ercspecialists.firstpromoter.com Open in urlscan Pro
172.104.231.58  Public Scan

Form analysis
1 forms found in the DOM

POST /signup?sref=zkmnvwl

<form onsubmit="submitBtn.disabled = true; return true;" novalidate="novalidate" class="simple_form new_puser" id="new_puser" action="/signup?sref=zkmnvwl" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input
    type="hidden" name="authenticity_token" value="LPMfcZ6zN2+wl1fP26Fr8UXyOTzdTrVBDUFgpxjefjeyG500BTVzN4BYiEommxOwAuo4+6aEbuM0+ubLQwntVw==">
  <div class="form-group email optional puser_email"><label class="control-label email optional" for="puser_email">Email</label><input class="form-control string email optional" type="email" name="puser[email]" id="puser_email"></div>
  <div class="form-group string optional puser_profile_first_name"><label class="control-label string optional" for="puser_profile_attributes_first_name">First name</label><input class="form-control string optional" type="text"
      name="puser[profile_attributes][first_name]" id="puser_profile_attributes_first_name"></div>
  <div class="form-group string optional puser_profile_last_name"><label class="control-label string optional" for="puser_profile_attributes_last_name">Last name</label><input class="form-control string optional" type="text"
      name="puser[profile_attributes][last_name]" id="puser_profile_attributes_last_name"></div>
  <div class="form-group text optional puser_profile_address"><label class="control-label text optional" for="puser_profile_attributes_address">Address</label><textarea class="form-control text optional" style="height:100px"
      name="puser[profile_attributes][address]" id="puser_profile_attributes_address"></textarea>
    <p class="help-block">Full address, including postal code</p>
  </div>
  <div class="form-group tel optional puser_profile_phone_number"><label class="control-label tel optional" for="puser_profile_attributes_phone_number">Phone number</label><input class="form-control string tel optional" type="tel"
      name="puser[profile_attributes][phone_number]" id="puser_profile_attributes_phone_number">
    <p class="help-block">Please include country prefix (eg. +1 for US, +44 for UK, etc)</p>
  </div>
  <div class="form-group password optional puser_password"><label class="control-label password optional" for="puser_password">Password</label><input class="form-control password optional" type="password" name="puser[password]" id="puser_password">
  </div>
  <div class="form-group boolean optional puser_promoter_marketing_consent">
    <div class="checkbox"><input value="0" type="hidden" name="puser[promoter_marketing_consent]"><label class="boolean optional" for="puser_promoter_marketing_consent"><input class="boolean optional" type="checkbox" value="1"
          name="puser[promoter_marketing_consent]" id="puser_promoter_marketing_consent">I agree to receive email notifications (like when I earn a commission) and other important emails regarding the affiliate program</label></div>
  </div>
  <div class="form-group boolean optional puser_contract_signature">
    <div class="checkbox"><input value="0" type="hidden" name="puser[contract_signature]"><label class="boolean optional" for="puser_contract_signature"><input form="new_puser" data-disabled="true" class="boolean optional" type="checkbox" value="1"
          name="puser[contract_signature]" id="puser_contract_signature">I agree to the
        <a id="contract-link" target="_blank" data-url="https://onboarding.affiliate.ercspecialists.com/terms" class="btn-link" href="https://onboarding.affiliate.ercspecialists.com/terms">Affiliate Agreement</a></label></div>
  </div>
  <div class="form-group hidden puser_cust_id"><input class="form-control hidden" type="hidden" name="puser[cust_id]" id="puser_cust_id"></div>
  <div class="form-group hidden puser_init_promo_code"><input class="form-control hidden" type="hidden" name="puser[init_promo_code]" id="puser_init_promo_code"></div>
  <div class="form-group hidden puser_init_referral_id"><input class="form-control hidden" type="hidden" name="puser[init_referral_id]" id="puser_init_referral_id"></div>
  <div class="button-cont mar-top">
    <button name="submitBtn" type="submit" class="btn btn-default button default">Sign Up</button>
  </div>
  <p class="mar-top">Do you already have an account? <br><a href="/login">Log in here</a></p>
</form>

Text Content

ERC AFFILIATE SIGNUP


FILL OUT THE INFORMATION BELOW. AFTER SUBMISSION YOU WILL RECEIVE YOUR WELCOME
EMAIL.

Email
First name
Last name
Address

Full address, including postal code

Phone number

Please include country prefix (eg. +1 for US, +44 for UK, etc)

Password
I agree to receive email notifications (like when I earn a commission) and other
important emails regarding the affiliate program
I agree to the Affiliate Agreement



Sign Up

Do you already have an account?
Log in here

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