payment.ul.com Open in urlscan Pro
207.178.209.232  Public Scan

Form analysis
1 forms found in the DOM

POST /Prod/Account/SelfRegister

<form action="/Prod/Account/SelfRegister" method="post" novalidate="novalidate"><input name="__RequestVerificationToken" type="hidden"
    value="yeGm8fZ8PnyEh3eIgc0BnGOQZGSLEAjdKj_idtq20ELAb0CZ_1L9LlpNHAF2GcaX3C1Wg1kEGTPiYmujjTc1mzkAZnkcokkn10fgaVeW-2s1">
  <fieldset>
    <legend>Self Registration Form</legend>
    <ol>
      <li>
        <select id="sLanguage" name="sLanguage" class="k-input mc2LoginInput mc2-dropdownlogin">
          <option value="ar-ae">Arabic (U.A.E)</option>
          <option value="zh-CN">Chinese (China)</option>
          <option value="zh-CHS">Chinese (Simplified)</option>
          <option value="zh-CHT">Chinese (Traditional)</option>
          <option value="cs-CZ">Czech</option>
          <option value="da-DK">Danish</option>
          <option value="en-GB">English (UK)</option>
          <option selected="selected" value="en-US">English (USA)</option>
          <option value="fr-FR">French</option>
          <option value="de-DE">German</option>
          <option value="ja-JP">Japanese</option>
          <option value="ko-KR">Korean</option>
          <option value="ru-RU">Russian</option>
          <option value="es-MX">Spanish (Mexico)</option>
          <option value="es-ES">Spanish (Spain)</option>
          <option value="sv-SE">Swedish</option>
        </select>
        <br>
        <p><span class="field-validation-valid" data-valmsg-for="sLanguage" data-valmsg-replace="true"></span></p>
      </li>
      <li>
        <input type="text" id="Name" name="Name" autocomplete="off" data-val="true" data-val-required="The Name field is required." class="k-input mc2LoginInput" placeholder="Name">
        <br>
        <p><span class="field-validation-valid" data-valmsg-for="Name" data-valmsg-replace="true"></span></p>
      </li>
      <li>
        <input type="text" id="Email" name="Email" autocomplete="off" data-val="true" data-val-required="The Email field is required." class="k-input mc2LoginInput" placeholder="Email Address">
        <p><span class="field-validation-valid" data-valmsg-for="Email" data-valmsg-replace="true"></span></p>
      </li>
      <li> Preferred Document Delivery<br>
        <select id="DocumentOption" name="DocumentOption" class="k-input mc2LoginInput mc2-dropdownlogin">
          <option value="P">Post</option>
          <option selected="selected" value="E">Email</option>
        </select>
      </li>
      <li>
        <input type="text" id="Account" name="Account" autocomplete="off" data-val="true" data-val-required="The Account field is required." class="k-input mc2LoginInput" placeholder="Bill To Acct #(Top Right Corner of Invoice)">
        <br>
        <p> <span class="field-validation-valid" data-valmsg-for="Account" data-valmsg-replace="true"></span></p>
      </li>
      <li>
        <input type="text" id="Invoice" name="Invoice" autocomplete="off" data-val="true" data-val-required="The Invoice field is required." class="k-input mc2LoginInput" placeholder="Invoice #">
        <br>
        <p> <span class="field-validation-valid" data-valmsg-for="Invoice" data-valmsg-replace="true"></span></p>
      </li>
      <li>
        <input type="password" id="Password" name="Password" autocomplete="off" data-val="true" data-val-length="The Password must be at least 6 characters long." data-val-length-max="100" data-val-length-min="5"
          data-val-required="The Password field is required." class="k-input mc2LoginInput" placeholder="Password">
        <br>
        <p> <span class="field-validation-valid" data-valmsg-for="Password" data-valmsg-replace="true"></span></p>
      </li>
      <li>
        <input type="password" id="ConfirmPassword" name="ConfirmPassword" autocomplete="off" data-val-equalto="The password and confirmation password do not match." data-val-equalto-other="*.Password" class="k-input mc2LoginInput"
          placeholder="Repeat Password">
        <br>
        <p> <span class="field-validation-valid" data-valmsg-for="ConfirmPassword" data-valmsg-replace="true"></span></p>
      </li>
      <li>
        <table style=" margin-left: auto; margin-right: auto;">
          <tbody>
            <tr>
              <td style="padding:0px;">
                <button type="submit" id="btnSelfRegister" class="k-button mc2LoginButton k-button-md k-button-rectangle k-rounded-md k-button-solid k-button-solid-base" data-role="button" role="button" aria-disabled="false" tabindex="0"
                  style="background: rgb(177, 8, 32) !important;"><span class="k-button-text">SIGN IN</span></button>
              </td>
            </tr>
          </tbody>
        </table>
      </li>
      <li>
        <br><br>
        <div>For the best browsing experience, please use Google Chrome or Microsoft Edge. Question? Please contact our Customer Experience Center at CEC@ul.com</div>
      </li>
    </ol> &nbsp; &nbsp; &nbsp;
  </fieldset>
</form>

Text Content

PORTAL SELF REGISTRATION

Self Registration Form
 1.  Arabic (U.A.E) Chinese (China) Chinese (Simplified) Chinese (Traditional)
     Czech Danish English (UK) English (USA) French German Japanese Korean
     Russian Spanish (Mexico) Spanish (Spain) Swedish
     
     
     

 2.  
     
     
     

 3.  

 4.  Preferred Document Delivery
     Post Email
 5.  
     
     
     

 6.  
     
     
     

 7.  
     
     
     

 8.  
     
     
     

 9.  SIGN IN

 10. 
     
     
     For the best browsing experience, please use Google Chrome or Microsoft
     Edge. Question? Please contact our Customer Experience Center at CEC@ul.com