secure.constellation.iqvia.com Open in urlscan Pro
192.29.202.200  Public Scan

Form analysis
1 forms found in the DOM

Name: optout — POST https://secure.constellation.iqvia.com/e/f2?LP=1666

<form method="post" name="optout" action="https://secure.constellation.iqvia.com/e/f2?LP=1666" onsubmit="return handleFormSubmit(this)" id="form39" class="elq-form"><input value="optout" type="hidden" name="elqFormName"><input value="460529241"
    type="hidden" name="elqSiteId"><input name="elqCampaignId" type="hidden" value="12637">
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        <p class="field-p"><label for="field0" class="label-position top ">Email Address<span class="required">*</span></label><input id="field0" name="emailAddress" type="text" value="martha.jacobius@bcbsnc.com" class="field-size-top-large"></p>
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    <div class="individual field-wrapper">
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        <p class="field-p"><input id="field1" type="hidden" name="EmailOptOutMethod" value="Email"></p>
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</form>

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