www.cos.net.au Open in urlscan Pro
2606:4700:10::6814:440a  Public Scan

Form analysis
10 forms found in the DOM

POST /index.html?pg=login

<form id="signin" class="navbar-form navbar-right mt-5 mb-0 pt-3 pb-3 pl-5 pr-0 mr-0" role="form" method="post" action="/index.html?pg=login">
  <div class="input-group"> <!-- <span class="input-group-addon"><i class="glyphicon glyphicon-user"></i></span>-->
    <input type="text" name="email" required="" class="form-control input-sm" value="" placeholder="Email Address" id="loginEmail" style="border-radius: 3px;">
  </div>
  <div class="input-group pos-rel"> <!-- <span class="input-group-addon"><i class="glyphicon glyphicon-lock"></i></span> -->
    <input id="password" type="password" required="" class="form-control input-sm" name="password" value="" placeholder="Password" style="border-radius: 3px;">
    <!-- <div class="dark dis-ib pos-abs" style="right: 2px; bottom: -16px; z-index: 4;"><a class="f-10 v-align-b " href="/c/forgot-password"  style="height:13px;">Forgot password?</a></div> -->
    <div class="dark dis-ib pos-abs" style="right: 4px;bottom: 8px;z-index: 4;"><a class="f-10 v-align-b " href="/c/forgot-password" style="height:13px;">Forgot?</a></div>
  </div>
  <input id="url" type="hidden" class="form-control input-sm" name="url"
    value="/Office-Products/Custom-Stamps/?utm_campaign=Acquisition&amp;utm_medium=email&amp;_hsmi=155368296&amp;_hsenc=p2ANqtz-9PDDJ4xzx7if8tU2hRpKqd8IO6ds6KYwClb42H7BgfPkyATgUGNAmV0WgIVzexViIe29U_xNtaG80F57x5a8YMCjL_cRWFGQDeDMKVKSE1F-Px7Vk&amp;utm_content=155368296&amp;utm_source=hs_email">
  <div class="input-group text-left nav-login-fp"><button type="submit" value="" class="btn btn-mycosnet btn-sm">Sign In</button></div>
</form>

---

Name: headerkeywordForm_desktop — POST /index.html?pg=searchresults&cmd=k&newsearch=Y

<form class="navbar-form" role="search" id="headerkeywordForm_desktop" name="headerkeywordForm_desktop" method="post" action="/index.html?pg=searchresults&amp;cmd=k&amp;newsearch=Y">
  <div class="input-group search-tab overlay-append" id="tour-search">
    <style>
      .button-look-alike-div {
        float: left;
        width: 100px;
        position: relative;
        height: 34px;
        z-index: 15;
        background-image: none;
        border-radius: 4px 0px 0px 4px;
        -webkit-box-shadow: inset 0 1px 1px rgba(0, 0, 0, .075);
        box-shadow: inset 0 1px 1px rgba(0, 0, 0, .075);
        -webkit-transition: border-color ease-in-out .15s, -webkit-box-shadow ease-in-out .15s;
        -o-transition: border-color ease-in-out .15s, box-shadow ease-in-out .15s;
        transition: border-color ease-in-out .15s, box-shadow ease-in-out .15s;
        display: table;
        background-color: #fcfcfc;
        border-bottom: 1px solid #ccc;
        border-left: 1px solid #ccc;
        border-top: 1px solid #ccc;
      }

      .button-look-alike-div:hover {
        background-color: #f3f3f3;
        cursor: pointer;
      }

      .select-look-alike-list-top {
        display: table-cell;
        vertical-align: middle;
        padding-left: 10px;
      }

      .button-look-alike-div .disp {
        border: 1px solid lightgrey;
      }

      .select-look-alike-list {
        display: block;
        padding: 3px 0px 3px 10px;
      }

      .select-look-alike-list:hover {
        background-color: #f3f3f3;
        cursor: pointer;
      }

      .caret-down {
        right: 5px;
        top: 40%;
        font-size: 15px;
        display: inline-block;
        width: 0;
        height: 0;
        margin-left: 2px;
        vertical-align: middle;
        border-top: 5px dashed;
        border-right: 5px solid transparent;
        border-left: 5px solid transparent;
      }

