urlscan.io logo urlscan.io
SecurityTrails logo

6aa6c7d6.sibforms.com Open in urlscan Pro
2606:4700::6810:f96d  Public Scan

Back to summary
Submitted URL: https://r.nl.grand-mercredi.com/mk/up/sh/WCPzsgt6udoOwtbvpbathbFuUsgpdfQA/coaTv3K1PPrn
Effective URL: https://6aa6c7d6.sibforms.com/serve/update/MUIFAJWkjIfcDiaxS-feHSzPRc001Gn4jJjMf-WTy_w36VS70EI00QkoL3bLRkF2Ad2Ggl5aOitdvctK6gM...
Submission: On May 14 via api from US — Scanned from NL

Form analysis 1 forms found in the DOM

POST 

<form id="sib-form" method="POST" action="" data-type="update" novalidate="true">
  <div style="padding: 8px 0;">
    <div class="sib-form-block" style="font-size:28px; text-align:center; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#00535c; background-color:transparent; text-align:center">
      <p>Mes informations</p>
    </div>
  </div>
  <div style="padding: 8px 0;">
    <div class="sib-input sib-form-block">
      <div class="form__entry entry_block">
        <div class="form__label-row ">
          <label class="entry__label" style="font-weight: 700; text-align:left; font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#00535c;" for="EMAIL" data-required="*">EMAIL</label>
          <div class="entry__field">
            <input class="input " type="text" id="EMAIL" name="EMAIL" autocomplete="off" value="s*******@u*********.com" data-required="true" required="">
          </div>
        </div>
        <label class="entry__error entry__error--primary" style="font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;">
        </label>
      </div>
    </div>
  </div>
  <div style="padding: 8px 0;">
    <div class="sib-input sib-form-block">
      <div class="form__entry entry_block">
        <div class="form__label-row ">
          <label class="entry__label" style="font-weight: 700; text-align:left; font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#00535c;" for="FIRSTNAME">PRÉNOM</label>
          <div class="entry__field">
            <input class="input " maxlength="200" type="text" id="FIRSTNAME" name="FIRSTNAME" autocomplete="off">
          </div>
        </div>
        <label class="entry__error entry__error--primary" style="font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;">
        </label>
      </div>
    </div>
  </div>
  <div style="padding: 8px 0;">
    <div class="sib-input sib-form-block">
      <div class="form__entry entry_block">
        <div class="form__label-row ">
          <label class="entry__label" style="font-weight: 700; text-align:left; font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#00535c;" for="LASTNAME">NOM DE FAMILLE</label>
          <div class="entry__field">
            <input class="input " maxlength="200" type="text" id="LASTNAME" name="LASTNAME" autocomplete="off">
          </div>
        </div>
        <label class="entry__error entry__error--primary" style="font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;">
        </label>
      </div>
    </div>
  </div>
  <div style="padding: 8px 0;">
    <div class="sib-checkbox-group sib-form-block" data-required="true">
      <div class="form__entry entry_mcq">
        <div class="form__label-row ">
          <label class="entry__label" style="font-weight: 700; text-align:left; font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#00535c;" data-required="*">MES PRÉFÉRENCES</label>
          <div style="">
            <div class="entry__choice">
              <label class="checkbox__label">
                <input type="checkbox" class="input_replaced" name="lists_27[]" data-value="Je continue de recevoir les actualités de Grand-Mercredi" value="585" data-required="true">
                <span class="checkbox checkbox_tick_positive" style="margin-left:"></span><span style="font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#00535c; background-color:transparent;">Je continue de
                  recevoir les actualités de Grand-Mercredi</span> </label>
            </div>
            <div class="entry__choice">
              <label class="checkbox__label">
                <input type="checkbox" class="input_replaced" name="lists_27[]" data-value="Je reçois les newsletters santé de PartAge" value="631" data-required="true">
