gohclabels.com
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Submitted URL: https://protect-us.mimecast.com/s/kh5LCL925wFRX1jRPSq7dZ7?domain=gohclabels.com
Effective URL: https://gohclabels.com/register?token=o1BCZPrRii4ciD4AK1rNwQA0YAr7bAfE
Submission: On April 18 via manual from US — Scanned from US
Effective URL: https://gohclabels.com/register?token=o1BCZPrRii4ciD4AK1rNwQA0YAr7bAfE
Submission: On April 18 via manual from US — Scanned from US
Form analysis 1 forms found in the DOM
<form class="m-2 p-2">
<fieldset><input type="hidden" id="token" name="token" value="o1BCZPrRii4ciD4AK1rNwQA0YAr7bAfE">
<div class="form-group"><label for="email"> Email Address </label> <input id="email" name="email" type="text" disabled="disabled" placeholder="Email" class="form-control form-control" aria-describedby="email"> <!----></div>
<div class="form-group"><label for="first_name"> First Name </label> <input id="first_name" name="first_name" type="text" placeholder="First Name" class="form-control form-control" aria-describedby="first_name"> <!----></div>
<div class="form-group"><label for="last_name"> Last Name </label> <input id="last_name" name="last_name" type="text" placeholder="Last Name" class="form-control form-control" aria-describedby="last_name"> <!----></div>
<div class="form-group"><label for="password"> Password </label> <input id="password" name="password" type="password" placeholder="Password" class="form-control form-control" aria-describedby="password"> <!----></div>
<div class="form-group"><label for="password_confirmation"> Confirm Password </label> <input id="password_confirmation" name="password_confirmation" type="password" placeholder="Password" class="form-control form-control"
aria-describedby="password_confirmation"> <!----></div>
<div class="form-group"><label for="hcl_account_number"> HCL Account Number </label> <input id="hcl_account_number" name="hcl_account_number" type="text" disabled="disabled" placeholder="HCL Account Number" class="form-control form-control"
aria-describedby="hcl_account_number"> <!----></div>
<div class="form-group"><label for="facility_name"> Facility Name </label> <input id="facility_name" name="facility_name" type="text" disabled="disabled" placeholder="Facility Name" class="form-control form-control"
aria-describedby="facility_name"> <!----></div>
<div class="form-group"><label for="job_title"> Job Title </label> <input id="job_title" name="job_title" type="text" placeholder="Job Title" class="form-control form-control" aria-describedby="job_title"> <!----></div>
<div class="form-group"><label for="phone"> Phone Number </label> <input id="phone" name="phone" type="text" placeholder="Phone" class="form-control form-control" aria-describedby="phone"> <!----></div>
<div class="form-group"><label for="timezone">Timezone</label> <select name="timezone" id="timezone" class="form-control">
<option value="Pacific/Midway">(UTC-11:00) Midway Island</option>
<option value="Pacific/Samoa">(UTC-11:00) Samoa</option>
<option value="Pacific/Honolulu">(UTC-10:00) Hawaii</option>
<option value="US/Alaska">(UTC-09:00) Alaska</option>
