www.evans-mfg.com
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104.130.121.209
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Submitted URL: http://www.evans-mfg.com/
Effective URL: https://www.evans-mfg.com/
Submission: On November 30 via api from US — Scanned from DE
Effective URL: https://www.evans-mfg.com/
Submission: On November 30 via api from US — Scanned from DE
Form analysis 5 forms found in the DOM
POST /en_us/login-check
<form action="/en_us/login-check" method="POST">
<div class="login-center">
<div class="login-user-icons" style="background-image:url( /assets/images/user-icon.png );"></div>
<div class="login-user padding-top-20">
<div class="form-ariya">
<label class="label pull-left">Email Address/Username</label>
<input class="input" id="logintype_email" name="logintype[email]" placeholder="Email Address/Username" type="text" data-validation="required">
</div>
<div class="clearfix"></div>
<div class="form-ariya">
<label class="label pull-left">Password</label>
<input class="input" id="logintype_password" name="logintype[password]" value="" placeholder="Password" type="password" data-validation="required">
</div>
<div class="clearfix"></div>
<div class="form-ariya">
<label class="label pull-left"> </label>
<a href="/en_us/forgot-password"><i>Forgot Password ?</i></a> | <a href="javascript:void(0)" id="registration"> <i>Distributor Sign Up</i> </a>
</div>
<div class="clearfix"></div>
<div class="but"> <button class="button" type="submit"><img src="/assets/images/login-but.png" alt="Login" title="Login"></button></div>
</div>
</div>
</form>/uploadimage
<form id="file_upload_form" action="/uploadimage">
<input type="file" name="virtual_file" id="virtual_file">
<a href="" class="btn all-but">BROWSE</a>
</form>Name: uploadimage — POST /uploadimage
<form method="post" action="/uploadimage" enctype="multipart/form-data" id="uploadimage" name="uploadimage">
<div class="virtual-cont-trans">
<div class="virtual-cont-trans-text">
<i>Want to Remove Background?</i>
</div>
<div class="virtual-cont-trans-text-yn">
<a href="javascript:void(0);">
<input type="checkbox" name="transparent" value="1" data-filter-type="category" class="css-checkbox search-filter" id="1">
<label class="css-label" for="1">
Yes
</label>
</a>
<a href="javascript:void(0);">
<input type="checkbox" name="transparent" data-filter-type="category" class="css-checkbox search-filter" id="2">
<label class="css-label" for="2">
No
</label>
</a>
</div>
</div>
<div id="loadingmsg"></div>
<div class="virtual-cont-apply" id="virtual-cont-apply">
<div class="virtual-cont-apply-text">
<i>Click on Apply and see your logo on products...</i>
</div>
<div class="virtual-cont-browse-but">
<input type="submit" class="btn all-but" value="APPLY" name="upload" id="upload">
</div>
</div>
</form>Name: user_data — POST /en_us/register
<form name="user_data" method="post" action="/en_us/register" class="registration data-form" id="">
<div class="container registration">
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12 text-center padding-top-10 padding-bottom-20">
<span class="title padding-bottom-5"><i class="icon-user"></i> Distributor Sign-Up </span>
</div>
</div>
<div class="row forms">
<div class="col-lg-6 col-md-6 col-sm-6 col-sd-12 col-xs-12">
<div class="row">
<div class="col-lg-12 col-md-12 col-xs-12 sub-title padding-bottom-10">Login Information</div>
<div class="col-lg-12 col-md-12 col-xs-12">
<div class="row">
<div class="col-lg-4 col-md-4 col-sm-6 col-sd-6 col-xs-12 padding-bottom-10">
<label class="label">Email Address<span class="color-rad">*</span></label>
<input type="text" id="user_data_email" name="user_data[email]" class="input form-control-tool-tip" title="Please enter email address" data-placement="right">
</div>
</div>
</div>
<div class="col-lg-12 col-md-12 col-xs-12">
<div class="row">
<div class="col-lg-4 col-md-4 col-sm-6 col-sd-6 col-xs-12 padding-bottom-10">
<label class="label">Password <span class="color-rad">*</span></label>
<input type="password" id="user_data_password_first" name="user_data[password][first]" class="input form-control-tool-tip" title="Please enter password" data-placement="right">
</div>
<div class="col-lg-4 col-md-4 col-sm-6 col-sd-6 col-xs-12 padding-bottom-10">
<label class="label">Confirm Password <span class="color-rad">*</span></label>
<input type="password" id="user_data_password_second" name="user_data[password][second]" class="input form-control-tool-tip" title="Please re-enter password" data-placement="right">
