <option value="6060">Jeremy Mittag</option>
            <option value="6061">Keith Baierl</option>
            <option value="6062">Sue Hartmann</option>
            <option value="6274">Patricia Nitsch</option>
            <option value="6276">Stephen Katz</option>
            <option value="6299">Sara Larson</option>
            <option value="21652">Tom Behrend</option>
            <option value="21653">John Curtis</option>
            <option value="21654">Bethani Thibodeau</option>
            <option value="21655">Jim Puetzer</option>
            <option value="22161">Julie Beaumont</option>
            <option value="22162">Amy Lemerond</option>
            <option value="22163">John Cavanaugh</option>
            <option value="22164">Timothy Klinker</option>
            <option value="22165">Kelly Cavanaugh</option>
            <option value="22166">Lea Kapral</option>
            <option value="22167">Scott Butzman</option>
            <option value="22168">Karen Free</option>
            <option value="22169">David Schmidt</option>
            <option value="22170">Melissa Grandon</option>
            <option value="22171">Pat Milligan</option>
            <option value="22173">Pat Wurzer</option>
            <option value="22174">Nichole Van roekel</option>
            <option value="22204">Robin Johnson</option>
            <option value="22221">Brad Wagner</option>
            <option value="22227">Celeste Ramos</option>
            <option value="22519">Stephanie Walchesky</option>
          </select></div>
      </div>
      <input name="confirmation_token" type="hidden" value="B6Rgxscyawug5v6dz32y">
      <input class="btn" name="commit" type="submit" value="Activate">
    </div>
  </fieldset>
</form>

Text Content

     


ACCOUNT ACTIVATION


Account Activation for dhampton@acuity.com
Choose a Password:

Password Confirmation:

Select your manager:
Manager not listed Alan Edwards Laura Pascoe Axel Rathke Joseph Balcaitis
Michael Splittgerber Lorna Johnson Darren Meiselwitz Jeremy Mittag Keith Baierl
Sue Hartmann Patricia Nitsch Stephen Katz Sara Larson Tom Behrend John Curtis
Bethani Thibodeau Jim Puetzer Julie Beaumont Amy Lemerond John Cavanaugh Timothy
Klinker Kelly Cavanaugh Lea Kapral Scott Butzman Karen Free David Schmidt
Melissa Grandon Pat Milligan Pat Wurzer Nichole Van roekel Robin Johnson Brad
Wagner Celeste Ramos Stephanie Walchesky