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104.18.249.37  Public Scan

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Submitted URL: http://email.mailman.bankmobile.com/c/eJx8kDFr5DAUhH-N1J3Re5Jlu1Bx7OFjISQhkCKVkeXntbKy5FjaLOTXBzcp0w3DDHx853xK6xa8jY5eKNhCk-ltyMSfac...
Effective URL: https://help.greenlight.com/hc/en-us/requests/new?ticket_form_id=4580241169563
Submission: On January 19 via api from ES — Scanned from ES

Form analysis 2 forms found in the DOM

<form class="form-phone-number-signup">
  <input name="phone" type="tel" class="input-webreg-phone cleave-phone-1" placeholder="Enter mobile number">
  <input type="submit" class="btn-webreg-phone" value="Sign up now">
  <div class="row collapse"><span class="error-msg"></span></div>
</form>

POST /hc/en-us/requests

<form id="new_request" class="request-form" data-form="" data-form-type="request" action="/hc/en-us/requests" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓" autocomplete="off"><input type="hidden"
    name="authenticity_token" value="hc:requests:client:CIDJlgi3_VjYw0tnqWur2r0BtjLlCSMPVXRKEnA5rfh73ElFbnRJoBt2o9WAhxdJtF86fPMWp5Fh9QuT_K_yEQ" data-hc-status="ready">
  <div class="form-field select optional request_ticket_form_id"><label for="request_issue_type_select">For a faster response, you can chat with us via SMS at (404) 974-3024. PLEASE NOTE: If submitting a webform, please add support@greenlight.com as
      an email contact to make sure our reply does not end up in your spam inbox. </label>
    <a class="nesty-input" tabindex="0" aria-haspopup="true" aria-expanded="false" aria-controls="_685uw9vjz" aria-label="For a faster response, you can chat with us via SMS at (404) 974-3024.   PLEASE NOTE: If submitting a webform, please add support@greenlight.com as an email contact to make sure our reply does not end up in your spam inbox.











" style="max-width: 100%;">Other inquiries</a><select name="request[ticket_form_id]" id="request_issue_type_select" aria-label="For a faster response, you can chat with us via SMS at (404) 974-3024.   PLEASE NOTE: If submitting a webform, please add support@greenlight.com as an email contact to make sure our reply does not end up in your spam inbox.