                <span class="checkbox checkbox_tick_positive" style="margin-left:"></span><span style="font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#00535c; background-color:transparent;">Je reçois les
                  newsletters santé de PartAge</span> </label>
            </div>
            <div class="entry__choice">
              <label class="checkbox__label">
                <input type="checkbox" class="input_replaced" name="lists_27[]" data-value="J'accepte de recevoir les newsletters Aimant-Aidant" value="576" data-required="true">
                <span class="checkbox checkbox_tick_positive" style="margin-left:"></span><span style="font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#00535c; background-color:transparent;">J'accepte de recevoir
                  les newsletters Aimant-Aidant</span> </label>
            </div>
          </div>
        </div>
        <label class="entry__error entry__error--primary" style="font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;">
        </label>
      </div>
    </div>
  </div>
  <div style="padding: 8px 0;">
    <div class="sib-form-block" style="text-align: left">
      <button class="sib-form-block__button sib-form-block__button-with-loader"
        style="font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff; background-color:#00535c; border-radius:3px; border-width:0px;" form="sib-form" type="submit">
        <svg class="icon clickable__icon progress-indicator__icon sib-hide-loader-icon" viewBox="0 0 512 512">
          <path
            d="M460.116 373.846l-20.823-12.022c-5.541-3.199-7.54-10.159-4.663-15.874 30.137-59.886 28.343-131.652-5.386-189.946-33.641-58.394-94.896-95.833-161.827-99.676C261.028 55.961 256 50.751 256 44.352V20.309c0-6.904 5.808-12.337 12.703-11.982 83.556 4.306 160.163 50.864 202.11 123.677 42.063 72.696 44.079 162.316 6.031 236.832-3.14 6.148-10.75 8.461-16.728 5.01z">
          </path>
        </svg> Mettre à jour </button> &nbsp; <span style="font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#00535c; background-color:transparent;">ou</span> &nbsp; <a href="http://r.nl.grand-mercredi.com/mk/un/X3u6RJVz8sndFaPi2_ho4nKSRreljIFaljyrb4hF8avz0h7hLEKIvfMddINK6u8L0YuaoNegSs0uZgoJOqQwoVKc2fhnCZ3LMklheaadFYuyqdoXwG3UgJHqEXXxzzjc56f6zg4mz8UjUbLcaNMpy-n1" style="font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; background-color:transparent;">
      Se désinscrire
    </a>
    </div>
  </div>
  <input type="text" name="email_address_check" value="" class="input--hidden" aria-hidden="true">
  <input type="hidden" name="locale" value="fr">
  <div class="g-recaptcha" data-sitekey="6LedcpEUAAAAAB3ZFTXwbBcXvlW03YiihMlzTlWi" data-callback="invisibleCaptchaCallback" data-size="invisible" onclick="executeCaptcha" data-type="update">
    <div class="grecaptcha-badge" data-style="bottomright"
      style="width: 256px; height: 60px; display: block; transition: right 0.3s ease 0s; position: fixed; bottom: 14px; right: -186px; box-shadow: gray 0px 0px 5px; border-radius: 2px; overflow: hidden;">
      <div class="grecaptcha-logo"><iframe title="reCAPTCHA" width="256" height="60" role="presentation" name="a-gfya2tg52bcs" frameborder="0" scrolling="no"
          sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
          src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6LedcpEUAAAAAB3ZFTXwbBcXvlW03YiihMlzTlWi&amp;co=aHR0cHM6Ly82YWE2YzdkNi5zaWJmb3Jtcy5jb206NDQz&amp;hl=fr&amp;type=update&amp;v=vjbW55W42X033PfTdVf6Ft4q&amp;size=invisible&amp;cb=5i66dxjlzjxb"></iframe>
      </div>
      <div class="grecaptcha-error"></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
        style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
    </div><iframe style="display: none;"></iframe>
  </div>
</form>

Text Content

Nous ne pouvons valider votre mise à jour de données. Veuillez réessayer de
nouveau.

Votre profil ainsi que vos préférences ont bien été mis à jour.


Mes informations

EMAIL

PRÉNOM

NOM DE FAMILLE

MES PRÉFÉRENCES
Je continue de recevoir les actualités de Grand-Mercredi
Je reçois les newsletters santé de PartAge
J'accepte de recevoir les newsletters Aimant-Aidant
Mettre à jour   ou   Se désinscrire