      .caret-up {
        right: 5px;
        top: 40%;
        font-size: 15px;
        display: inline-block;
        width: 0;
        height: 0;
        margin-left: 2px;
        vertical-align: middle;
        border-bottom: 5px dashed;
        border-right: 5px solid transparent;
        border-left: 5px solid transparent;
        /*transform: rotate(180deg);*/
      }
    </style>
    <div class="hidden-xs" style="position:relative">
      <div id="button-look-alike-div" class="pull-left button-look-alike-div hidden-sm" style="">
        <span id="select-look-alike-list-top" class="select-look-alike-list-top" value="999" title="All">All</span>
        <div id="categories-list" class="disp pos-abs dis-none-imp categories-list" style="width: 212px;background-color: white;z-index: 15;left: 0;top:33px;">
          <span class="select-look-alike-list" title="All" value="999">All</span>
          <span class="select-look-alike-list" title="Canteen" value="10">Canteen</span>
          <span class="select-look-alike-list" title="Computer Consumables" value="20">Computer Consumables</span>
          <span class="select-look-alike-list" title="Janitorials" value="40">Janitorials</span>
          <span class="select-look-alike-list" title="Office Furniture" value="45">Office Furniture</span>
          <span class="select-look-alike-list" title="Office Machines &amp; Accessories" value="47">Office Machines &amp; Accessories</span>
          <span class="select-look-alike-list" title="Computer Accessories" value="15">Computer Accessories</span>
          <span class="select-look-alike-list" title="Education Supplies" value="25">Education Supplies</span>
          <span class="select-look-alike-list" title="Filing &amp; Supplies" value="35">Filing &amp; Supplies</span>
          <span class="select-look-alike-list" title="Mailroom &amp; Packaging" value="42">Mailroom &amp; Packaging</span>
          <span class="select-look-alike-list" title="Office Products" value="50">Office Products</span>
          <span class="select-look-alike-list" title="Writing Instruments" value="70">Writing Instruments</span>
          <span class="select-look-alike-list" title="Paper" value="55">Paper</span>
          <span class="select-look-alike-list" title="Printing" value="60">Printing</span>
          <span class="select-look-alike-list" title="Technology &amp; IT Hardware" value="37">Technology &amp; IT Hardware</span>
          <span class="select-look-alike-list" title="Workplace Health &amp; Safety" value="67">Workplace Health &amp; Safety</span>
        </div>
        <span class="caret-down pos-abs" style=""></span>
      </div>
      <input type="text" rel="search_dropdown_desktop" id="keyword_input_desktop" name="keyword_input" maxlength="50" class="form-control search-field" placeholder="Search Products" autocomplete="off" onclick="select()">
      <a id="button-play" href="#" class="showabove1024 dis-none">
		<i class="fa fa-microphone" style="position: absolute;z-index: 200;font-size: 20px;line-height: 1.7;margin-left: -25px !important;color:#1b93cf;" data-toggle="tooltip" title="Voice search"></i>
	</a>
      <a class="hidden-md hidden-lg c4-filterdiv1" id="narrow-searchinput" style="position: absolute;z-index: 200;font-size: 24px;line-height: 1.7;right:9px;color:#1b93cf;top: -3px;display: none !important;">
		<i class="fa fa-sliders pl-5 pr-5"></i>
	</a>
    </div>
    <span class="input-group-btn">
      <button class="btn btn-default btn-search-desktop" id="button-stop" style="background:grey"><span class="fa fa-search c-white"></span></button>
    </span>
    <script>
      $('.select-look-alike-list').on('click', function(e) {
        $('.categories-list').addClass('dis-none-imp');
        $('.select-look-alike-list-top').html(e.target.innerText);
        $('.select-look-alike-list-top').attr("value", e.target.attributes.value.value);
        $('.select-look-alike-list-top').attr("title", e.target.attributes.title.value);
        var title = e.target.attributes.title.value;
        var value = e.target.attributes.value.value;
        var textInp = $('.select-look-alike-list-top')[0].innerText;
        lengthToCut = 9;
        if (textInp.length > 9) {
          var newTextInp = textInp.substr(0, lengthToCut);
          $('.select-look-alike-list-top').html(newTextInp + '..');
        }
        $.ajax({
          type: "POST",
          url: "/index.html",
          data: "pg=cosnetheader&cmd=dropdownsearch&title=" + title + "&value=" + value,
          async: true,
          cache: false,
          success: function(data) {
            console.log(data);
          }
        });
      });
      /*    $('.select-look-alike-list-top').html();
          $('.select-look-alike-list-top').attr("value",e.target.attributes.value.value);
          $('.select-look-alike-list-top').attr("title",e.target.attributes.title.value);
          var title = e.target.attributes.title.value;
          var value = e.target.attributes.value.value;*/
      var textInp = $('.select-look-alike-list-top')[0].innerText;
      lengthToCut = 9;
      if (textInp.length > 9) {
        var newTextInp = textInp.substr(0, lengthToCut);
        $('.select-look-alike-list-top').html(newTextInp + '..');
      }
      $(document).mouseup(function(e) {
        if (!$('.categories-list').hasClass('dis-none-imp')) {
          if (e.target.id != 'categories-list' || e.target.id == 'button-look-alike-div' || e.target.id == 'select-look-alike-list-top') {
            $('.categories-list').addClass('dis-none-imp');
          }
        }
      });
      $('.select-look-alike-list-top').on("click", function() {
        $('.categories-list').toggleClass('dis-none-imp');
      });
      $(document).ready(function() {
        function selectedmajor() {
          searchInputBoxVal = $('#keyword_input_desktop').val();
          //hostaddress =  window.location.hostname;
          var selectedmajor = document.getElementById('select-look-alike-list-top').getAttribute("value");
          if (selectedmajor == 999) {
            setTimeout(function() {
              window.location.href = '/index.html?pg=searchresultsdisplay&search_type=K&search_string=' + searchInputBoxVal + '&search_values=&searchlogtype=KE';
            }, 0);
          } else {
            linktogo = '/index.html?pg=searchresultsdisplay&search_type=K&search_string=' + searchInputBoxVal + '&search_values=&searchlogtype=KE&narrow_major=' + selectedmajor;
            setTimeout(function() {
              window.location.href = linktogo;
            }, 0);
          }
        }
        $('.majors-new-search-box').on("keypress", function(e) {
          if (e.which == 13) {
            selectedmajor();
          }
        });
        $('#button-stop').on("click", function() {
          selectedmajor();
        });
        if (getBrowserInfo() == 'Chrome') {
          var start = false;

