dg7.ondemandsendingpro.net Open in urlscan Pro
173.161.28.74  Public Scan

Form analysis
1 forms found in the DOM

Name: subscribeform — POST

<form method="post" action="" name="subscribeform">
  <table border="0">
    <tbody>
      <tr>
        <td>
          <div class="required">Email address</div>
        </td>
        <td class="attributeinput"><input type="text" name="email" value="mpluff@bcbsm.com" size="40">
          <script language="Javascript" type="text/javascript">
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        </td>
      </tr>
      <tr>
        <td>
          <div class="required">Confirm your email address</div>
        </td>
        <td class="attributeinput"><input type="text" name="emailconfirm" value="" size="40">
          <script language="Javascript" type="text/javascript">
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        </td>
      </tr>
      <tr>
        <td colspan="2">
          <span class="attributeinput"><input type="checkbox" name="htmlemail" value="1" checked="checked"></span>
          <span class="attributename">I prefer to receive emails in HTML format</span>
        </td>
      </tr>
      <tr>
        <td>
          <div class="attributename">Collard</div>
        </td>
        <td class="attributeinput">
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      <tr>
        <td>
          <div class="attributename">Ami</div>
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      <tr>
        <td>
          <div class="attributename">5</div>
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      <tr>
        <td>
          <div class="attributename">26 E 10th St Apt 9C</div>
        </td>
        <td class="attributeinput">
          <input type="text" name="attribute25" class="attributeinput" size="40" value="">
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      </tr>
      <tr>
        <td>
          <div class="attributename">MiddleName</div>
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      <tr>
        <td>
          <div class="attributename">10003</div>
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        <td class="attributeinput">
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      <tr>
        <td>
          <div class="attributename">NY</div>
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      <tr>
        <td>
          <div class="attributename">81699</div>
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        <td>
          <div class="attributename">New York</div>
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        <td>
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        <td>
          <div class="attributename">-1</div>
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      <tr>
        <td>
          <div class="attributename">AddImportID</div>
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      <tr>
        <td>
          <div class="attributename">Full_Address</div>
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        <td class="attributeinput">
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        </td>
      </tr>
      <tr>
        <td>
          <div class="attributename">adealer_id</div>
        </td>
        <td class="attributeinput">
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        <td>
          <div class="attributename">Column13</div>
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        <td class="attributeinput">
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        <td>
          <div class="attributename">ConsImportID</div>
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        <td>
          <div class="attributename">city</div>
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        <td class="attributeinput">
          <input type="text" name="attribute8" class="attributeinput" size="40" value="Brighton">
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      <tr>
        <td>
          <div class="attributename">full_zip</div>
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      </tr>
      <tr>
        <td>
          <div class="attributename">STATE</div>
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        <td class="attributeinput">
          <input type="text" name="attribute9" class="attributeinput" size="40" value="MI">
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      </tr>
      <tr>
        <td>
          <div class="attributename">phone</div>
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        <td class="attributeinput">
          <input type="text" name="attribute11" class="attributeinput" size="40" value="">
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      <tr>
        <td>
          <div class="attributename">Address2</div>
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        <td>
          <div class="attributename">ValidationStatus</div>
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        <td>
          <div class="attributename">aid</div>
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          <input type="text" name="attribute3" class="attributeinput" size="40" value="296796">
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      <tr>
        <td>
          <div class="attributename">dealer_id</div>
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        <td class="attributeinput">
          <input type="text" name="attribute1" class="attributeinput" size="40" value="-1">
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      </tr>
      <tr>
        <td>
          <div class="attributename">order_id</div>
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        <td class="attributeinput">
          <input type="text" name="attribute2" class="attributeinput" size="40" value="123438">
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      <tr>
        <td>
          <div class="attributename">Fname</div>
        </td>
        <td class="attributeinput">
          <input type="text" name="attribute4" class="attributeinput" size="40" value="Therese">
        </td>
      </tr>
      <tr>
        <td>
          <div class="attributename">Lname</div>
        </td>
        <td class="attributeinput">
          <input type="text" name="attribute5" class="attributeinput" size="40" value="Pluff">
        </td>
      </tr>
      <tr>
        <td>
          <div class="attributename">Address1</div>
        </td>
        <td class="attributeinput">
          <input type="text" name="attribute6" class="attributeinput" size="40" value="6708 Calfhill Ct">
        </td>
      </tr>
    </tbody>
  </table>
  <p class="information">Sorry there are currently no newsletters available</p>
  <p><input type="submit" name="update" value="Update" onclick="return checkform();"></p>
</form>

Text Content

ONDEMANDSENDINGPRO


PLEASE CONFIRM THAT THE INFORMATION BELOW IS CORRECT AND CLICK THE "UPDATE"
BUTTON


required fields are marked red

Email address
Confirm your email address
I prefer to receive emails in HTML format
Collard
Ami
5
26 E 10th St Apt 9C
MiddleName
10003
NY
81699
New York
zip5
-1
AddImportID
Full_Address
adealer_id
Column13
ConsImportID
city
full_zip
STATE
phone
Address2
ValidationStatus
aid
dealer_id
order_id
Fname
Lname
Address1

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