tmchat.ptihq.com Open in urlscan Pro
202.123.149.211  Public Scan

Form analysis
1 forms found in the DOM

Name: chatform — POST /Webchat/TMWC/Chat

<form method="post" id="chatform" name="chatform" action="/Webchat/TMWC/Chat" novalidate="novalidate">
  <div class="clearfix">
    <label for="Username">Enter Your Name: <font color="red">*</font></label>
    <input data-val="true" data-val-regex="The Username field contains invalid characters." data-val-regex-pattern="^[a-zA-Z0-9\s-(.#',)@]{1,100}$" data-val-required="The User name field is required." id="Username" name="Username" type="text"
      value="" required="">
    <span class="field-validation-valid" data-valmsg-for="Username" data-valmsg-replace="true"></span>
  </div>
  <div class="clearfix">
    <label id="LabelText1" class="ClearTextReq">Contact Number:</label>
    <span class="required" style="display: block;">&nbsp;*</span>
    <input type="text" data-val="true" data-val-regex="The Contact Number field contains invalid characters." data-val-regex-pattern="^[a-zA-Z0-9\s-(.#',)@]{1,100}$" data-val-required="Required" id="ClearText1" urlindex="" name="1" required="">
    <span class="field-validation-valid" data-valmsg-for="ClearText1" data-valmsg-replace="true"></span>
  </div>
  <div class="clearfix">
    <label id="LabelText2" class="RadioButtons">How can we assist you today?:</label><span class="required" style="display: none;">&nbsp;*</span>
    <input id="RadioButtons2-1" name="2" class="radioButton" type="radio" value="Latest Promotion"><label id="ChoiceText2-1" class="radioButtonLabel">Latest Promotion</label>
    <input id="RadioButtons2-2" name="2" class="radioButton" type="radio" value="Billing Inquiry"><label id="ChoiceText2-2" class="radioButtonLabel">Billing Inquiry</label>
    <input id="RadioButtons2-3" name="2" class="radioButton" type="radio" value="Cellphone/Plan Inquiry"><label id="ChoiceText2-3" class="radioButtonLabel">Cellphone/Plan Inquiry</label>
    <input id="RadioButtons2-4" name="2" class="radioButton" type="radio" value="Home phone/internet inquiry"><label id="ChoiceText2-4" class="radioButtonLabel">Home phone/internet inquiry</label>
    <input id="RadioButtons2-5" name="2" class="radioButton" type="radio" value="Prepaid question"><label id="ChoiceText2-5" class="radioButtonLabel">Prepaid question</label>
  </div>
  <div class="clearfix">
    <label id="LabelText3" class="ClearText">Email Address:</label>
    <span class="required" style="display: none;">&nbsp;*</span>
    <input type="text" data-val="true" data-val-regex="The Email Address field contains invalid characters." data-val-regex-pattern="^[a-zA-Z0-9\s-(.#',)@]{1,100}$" id="ClearText3" urlindex="" name="3">
    <span class="field-validation-valid" data-valmsg-for="ClearText3" data-valmsg-replace="true"></span>
  </div>
  <div class="clearfix">
    <input type="hidden" name="Skillset" value="CustomerCare" id="Skillset">
    <input type="hidden" name="SkillID" value="26">
    <input type="hidden" id="AgentPopupURL" name="AgentPopupURL" value="">
    <input type="hidden" name="ajax" value="1" id="ajax">
    <input type="hidden" name="mediaType" value="0" id="mediaType">
  </div>
  <div id="formErrors"></div>
  <div class="clearfix">
    <input type="submit" value="Start Chat" class="button" id="startChat">
    <div id="rqdTxt">
      <font size="1" color="red"><i>* Required Field</i></font>
    </div>
  </div>
  <div id="compatibilityError" style="display: none;">
    <p>Please make sure that javascript is enabled and your browser is not in compatibility view, then reload this page.</p>
  </div>
  <div id="rtcerror">
    <p>Your browser is not compatible with video chat; your chat will be sent as text only.</p>
  </div>
</form>

Text Content

Enter Your Name: *
Contact Number:  *
How can we assist you today?: * Latest Promotion Billing Inquiry Cellphone/Plan
Inquiry Home phone/internet inquiry Prepaid question
Email Address:  *


* Required Field

Please make sure that javascript is enabled and your browser is not in
compatibility view, then reload this page.

Your browser is not compatible with video chat; your chat will be sent as text
only.