          function logEvent(string) {}
          window.SpeechRecognition = window.SpeechRecognition || window.webkitSpeechRecognition || null;
          if (!SpeechRecognition) {} else {
            var recognizer = new SpeechRecognition();
            var transcription = document.getElementById('keyword_input_desktop');
            // Start recognising
            recognizer.addEventListener('result', function(event) {
              transcription.value = '';
              for (var i = event.resultIndex; i < event.results.length; i++) {
                if (event.results[i].isFinal) {
                  transcription.value = event.results[i][0].transcript; //+ ' (Confidence: ' + event.results[i][0].confidence + ')';
                } else {
                  transcription.value += event.results[i][0].transcript; //transcription.textContent += event.results[i][0].transcript;
                }
                recognizer.stop();
                $("#button-stop").click();
              }
            });
            // Listen for errors
            recognizer.addEventListener('error', function(event) {
              logEvent('Recognition error: ' + event.message);
            });
            recognizer.addEventListener('end', function() {
              logEvent('Recognition ended');
            });
            document.getElementById('button-play').addEventListener('click', function(e) {
              start = !start;
              if (start) {
                transcription.textContent = '';
                // Set if we need interim results
                var isInterimResults = false; //document.querySelector('input[name="recognition-type"][value="interim"]').checked;
                recognizer.lang = 'en-US';
                recognizer.continuous = !isInterimResults;
                recognizer.interimResults = isInterimResults;
                try {
                  recognizer.start();
                  logEvent('Recognition started');
                } catch (ex) {
                  logEvent('Recognition error: ' + ex.message);
                }
              } else {
                recognizer.stop();
              }
              e.preventDefault();
              return false;
            });
          }
        }
      });
    </script> <input type="hidden" name="fullsearch" value="Y">
    <input type="hidden" name="keyword_predict" value="N">
    <input type="hidden" name="refsymb_new" value="">
    <input type="hidden" name="refsymb_planetfriendly" value="">
    <input type="hidden" name="refsymb_australianmade" value="">
    <input type="hidden" name="refsymb_bestseller" value="">
    <input type="hidden" name="refsymb_worksmart" value="">
    <input type="hidden" name="refsymb_ohands" value="">
    <input type="hidden" name="refsymb_wireless" value="">
    <input type="hidden" name="refsymb_warranty" value="">
    <input type="hidden" name="refsymb_msds" value="">
    <input type="hidden" name="refsymb_edemo" value="">
  </div>
</form>

