webinarspanel.com
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Submitted URL: http://webinarspanel.com/
Effective URL: https://webinarspanel.com/
Submission: On April 04 via manual from US — Scanned from DE
Effective URL: https://webinarspanel.com/
Submission: On April 04 via manual from US — Scanned from DE
Form analysis 5 forms found in the DOM
POST conference
<form action="conference" method="post"> <i class="ace-icon fa fa-search nav-search-icon"></i>
<input type="text" name="search" value="" placeholder="Enter Keyword">
</form>POST index
<form action="index" method="post">
<!-- <div class="col-md-1">
<div class="section-title">
<h2 class="head-title lg-line">Home</h2> <hr class="botm-line" />
</div>
</div>-->
<br>
<div class="row">
<style>
h3 {
color: #205893 !important;
font-weight: 600;
}
</style>
<div id="l1" onmouseover="blueleft()" onmouseout="whiteleft()" class="col-md-6 training_hdr" style="margin-bottom:10px;font-weight:600;background:url('img/leftwhitebox.jpg') no-repeat;">
<a id="l1a" class="event" style="color:#110b98;" title="live" href="#">Live Seminar</a>
</div>
<div id="r1" onmouseover="blueright()" onmouseout="whiteright()" class="col-md-6 training_hdr" style="margin-bottom:10px;font-weight:600;background:url('img/rightwhitebox.jpg') no-repeat;">
<a id="r1a" class="event" style="color:#110b98;" title="demand" href="#">Recorded Seminar</a>
</div>
</div>
<div class="col-md-2"> </div>
</form>Name: speaker — POST
<form action="" method="POST" name="speaker">
<!--<form name="speaker" >-->
<h4 style="text-align:center;font-size:22px;">Speaker Opportunity</h4>
<div class="panel-body form-horizontal payment-form">
<div class="form-group">
<label class="col-sm-3 control-label">First Name <span style="color:#ff0000">*</span></label>
<div class="col-sm-9">
<input required="" type="text" class="form-control" name="firstname" value="">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Last Name <span style="color:#ff0000">*</span></label>
<div class="col-sm-9">
<input required="" type="text" class="form-control" name="lastname" value="">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Job Title <span style="color:#ff0000"></span></label>
<div class="col-sm-9">
<input type="text" class="form-control" name="jobtitle" value="">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Company</label>
<div class="col-sm-9">
<input type="text" class="form-control" name="company" value="">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Phone <span style="color:#ff0000">*</span></label>
<div class="col-sm-9">
<input type="text" name="phone" value="" size="15" class="form-control" oninput="this.value = this.value.replace(/[^0-9.]/g, '').replace(/(\..*?)\..*/g, '$1').replace(/^0[^.]/, '0');">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Fax</label>
<div class="col-sm-9">
<input type="text" class="form-control" name="fax" value="" onkeypress="return acceptOnlyNumber(event);">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Email <span style="color:#ff0000">*</span></label>
<div class="col-sm-9">
<input required="" type="text" class="form-control" name="email" value="">
</div>
</div>
<!--<div class="form-group">
<label class="col-sm-3 control-label">Website</label>
<div class="col-sm-9">
<input type="text" class="form-control" name="website" value="">
</div>
</div>-->
<div class="form-group">
<label class="col-sm-3 control-label">Industries <span style="color:#ff0000"></span></label>
<div class="col-sm-9">
<textarea class="form-control" type="text" name="industries" cols="30" rows="2"></textarea>
</div>
</div>
<!--<div class="form-group">
<label class="col-sm-3 control-label">Role <span style="color:#ff0000"></span></label>
<div class="col-sm-9">
<textarea class="form-control" type="text" name="roles" cols="30" rows="2"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Years of experience <span style="color:#ff0000"></span></label>
<div class="col-sm-9">
<select name="experience" class="form-control">
<option value="4-7">4-7</option>
<option value="8-10">8-10</option>
<option value="10-12">10-12</option>
<option value="12-15">12-15</option>
<option value="15+">15+</option>
</select>
</div>
</div>
<!--<div class="form-group">
<label class="col-sm-3 control-label">Please include <br>information on any <br>articles published and <br>speaking engagements.<span style="color:#ff0000"></span></label>
