club.verychic.com Open in urlscan Pro
2606:4700:20::681a:462  Public Scan

Form analysis
2 forms found in the DOM

Name: form_subscription_users — POST https://club.verychic.com/fr/a/subscription

<form target="" action="https://club.verychic.com/fr/a/subscription" id="form_subscription_users" method="post" class="puzzle-form " name="form_subscription_users" data-mode="ajax">
  <input type="hidden" name="table" id="table" value="users">
  <input type="hidden" name="url_redirect" id="url_redirect" value="">
  <input type="hidden" name="formid" id="formid" value="form_subscription_users">
  <input type="hidden" name="formMode" id="formMode" value="ajax">
  <input type="hidden" name="modulename" id="modulename" value="users">
  <input type="hidden" name="index" id="index" value="">
  <input type="hidden" name="lp" value="fd25d8d80a038d673d7faa11c18e0dfd"><input type="hidden" name="utm_source" value="welcomemedia"><input type="hidden" name="utm_medium" value="escapadesprivees"><input type="hidden" name="utm_campaign"
    value="48266"><input type="hidden" name="utm_term" value=""><input type="hidden" name="utm_content" value=""><input type="hidden" name="registration_interest" value=""><input type="hidden" name="id" value="48266">
  <div id="control_group_maritalStatus" class="col-md-12 col-sm-12 col-xs-12 control-group radio nopadding">
    <div class="col-md-4 col-sm-4 col-xs-3">Civilité</div>
    <div class="controls col-md-8 col-xs-9 col-sm-8 btn-group" data-toggle="buttons"><label class="btn btn-primary " id="maritalStatus"><input type="radio" name="maritalStatus" value="ms" id="ms">Mlle</label><label class="btn btn-primary "
        id="maritalStatus"><input type="radio" name="maritalStatus" value="mme" id="mme">Mme</label><label class="btn btn-primary " id="maritalStatus"><input type="radio" name="maritalStatus" value="m" id="m">Mr</label></div>
  </div>
  <div class="clearfix"></div>
  <div id="control_group_firstName" class="col-sm-12 control-group  text">
    <div class="col-sm-12 controls "><input type="text" name="firstName" id="firstName" value="Daniel" maxlength="" placeholder="Prénom">
    </div>
  </div>
  <div id="control_group_lastName" class="col-sm-12 control-group  text">
    <div class="col-sm-12 controls "><input type="text" name="lastName" id="lastName" value="VAN DAMME" maxlength="" placeholder="Nom">
    </div>
  </div>
  <div id="control_group_email" class="col-sm-12 control-group  text">
    <div class="col-sm-12 controls "><input type="email" name="email" id="email" value="danielvandamme@hotmail.be" maxlength="" placeholder="Email">
    </div>
  </div>
  <div id="control_group_password" class="col-sm-12 control-group  password">
    <div class="col-sm-12 controls "><input type="password" name="password" id="password" value="" maxlength="" placeholder="Mot de passe (min. 5 caractères)">
    </div>
  </div>
  <div id="control_group_postalCode" class="col-sm-12 control-group  text">
    <div class="col-sm-12 controls "><input type="text" name="postalCode" id="postalCode" value="" maxlength="" placeholder="Code postal">
    </div>
  </div>
  <div id="control_group_cgu" class="col-sm-12 control-group  checkbox">
    <div class="col-sm-12 controls ">
      <div class="checkbox"><label><input type="checkbox" onclick="0" name="cgu[]" id="cgu" value="cgu">J'accepte les conditions générales de vente du site et de recevoir les newsletters de
          <a href="https://www.verychic.com">verychic.com <i class="glyphicon glyphicon-info-sign"></i></a></label></div>
    </div>
  </div>
  <div class="col-sm-12 control-group control_group_formBtns"><button class="btn btn-primary submitBtn" href="#">J'ACCÈDE AUX VENTES &gt;</button>
    <div class="controls"></div>
  </div>
</form>

POST

<form action="" method="POST">
  <input type="checkbox" id="member_acceptance" name="member_acceptance">
  <label for="member_acceptance">J'accepte la <a href="/files/confidentiality_fr.pdf" download="">Politique de confidentialité de Verychic</a>
  </label><br>
</form>

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