---

Name: tonerSearchForm — POST /index.html?pg=searchresults&cmd=s&newsearch=Y

<form target="_blank" class="navbar-form pl-0 pr-0" role="search" id="tonerSearchForm" name="tonerSearchForm" method="post" action="/index.html?pg=searchresults&amp;cmd=s&amp;newsearch=Y">
  <div class="input-group ">
    <input type="text" id="toner_search_input_desktop" name="toner_search_input_desktop" class="form-control toner-search-box" placeholder="Printer Model or Toner Part Number" autocomplete="off">
    <span class="input-group-btn">
      <button class="btn btn-default" onclick="printerClicked(this,$('#toner_search_input_desktop').val())"><span class="fa fa-search"></span></button>
      <input type="hidden" value="" id="toner_printer_input" name="toner_printer_input">
      <input type="hidden" value="" id="toner_search_input" name="toner_search_input">
    </span>
  </div>
</form>

---

Name: headerkeywordForm_mobile — POST /index.html?pg=searchresults&cmd=k&newsearch=Y

<form class="navbar-form sear-pro-nav mt-0 mb-0 pt-0 pb-5" role="search" id="headerkeywordForm_mobile" name="headerkeywordForm_mobile" method="post" action="/index.html?pg=searchresults&amp;cmd=k&amp;newsearch=Y">
  <div class="input-group " id="tour-search-01">
    <input type="hidden" name="fullsearch" value="Y">
    <input type="hidden" name="keyword_predict" value="N">
    <input type="hidden" name="refsymb_new" value="">
    <input type="hidden" name="refsymb_planetfriendly" value="">
    <input type="hidden" name="refsymb_australianmade" value="">
    <input type="hidden" name="refsymb_bestseller" value="">
    <input type="hidden" name="refsymb_worksmart" value="">
    <input type="hidden" name="refsymb_ohands" value="">
    <input type="hidden" name="refsymb_wireless" value="">
    <input type="hidden" name="refsymb_warranty" value="">
    <input type="hidden" name="refsymb_msds" value="">
    <input type="hidden" name="refsymb_edemo" value="">
    <div style="position:relative">
      <input type="text" rel="search_dropdown_mobile" id="keyword_input_mobile" name="keyword_input" maxlength="50" class="form-control search-field" placeholder="Search Products" autocomplete="off" onclick="select()">
      <a class="c4-filterdiv1 hidden-md hidden-lg" id="narrow-searchinput" style="position: absolute;z-index: 200;font-size: 24px;line-height: 1.7;right:9px;top: -3px;color:#1b93cf;display: none !important;">
		<i class="fa fa-sliders pl-5 pr-5"></i>
	</a>
      <!--<i class="fa fa-microphone" style="position: absolute;z-index: 200;font-size: 20px;line-height: 1.7;margin-left: -30px !important;color:#1b93cf;" data-toggle="tooltip" title="Voice search"></i>-->
    </div>
    <span class="input-group-btn">
      <button class="btn btn-default btn-search" style="background:grey"><span class="glyphicon glyphicon-search c-white"></span></button>
    </span>
  </div>
</form>

---

Name: tonerSearchForm_mobile — POST /index.html?pg=searchresults&cmd=s&newsearch=Y