<div class="col-sm-9">
<textarea class="form-control" type="hidden" name="articlespublished" cols="30" rows="2">null</textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Topic/subject you would<br>like to speak on. <span style="color:#ff0000">*</span></label>
<div class="col-sm-9">
<textarea class="form-control" type="hidden" name="proposed_training_topics" cols="30" rows="2">null</textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Brief Profile <span style="color:#ff0000"></span></label>
<div class="col-sm-9">
<textarea class="form-control" type="text" name="briefprofile" cols="30" rows="2"></textarea>
</div>
</div>
-->
<div class="form-group">
<label class="col-sm-3 control-label">Enter Capcha<span style="color:#ff0000"></span></label>
<div class="col-sm-9">
<input type="text" name="captcha" class="form-control">
<p>
</p>
<h3>eqsCBj</h3>
<p></p>
<input type="hidden" name="cap" value="eqsCBj">
<!--<p>Can't read the image? <a href='javascript: refreshCaptcha();'>click here</a> to refresh</p>-->
</div>
</div>
<div id="CreateAccountTextDiv" class="pull-right">
<input type="submit" class="btn btn-success" value="Register" name="speakerregister">
</div>
</div>
</form>Name: suggest — POST
<form action="" method="POST" name="suggest" onsubmit="return validateSubscribeForm(this);">
<!--<form name="suggest" onsubmit="return validateSubscribeForm(this);">-->
<h4 style="text-align:center;font-size:22px;">Suggest a Topic</h4>
<div class="panel-body form-horizontal payment-form">
<div class="form-group">
<label class="col-sm-3 control-label">Name <span style="color:#ff0000">*</span></label>
<div class="col-sm-9">
<input required="" type="text" class="form-control" name="name" value="">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Email Address <span style="color:#ff0000">*</span></label>
<div class="col-sm-9">
<input required="" type="email" class="form-control" name="email" value="">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Phone <span style="color:#ff0000">*</span></label>
<div class="col-sm-9">
<input required="" class="form-control" type="text" name="phone" value="" oninput="this.value = this.value.replace(/[^0-9.]/g, '').replace(/(\..*?)\..*/g, '$1').replace(/^0[^.]/, '0');">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Job Title</label>
<div class="col-sm-9">
<input type="text" class="form-control" name="job_title">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Industry<span style="color:#ff0000"></span></label>
<div class="col-sm-9">
<textarea class="form-control" name="Industry" cols="40" rows="3"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Topic Suggestion <span style="color:#ff0000"></span></label>
<div class="col-sm-9">
<textarea class="form-control" name="topic_suggestion" cols="40" rows="3"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Enter Capcha<span style="color:#ff0000"></span></label>
<div class="col-sm-9">
<input type="text" name="captcha" class="form-control">
<p>
</p>
<h3>8XFLba</h3>
<p></p>
<input type="hidden" name="cap" value="8XFLba">
<!--<p>Can't read the image? <a href='javascript: refreshCaptcha();'>click here</a> to refresh</p>-->
</div>
</div>
<!--<div class="form-group">
<label class="col-sm-3 control-label">Primary Area Of Interest</label>
<div class="col-sm-9">
<input type="text" class="form-control" name="area_of_interest" value="">
</div>
</div>-->
<input style="float:right;" type="submit" class="btn btn-success" name="subscribe">
</div>
</form>Name: subscribeform — POST
<form action="" method="POST" name="subscribeform" onsubmit="return validateSubscribeForm(this);">
<!--<form name="subscribeform" onsubmit="return validateSubscribeForm(this);">-->
<h4 style="text-align:center;font-size:22px;">Subscribe Upcoming Updates</h4>
<table cellspacing="0" cellpadding="0" border="0" width="100%" style="border:none;">
<tbody>
<tr>
<td width="100%" style="border:none;">
<div class="panel-body form-horizontal payment-form">
<div class="form-group">
<label class="col-sm-3 control-label">Name <span style="color:#ff0000">*</span></label>
<div class="col-sm-9">
<input required="" type="text" class="form-control" name="name" value="">
</div>
</div>
<div class="form-group">
<label required="" class="col-sm-3 control-label">Email <span style="color:#ff0000">*</span></label>
<div class="col-sm-9">