<option value="America/Los_Angeles">(UTC-08:00) Pacific Time (US & Canada)</option>
<option value="America/Tijuana">(UTC-08:00) Tijuana</option>
<option value="US/Arizona">(UTC-07:00) Arizona</option>
<option value="America/Chihuahua">(UTC-07:00) Chihuahua</option>
<option value="America/Chihuahua">(UTC-07:00) La Paz</option>
<option value="America/Mazatlan">(UTC-07:00) Mazatlan</option>
<option value="US/Mountain">(UTC-07:00) Mountain Time (US & Canada)</option>
<option value="America/Managua">(UTC-06:00) Central America</option>
<option value="US/Central">(UTC-06:00) Central Time (US & Canada)</option>
<option value="America/Mexico_City">(UTC-06:00) Guadalajara</option>
<option value="America/Mexico_City">(UTC-06:00) Mexico City</option>
<option value="America/Monterrey">(UTC-06:00) Monterrey</option>
<option value="Canada/Saskatchewan">(UTC-06:00) Saskatchewan</option>
<option value="America/Bogota">(UTC-05:00) Bogota</option>
<option value="US/Eastern">(UTC-05:00) Eastern Time (US & Canada)</option>
<option value="US/East-Indiana">(UTC-05:00) Indiana (East)</option>
<option value="America/Lima">(UTC-05:00) Lima</option>
<option value="America/Bogota">(UTC-05:00) Quito</option>
<option value="Canada/Atlantic">(UTC-04:00) Atlantic Time (Canada)</option>
<option value="America/Caracas">(UTC-04:30) Caracas</option>
<option value="America/La_Paz">(UTC-04:00) La Paz</option>
<option value="America/Santiago">(UTC-04:00) Santiago</option>
<option value="Canada/Newfoundland">(UTC-03:30) Newfoundland</option>
<option value="America/Sao_Paulo">(UTC-03:00) Brasilia</option>
<option value="America/Argentina/Buenos_Aires">(UTC-03:00) Buenos Aires</option>
<option value="America/Argentina/Buenos_Aires">(UTC-03:00) Georgetown</option>
<option value="America/Godthab">(UTC-03:00) Greenland</option>
<option value="America/Noronha">(UTC-02:00) Mid-Atlantic</option>
<option value="Atlantic/Azores">(UTC-01:00) Azores</option>
<option value="Atlantic/Cape_Verde">(UTC-01:00) Cape Verde Is.</option>
<option value="Africa/Casablanca">(UTC+00:00) Casablanca</option>
<option value="Europe/London">(UTC+00:00) Edinburgh</option>
<option value="Etc/Greenwich">(UTC+00:00) Greenwich Mean Time : Dublin</option>
<option value="Europe/Lisbon">(UTC+00:00) Lisbon</option>
<option value="Europe/London">(UTC+00:00) London</option>
<option value="Africa/Monrovia">(UTC+00:00) Monrovia</option>
<option value="UTC">(UTC+00:00) UTC</option>
<option value="Europe/Amsterdam">(UTC+01:00) Amsterdam</option>
<option value="Europe/Belgrade">(UTC+01:00) Belgrade</option>
<option value="Europe/Berlin">(UTC+01:00) Berlin</option>
<option value="Europe/Berlin">(UTC+01:00) Bern</option>
<option value="Europe/Bratislava">(UTC+01:00) Bratislava</option>
<option value="Europe/Brussels">(UTC+01:00) Brussels</option>
<option value="Europe/Budapest">(UTC+01:00) Budapest</option>
<option value="Europe/Copenhagen">(UTC+01:00) Copenhagen</option>
<option value="Europe/Ljubljana">(UTC+01:00) Ljubljana</option>
<option value="Europe/Madrid">(UTC+01:00) Madrid</option>
<option value="Europe/Paris">(UTC+01:00) Paris</option>