<form target="_blank" class="navbar-form" role="search" id="tonerSearchForm_mobile" name="tonerSearchForm_mobile" method="post" action="/index.html?pg=searchresults&amp;cmd=s&amp;newsearch=Y">
  <div class="input-group">
    <input type="text" id="toner_search_input_mobile" name="toner_search_input" class="form-control toner-search-box" placeholder="Printer Model or Toner Part Number" autocomplete="off">
    <span class="input-group-btn">
      <button class="btn btn-default" onclick="printerClicked(this,$('#toner_search_input_mobile').val()); "><span class="glyphicon glyphicon-search"></span></button>
    </span>
  </div>
</form>

---

POST

<form class="well form-inline" action="" method="post" id="">
  <fieldset class="pt-10">
    <div class="row">
      <div class="col-lg-12">
        <div class="col-lg-12 p-0 ">
          <div class="input-group">
            <label>Name your Back to school order:</label>
            <select name="state" id="chooseName " class="form-control selectpicker" onchange="chooseName_changed(this)">
              <option value="15">Foundation</option>
              <option value="14">Kindergarten</option>
              <option value="1">Year 1</option>
              <option value="2">Year 2</option>
              <option value="3">Year 3</option>
              <option value="4">Year 4</option>
              <option value="5">Year 5</option>
              <option value="6">Year 6</option>
              <option value="7">Year 7</option>
              <option value="8">Year 8</option>
              <option value="9">Year 9</option>
              <option value="10">Year 10</option>
              <option value="11">Year 11</option>
              <option value="12">Year 12</option>
              <option value="13">Other</option>
            </select>
          </div>
        </div>
        <div class="col-lg-12 p-0">
          <div class="input-group ">
            <label>&nbsp;</label>
            <input style="display:none" id="custom-name" name="custom-name" placeholder="Enter Name" class=" form-control" type="text">
          </div>
        </div>
        <div class="col-lg-12 p-0">
          <br>
          <div class="input-group">
            <button type="submit" class="btn btn-info">Cancel</button>
          </div>
          <button id="btnSaveTrolleyAlias" type="submit" class="btn btn-info" onclick="CreateBTSTrolleyAlias()">Ok</button>
        </div>
      </div>
      <br>
      <br>
    </div>
  </fieldset>
</form>

---

<form class="well form-inline">
  <fieldset class="pt-10">
    <div class="row">
      <div class="col-lg-12">
        <div class="col-lg-12 p-0 ">
          <div class="input-group">
            <label>Name your Back to school order:</label>
            <select name="state_bulk" id="chooseNamebulk" class="form-control selectpicker" onchange="chooseNamebulk_changed(this)">
              <option value="1">Year 1</option>
              <option value="2">Year 2</option>
              <option value="3">Year 3</option>
              <option value="4">Year 4</option>
              <option value="5">Year 5</option>
              <option value="6">Year 6</option>
              <option value="7">Year 7</option>
              <option value="8">Year 8</option>
              <option value="9">Year 9</option>
              <option value="10">Year 10</option>
              <option value="11">Year 11</option>
              <option value="12">Year 12</option>
              <option value="13">Other</option>
            </select>
          </div>
        </div>
        <div class="col-lg-12 p-0">
          <div class="input-group ">
            <label>&nbsp;</label>
            <input style="display:none" id="custom-name_bulk" name="custom-name_bulk" placeholder="Enter Name" class=" form-control" type="text">
          </div>
        </div>
        <div class="col-lg-12 p-0">
          <br>
          <div class="input-group">
            <button type="button" class="btn btn-info" onclick="$('#btsTrolleyAliasPopUpbulk').modal('hide');">Cancel</button>
          </div>
          <button id="btnSaveTrolleyAliasbulk" type="submit" class="btn btn-info" onclick="return CreateBTSTrolleyAliasbulk(event);">Ok</button>
        </div>
      </div>
      <br>
      <br>
    </div>
  </fieldset>
</form>

