h.chartsmith.com Open in urlscan Pro
218.253.193.93  Public Scan

Form analysis
1 forms found in the DOM

POST /r/response/core/system/registration/

<form action="/r/response/core/system/registration/" method="post">
  <input type="hidden" name="t"
    value="eyJ0eXAiOiJKV1QiLCJhbGciOiJIUzUxMiJ9.eyJzdCI6MTcxNDQ2Mzc4NSwiZmkiOjE3MTQ0NjU1ODUsImlwIjoiMjE3LjExNC4yMTguMjQiLCJsbyI6ImgifQ.StfeMGe560aeet_NFw3pyc4lMxjJwosgreHtR2yMJOnrdudC_AWGkdYOYHqYXxnhljxGIbhpypeq2xpUzPh06A">
  <div class="input-line-register namespace">
    <label>Claim your site</label>
    <div><span class="hostname">sendsmith.com/</span>
      <input type="text" name="namespace" id="namespace" value="" maxlength="40" placeholder="yoursitename" autocomplete="off" autocapitalize="none">
    </div>
  </div>
  <div class="input-line-register name">
    <label>Name</label>
    <input type="text" name="first_name" id="first_name" value="" placeholder="First Name" maxlength="254" autocomplete="off">
    <input type="text" name="last_name" id="last_name" value="" placeholder="Last Name" mxlength="254" autocomplete="off">
    <div id="first_name_error">
    </div>
    <div id="last_name_error">
    </div>
  </div>
  <div class="input-line-register email-address">
    <label>Your Email Address</label>
    <input type="text" name="email_address" id="email_address" value="" maxlength="50" autocomplete="off" autocapitalize="none">
  </div>
  <div class="input-line-register password">
    <label>Create a Password</label>
    <input type="password" name="password" id="password" value="" maxlength="15" autocomplete="off">
  </div>
  <div class="input-line-register password-confirm">
    <label>Confirm your Password</label>
    <input type="password" name="password_confirm" id="password_confirm" value="" maxlength="15" autocomplete="off">
  </div>
  <div class="input-line-register"><label>Prove you're not a robot</label>
    <div class="captcha-inner"><img src="/r/response/core/plugin/captcha1/?q=57748542e097173622629cbe3e0f8336c8d619b544b584131aef45f60d2779ca0d3ec3d67b5b2a79eee208949425cb8e" id="captcha"
        align="left"><a href="#" onclick="document.getElementById('captcha').src='/r/response/core/plugin/captcha1/?q=57748542e097173622629cbe3e0f8336e95b954815450d9d81c1c0ac23946a0798690273bcee1a0228a7f1b01277dae2'+Math.floor((Math.random() * 90) + 10);document.getElementById('captcha-form').focus();" id="change-image">&nbsp;&nbsp;Not readable?<br>&nbsp;&nbsp;Change text.</a>
      <input type="text" name="captcha" id="captcha-form" placeholder="Enter the Text Above" maxlength="8" autocomplete="off" autocapitalize="none">
    </div>
  </div>
  <style>
    .captcha-inner img#captcha {
      float: left;
      margin: 0 15px 5px 0;
    }

    .captcha-inner {
      padding-left: 0;
    }

    .captcha-inner a {
      position: relative;
      top: 15px;
    }

    .captcha-inner input {
      display: block;
      width: 100%;
    }
  </style>
  <div class="input-line-register find-us">
    <label>Where did you hear about us?</label>
    <select name="find_us" id="find_us">
      <option value="">-- select --</option>
      <option value="email">Email</option>
      <option value="family+friend">Family or Friend</option>
      <option value="internetad">Internet Ad</option>
      <option value="mail">Mail</option>
      <option value="podcast">Podcast</option>
      <option value="radio">Radio</option>
      <option value="tvad">TV Ad</option>
      <option value="youtube">YouTube</option>
      <option value="other">Other</option>
    </select>
  </div>
  <div class="accept-agreement">
    <label class="checkWrapper">
      <input type="checkbox" name="accept_agreement" value="1"> I agree to the SendSmith <a href="/terms/" target="_blank">Terms of Service</a> and <a href="/privacy/" target="_blank">Privacy Policy</a>
    </label>
  </div>
  <div class="register-actions">
    <div class="registertext"> Already registered? <a class="login-link" href="/signin/">login</a>
    </div>
    <div class="registerbtn">
      <input type="submit" class="smith-btn" value="Register">
    </div>
  </div>
</form>

Text Content

   CREATE SENDSMITH ACCOUNT
   
   Claim your site
   sendsmith.com/
   Name
   
   
   Your Email Address
   Create a Password
   Confirm your Password
   Prove you're not a robot
     Not readable?
     Change text.
   Where did you hear about us? -- select --EmailFamily or FriendInternet
   AdMailPodcastRadioTV AdYouTubeOther
   I agree to the SendSmith Terms of Service and Privacy Policy
   Already registered? login
   
   
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