baptisthealthfcu.messagepay.com Open in urlscan Pro
54.189.208.134  Public Scan

Form analysis
1 forms found in the DOM

POST https://baptisthealthfcu.messagepay.com/pin/set

<form method="POST" action="https://baptisthealthfcu.messagepay.com/pin/set" id="setPin" role="form">
  <input type="hidden" name="_token" value="Ac8TesHu7AnPga57YPv8gyzf5cQ70zLwFJ5y4mJf"> Please verify the date of birth of the primary account holder. <div class="form-group">
    <input type="text" class="a-lookup-inputs fontAwesome form-control" id="date_of_birth" name="date_of_birth" placeholder="Date of Birth MM-DD-YYYY                       ">
    <input type="hidden" class="a-lookup-inputs fontAwesome form-control" id="birth_date" name="birth_date">
  </div>
  <div class="container">
    <div class="row justify-content-center"> Please Set A 4 Digit Pin </div>
    <div class="row justify-content-center">
      <input id="pin1" maxlength="1" type="tel" class="pin-input col-2">
      <input id="pin2" maxlength="1" type="tel" class="pin-input col-2">
      <input id="pin3" maxlength="1" type="tel" class="pin-input col-2">
      <input id="pin4" maxlength="1" type="tel" class="pin-input col-2">
    </div>
    <br>
    <div class="row justify-content-center"> Verify Your 4 Digit Pin </div>
    <div class="row justify-content-center">
      <input id="pinVerification1" maxlength="1" type="tel" class="pin-input col-2">
      <input id="pinVerification2" maxlength="1" type="tel" class="pin-input col-2">
      <input id="pinVerification3" maxlength="1" type="tel" class="pin-input col-2">
      <input id="pinVerification4" maxlength="1" type="tel" class="pin-input col-2">
    </div>
    <br>
    <button id="submitPinReset" class="a-lookup-btn btn btn-primary" type="submit">Submit</button>
  </div>
</form>

Text Content

Please verify the date of birth of the primary account holder.

Please Set A 4 Digit Pin


Verify Your 4 Digit Pin


Submit
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