regist.reedexpo.co.jp Open in urlscan Pro
52.69.144.7  Public Scan

Form analysis
1 forms found in the DOM

Name: form1 — POST /expo/REED/index.phtml?lg=en&tp=ch&ec=CHANGE&st=2

<form action="/expo/REED/index.phtml?lg=en&amp;tp=ch&amp;ec=CHANGE&amp;st=2" method="post" name="form1" id="main-form" novalidate="">
  <input type="hidden" name="mode" value="2" style="display: inline-block;">
  <input type="hidden" name="em" value="" style="display: inline-block;">
  <!-- Introduction -->
  <div id="form-introduction" class="l-section">
    <div id="form-introduction" class="l-section mt40">
    </div>
  </div>
  <!--// Introduction -->
  <!-- Form Basic -->
  <h3><span>Complete the form and click "Next" button to proceed.</span></h3>
  <!-- Form Item : Name -->
  <div class="form-item form-basic form-basic_name">
    <div class="form-label state-required">
      <label for="name1">Please enter your Name:</label>
    </div>
    <div class="form-input">
      <p class="txt-error" data-valid-message="name1"></p>
      <p class="txt-error" data-valid-message="name2"></p>
      <div class="form-input__flex">
        <select name="sex" data-valid-element="sex" data-valid-style-area="sex">
          <option value=""></option>
          <option value="Mr.">Mr.</option>
          <option value="Ms.">Ms.</option>
        </select>
        <p><span>First<br>name</span><input type="text" name="name1" value="" id="name1" placeholder="Ex) John" data-valid-element="name1" data-valid-style-area="name1"></p>
        <p><span>Last<br>name</span><input type="text" name="name2" value="" id="name2" placeholder="Ex) Smith" data-valid-element="name2" data-valid-style-area="name2"></p>
      </div>
    </div>
  </div>
  <!-- Form Item : old_mail -->
  <div class="form-item form-basic">
    <div class="form-label state-required">
      <label for="email_old">Please enter your old Email address:</label>
    </div>
    <div class="form-input">
      <p class="txt-error" data-valid-message="email_old"></p>
      <ul>
        <li>
          <input type="email" name="email_old" value="" id="email_old" placeholder="Ex) abc@abc.co.jp" data-valid-element="email_old,email,email2" data-valid-style-area="email_old">
        </li>
      </ul>
    </div>
  </div>
  <!-- Form Item : E-mail -->
  <div class="form-item form-basic">
    <div class="form-label state-required">
      <label for="email">Please enter your new Email address:</label>
    </div>
    <div class="form-input">
      <p class="txt-error" data-valid-message="email"></p>
      <p class="txt-error" data-valid-message="email2"></p>
      <ul>
        <li>
          <input type="email" name="email" value="" id="email" placeholder="Ex) abc@abc.co.jp" data-valid-element="email,email_old" data-valid-style-area="email">
        </li>
        <li>
          <p class="txt12 red">Confirm E-mail.</p>
          <input type="email" name="email2" value="" id="email2" placeholder="Ex) abc@abc.co.jp" data-valid-element="email2,email_old" data-valid-style-area="email2">
        </li>
      </ul>
    </div>
  </div>
  <div id="form-disclaimer">
  </div>
  <!-- Button -->
  <!--// Button -->
  <div id="btn_box" class="l-section">
    <button type="button" class="btn-submit btn-next">Next</button>
  </div>
</form>

Text Content

EMAIL ADDRESS AMENDMENT FORM

 1. Enter (/)
 2. Check
 3. Complete


COMPLETE THE FORM AND CLICK "NEXT" BUTTON TO PROCEED.

Please enter your Name:

Mr. Ms.

First
name

Last
name

Please enter your old Email address:

 * 

Please enter your new Email address:

 * 

 * Confirm E-mail.


Next
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