<input class="form-control" type="text" name="email" value="">
</div>
</div>
<div class="form-group">
<label required="" class="col-sm-3 control-label">Phone <span style="color:#ff0000">*</span></label>
<div class="col-sm-9">
<input class="form-control" type="text" name="phone" value="" oninput="this.value = this.value.replace(/[^0-9.]/g, '').replace(/(\..*?)\..*/g, '$1').replace(/^0[^.]/, '0');">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Job Title <span style="color:#ff0000"></span></label>
<div class="col-sm-9">
<input type="text" class="form-control" name="jobtitle" value="">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Your Industry <span style="color:#ff0000"></span></label>
<div class="col-sm-9">
<input class="form-control" type="text" name="industry">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Country </label>
<div class="col-sm-9">
<select class="form-control" name="country">
<option value="">--Choose Country--</option>
<!-- Begin Screen component://common/widget/CommonScreens.xml#countries -->
<!-- Begin Template component://common/webcommon/includes/countries.ftl -->
<option value="">Choose Country</option>
<option value="USA">United States</option>
<option value="AFG">Afghanistan</option>
<option value="ALB">Albania</option>
<option value="DZA">Algeria</option>
<option value="ASM">American Samoa</option>
<option value="AND">Andorra</option>
<option value="AGO">Angola</option>
<option value="AIA">Anguilla</option>
<option value="ATA">Antarctica</option>
<option value="ATG">Antigua And Barbuda</option>
<option value="ARG">Argentina</option>
<option value="ARM">Armenia</option>
<option value="ABW">Aruba</option>
<option value="AUS">Australia</option>
<option value="AUT">Austria</option>
<option value="AZE">Azerbaijan</option>
<option value="BHS">Bahamas</option>
<option value="BHR">Bahrain</option>
<option value="BGD">Bangladesh</option>
<option value="BRB">Barbados</option>
<option value="BLR">Belarus</option>
<option value="BEL">Belgium</option>
<option value="BLZ">Belize</option>
<option value="BEN">Benin</option>
<option value="BMU">Bermuda</option>
<option value="BTN">Bhutan</option>
<option value="BOL">Bolivia</option>
<option value="BIH">Bosnia And Herzegowina</option>
<option value="BWA">Botswana </option>
<option value="BVT">Bouvet Island</option>
<option value="BRA">Brazil</option>
<option value="IOT">British Indian Ocean Territory</option>
<option value="BRN">Brunei Darussalam</option>
<option value="BGR">Bulgaria</option>
<option value="BFA">Burkina Faso</option>
<option value="BDI">Burundi</option>
<option value="KHM">Cambodia</option>
<option value="CMR">Cameroon</option>
<option value="CAN">Canada</option>
<option value="CPV">Cape Verde</option>
<option value="CYM">Cayman Islands</option>
<option value="CAF">Central African Republic</option>
<option value="TCD">Chad</option>
<option value="CHL">Chile</option>
<option value="CHN">China</option>
<option value="CXR">Christmas Island</option>
<option value="CCK">Cocos (keeling) Islands</option>
<option value="COL">Colombia</option>
<option value="COM">Comoros</option>
<option value="COG">Congo</option>
<option value="COD">Congo, The Democratic Republic Of The</option>
<option value="COK">Cook Islands</option>
<option value="CRI">Costa Rica</option>
<option value="CIV">Cote D'ivoire</option>
<option value="HRV">Croatia (local Name: Hrvatska)</option>
<option value="CUB">Cuba</option>
<option value="CYP">Cyprus</option>
<option value="CZE">Czech Republic</option>
<option value="DNK">Denmark</option>
<option value="DJI">Djibouti</option>
<option value="DMA">Dominica</option>
<option value="DOM">Dominican Republic</option>
<option value="TLS">East Timor</option>
<option value="ECU">Ecuador</option>
<option value="EGY">Egypt</option>
<option value="SLV">El Salvador</option>
<option value="ENGL">ENGL</option>
<option value="GNQ">Equatorial Guinea</option>
<option value="ERI">Eritrea</option>
<option value="EST">Estonia</option>
<option value="ETH">Ethiopia</option>
<option value="FLK">Falkland Islands (malvinas)</option>
<option value="FRO">Faroe Islands</option>
<option value="FJI">Fiji</option>
<option value="FIN">Finland</option>
<option value="FRA">France</option>
<option value="FXX">France, Metropolitan</option>
<option value="GUF">French Guiana</option>
<option value="PYF">French Polynesia</option>