<option value="Europe/Prague">(UTC+01:00) Prague</option>
<option value="Europe/Rome">(UTC+01:00) Rome</option>
<option value="Europe/Sarajevo">(UTC+01:00) Sarajevo</option>
<option value="Europe/Skopje">(UTC+01:00) Skopje</option>
<option value="Europe/Stockholm">(UTC+01:00) Stockholm</option>
<option value="Europe/Vienna">(UTC+01:00) Vienna</option>
<option value="Europe/Warsaw">(UTC+01:00) Warsaw</option>
<option value="Africa/Lagos">(UTC+01:00) West Central Africa</option>
<option value="Europe/Zagreb">(UTC+01:00) Zagreb</option>
<option value="Europe/Athens">(UTC+02:00) Athens</option>
<option value="Europe/Bucharest">(UTC+02:00) Bucharest</option>
<option value="Africa/Cairo">(UTC+02:00) Cairo</option>
<option value="Africa/Harare">(UTC+02:00) Harare</option>
<option value="Europe/Helsinki">(UTC+02:00) Helsinki</option>
<option value="Europe/Istanbul">(UTC+02:00) Istanbul</option>
<option value="Asia/Jerusalem">(UTC+02:00) Jerusalem</option>
<option value="Europe/Helsinki">(UTC+02:00) Kyiv</option>
<option value="Africa/Johannesburg">(UTC+02:00) Pretoria</option>
<option value="Europe/Riga">(UTC+02:00) Riga</option>
<option value="Europe/Sofia">(UTC+02:00) Sofia</option>
<option value="Europe/Tallinn">(UTC+02:00) Tallinn</option>
<option value="Europe/Vilnius">(UTC+02:00) Vilnius</option>
<option value="Asia/Baghdad">(UTC+03:00) Baghdad</option>
<option value="Asia/Kuwait">(UTC+03:00) Kuwait</option>
<option value="Europe/Minsk">(UTC+03:00) Minsk</option>
<option value="Africa/Nairobi">(UTC+03:00) Nairobi</option>
<option value="Asia/Riyadh">(UTC+03:00) Riyadh</option>
<option value="Europe/Volgograd">(UTC+03:00) Volgograd</option>
<option value="Asia/Tehran">(UTC+03:30) Tehran</option>
<option value="Asia/Muscat">(UTC+04:00) Abu Dhabi</option>
<option value="Asia/Baku">(UTC+04:00) Baku</option>
<option value="Europe/Moscow">(UTC+04:00) Moscow</option>
<option value="Asia/Muscat">(UTC+04:00) Muscat</option>
<option value="Europe/Moscow">(UTC+04:00) St. Petersburg</option>
<option value="Asia/Tbilisi">(UTC+04:00) Tbilisi</option>
<option value="Asia/Yerevan">(UTC+04:00) Yerevan</option>
<option value="Asia/Kabul">(UTC+04:30) Kabul</option>
<option value="Asia/Karachi">(UTC+05:00) Islamabad</option>
<option value="Asia/Karachi">(UTC+05:00) Karachi</option>
<option value="Asia/Tashkent">(UTC+05:00) Tashkent</option>
<option value="Asia/Calcutta">(UTC+05:30) Chennai</option>
<option value="Asia/Kolkata">(UTC+05:30) Kolkata</option>
<option value="Asia/Calcutta">(UTC+05:30) Mumbai</option>
<option value="Asia/Calcutta">(UTC+05:30) New Delhi</option>
<option value="Asia/Calcutta">(UTC+05:30) Sri Jayawardenepura</option>
<option value="Asia/Katmandu">(UTC+05:45) Kathmandu</option>
<option value="Asia/Almaty">(UTC+06:00) Almaty</option>
<option value="Asia/Dhaka">(UTC+06:00) Astana</option>
<option value="Asia/Dhaka">(UTC+06:00) Dhaka</option>
<option value="Asia/Yekaterinburg">(UTC+06:00) Ekaterinburg</option>
<option value="Asia/Rangoon">(UTC+06:30) Rangoon</option>
<option value="Asia/Bangkok">(UTC+07:00) Bangkok</option>
<option value="Asia/Bangkok">(UTC+07:00) Hanoi</option>
