www.service-life.com Open in urlscan Pro
2a06:98c1:3121::7  Public Scan

Form analysis
1 forms found in the DOM

Name: login — POST /2984/

<form action="/2984/" method="post" target="_top" name="login" id="loginForm" class="clearfix" onsubmit="return validatefields(document.login);">
  <p id="login-error" style="font-weight:bold; font-style:italic; display:none;"></p>
  <input type="text" name="username" id="username" maxlength="50" title="User Name" defvalue="User Name" placeholder="User Name" required=""><br>
  <input type="password" name="password" maxlength="50" title="Password" defvalue="Password" placeholder="Password" required="">
  <div class="clearfix" style="float:left; width:50%; text-align:left;">
    <input type="submit" name="login" title="Secure Login" value="Secure Login">
    <input type="hidden" name="remember_login_feature" value="0">
  </div>
  <div class="clearfix" style="float:right; width:45%;">
    <a href="javascript:void(0);" id="forgotUsername" title="Forgot Username" class="forgotLink clearfix">Forgot Username?</a>
    <a href="javascript:void(0);" id="forgotPassword" title="Forgot Password" class="forgotLink clearfix">Forgot Password?</a>
  </div>
</form>

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SERVICE-LIFE.COM™

13395 Voyager Pkwy, Ste 130-1101
Colorado Springs, CO 80921

 * 920.755.0257
 * info@service-life.com

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