<option value="ATF">French Southern Territories</option>
<option value="GAB">Gabon</option>
<option value="GMB">Gambia</option>
<option value="GEO">Georgia</option>
<option value="DEU">Germany</option>
<option value="GHA">Ghana</option>
<option value="GIB">Gibraltar</option>
<option value="GRC">Greece</option>
<option value="GRL">Greenland</option>
<option value="GRD">Grenada</option>
<option value="GLP">Guadeloupe</option>
<option value="GUM">Guam</option>
<option value="GTM">Guatemala</option>
<option value="GIN">Guinea</option>
<option value="GNB">Guinea-bissau</option>
<option value="GUY">Guyana</option>
<option value="HTI">Haiti</option>
<option value="HMD">Heard And Mc Donald Islands</option>
<option value="VAT">Holy See (vatican City State)</option>
<option value="HND">Honduras</option>
<option value="HKG">Hong Kong</option>
<option value="HUN">Hungary</option>
<option value="ISL">Iceland</option>
<option value="IND">India</option>
<option value="IDN">Indonesia</option>
<option value="IRN">Iran (islamic Republic Of)</option>
<option value="IRQ">Iraq</option>
<option value="IRL">Ireland</option>
<option value="ISR">Israel</option>
<option value="ITA">Italy</option>
<option value="JAM">Jamaica</option>
<option value="JPN">Japan</option>
<option value="JOR">Jordan</option>
<option value="KAZ">Kazakhstan</option>
<option value="KEN">Kenya</option>
<option value="KIR">Kiribati</option>
<option value="PRK">Korea, Democratic People's Republic Of</option>
<option value="KOR">Korea, Republic Of</option>
<option value="KWT">Kuwait</option>
<option value="KGZ">Kyrgyzstan</option>
<option value="LAO">Lao People's Democratic Republic</option>
<option value="LVA">Latvia</option>
<option value="LBN">Lebanon</option>
<option value="LSO">Lesotho</option>
<option value="LBR">Liberia</option>
<option value="LBY">Libyan Arab Jamahiriya</option>
<option value="LIE">Liechtenstein</option>
<option value="LTU">Lithuania</option>
<option value="LUX">Luxembourg</option>
<option value="MAC">Macau</option>
<option value="MKD">Macedonia, The Former Yugoslav Republic Of</option>
<option value="MDG">Madagascar</option>
<option value="MWI">Malawi</option>
<option value="MYS">Malaysia</option>
<option value="MDV">Maldives</option>
<option value="MLI">Mali</option>
<option value="MLT">Malta</option>
<option value="MHL">Marshall Islands</option>
<option value="MTQ">Martinique</option>
<option value="MRT">Mauritania</option>
<option value="MUS">Mauritius</option>
<option value="MYT">Mayotte</option>
<option value="MEX">Mexico</option>
<option value="FSM">Micronesia, Federated States Of</option>
<option value="MDA">Moldova, Republic Of</option>
<option value="MCO">Monaco</option>
<option value="MNG">Mongolia</option>
<option value="MNE">Montenegro</option>
<option value="MSR">Montserrat</option>
<option value="MAR">Morocco</option>
<option value="MOZ">Mozambique</option>
<option value="MMR">Myanmar</option>
<option value="NIRL">NIRL</option>
<option value="NAM">Namibia</option>
<option value="NRU">Nauru</option>
<option value="NPL">Nepal</option>
<option value="NLD">Netherlands</option>
<option value="ANT">Netherlands Antilles</option>
<option value="NCL">New Caledonia</option>
<option value="NZL">New Zealand</option>
<option value="NIC">Nicaragua</option>
<option value="NER">Niger</option>
<option value="NGA">Nigeria</option>
<option value="NIU">Niue</option>
<option value="NFK">Norfolk Island</option>
<option value="MNP">Northern Mariana Islands</option>
<option value="NOR">Norway</option>
<option value="OMN">Oman</option>
<option value="PAK">Pakistan</option>
<option value="PLW">Palau</option>
<option value="PSE">Palestinian Territory, Occupied</option>
<option value="PAN">Panama</option>
<option value="PNG">Papua New Guinea</option>
<option value="PRY">Paraguay</option>
<option value="PER">Peru</option>
<option value="PHL">Philippines</option>
<option value="PCN">Pitcairn</option>
<option value="POL">Poland</option>
<option value="PRT">Portugal</option>
<option value="PRI">Puerto Rico</option>
<option value="QAT">Qatar</option>
<option value="REU">Reunion</option>
<option value="ROU">Romania</option>
<option value="RUS">Russian Federation</option>
<option value="RWA">Rwanda</option>
<option value="KNA">Saint Kitts And Nevis</option>
<option value="LCA">Saint Lucia</option>