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-lg-12 col-md-12 col-xs-12 sub-title padding-bottom-10">Contact Information</div>
<div class="col-lg-12 col-md-12 col-xs-12">
<div class="row">
<div class="col-lg-12 col-md-12 col-xs-12 padding-bottom-10">
<label class="label">Address<span class="color-rad">*</span></label>
<textarea id="user_data_address" name="user_data[address]" class="input textarea" title="Please enter address" data-placement="right"></textarea>
</div>
</div>
</div>
<!--
<div class="col-lg-12 col-md-12 col-xs-12">
<div class="row">
<div class="col-lg-12 col-md-12 col-xs-12 padding-bottom-10">
<label class="label">Address 2</label>
<textarea placeholder=" " class="input textarea" ></textarea>
<ul>
<li></li>
</ul>
</div>
</div>
</div> -->
<div class="col-lg-12 col-md-12 col-xs-12">
<div class="row">
<div class="col-lg-4 col-md-4 col-sm-6 col-sd-6 col-xs-12 padding-bottom-10">
<label class="label">City<span class="color-rad">*</span></label>
<input type="text" id="user_data_city" name="user_data[city]" class="input form-control-tool-tip" title="Please enter city" data-placement="right">
</div>
<div class="col-lg-4 col-md-4 col-sm-6 col-sd-6 col-xs-12 padding-bottom-10">
<label class="label">State <span class="color-rad">*</span></label>
<input type="text" id="user_data_state" name="user_data[state]" class="input form-control-tool-tip" title="Please enter state" data-placement="right">
</div>
<div class="col-lg-4 col-md-4 col-sm-6 col-sd-6 col-xs-12 padding-bottom-10">
<label class="label">Country <span class="color-rad">*</span></label>
<span role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span><input type="text" id="user_data_country" name="user_data[country]" class="country-name input form-control-tool-tip ui-autocomplete-input"
title="Please enter country" data-placement="right" autocomplete="off">
</div>
<div class="col-lg-4 col-md-4 col-sm-6 col-sd-6 col-xs-12 padding-bottom-10">
<label class="label">Zip Code<span class="color-rad">*</span></label>
<input type="text" id="user_data_zip_code" name="user_data[zip_code]" class="input form-control-tool-tip" title="Please enter zip code" data-placement="right">
</div>
<div class="col-lg-4 col-md-4 col-sm-6 col-sd-6 col-xs-12 padding-bottom-10">
<label class="label">Phone <span class="color-rad">*</span></label>
<input type="text" id="user_data_phone" name="user_data[phone]" class="input form-control-tool-tip" title="Please enter phone" data-placement="right">
</div>
<!-- <div class="col-lg-4 col-md-4 col-sm-6 col-sd-6 col-xs-12 padding-bottom-10">
<label class="label">Fax <span class="color-rad">*</span></label>
<input type="text" id="user_data_fax" name="user_data[fax]" class="input form-control-tool-tip" title="Please enter fax" data-placement="right" />
</div> -->
</div>
</div>
</div>
</div>
<div class="col-lg-6 col-md-6 col-sm-6 col-sd-12 col-xs-12">
<div class="row">
<div class="col-xs-12 sub-title padding-bottom-10">Personal Information</div>
<div class="col-lg-12 col-md-12 col-xs-12">
<div class="row">
<div class="col-lg-4 col-md-4 col-sm-6 col-sd-6 col-xs-12 padding-bottom-10">
<label class="label">First Name<span class="color-rad">*</span></label>
<input type="text" id="user_data_first_name" name="user_data[first_name]" class="input form-control-tool-tip" title="Please enter first name" data-placement="right">
</div>
<div class="col-lg-4 col-md-4 col-sm-6 col-sd-6 col-xs-12 padding-bottom-10">
<label class="label">Middle Name </label>
<input type="text" id="user_data_middle_name" name="user_data[middle_name]" class="input form-control-tool-tip" title="Please enter middle name" data-placement="right">
</div>
<div class="col-lg-4 col-md-4 col-sm-6 col-sd-6 col-xs-12 padding-bottom-10">
<label class="label">Last Name <span class="color-rad">*</span></label>
<input type="text" id="user_data_last_name" name="user_data[last_name]" class="input form-control-tool-tip" title="Please enter last name" data-placement="right">
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-lg-12 col-md-12 col-xs-12 sub-title padding-bottom-10"> Company Information</div>
<div class="col-lg-12 col-md-12 col-xs-12 padding-bottom-15">
<div class="row">
<div class="col-lg-4 col-md-4 col-sm-6 col-sd-6 col-xs-12 padding-bottom-10">
<label class="label">Company Name<span class="color-rad">*</span></label>
