go.enlivenhealth.co Open in urlscan Pro
3.215.172.219  Public Scan

Form analysis
1 forms found in the DOM

POST https://go.enlivenhealth.co/email-preference-center?ehash=c3760fe48528093fbe28782ff48711f11bdb701b863e0b428a3c59e2bcc85c44&epc_hash=4TxT3bnvdjPFojNTWq9Qj0njmYwfx4XPn-L9VwlZV3Q

<form accept-charset="UTF-8" method="post" action="https://go.enlivenhealth.co/email-preference-center?ehash=c3760fe48528093fbe28782ff48711f11bdb701b863e0b428a3c59e2bcc85c44&amp;epc_hash=4TxT3bnvdjPFojNTWq9Qj0njmYwfx4XPn-L9VwlZV3Q" class="form"
  id="pardot-form">
  <p>Select which lists you would like to receive email communications from.</p>
  <p class="form-field  pd-email required    %%form-field-dependency-css%%">
    <label class="field-label" for="piEmailPrefEmail">Email Address</label>
    <input type="text" name="piEmailPrefEmail" id="piEmailPrefEmail" value="c*******e@m*****n.ca" class="text" readonly="readonly">
  </p>
  <div id="error_for_piEmailPrefEmail" style="display:none"></div>
  <p class="form-field  %%form-field-class-type%% required    %%form-field-dependency-css%%">
    <input type="hidden" name="piEmToken" id="piEmToken" value="s-P1LGr5-tyqB5PFN93sUh7f9y47gf_tOSjbnugzMgo" readonly="readonly">
  </p>
  <div id="error_for_piEmToken" style="display:none"></div>
  <p class="form-field email-pref pd-checkbox     %%form-field-dependency-css%%">
    <input type="checkbox" name="list[]" id="list_52879" value="52879" checked="checked">&nbsp;<label class="inline" for="list_52879">Industry Insights, Newsletters &amp; Product Offers</label>
    <span class="description">Stay up to date with the latest news and educational content to help you grow your pharmacy business</span>
  </p>
  <div id="error_for_list_52879" style="display:none"></div>
  <p class="form-field email-pref pd-checkbox     %%form-field-dependency-css%%">
    <input type="checkbox" name="list[]" id="list_52882" value="52882" checked="checked">&nbsp;<label class="inline" for="list_52882">Webinars &amp; Event Updates</label>
    <span class="description">Invitations to monthly webinars and the latest on eventas and conferences where you can meet with the EnlivenHealth team</span>
  </p>
  <div id="error_for_list_52882" style="display:none"></div>
  <p class="form-field %%form-field-css-classes%% %%form-field-class-type%%   no-label  %%form-field-dependency-css%%">
    <a href="https://go.enlivenhealth.co/unsubscribe/u/903311/c3760fe48528093fbe28782ff48711f11bdb701b863e0b428a3c59e2bcc85c44/335101285" onclick="return confirm(this.getAttribute('data-confirm'));" data-confirm="Are you sure you want to opt out from all future email communications?" target="_top">Opt out from all email communications</a>
  </p>
  <div id="error_for_gUnsub" style="display:none"></div>
  <p style="position:absolute; width:190px; left:-9999px; top: -9999px;visibility:hidden;">
    <label for="pi_extra_field">Comments</label>
    <input type="text" name="pi_extra_field" id="pi_extra_field">
  </p>
  <!-- forces IE5-8 to correctly submit UTF8 content  -->
  <input name="_utf8" type="hidden" value="☃">
  <p class="submit">
    <input type="submit" accesskey="s" value="Save Preferences">
  </p>
  <script type="text/javascript">
    //<![CDATA[
    var anchors = document.getElementsByTagName("a");
    for (var i = 0; i < anchors.length; i++) {
      var anchor = anchors[i];
      if (anchor.getAttribute("href") && !anchor.getAttribute("target")) {
        anchor.target = "_top";
      }
    }
    //]]>
  </script>
</form>

Text Content

Select which lists you would like to receive email communications from.

Email Address







 Industry Insights, Newsletters & Product Offers Stay up to date with the latest
news and educational content to help you grow your pharmacy business



 Webinars & Event Updates Invitations to monthly webinars and the latest on
eventas and conferences where you can meet with the EnlivenHealth team



Opt out from all email communications



Comments



© 2024 EnlivenHealth®

 * Privacy
 * Terms
 * Support