urlscan.io logo urlscan.io
SecurityTrails logo

go.zendesk.com Open in urlscan Pro
147.154.51.122  Public Scan

Back to summary
Submitted URL: https://app.hello.zendesk.com/e/er?s=2136619493&lid=48390&elqTrackId=6d50b829f3874317ac4952ffaa220d33&emailAddress=debra.johns...
Effective URL: https://go.zendesk.com/prefCenterAccessForm?emailAddress=debra.johnson%40bcbsnc.com&elqcst=272&elqcsid=30321
Submission: On June 21 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

Name: PreferenceCenterRequestForm — POST https://s2136619493.t.eloqua.com/e/f2

<form method="post" name="PreferenceCenterRequestForm" action="https://s2136619493.t.eloqua.com/e/f2" onsubmit="return handleFormSubmit(this)" id="form1409" class="elq-form">
  <input value="PreferenceCenterRequestForm" type="hidden" name="elqFormName">
  <input value="2136619493" type="hidden" name="elqSiteId">
  <input name="elqCampaignId" type="hidden">
  <div class="col-sm-10 col-sm-offset-1">
    <!-- Header Start -->
    <p>
      <img class="logo" src="https://images.hello.zendesk.com/EloquaImages/clients/ZendeskInc/%7B42518ac9-fbba-4ae5-a86c-1f375ac49eca%7D_Logo_Algae_StandAloneZ.png">
    </p>
    <!-- Header End -->
    <div class="col-sm-12 content">
      <div class="row inner-content inner-heading">
        <div class="col-sm-12">
          <div class="form-group">
            <br>
            <h3 class="Lets-not-crowd-your" id="subheading3"> Help us manage your inbox. </h3>
            <p class="Tell-us-what-youre" id="paragraph3"> Enter your details below to update your preferences. You will receive an email with instructions. </p>
          </div>
          <br>
          <div class="form-group required-email">
            <input autocomplete="off" class="elq-item-input form-control input-email" type="email" id="fe18113" name="emailAddress" placeholder="Email *" required="">
            <span class="required-text">Invalid email*</span>
          </div>
          <div class="form-group required-dropdown">
            <div class="dropdown dropdown-input">
              <input id="fe18114" type="hidden" name="emailLanguage1">
              <button class="btn dropdown-toggle placeholder form-control" data-toggle="dropdown" type="button"> Language * <span class="caret"></span>
              </button>
              <ul class="dropdown-menu ">
                <li data-isocode="en-US" id="en-US-wrapper">
                  <a class="language-select" id="en-US">English</a>
                </li>
                <li data-isocode="es-ES" id="es-ES-wrapper">
                  <a class="language-select" id="es-ES">Español</a>
                </li>
                <li data-isocode="es-MX" id="es-MX-wrapper">
                  <a class="language-select" id="es-MX">Español (LATAM)</a>
                </li>
                <li data-isocode="pt-BR" id="pt-BR-wrapper">
                  <a class="language-select" id="pt-BR">Português</a>
                </li>
                <li data-isocode="fr-FR" id="fr-FR-wrapper">
                  <a class="language-select" id="fr-FR">Français</a>
                </li>
                <li data-isocode="de-DE" id="de-DE-wrapper">
                  <a class="language-select" id="de-DE">Deutsch</a>
                </li>
                <li data-isocode="nl-NL" id="nl-NL-wrapper">
                  <a class="language-select" id="nl-NL">Nederlands</a>
                </li>
                <li data-isocode="it-IT" id="it-IT-wrapper">
                  <a class="language-select" id="it-IT">Italiano</a>
                </li>
                <li data-isocode="ja-JP" id="ja-JP-wrapper">
                  <a class="language-select" id="ja-JP">日本語</a>
                </li>
                <li data-isocode="ru-RU" id="ru-RU-wrapper">
                  <a class="language-select" id="ru-RU">Pусский</a>
                </li>
                <li data-isocode="ko-KR" id="ko-KR-wrapper">
                  <a class="language-select" id="ko-KR">한국어</a>
                </li>
                <li data-isocode="zh-TW" id="zh-TW-wrapper">
                  <a class="language-select" id="zh-TW">繁體中文</a>
                </li>
              </ul>
            </div>
            <span class="required-text">Required field *</span>
          </div>
        </div>
      </div>
      <div class="row inner-content">
        <div class="col-md-12" style="text-align:left;">
          <div class="">
            <input type="Submit" class="update-pref-btn" value="Submit" id="fe18115">
          </div>
        </div>
      </div>
    </div>
  </div>
</form>

Text Content




HELP US MANAGE YOUR INBOX.

Enter your details below to update your preferences. You will receive an email
with instructions.


Invalid email*
Language *
 * English
 * Español
 * Español (LATAM)
 * Português
 * Français
 * Deutsch
 * Nederlands
 * Italiano
 * 日本語
 * Pусский
 * 한국어
 * 繁體中文

Required field *






Privacy Policy

989 Market St., San Francisco, CA 94103