---

POST /index.html?pg=login

<form class="login-form" method="post" action="/index.html?pg=login">
  <div class="new-div">
    <div class="ta-c ml-15 mr-15 pt-10 mb-5" style="height: 40px; border-top: 3px solid #337ab7; border-radius: 4px;">
      <span class="c4loginli active c4-login-color">LOGIN</span>
    </div>
    <div class="col-xs-12">
      <div class="form-group">
        <input type="hidden" name="login_back_to_school" value="Y">
        <input type="email" name="email" id="form-username01" placeholder="Email" class="form-control" value="" required="">
      </div>
      <div class="form-group pos-rel">
        <input type="password" name="password" id="form-password011" placeholder="Password" class="form-control show-hide-password" value="" required="">
        <i class="pos-abs glyphicon glyphicon-eye-open f-15 show-hide-eye" style="right:5px;top:10px;"></i>
      </div>
      <div class="form-group">
        <button type="submit" class="btn btn-md btn-success btn-block"> Login </button>
      </div>
    </div>
  </div>
</form>

---

Name: searchForm — POST /index.html?pg=groupsearch&narrowsearch=y&major=50&minor=83

<form name="searchForm" method="post" action="/index.html?pg=groupsearch&amp;narrowsearch=y&amp;major=50&amp;minor=83">
  <input type="hidden" name="narrow_major" id="narrow_major" value="">
  <input type="hidden" name="narrow_minor" id="narrow_minor" value="">
  <input type="hidden" name="narrow_sub" id="narrow_sub" value="">
  <input type="hidden" name="narrow_brand" id="narrow_brand" value="">
  <input type="hidden" name="narrow_symbol" id="narrow_symbol" value="">
  <input type="hidden" name="show_all_stock" id="show_all_stock" value="Y">
  <input type="submit" name="narrowresults" id="narrowresults" class="hidden" value="Update">
  <input type="hidden" name="scroll_pos" id="scroll_pos" value="">
  <input type="hidden" name="addtotrolley_x" id="addtotrolley_x" value="">
  <input type="hidden" name="isbrandsearch" id="isbrandsearch" value="">
  <input type="hidden" name="sortBy" value="">
  <input type="hidden" name="sortType" value="">
  <table width="940" border="0" cellpadding="0" cellspacing="0" class="hidden">
    <tbody>
      <tr>
        <td> Current Order <select name="trolleylist" class="copy">
            <option value="Create new order">Create new order </option>
            <option value="20740614">20740614 - 3350916</option>
            <option value="20743875">20743875 - 3542674</option>
            <option value="20744114">20744114 - Year 1</option>
          </select>
        </td>
      </tr>
    </tbody>
  </table>
  <script>
    $(document).ready(function() {
      /// override image class provided from wordpress with brand
      $('.brand').children('img').attr('class', 'brand');
      var showChar = 200;
      var ellipsestext = "...";
      var moretext = "Read More >";
      var lesstext = "< Show Less";
      $('.shorttext').each(function() {
        var content = $(this).html();
        if (content.length > showChar) {
          var c = content.substr(0, showChar);
          var html = '<div class="morecontent"> ' + c + ellipsestext + '<a href="" class="morelink">' + moretext + '</a></div>';
          html += '<div class="lesscontent"> ' + content + '<a href="" class="morelink">' + lesstext + '</a></div>';
          $(this).html(html);
          $(".lesscontent").hide();
        }
      });
      $('.morelink').click(function() {
        $(".morecontent").toggle();
        $(".lesscontent").toggle();
        return false;
      });
    });
  </script>
  <!-- Main Container -->
  <div class="container">
    <div class="row">
      <div id="div_search_results" class="row list-group search-products-padding">
        <!--<div id="products" class="row list-group search-products-padding">-->
      </div>
    </div>
  </div>
  <!-- End Products -->
  <div class="hidden-lg hidden-md hidden-sm mt-15">
  </div>
</form>

