bnphealthcare.com Open in urlscan Pro
103.58.102.39  Public Scan

URL: https://bnphealthcare.com/
Submission: On August 02 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

Name: mc-embedded-subscribe-formPOST

<form action="" method="post" name="mc-embedded-subscribe-form" novalidate="" data-container="newsletter" data-message-required="This field is required" data-message-email="Please enter a valid email address."
  data-message-success="Almost finished... We need to confirm your email address. To complete the subscription process, please click the link in the email we just sent you."
  data-message-subscribed="This email is already subscribed to list Qtum contacts." id="contactsForm">
  <div class="newsletter__wrapper xs-btn-btm">
    <div class="newsletter__button-wrapper">
      <input type="submit" value="Submit" name="subscribe" class="newsletter__button button">
    </div>
    <div class="newsletter__row">
      <div class="newsletter__input-wrapper">
        <input type="text" name="NAME" class="newsletter__input" placeholder="Enter your name">
      </div>
      <div class="newsletter__input-wrapper">
        <input type="email" name="EMAIL" class="newsletter__input" placeholder="Enter your E-mail address">
      </div>
    </div>
    <div class="newsletter__row">
      <div class="textarea__wrap newsletter__input mCustomScrollbar _mCS_1 mCS_no_scrollbar">
        <div id="mCSB_1" class="mCustomScrollBox mCS-light mCSB_vertical mCSB_inside" style="max-height: none;" tabindex="0">
          <div id="mCSB_1_container" class="mCSB_container mCS_y_hidden mCS_no_scrollbar_y" style="position:relative; top:0; left:0;" dir="ltr">
            <div id="mCSB_1" class="mCustomScrollBox mCS-light mCSB_vertical mCSB_inside" style="max-height: none;" tabindex="0">
              <div id="mCSB_1_container" class="mCSB_container mCS_y_hidden mCS_no_scrollbar_y" style="position:relative; top:0; left:0;" dir="ltr">
                <div class="textarea message" name="MESSAGE" contenteditable="true" placeholder="Enter your message"></div>
              </div>
              <div id="mCSB_1_scrollbar_vertical" class="mCSB_scrollTools mCSB_1_scrollbar mCS-light mCSB_scrollTools_vertical" style="display: none;">
                <div class="mCSB_draggerContainer">
                  <div id="mCSB_1_dragger_vertical" class="mCSB_dragger" style="position: absolute; min-height: 0px; height: 0px; top: 0px;">
                    <div class="mCSB_dragger_bar" style="line-height: 0px;"></div>
                  </div>
                  <div class="mCSB_draggerRail"></div>
                </div>
              </div>
            </div>
          </div>
          <div id="mCSB_1_scrollbar_vertical" class="mCSB_scrollTools mCSB_1_scrollbar mCS-light mCSB_scrollTools_vertical">
            <div class="mCSB_draggerContainer">
              <div id="mCSB_1_dragger_vertical" class="mCSB_dragger" style="position:absolute;">
                <div class="mCSB_dragger_bar"></div>
              </div>
              <div class="mCSB_draggerRail"></div>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="newsletter__messages" data-container="messages"></div>
</form>

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