<input type="text" id="user_data_company_name" name="user_data[company_name]" class="input form-control-tool-tip" title="Please enter company name" data-placement="right">
</div>
<div class="col-lg-4 col-md-4 col-sm-6 col-sd-6 col-xs-12 padding-bottom-10">
<label class="label"> Title <span class=""></span></label>
<input type="text" id="user_data_title" name="user_data[title]" class="input form-control-tool-tip" title="Please enter title" data-placement="right">
</div>
</div>
</div>
<div class="col-lg-12 col-md-12 col-xs-12 sub-title padding-bottom-10">Are you a member of <span class="color-rad">*</span></div>
<div class="col-lg-12">
<div class="radio">
<div id="user_data_distributorType" class="js-distributor-type" data-placement="right"><input type="radio" id="user_data_distributorType_0" name="user_data[distributorType]" value="0"> <label for="user_data_distributorType_0">No, I am
not a distributor</label><input type="radio" id="user_data_distributorType_1" name="user_data[distributorType]" value="1"> <label for="user_data_distributorType_1">I am a distributor, my number is</label><input type="radio"
id="user_data_distributorType_2" name="user_data[distributorType]" value="2"> <label for="user_data_distributorType_2">No, I do not have one</label></div>
</div>
</div>
<div class=" js-distributor-number" style="display: none;">
<span class="col-lg-6 col-md-6 col-sm-6 col-sd-6 col-xs-6">
<select id="user_data_distributorCodeType" name="user_data[distributorCodeType]" class="input selectpicker" data-placement="right">
<option value="ASI">ASI</option>
<option value="PPAI">PPAI</option>
<option value="PPAC">PPAC</option>
</select>
</span>
<span class="col-lg-6 col-md-6 col-sm-6 col-sd-6 col-xs-6">
<input type="text" id="user_data_distributorCode" name="user_data[distributorCode]" class="input" data-placement="right">
</span>
</div>
<div class="col-lg-12 col-md-12 col-xs-12 padding-bottom-10">
<div class="row">
<div class="col-lg-12 col-md-12 col-xs-12 padding-bottom-10">
<div id="user_data_subscription"><input type="checkbox" id="user_data_subscription_0" name="user_data[subscription][]" value="yes" checked="checked"> <label for="user_data_subscription_0"> </label></div> <label
class="label subscribe-text">Subscribe to email blast?</label>
</div>
</div>
<!-- ReCaptcha Code -->
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
<div class="g-recaptcha" data-sitekey="6Lf25rQUAAAAABPHlYv-qbLTZFLHzLXtZoO3YFpB">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Lf25rQUAAAAABPHlYv-qbLTZFLHzLXtZoO3YFpB&co=aHR0cHM6Ly93d3cuZXZhbnMtbWZnLmNvbTo0NDM.&hl=de&v=Km9gKuG06He-isPsP6saG8cn&size=normal&cb=eahw9ewi1rg7"
width="304" height="78" role="presentation" name="a-p6ch2j70tffs" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></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>
</div>
</div>
<!-- EO: ReCaptcha Code -->
</div>
<div class="col-lg-12 col-md-12 col-xs-12 padding-bottom-10">
<div class="row">
<div class="col-lg-12 col-md-12 col-xs-12 text-right button-sub-res">
<div><button type="submit" id="user_data_submit" name="user_data[submit]" class="btn btn-default">Submit</button></div>
<div><button type="reset" id="user_data_reset" name="user_data[reset]" class="btn btn-default">Reset</button></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<input type="hidden" id="user_data_signup_culture" name="user_data[signup_culture]" value="en_us">
<input type="hidden" id="user_data__token" name="user_data[_token]" value="ybFjqAr-77KeGkHs6PUC_s5jINGKzNgqAPa49Lyq9bo">
</form>GET /en_us/search
<form id="top_search_form" method="get" action="/en_us/search">
<input name="search_query" type="text" id="search_query" class="input searchinput" value="" placeholder="Search">
<button type="submit" class="button"><i class="fa fa-search"></i></button>
</form>Text Content
Email Address/Username
Password
Forgot Password ? | Distributor Sign Up
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Background
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Click on Apply and see your logo on products...
Distributor Sign-Up
Login Information
Email Address*
Password *
Confirm Password *
Contact Information
Address*
City*
State *
Country *
Zip Code*
Phone *
Personal Information
First Name*
Middle Name
Last Name *
Company Information
Company Name*
Title
Are you a member of *
No, I am not a distributor I am a distributor, my number is No, I do not have
one
ASI PPAI PPAC
Subscribe to email blast?
Submit
Reset
* Login
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