---

Name: newcustomer —

<form class="registration-form" id="newcustomer" name="newcustomer" onsubmit="onLogin()">
  <input id="url3" type="hidden" class="form-control input-sm" name="url" value="">
  <input type="hidden" name="newcustomerregistration" value="newcustomerregistration">
  <input type="hidden" name="social-media-source" id="social-media-source">
  <div class="col-sm-8 col-sm-offset-2 col-xs-12 c4-main-reg-col ta-c pl-0">
    <div class="error-message" id="general-error"></div>
  </div>
  <div class="col-sm-9 col-sm-offset-2 col-xs-12 c4-main-reg-col ta-c pl-0" id="registration_form_title">
    <div id="social-registration-title" class="f-15  fw-5 pull-left" style="color: #736f6f;text-align:left;">
    </div>
  </div>
  <div class="col-sm-8 col-sm-offset-2 col-xs-12 c4-main-reg-col ta-c pl-0" id="registration_form_body">
    <div class="input-group c4InputGrp mt-10">
      <input type="text" name="first_name" id="inp_fname" placeholder="First Name" class="form-control c4borderglow c4-Fullname" required="">
      <div class="error-message" id="first_name-error"></div>
    </div>
    <div class="input-group c4InputGrp mt-15">
      <input type="text" name="last_name" id="inp_lname" placeholder="Last Name" class="form-control c4borderglow c4-Fullname" required="">
      <div class="error-message" id="last_name-error"></div>
    </div>
    <div class="input-group c4InputGrp mt-15 ">
      <input type="email" name="email" id="inp_email" placeholder="Email" class="form-control c4borderglow c4-Fullname" required="">
      <div class="error-message" id="email-error"></div>
    </div>
    <div class="f-13 pull-left pb-5 pt-15" style="color: #736f6f;">We just need a couple more details</div>
    <div class="input-group c4InputGrp mt-15">
      <input type="text" name="business_name" id="form_business_name" placeholder="Business Name" class="form-control c4borderglow c4-Fullname" required="">
      <div class="error-message" id="business_name-error"></div>
    </div>
    <div class="input-group c4InputGrp mt-15">
      <input type="text" name="postcode" id="form-postcode" placeholder="Postcode" class="form-control c4borderglow c4-Fullname" required="">
      <div class="error-message" id="postcode-error" style="margin-top: 0px !important;"></div>
    </div>
    <div class="input-group c4InputGrp mt-4">
      <input required="" type="text" name="contact_phone" id="contactPhone" title="Please enter a valid phone number" pattern=".{14,14}" size="14" maxlength="14" placeholder="Phone Number"
        class="form-control form-phone-number c4borderglow c4-Fullname">
      <div class="error-message" id="contact_phone-error-general"></div>
    </div>
    <div class="col-xs-12 pl-0 pt-7 pl-3 pb-8" style="text-align:left;font-size:12px;color:#a09a9a;"> By creating an account, you agree to COS <a target="_blank" href="/c/terms-conditions">Privacy Policy</a> and
      <a target="_blank" href="/c/terms-conditions">Terms of Use</a>. </div>
    <div class="c4InputGrp c4finishbutton">
      <button type="submit" class="btn btn-md btn-success btn-block c4registerbtn" id="button2"> Start Shopping </button>
    </div>
  </div>
  <div class="col-sm-10 col-sm-offset-1 col-xs-12 c4-main-reg-col ta-c pl-0 hideme" id="registration_form_body_status">
    <div class="col-sm-12 col-xs-12 ta-c  mt-10 pt-10 f-12 fw-5">
      <p class="c4-reg-success f-20"><i class="fa fa-check  c4-circletick pt-5 c-green" aria-hidden="true"></i>
        <span class="c-green">Congratulations! your new account has been created</span>
      </p>
      <div class="success-reg-message" id="general-success-general"></div>
      <div class="error-reg-message" id="general-error-general"></div>
    </div>
    <div class="col-xs-12 ta-c f-12 fw-5 pl-0">
      <p class="confirmation_message-general"></p>
    </div>
    <div class="col-xs-12 ta-c f-12 fw-5 pl-0">
      <p>You will be logged into COSnet in just a second. </p>
    </div>
  </div>
  <input type="hidden" required="required" placeholder="Password" class="form-password form-control required" name="password" title="Please enter a valid password" value="CTVs9IOT">
  <input type="hidden" required="required" placeholder="Confirm Password" class="form-password form-control required" name="confirm_password" title="Please enter a valid password" value="CTVs9IOT">
  <input type="hidden" name="credit" id="form-credit-account" value="N">
  <input type="hidden" id="from-social-login-form" value="1">
</form>

---

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