<option value="Asia/Jakarta">(UTC+07:00) Jakarta</option>
<option value="Asia/Novosibirsk">(UTC+07:00) Novosibirsk</option>
<option value="Asia/Hong_Kong">(UTC+08:00) Beijing</option>
<option value="Asia/Chongqing">(UTC+08:00) Chongqing</option>
<option value="Asia/Hong_Kong">(UTC+08:00) Hong Kong</option>
<option value="Asia/Krasnoyarsk">(UTC+08:00) Krasnoyarsk</option>
<option value="Asia/Kuala_Lumpur">(UTC+08:00) Kuala Lumpur</option>
<option value="Australia/Perth">(UTC+08:00) Perth</option>
<option value="Asia/Singapore">(UTC+08:00) Singapore</option>
<option value="Asia/Taipei">(UTC+08:00) Taipei</option>
<option value="Asia/Ulan_Bator">(UTC+08:00) Ulaan Bataar</option>
<option value="Asia/Urumqi">(UTC+08:00) Urumqi</option>
<option value="Asia/Irkutsk">(UTC+09:00) Irkutsk</option>
<option value="Asia/Tokyo">(UTC+09:00) Osaka</option>
<option value="Asia/Tokyo">(UTC+09:00) Sapporo</option>
<option value="Asia/Seoul">(UTC+09:00) Seoul</option>
<option value="Asia/Tokyo">(UTC+09:00) Tokyo</option>
<option value="Australia/Adelaide">(UTC+09:30) Adelaide</option>
<option value="Australia/Darwin">(UTC+09:30) Darwin</option>
<option value="Australia/Brisbane">(UTC+10:00) Brisbane</option>
<option value="Australia/Canberra">(UTC+10:00) Canberra</option>
<option value="Pacific/Guam">(UTC+10:00) Guam</option>
<option value="Australia/Hobart">(UTC+10:00) Hobart</option>
<option value="Australia/Melbourne">(UTC+10:00) Melbourne</option>
<option value="Pacific/Port_Moresby">(UTC+10:00) Port Moresby</option>
<option value="Australia/Sydney">(UTC+10:00) Sydney</option>
<option value="Asia/Yakutsk">(UTC+10:00) Yakutsk</option>
<option value="Asia/Vladivostok">(UTC+11:00) Vladivostok</option>
<option value="Pacific/Auckland">(UTC+12:00) Auckland</option>
<option value="Pacific/Fiji">(UTC+12:00) Fiji</option>
<option value="Pacific/Kwajalein">(UTC+12:00) International Date Line West</option>
<option value="Asia/Kamchatka">(UTC+12:00) Kamchatka</option>
<option value="Asia/Magadan">(UTC+12:00) Magadan</option>
<option value="Pacific/Fiji">(UTC+12:00) Marshall Is.</option>
<option value="Asia/Magadan">(UTC+12:00) New Caledonia</option>
<option value="Asia/Magadan">(UTC+12:00) Solomon Is.</option>
<option value="Pacific/Auckland">(UTC+12:00) Wellington</option>
<option value="Pacific/Tongatapu">(UTC+13:00) Nuku'alofa</option>
</select> <!----></div>
<div class="form-group"><label>End User Agreement / Terms of Service</label> <iframe src="/terms-of-service" class="col-12"></iframe>
<div class="form-check"><input type="checkbox" id="terms_of_service" class="form-check-input"> <label for="terms_of_service" class="form-check-label">I have read and accept the end user agreement.</label></div> <!---->
</div>
<div class="btn-toolbar form-action-button"><button type="submit" disabled="disabled" class="btn btn-success save-button"><i class="fa fa-fw fa-user-plus"></i> Sign Up </button></div>
</fieldset>
</form>Text Content