<option value="VCT">Saint Vincent And The Grenadines</option>
<option value="WSM">Samoa</option>
<option value="SMR">San Marino</option>
<option value="STP">Sao Tome And Principe</option>
<option value="SAU">Saudi Arabia</option>
<option value="SCOT">Scotland</option>
<option value="SEN">Senegal</option>
<option value="SRB">Serbia</option>
<option value="SYC">Seychelles</option>
<option value="SLE">Sierra Leone</option>
<option value="SGP">Singapore</option>
<option value="SVK">Slovakia (slovak Republic)</option>
<option value="SVN">Slovenia</option>
<option value="SLB">Solomon Islands</option>
<option value="SOM">Somalia</option>
<option value="ZAF">South Africa</option>
<option value="SGS">South Georgia And The South Sandwich Islands</option>
<option value="ESP">Spain</option>
<option value="LKA">Sri Lanka</option>
<option value="SHN">St. Helena</option>
<option value="SPM">St. Pierre And Miquelon</option>
<option value="SDN">Sudan</option>
<option value="SUR">Suriname</option>
<option value="SJM">Svalbard And Jan Mayen Islands</option>
<option value="SWZ">Swaziland</option>
<option value="SWE">Sweden</option>
<option value="CHE">Switzerland</option>
<option value="SYR">Syrian Arab Republic</option>
<option value="TWN">Taiwan, Province Of China</option>
<option value="TJK">Tajikistan</option>
<option value="TZA">Tanzania, United Republic Of</option>
<option value="THA">Thailand</option>
<option value="TGO">Togo</option>
<option value="TKL">Tokelau</option>
<option value="TON">Tonga</option>
<option value="TTO">Trinidad And Tobago</option>
<option value="TUN">Tunisia</option>
<option value="TUR">Turkey</option>
<option value="TKM">Turkmenistan</option>
<option value="TCA">Turks And Caicos Islands</option>
<option value="TUV">Tuvalu</option>
<option value="UGA">Uganda</option>
<option value="UKR">Ukraine</option>
<option value="ARE">United Arab Emirates</option>
<option value="GBR">United Kingdom</option>
<option value="USA">United States</option>
<option value="UMI">United States Minor Outlying Islands</option>
<option value="URY">Uruguay</option>
<option value="UZB">Uzbekistan</option>
<option value="VUT">Vanuatu</option>
<option value="VEN">Venezuela</option>
<option value="VNM">Viet Nam</option>
<option value="VGB">Virgin Islands (british)</option>
<option value="VIR">Virgin Islands (u.s.)</option>
<option value="WALS">WALS</option>
<option value="WLF">Wallis And Futuna Islands</option>
<option value="ESH">Western Sahara</option>
<option value="YEM">Yemen</option>
<option value="YUG">Yugoslavia</option>
<option value="ZMB">Zambia</option>
<option value="ZWE">Zimbabwe</option>
<!-- End Template component://common/webcommon/includes/countries.ftl -->
<!-- End Screen component://common/widget/CommonScreens.xml#countries -->
</select>
<script>
document.subscribeform.country.value = "";
</script>
</div>
</div>
<!--
<div class="form-group">
<label class="col-sm-3 control-label">Primary Area Of Interest <span style="color:#ff0000">*</span></label>
<div class="col-sm-9">
<input type="text" class="form-control" name="area_of_interest" value="" />
</div>
</div>
-->
<div class="form-group">
<label class="col-sm-3 control-label">Notification<span style="color:#ff0000"></span></label>
<div class="col-sm-9">
<input value="weekly" type="radio" name="notifiaction"> Weekly <input value="monthly" type="radio" name="notifiaction"> Monthly
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Enter Capcha<span style="color:#ff0000"></span></label>
<div class="col-sm-9">
<input type="text" name="captcha" class="form-control">
<p>
</p>
<h3>gxFPRz</h3>
<p></p>
<input type="hidden" name="cap" value="gxFPRz">
<!--<p>Can't read the image? <a href='javascript: refreshCaptcha();'>click here</a> to refresh</p>-->
</div>
</div>
<div class="form-group">
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Sign In or Register / 0 Cart * Home * About Us * Webinar * Industries Live Seminar Recorded Seminar Yesenia Servin MASTER CMS MEDICARE PECOS 2.0: NEW ENROLLMENT & VALIDATION PORTAL Live Webinar | Healthcare * Duration: 60 Minutes * Date: Apr 04, 2024 | , 01 : 00 PM EST | Today * View Conference Brian L Tuttle NEW HIPAA TRAINING FOR THE COMPLIANCE OFFICER 2024 Live Webinar | Healthcare * Duration: 90 Minutes * Date: Apr 04, 2024 | , 01 : 00 PM EST | Today * View Conference Thomas J. 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