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gawc-anmeldung.evenito.site Open in urlscan Pro
34.65.78.110  Public Scan

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URL: https://gawc-anmeldung.evenito.site/
Submission: On January 09 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

<form data-v-72118f3f="" data-v-6aea7824="" novalidate="novalidate" class="v-form subgrid main-form" welcome="[object Object]" can-go-back="true"><!----><!---->
  <div data-v-72118f3f="" class="rawvue">
    <div class="ev-field-input card-size"><!---->
      <div class="v-input theme--light v-text-field v-text-field--is-booted" rules="" value="">
        <div class="v-input__control">
          <div class="v-input__slot">
            <div class="v-text-field__slot"><label for="input-10" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;"><!----><span>Vorname</span><!----></label><input id="input-10" type="text"></div>
          </div>
          <div class="v-text-field__details">
            <div class="v-messages theme--light">
              <div class="v-messages__wrapper"></div>
            </div>
          </div>
        </div>
      </div>
      <div></div>
    </div>
    <div class="ev-field-input card-size"><!---->
      <div class="v-input theme--light v-text-field v-text-field--is-booted" rules="" value="">
        <div class="v-input__control">
          <div class="v-input__slot">
            <div class="v-text-field__slot"><label for="input-15" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;"><!----><span>Nachname</span><!----></label><input id="input-15" type="text"></div>
          </div>
          <div class="v-text-field__details">
            <div class="v-messages theme--light">
              <div class="v-messages__wrapper"></div>
            </div>
          </div>
        </div>
      </div>
      <div></div>
    </div>
    <div class="ev-field-input card-size"><!---->
      <div class="v-input theme--light v-text-field v-text-field--is-booted" rules="t=>!t||!!t&amp;&amp;validator.isEmail(t)||evenito.i18n(this.i18nData.invalidEmail)" value="">
        <div class="v-input__control">
          <div class="v-input__slot">
            <div class="v-text-field__slot"><label for="input-20" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;"><!----><span>E-Mail</span><!----></label><input id="input-20" type="email"></div>
          </div>
          <div class="v-text-field__details">
            <div class="v-messages theme--light">
              <div class="v-messages__wrapper"></div>
            </div>
          </div>
        </div>
      </div>
      <div></div>
    </div>
    <div class="ev-field-input card-size"><!---->
      <div class="v-input v-textarea v-textarea--auto-grow v-textarea--no-resize theme--light v-text-field v-text-field--is-booted" rules="" value="">
        <div class="v-input__control">
          <div class="v-input__slot">
            <div class="v-text-field__slot"><label for="input-25" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;"><!----><span>Lebenslange Arztnummer</span><!----></label><textarea id="input-25" rows="2"
                style="height: 48px;"></textarea></div>
          </div>
          <div class="v-text-field__details">
            <div class="v-messages theme--light">
              <div class="v-messages__wrapper"></div>
            </div>
          </div>
        </div>
      </div>
      <div class="description html-editor-content">
        <p>Bitte geben Sie hier Ihre LANR an</p>
      </div>
    </div>
  </div><!----><!---->
  <div data-v-72118f3f="" class="form-actions card-size"><!----><!----><button type="submit" class="v-btn v-btn--has-bg theme--light v-size--default primary form-action-submit mr-0"><span class="v-btn__content"> Absenden </span></button></div>
</form>

Text Content

GLOBAL ACADEMY OF WOMEN´S CANCER - WEBINAR

23. Januar 2023

Anmeldung
Zum Kalender hinzufügen
Google
Standard-Kalender


ANMELDUNG

Vorname


Nachname


E-Mail


Lebenslange Arztnummer


Bitte geben Sie hier Ihre LANR an

Absenden


Vielen Dank für Ihr Interesse an unserer Veranstaltung!

Die Zugangsdaten zur Übertragung erhalten Sie am 20.01.2023 per Mail an die
angegebene Emailadresse. Bitte sehen Sie ggf. auch in Ihrem Spamordner nach.

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