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Form analysis
1 forms found in the DOM

Name: member_login — POST /api/widget/json/get/Bootstrap%20Theme%20-%20Member%20Login%20Page

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  <h2 class="nomargin member-login-h2-form-title">Member Login</h2>
  <hr>
  <div class="form-group"><label class="vertical-label bd-email" for="member_login-element-9"><span class="required">* </span>Email Address</label><input type="email" name="email" required="" placeholder="name@yoursite.com" autocomplete="off"
      value="" class="form-control input-lg" id="member_login-element-9"></div>
  <div class="form-group"><label class="vertical-label bd-password" for="member_login-element-10"><span class="required">* </span>Password</label><input type="password" name="pass" required="" placeholder="Enter Password" autocomplete="off" value=""
      class="form-control input-lg" id="member_login-element-10"></div><span class="help-block bpad bmargin notmargin"> <a href="/login/retrieval">Forgot Password? Click to Reset Password</a></span>
  <div class="form-actions"><input type="submit" value="Login Now" name="" class="btn btn-primary btn-lg btn-block " id="member_login-element-12"></div>
  <div class="login-cta-buttons">
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    <ul class="list-inline nomargin inline-block btn-block">
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        <li class="col-md-14 norpad sm-nopad"><a href="/join" id="link229" class="btn btn-success btn-block">Are You a Medical Business? <span class="inline-block">Choose a Plan to Join Today</span></a></li>
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</form>

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