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locgfx.bmetrack.com Open in urlscan Pro
44.238.91.239  Public Scan

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URL: https://locgfx.bmetrack.com/c/s?e=148947D&c=16185E&l=81192FE6&email=Nz6jOsIJocGOjsLddutlJ3nlkRjLUbPe&relid=AFA1380
Submission: On June 17 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST ./s?e=148947D&c=16185E&l=81192FE6&email=Nz6jOsIJocGOjsLddutlJ3nlkRjLUbPe&relid=AFA1380

<form method="post" action="./s?e=148947D&amp;c=16185E&amp;l=81192FE6&amp;email=Nz6jOsIJocGOjsLddutlJ3nlkRjLUbPe&amp;relid=AFA1380" id="form1">
  <div class="aspNetHidden">
    <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE"
      value="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">
  </div>
  <div class="aspNetHidden">
    <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="024D206A">
    <input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION"
      value="/wEdAAgPJOemxuLRhPqPpsCmbQi3pwqdxIXvOsCCQcbTkZIPeXmYgyx8WxxzL/4NXj5Y55hM2vz4PH8f7Z818+HGDJ7H61kF2JGifl3WoTTeijlO81nM7JgjJlbxlXCZYeHD5oX463fugIQRc/cSMEVxsmEolliAPKY+KvRmniYVjNuQiAIeRVk2deW3iFKGtc25kt3u70/+">
  </div>
  <input type="hidden" name="hdToken" id="hdToken" value="9tSN8Jgb1CYImuR%2F9IuOGYa3IZkBg3UDr2nP%2FisE%2F0dIrD6albMz1Gklr%2FjH6rUBrGstk9ME4ZBOPU8lu7KXSQ%3D%3D">
  <span id="lblTestMode"></span>
  <header>
    <div class="container">
      <h1>Manage Subscription</h1>
    </div>
  </header>
  <div align="center" class="signup-logo">
  </div>
  <section class="container">
    <div class="content-section">
      <p class="fs14 clgreen"><strong></strong></p>
      <fieldset class="int-fieldset">
        <label class="fieldset-col30" id="lblEmail"><span id="lblEmail">Email Address</span></label>
        <div class="fieldset-col60">
          <input name="lblEmailValue" type="text" value="arobinson@bcbsm.com" maxlength="200" id="lblEmailValue" class="int-txtfield">
        </div>
      </fieldset>
      <fieldset class="form-divide int-fieldset">
        <label class="fieldset-col30" id="Label2"><span id="lblSubscription">Your Subscriptions</span>
          <br>
          <p><small>(a checked box means you are subscribed to the list)</small></p>
        </label>
        <div class="fieldset-col60">
          <div class="mb20 fieldset-row">
            <div class="checker" id="uniform-undefined"><span class="checked"><input type="checkbox" checked="" name="chkContact" value="19337076" style="opacity: 0;"></span></div> PK_M3
          </div>
          <p><small><span id="lblSubscriptionReference">Checking the box next to your subscription and clicking the save button below will subscribe you to the selected list. Removing the check from the box will unsubscribe you from that
                list.</span><br></small></p>
        </div>
      </fieldset>
      <!-- Your Profile        -->
      <fieldset class="int-fieldset">
        <label class="fieldset-col30" id="Label3"><span id="lblFirstName">First Name</span></label>
        <div class="fieldset-col60">
          <input name="txtFirstName" type="text" id="txtFirstName" class="int-txtfield">
        </div>
      </fieldset>
      <fieldset class="int-fieldset">
        <label class="fieldset-col30" id="Label4"><span id="lblLastName">Last Name</span></label>
        <div class="fieldset-col60">
          <input name="txtLastName" type="text" id="txtLastName" class="int-txtfield">
        </div>
      </fieldset>
      <fieldset class="form-divide int-fieldset">
        <label class="fieldset-col30" id="LabelAdditionalInfo"><span id="lblAdditionalInfo">GDPR Action Only</span></label>
        <div class="fieldset-col60">
          <textarea name="txtGDPR" rows="3" id="txtGDPR" class="int-txtfield" style="display: none; margin-bottom: 20px;"></textarea>
          <p style="margin: 0;"><small><span id="lblGDPRReference">According to <a href="https://ec.europa.eu/info/law/law-topic/data-protection_en" target="_blank">GDPR regulations</a>, you may request to see, change and or erase any information
                that is recorded about you. <a class="show_txtGDPR" href="#">Click here</a> to request changes other than unsubscribing, this message will be sent to the sender. Please be clear with your GDPR request.</span><br></small></p>
        </div>
      </fieldset>
      <p align="right" class="fs14"><a id="hypUnsubscribe" href="/c/su?9tSN8Jgb1CYImuR%2F9IuOGYa3IZkBg3UDr2nP%2FisE%2F0dIrD6albMz1Gklr%2FjH6rUBrGstk9ME4ZBOPU8lu7KXSQ%3D%3D"><small>(Unsubscribe)</small></a></p>
    </div>
  </section>
  <section class="container">
    <div class="content-next">
      <!--<input type="submit" name="btnCancel" value="Cancel" onclick="javascript: return self.close();" language="javascript" id="btnCancel" class="cancelbtn" />-->
      <input type="submit" name="btnSave" value="Save" id="btnSave" class="internal-btn">
      <p><small>Powered by <a href="https://www.benchmarkemail.com" target="_blank">Benchmark</a></small></p>
    </div>
  </section>
</form>

Text Content

MANAGE SUBSCRIPTION





Email Address

Your Subscriptions


(a checked box means you are subscribed to the list)


PK_M3

Checking the box next to your subscription and clicking the save button below
will subscribe you to the selected list. Removing the check from the box will
unsubscribe you from that list.


First Name

Last Name

GDPR Action Only

According to GDPR regulations, you may request to see, change and or erase any
information that is recorded about you. Click here to request changes other than
unsubscribing, this message will be sent to the sender. Please be clear with
your GDPR request.


(Unsubscribe)

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