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portal.letsdiskus.com Open in urlscan Pro
50.97.237.162  Public Scan

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URL: https://portal.letsdiskus.com/
Submission: On November 23 via manual from PK — Scanned from DE

Form analysis 1 forms found in the DOM

<form class="">
  <div class="row">
    <div class="d-flex justify-content-center flex-column col-lg-12 col-md-12 col-sm-12"><input required="" width="100%" placeholder="Email" maxlength="160" class="EmailValidation_inputEmailField__BCBiu form-control" value=""></div>
  </div>
  <div class="row">
    <div class="col">
      <p class="EmailValidation_errorMessage-inLogin_hidden__yQWYP"></p>
    </div>
  </div>
  <div class="row">
    <div class="d-flex gap-2 align-items-center col-lg-12 col-md-12 col-sm-12">
      <div class="">
        <p></p><label class="ant-checkbox-wrapper EmailValidation_RememberEmail__zeHL3"><span class="ant-checkbox"><input type="checkbox" class="ant-checkbox-input" value=""><span class="ant-checkbox-inner"></span></span></label>
        <p></p>
      </div><span class="Remember_checkbox_styles Arabicstyles_Subtotal_Not_include_taxes">Remember Email</span>
    </div>
  </div>
  <div class="mt-4 mb-1 d-flex justify-content-center row">
    <div class="d-flex justify-content-center   col-lg-12 col-md-12 col-sm-12"><button class="EmailValidation_Next_button_EmailVerify__C4-Ao btn btn-primary"><span></span><span>Next</span><span></span><img draggable="false"></button></div>
  </div>
</form>

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