timstevie.github.io Open in urlscan Pro
2606:50c0:8001::153  Public Scan

Form analysis
1 forms found in the DOM

post

<form action="post">
  <header class="header">
    <h1>Create a Secure Account</h1>
    <p>Welcome to the future of Savings &amp; Investments</p>
  </header>
  <br>
  <div>
    <label for="fullname">Full Name</label>
    <br>
    <input type="text" name="fullname" id="fullname" placeholder="Full Name">
  </div>
  <br>
  <br>
  <div>
    <label for="email">Email Address</label>
    <br>
    <input type="email" name="email" id="email" placeholder="Email Address">
  </div>
  <br>
  <br>
  <div>
    <label for="phone">Phone Number</label>
    <br>
    <input type="tel" name="phone" id="phone" placeholder="Phone Number">
  </div>
  <br>
  <br>
  <div>
    <label for="password">Password</label>
    <br>
    <input type="password" name="password" id="password" placeholder="Password">
  </div>
  <br>
  <br>
  <div>
    <label for="referral">Referrer Phone or Promo Code (Optional)</label>
    <br>
    <input type="text" name="referral" id="referral" placeholder="Referrer Phone or Code">
  </div>
  <br>
  <br>
  <div>
    <label for="dropdown">How Did You Hear About Us? (Optional)</label>
    <br>
    <select name="dropdown" id="dropdown" onfocus="this.size=4" onchange="this.size=1" onblur="this.size=1" onclick="Text">
      <option aria-disabled="true">Click To Select</option>
      <option>Facebook</option>
      <option>Twitter</option>
      <option>Instagram</option>
      <option>Friend/Family/Coworker Referral</option>
      <option>Google search</option>
      <option>Google playstore</option>
      <option>Online Store</option>
      <option>Local Newspaper</option>
      <option>At an event</option>
      <option>Other</option>
    </select>
    <!--
                    <input list="dropdown">
                    <datalist name="dropdown" id="dropdown">
                        <option id="option1" value="Click To Select" disabled>
                        <option value="Facebook">
                        <option value="Twitter">
                        <option value="Instagram">
                        <option value="Friend/Family/Coworker Referral">
                        <option value="Google search">
                        <option value="Google playstore">
                        <option value="Online Store">
                        <option value="Local Newspaper">
                        <option value="At an event">
                        <option value="Other">
                    </datalist>
                -->
  </div>
  <br>
  <button type="submit">CREATE ACCOUNT</button>
</form>

Text Content

CREATE A SECURE ACCOUNT

Welcome to the future of Savings & Investments


Full Name



Email Address



Phone Number



Password



Referrer Phone or Promo Code (Optional)



How Did You Hear About Us? (Optional)
Click To Select Facebook Twitter Instagram Friend/Family/Coworker Referral
Google search Google playstore Online Store Local Newspaper At an event Other

CREATE ACCOUNT
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