" autofocus="autofocus" style="display: none;">
      <option data-url="https://help.greenlight.com/hc/en-us/requests/new" value="-">-</option>
      <option data-url="https://help.greenlight.com/hc/en-us/requests/new?ticket_form_id=4515104619547" value="4515104619547">Greenlight account updates</option>
      <option data-url="https://help.greenlight.com/hc/en-us/requests/new?ticket_form_id=7427593017883" value="7427593017883">Dispute Transaction on Child's Card</option>
      <option data-url="https://help.greenlight.com/hc/en-us/requests/new?ticket_form_id=7428447421979" value="7428447421979">Refunds to your bank account or debit card</option>
      <option data-url="https://help.greenlight.com/hc/en-us/requests/new?ticket_form_id=4579986983451" value="4579986983451">Transaction inquiries</option>
      <option data-url="https://help.greenlight.com/hc/en-us/requests/new?ticket_form_id=1260815283829" value="1260815283829">Removing a child from your account</option>
      <option data-url="https://help.greenlight.com/hc/en-us/requests/new?ticket_form_id=6049892689691" value="6049892689691">Getting a new Greenlight card for your child</option>
      <option data-url="https://help.greenlight.com/hc/en-us/requests/new?ticket_form_id=4579416595099" value="4579416595099">Greenlight card management</option>
      <option data-url="https://help.greenlight.com/hc/en-us/requests/new?ticket_form_id=7418418877723" value="7418418877723">Transaction statements</option>
      <option data-url="https://help.greenlight.com/hc/en-us/requests/new?ticket_form_id=18319050520347" value="18319050520347">Cancellation requests</option>
      <option data-url="https://help.greenlight.com/hc/en-us/requests/new?ticket_form_id=4580241169563" selected="selected" value="4580241169563">Other inquiries</option>
    </select>
  </div>
  <div class="form-field string required request_anonymous_requester_email"><label for="request_anonymous_requester_email">Your email address</label>
    <input type="text" name="request[anonymous_requester_email]" id="request_anonymous_requester_email" aria-required="true">
  </div>
  <div class="form-field string  required  request_custom_fields_51095007">
    <label id="request_custom_fields_51095007_label" for="request_custom_fields_51095007">Name (First and Last)</label>
    <input type="text" name="request[custom_fields][51095007]" id="request_custom_fields_51095007" aria-required="true" aria-labelledby="request_custom_fields_51095007_label">
  </div>
  <div class="form-field string  required  request_custom_fields_12189965733659">
    <label id="request_custom_fields_12189965733659_label" for="request_custom_fields_12189965733659">Phone Number</label>
    <input type="number" name="request[custom_fields][12189965733659]" id="request_custom_fields_12189965733659" step="1" aria-required="true" aria-describedby="request_custom_fields_12189965733659_hint"
      aria-labelledby="request_custom_fields_12189965733659_label">
    <p id="request_custom_fields_12189965733659_hint">Please enter in your full 10 digit number excluding country code (e.g. 5554443333)</p>
  </div>
  <div class="form-field string  required  request_custom_fields_1900010197664">
    <label id="request_custom_fields_1900010197664_label" for="request_custom_fields_1900010197664">Child's First and Last Name</label>
    <input type="text" name="request[custom_fields][1900010197664]" id="request_custom_fields_1900010197664" aria-required="true" aria-labelledby="request_custom_fields_1900010197664_label">
  </div>
  <div class="form-field string  optional  request_subject">
    <label id="request_subject_label" for="request_subject">Subject</label>
    <input type="text" name="request[subject]" id="request_subject" maxlength="150" size="150" aria-required="false" aria-labelledby="request_subject_label">
  </div>
  <div class="suggestion-list" data-hc-class="searchbox" data-hc-suggestion-list="true"></div>
  <div class="form-field text  required  request_description">
    <label id="request_description_label" for="request_description">Description</label>
    <textarea name="request[description]" id="request_description" aria-required="true" aria-describedby="request_description_hint" aria-labelledby="request_description_label"></textarea><input type="hidden" name="request[description_mimetype]"
      id="request_description_mimetype" value="text/plain" style="display: none;" autocomplete="off">
    <p id="request_description_hint">Please enter the details of your request and be as specific as possible. A member of our support staff will respond as soon as possible.</p>
  </div>
  <script data-conditional-fields="[]"></script>
  <div class="form-field">
    <label for="request-attachments"> Attachments </label>
    <div id="upload-dropzone" class="upload-dropzone">
      <input type="file" multiple="true" id="request-attachments" data-fileupload="true" data-dropzone="upload-dropzone" data-error="upload-error" data-create-url="/hc/en-us/request_uploads" data-name="request[attachments][]"
        data-pool="request-attachments-pool" data-delete-confirm-msg="" aria-describedby="upload-error">
      <span>
        <a>Add file</a> or drop files here </span>
    </div>
    <div id="upload-error" class="notification notification-error notification-inline" style="display: none;">
      <span data-upload-error-message=""></span>
    </div>
    <ul id="request-attachments-pool" class="upload-pool" data-template="upload-template"></ul>
    <script type="text/html" id="upload-template">
      <li class="upload-item" data-upload-item>
        <a class="upload-link" target="_blank" data-upload-link></a>
        <p class="upload-path" data-upload-path></p>
        <p class="upload-path" data-upload-size></p>
        <p data-upload-issue class="notification notification-alert notification-inline" aria-hidden="true"></p>
        <span class="upload-remove" data-upload-remove></span>
        <div class="upload-progress" data-upload-progress></div>
        <input type="hidden">
      </li>
    </script>
  </div>
  <footer><input type="submit" name="commit" value="Submit"></footer>
</form>

Text Content

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CONTACT US

For a faster response, you can chat with us via SMS at (404) 974-3024. PLEASE
NOTE: If submitting a webform, please add support@greenlight.com as an email
contact to make sure our reply does not end up in your spam inbox. Other
inquiries- Greenlight account updates Dispute Transaction on Child's Card
Refunds to your bank account or debit card Transaction inquiries Removing a
child from your account Getting a new Greenlight card for your child Greenlight
card management Transaction statements Cancellation requests Other inquiries
Your email address
Name (First and Last)
Phone Number

Please enter in your full 10 digit number excluding country code (e.g.
5554443333)

Child's First and Last Name
Subject

Description

Please enter the details of your request and be as specific as possible. A
member of our support staff will respond as soon as possible.

Attachments
Add file or drop files here






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