clicks.plegalc.com Open in urlscan Pro
2606:4700:3033::ac43:ac66  Public Scan

Submitted URL: https://clicks.plegalc.com/profile/S-150050@sM9CGziL7jwcpOtJfC29otXFOgQhgxWmYw2NdP45Oe0.@11
Effective URL: https://clicks.plegalc.com/view_online/view_online.php?token2=tW29LoslsmSplyXkhYiudjF4wXj_Zf__oPzTbL0rLzidcdxsiyf8RHykvYrHx...
Submission: On December 09 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form class="form" id="s2af_form">
  <input type="hidden" name="token" id="token" value="CGKR2qmz6XwuBhOGsEPIj_xKaoLGmw9jDdQC0grl3LR9eyfH_kGsc_GQXhGIOvh3ghThr5ulaLoFLcEPJi4GKQ..">
  <div class="form__row">
    <label for="friends_name">Friend's Name <span class="field_required">*</span></label>
    <input class="form__input-text" type="text" name="friends_name" id="friends_name">
  </div>
  <div class="form__row">
    <label for="friends_email">Friend's Email Address <span class="field_required">*</span></label>
    <input class="form__input-text" type="text" name="friends_email" id="friends_email">
  </div>
  <div class="form__row">
    <label for="senders_name">Your Name <span class="field_required">*</span></label>
    <input class="form__input-text" type="text" name="senders_name" id="senders_name" value="Charles Lewis">
  </div>
  <div class="form__row">
    <label for="senders_email">Your Email Address <span class="field_required">*</span></label>
    <input class="form__input-text" type="text" name="senders_email" id="senders_email" value="clewis@ochsner.org">
  </div>
  <div class="form__row">
    <label for="senders_message">Include a message?</label>
    <textarea class="form__input-textarea" name="senders_message" id="senders_message"></textarea>
  </div>
  <div class="form__row">
    <h5>Privacy Notice</h5>
    <p> All information submitted using this form is used solely to deliver a notification message to the email address entered. The email address will not be opted-in to receive future messages unless the specified email address has previously
      subscribed to receive emails from us. </p>
  </div>
  <div id="recaptcha" class="g-recaptcha recaptcha_container" data-sitekey="6LdPnC0UAAAAAMTW9ppnam3v-kq34p5tR34Q0f9C" data-callback="captchaSubmit" data-expired-callback="captchaExpired" data-type="image" data-size="invisible" data-badge="inline">
    <div class="grecaptcha-badge" data-style="inline" style="width: 256px; height: 60px; box-shadow: gray 0px 0px 5px;">
      <div class="grecaptcha-logo"><iframe title="reCAPTCHA"
          src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6LdPnC0UAAAAAMTW9ppnam3v-kq34p5tR34Q0f9C&amp;co=aHR0cHM6Ly9jbGlja3MucGxlZ2FsYy5jb206NDQz&amp;hl=de&amp;type=image&amp;v=_7Co1fh8iT2hcjvquYJ_3zSP&amp;size=invisible&amp;badge=inline&amp;cb=ugavbrvnyt7b"
          width="256" height="60" role="presentation" name="a-kk0df2w4hage" frameborder="0" scrolling="no" sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe>
      </div>
      <div class="grecaptcha-error"></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
        style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
    </div><iframe style="display: none;"></iframe>
  </div>
  <div class="form__row form__row-margin-top">
    <button class="btn btn-info btn-lg btn-text btn-sendmail" type="submit">Send Email</button>
  </div>
</form>

Text Content

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Friend's Name *
Friend's Email Address *
Your Name *
Your Email Address *
Include a message?

PRIVACY NOTICE

All information submitted using this form is used solely to deliver a
notification message to the email address entered. The email address will not be
opted-in to receive future messages unless the specified email address has
previously subscribed to receive emails from us.


Send Email