nclembark.com Open in urlscan Pro
18.66.112.43  Public Scan

Form analysis
1 forms found in the DOM

POST https://nclembark.com/register

<form method="POST" action="https://nclembark.com/register">
  <input type="hidden" name="_token" value="ToDoR6QCfr0HZRhWJ4HXsat9AEYgfLx7p5qeW3bY">
  <div x-data="{
                partner_type: '',
            }" class="grid grid-cols-1 lg:grid-cols-2 gap-x-4 gap-y-4 mt-4 items-center">
    <div>
      <label class="block font-medium text-sm text-gray-700" for="first_name" style="color:white"> First Name </label>
      <input class="form-input rounded-none shadow-sm block mt-1 w-full text-ncl-blue" id="first_name" type="text" name="first_name" value="" required="required" autofocus="autofocus" autocomplete="first_name">
    </div>
    <div>
      <label class="block font-medium text-sm text-gray-700" for="last_name" style="color:white"> Last Name </label>
      <input class="form-input rounded-none shadow-sm block mt-1 w-full text-ncl-blue" id="last_name" type="text" name="last_name" value="" required="required" autofocus="autofocus" autocomplete="last_name">
    </div>
    <div>
      <label class="block font-medium text-sm text-gray-700" for="email" style="color:white"> Email </label>
      <input class="form-input rounded-none shadow-sm block mt-1 w-full text-ncl-blue" id="email" type="email" name="email" value="" required="required">
    </div>
    <div>
      <label class="block font-medium text-sm text-gray-700" for="organization" style="color:white"> Organization (If applicable) </label>
      <input class="form-input rounded-none shadow-sm block mt-1 w-full text-ncl-blue" id="organization" type="text" name="organization" value="" autofocus="autofocus" autocomplete="organization">
    </div>
    <div>
      <label class="block font-medium text-sm text-gray-700" for="password" style="color:white"> Create Password </label>
      <input class="form-input rounded-none shadow-sm block mt-1 w-full text-ncl-blue" id="password" type="password" name="password" required="required" autocomplete="new-password">
    </div>
    <div>
      <label class="block font-medium text-sm text-gray-700" for="password_confirmation" style="color:white"> Confirm Password </label>
      <input class="form-input rounded-none shadow-sm block mt-1 w-full text-ncl-blue" id="password_confirmation" type="password" name="password_confirmation" required="required" autocomplete="new-password">
    </div>
    <div class="col-span-2">
      <label class="block font-medium text-sm text-gray-700" for="partner_type" style="color:white"> I am a: </label>
      <select id="partner_type" class="block mt-1 w-full text-ncl-blue" type="text" x-model="partner_type" name="partner_type">
        <option value="">Please select ... </option>
        <option value="Consumer">Consumer</option>
        <option value="Travel Partner">Travel Partner</option>
        <option value="Media">Media</option>
      </select>
    </div>
    <div class="col-span-2" x-show="partner_type == 'Consumer'" style="display: none;">
      <label class="block font-medium text-sm text-gray-700" for="brand" style="color:white"> What brand do you sail with? </label>
      <fieldset class="block mt-1">
        <legend class="sr-only">What brand do you sail with?</legend>
        <div class="relative flex items-start">
          <div class="flex items-center h-5">
            <input id="brand-1" name="brand[]" value="Norwegian Cruise Line" type="checkbox" class="focus:ring-indigo-500 h-4 w-4 text-indigo-600 border-gray-300 rounded">
          </div>
          <div class="ml-3">
            <label for="brand-1" class="font-medium text-white">Norwegian Cruise Line</label>
          </div>
        </div>
        <div class="relative flex items-start">
          <div class="flex items-center h-5">
            <input id="brand-2" name="brand[]" value="Regent Seven Seas Cruises" type="checkbox" class="focus:ring-indigo-500 h-4 w-4 text-indigo-600 border-gray-300 rounded">
          </div>
          <div class="ml-3">
            <label for="brand-2" class="font-medium text-white">Regent Seven Seas Cruises</label>
          </div>
        </div>
        <div class="relative flex items-start">
          <div class="flex items-center h-5">
            <input id="brand-3" name="brand[]" value="Oceania Cruises" type="checkbox" class="focus:ring-indigo-500 h-4 w-4 text-indigo-600 border-gray-300 rounded">
          </div>
          <div class="ml-3">
            <label for="brand-3" class="font-medium text-white">Oceania Cruises</label>
          </div>
        </div>
      </fieldset>
    </div>
    <div class="col-span-2">
      <label class="block font-medium text-sm text-gray-700" for="questions" style="color:white"> Submit your Questions in Advance Here: </label>
      <input class="form-input rounded-none shadow-sm block mt-1 w-full text-ncl-blue" id="questions" type="text" name="questions" value="">
    </div>
    <input type="hidden" name="additional_partner">
    <div class="leading-none">
      <a class="text-sm font-bold text-white hover:text-ncl-teal leading-none" href="https://nclembark.com/login">
                        Already registered? Click here to login.
                    </a>
    </div>
    <div class="flex items-center justify-end">
      <button type="submit" class="inline-flex items-center px-4 py-2 bg-ncl-teal border border-transparent rounded-md font-semibold text-xs text-ncl-darkblue uppercase tracking-widest disabled:opacity-25 transition ease-in-out duration-150 ml-4">
        Register </button>
    </div>
  </div>
</form>

Text Content

Register
First Name
Last Name
Email
Organization (If applicable)
Create Password
Confirm Password
I am a: Please select ... Consumer Travel Partner Media
What brand do you sail with? What brand do you sail with?
Norwegian Cruise Line
Regent Seven Seas Cruises
Oceania Cruises
Submit your Questions in Advance Here:
Already registered? Click here to login.
Register
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