list.assocham.co.in Open in urlscan Pro
139.59.63.110  Public Scan

Form analysis
1 forms found in the DOM

Name: subscribeform — POST

<form method="post" action="" name="subscribeform">
  <table class="jumbotron table">
    <tbody>
      <tr>
        <td>
          <div class="required text-danger"><label for="email">Email address *</label></div>
        </td>
        <td class="attributeinput"><input type="text" name="email" required="required" placeholder="k********u@***.com" size="40" id="email" class="form-control">
          <script language="Javascript" type="text/javascript">
            addFieldToCheck("email", "Email address");
          </script>
        </td>
      </tr>
      <tr>
        <td>
          <div class="required text-danger"><label for="confirm">Confirm your email address *</label></div>
        </td>
        <td class="attributeinput"><input type="text" name="emailconfirm" required="required" value="" size="40" id="confirm" class="form-control">
          <script language="Javascript" type="text/javascript">
            addFieldToCheck("emailconfirm", "Confirm your email address");
          </script>
        </td>
      </tr><input type="hidden" name="htmlemail" value="1">
    </tbody>
  </table>
  <p class="information text-info text-underline"><big>Please select the newsletters you want to sign up to:</big></p>
  <ul class="list list-unstyled">
    <li class="list form-group"><input type="checkbox" name="list[2]" id="list[2]" value="signup">
      <div class="btn-group"><label for="list2"><label for="list[2]" class="btn btn-default"><span class="[ glyphicon glyphicon-ok ]"></span><span>&nbsp;</span></label><label for="list[2]"
            class="btn btn-default active"><b>newsletter</b></label></label>
        <div class="listdescription">Sign up to our newsletter</div>
      </div>
    </li>
    <li class="list form-group"><input type="checkbox" name="list[377]" id="list[377]" value="signup">
      <div class="btn-group"><label for="list377"><label for="list[377]" class="btn btn-default"><span class="[ glyphicon glyphicon-ok ]"></span><span>&nbsp;</span></label><label for="list[377]"
            class="btn btn-default active"><b>Data-4 Medical Devices</b></label></label>
        <div class="listdescription"></div>
      </div>
    </li>
    <li class="list form-group"><input type="checkbox" name="list[169]" id="list[169]" value="signup">
      <div class="btn-group"><label for="list169"><label for="list[169]" class="btn btn-default"><span class="[ glyphicon glyphicon-ok ]"></span><span>&nbsp;</span></label><label for="list[169]"
            class="btn btn-default active"><b>emails Hyderabad</b></label></label>
        <div class="listdescription">emails Hyderabad (Avinash)</div>
      </div>
    </li>
  </ul><input type="submit" name="update" value="Update" onclick="return checkform();" class="btn btn-primary"> &nbsp;&nbsp; <a href="http://list.assocham.co.in/lists/?p=unsubscribe&amp;id=1">Unsubscribe</a>
</form>

Text Content

ASSOCHAM





PLEASE CONFIRM THAT THE INFORMATION BELOW IS CORRECT AND CLICK THE "UPDATE"
BUTTON


* required fields are marked red

Email address *
Confirm your email address *

Please select the newsletters you want to sign up to:

 *  newsletter
   Sign up to our newsletter
 *  Data-4 Medical Devices
   
 *  emails Hyderabad
   emails Hyderabad (Avinash)

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