mdahu.org
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URL:
https://mdahu.org/meet-reg1.php?id=76
Submission: On February 07 via api from US — Scanned from DE
Submission: On February 07 via api from US — Scanned from DE
Form analysis
4 forms found in the DOMGET search.php
<form id="search" action="search.php" method="get" enctype="application/x-www-form-urlencoded"><input type="hidden" name="search" value="1"> <input onfocus="if (this.value == 'Search') {this.value = '';}"
onblur="if (this.value == '') {this.value = 'Search';}" type="text" name="query" value="Search"> <input type="image" src="images/icon-search-1.png"></form>
POST meet-reg1.php
<form class="new-form" action="meet-reg1.php" method="post" onsubmit="return verifyLogin(this)">
<input type="hidden" name="formAction" value="login">
<label>Account Type:</label>
<div style="padding-bottom:10px;">
<input type="radio" name="account" checked="" value="member" onclick="$('prospectLoginTitle').hide();$('memberLoginTitle').show();"> Member <input type="radio" name="account" value="prospect"
onclick="$('prospectLoginTitle').show();$('memberLoginTitle').hide();"> Non-Member
</div>
<label>
<span id="memberLoginTitle">Email, Member ID, or Username</span>
<span id="prospectLoginTitle" style="display:none">Email</span> :</label>
<input type="text" name="username" class="text-input">
<label>Password:</label>
<input type="password" name="password" class="text-input">
<div class="btn-shadow">
<button id="add-tix-link" class="prime-btn next" type="submit"> Login to Register <span>
<!-- -->
</span> </button>
</div>
<small class="italic gray"><a href="forgot.php">Forgot username/password?</a></small>
</form>
POST meet-reg1.php
<form class="new-form" action="meet-reg1.php" method="post">
<input type="hidden" name="formAction" value="guest">
<div class="btn-shadow">
<button id="add-tix-link" class="prime-btn next" type="submit"> Continue as Guest <span>
<!-- -->
</span> </button>
</div>
</form>
Name: csform — POST meet-reg1.php
<form action="meet-reg1.php" name="csform" method="post">
<input type="hidden" name="p" value="">
</form>
Text Content
You are viewing this design in preview mode. The design MUST be published to be live on your website. * Home Page * Member Area * Home * Chapter Info * About Us * Why MDAHU * Board of Directors * Chapter Records * Awards * Public Service * Membership * Chapter Benefits * NAHU Member Discounts * Designations * NAHU * Michigan AHU * Join MDAHU Today! * Local Membership Application * NextAgency * Events * Upcoming Events * Past Events * Legislation * Operation Shout * State * Federal * HUPAC * Media/News * Press Releases * MDAHU News * Consumers * The Broker Advantage * NAHU Education Foundation * Find An Agent * Find an Agent QUICK LINKS * About Us * MDAHU News REGISTER FOR MDAHU ANCILLARY BENEFITS: INCREASE REVENUE AND ENHANCE RETENTION- TUESDAY, FEBRUARY 21 ON FEBRUARY 21, 2023 ACCOUNT LOGIN Account Type: Member Non-Member Email, Member ID, or Username Email : Password: Login to Register Forgot username/password? DON'T HAVE AN ACCOUNT? Continue as Guest MDAHU ANCILLARY BENEFITS: INCREASE REVENUE AND ENHANCE RETENTION- TUESDAY, FEBRUARY 21 February 21, 2023 8:00 AM - 10:00 AM Michigan State University Management Education Center 811 W. Square Lake Rd. Troy, MI 48098 Not the meeting you wanted? Click here to change meetings. FOLLOW US MAILING LIST SIGN UP Click Here © 2023 Metro Detroit Association of Health Underwriters All rights reserved. * Terms of Use * Privacy Policy * Admin