connected2.lexisnexisrisk.com Open in urlscan Pro
69.84.183.1  Public Scan

Form analysis
1 forms found in the DOM

POST https://connected2.lexisnexisrisk.com/save-info

<form id="client-info-form" method="post" action="https://connected2.lexisnexisrisk.com/save-info">
  <input type="hidden" name="_token" value="hDuL2kFPrlFTPuY5hGA7LDaZnaSED4WL8PcpnqZX">
  <div class="form-group">
    <label class="control-label" for="company_name">* Company Name:</label>
    <input class="form-control" type="text" maxlength="255" required="" name="company_name" id="company_name" value="">
  </div>
  <div class="form-group">
    <label class="control-label" for="contact_email">* Contact Email:</label>
    <input class="form-control" maxlength="255" required="" type="email" name="contact_email" id="contact_email" value="">
  </div>
  <div class="form-group">
    <label class="control-label" for="app_url"> Application URL:</label>
    <input class="form-control" maxlength="255" type="url" name="app_url" id="app_url" value="">
  </div>
  <div class="form-group">
    <label class="control-label" for="delivery_method">* Delivery Method:</label>
    <select class="form-control" required="" name="delivery_method" id="delivery_method">
      <option value=""></option>
      <option value="Batch">Batch</option>
      <option value="API/XML">API/XML</option>
      <option value="Online/Portal">Online/Portal</option>
    </select>
  </div>
  <div class="form-group">
    <button type="submit" class="btn btn-danger btn-block"> Submit </button>
  </div>
</form>

Text Content

CONNECTIVITY VALIDATION

CUSTOMER INFORMATION:

Please enter your information below to help us identify your organization in the
event validation observations require outreach.

* Company Name:
* Contact Email:
Application URL:
* Delivery Method: Batch API/XML Online/Portal
Submit

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