Email Address First Name Last Name Password Confirm Password HCL Account Number Facility Name Job Title Phone Number Timezone (UTC-11:00) Midway Island(UTC-11:00) Samoa(UTC-10:00) Hawaii(UTC-09:00) Alaska(UTC-08:00) Pacific Time (US & Canada)(UTC-08:00) Tijuana(UTC-07:00) Arizona(UTC-07:00) Chihuahua(UTC-07:00) La Paz(UTC-07:00) Mazatlan(UTC-07:00) Mountain Time (US & Canada)(UTC-06:00) Central America(UTC-06:00) Central Time (US & Canada)(UTC-06:00) Guadalajara(UTC-06:00) Mexico City(UTC-06:00) Monterrey(UTC-06:00) Saskatchewan(UTC-05:00) Bogota(UTC-05:00) Eastern Time (US & Canada)(UTC-05:00) Indiana (East)(UTC-05:00) Lima(UTC-05:00) Quito(UTC-04:00) Atlantic Time (Canada)(UTC-04:30) Caracas(UTC-04:00) La Paz(UTC-04:00) Santiago(UTC-03:30) Newfoundland(UTC-03:00) Brasilia(UTC-03:00) Buenos Aires(UTC-03:00) Georgetown(UTC-03:00) Greenland(UTC-02:00) Mid-Atlantic(UTC-01:00) Azores(UTC-01:00) Cape Verde Is.(UTC+00:00) Casablanca(UTC+00:00) Edinburgh(UTC+00:00) Greenwich Mean Time : Dublin(UTC+00:00) Lisbon(UTC+00:00) London(UTC+00:00) Monrovia(UTC+00:00) UTC(UTC+01:00) Amsterdam(UTC+01:00) Belgrade(UTC+01:00) Berlin(UTC+01:00) Bern(UTC+01:00) Bratislava(UTC+01:00) Brussels(UTC+01:00) Budapest(UTC+01:00) Copenhagen(UTC+01:00) Ljubljana(UTC+01:00) Madrid(UTC+01:00) Paris(UTC+01:00) Prague(UTC+01:00) Rome(UTC+01:00) Sarajevo(UTC+01:00) Skopje(UTC+01:00) Stockholm(UTC+01:00) Vienna(UTC+01:00) Warsaw(UTC+01:00) West Central Africa(UTC+01:00) Zagreb(UTC+02:00) Athens(UTC+02:00) Bucharest(UTC+02:00) Cairo(UTC+02:00) Harare(UTC+02:00) Helsinki(UTC+02:00) Istanbul(UTC+02:00) Jerusalem(UTC+02:00) Kyiv(UTC+02:00) Pretoria(UTC+02:00) Riga(UTC+02:00) Sofia(UTC+02:00) Tallinn(UTC+02:00) Vilnius(UTC+03:00) Baghdad(UTC+03:00) Kuwait(UTC+03:00) Minsk(UTC+03:00) Nairobi(UTC+03:00) Riyadh(UTC+03:00) Volgograd(UTC+03:30) Tehran(UTC+04:00) Abu Dhabi(UTC+04:00) Baku(UTC+04:00) Moscow(UTC+04:00) Muscat(UTC+04:00) St. Petersburg(UTC+04:00) Tbilisi(UTC+04:00) Yerevan(UTC+04:30) Kabul(UTC+05:00) Islamabad(UTC+05:00) Karachi(UTC+05:00) Tashkent(UTC+05:30) Chennai(UTC+05:30) Kolkata(UTC+05:30) Mumbai(UTC+05:30) New Delhi(UTC+05:30) Sri Jayawardenepura(UTC+05:45) Kathmandu(UTC+06:00) Almaty(UTC+06:00) Astana(UTC+06:00) Dhaka(UTC+06:00) Ekaterinburg(UTC+06:30) Rangoon(UTC+07:00) Bangkok(UTC+07:00) Hanoi(UTC+07:00) Jakarta(UTC+07:00) Novosibirsk(UTC+08:00) Beijing(UTC+08:00) Chongqing(UTC+08:00) Hong Kong(UTC+08:00) Krasnoyarsk(UTC+08:00) Kuala Lumpur(UTC+08:00) Perth(UTC+08:00) Singapore(UTC+08:00) Taipei(UTC+08:00) Ulaan Bataar(UTC+08:00) Urumqi(UTC+09:00) Irkutsk(UTC+09:00) Osaka(UTC+09:00) Sapporo(UTC+09:00) Seoul(UTC+09:00) Tokyo(UTC+09:30) Adelaide(UTC+09:30) Darwin(UTC+10:00) Brisbane(UTC+10:00) Canberra(UTC+10:00) Guam(UTC+10:00) Hobart(UTC+10:00) Melbourne(UTC+10:00) Port Moresby(UTC+10:00) Sydney(UTC+10:00) Yakutsk(UTC+11:00) Vladivostok(UTC+12:00) Auckland(UTC+12:00) Fiji(UTC+12:00) International Date Line West(UTC+12:00) Kamchatka(UTC+12:00) Magadan(UTC+12:00) Marshall Is.(UTC+12:00) New Caledonia(UTC+12:00) Solomon Is.(UTC+12:00) Wellington(UTC+13:00) Nuku'alofa End User Agreement / Terms of Service I have read and accept the end user agreement. Sign Up Copyright © 2023 All rights reserved. Powered by Health Care Logistics, Inc.