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Form analysis
1 forms found in the DOM

JavaScript:void(0);

<form id="attributeVerification" action="JavaScript:void(0);">
  <div id="passwordEntryMismatch" class="error pageLevel" style="display: none;" aria-hidden="true">The password entry fields do not match. Please enter the same password in both fields and try again.</div>
  <div id="requiredFieldMissing" class="error pageLevel" style="display: none;" aria-hidden="true">A required field is missing. Please fill out all required fields and try again.</div>
  <div id="fieldIncorrect" class="error pageLevel" style="display: none;" aria-hidden="true">One or more fields are filled out incorrectly. Please check your entries and try again.</div>
  <div id="claimVerificationServerError" class="error pageLevel" style="display: none;" aria-hidden="true"></div>
  <div id="attributeList" class="attr">
    <ul>
      <li class="EmailBox email_li">
        <div class="attrEntry"><label id="email_label" for="email">Email Address</label>
          <div class="error itemLevel" role="alert"></div><input id="email" class="textInput" type="email" placeholder="Email Address" aria-label="Email Address"
            pattern="^[a-zA-Z0-9!#$%&amp;'+^_`{}~-]+(?:\.[a-zA-Z0-9!#$%&amp;'+^_`{}~-]+)*@(?:[a-zA-Z0-9](?:[a-zA-Z0-9-]*[a-zA-Z0-9])?\.)+[a-zA-Z0-9](?:[a-zA-Z0-9-]*[a-zA-Z0-9])?$" title="Email address that can be used to contact you."
            autofocus="autofocus"><a class="helpLink tiny" href="javascript:void(0)" data-help="Email address that can be used to contact you.">What is this?</a>
        </div>
      </li>
      <li class="Password newPassword_li">
        <div class="attrEntry"><label id="newPassword_label" for="newPassword">New Password</label>
          <div class="error itemLevel" role="alert"></div><input id="newPassword" class="textInput" type="password" placeholder="New Password" aria-label="New Password" title="Enter new password" autocomplete="new-password"
            aria-required="true"><a class="helpLink tiny" href="javascript:void(0)" data-help="Enter new password">What is this?</a>
        </div>
      </li>
      <li class="Password reenterPassword_li">
        <div class="attrEntry"><label id="reenterPassword_label" for="reenterPassword">Confirm New Password</label>
          <div class="error itemLevel" role="alert"></div><input id="reenterPassword" class="textInput" type="password" placeholder="Confirm New Password" aria-label="Confirm New Password" title="Confirm new password" autocomplete="new-password"
            aria-required="true"><a class="helpLink tiny" href="javascript:void(0)" data-help="Confirm new password">What is this?</a>
        </div>
      </li>
    </ul>
  </div>
  <div class="buttons">
    <button id="continue" type="submit" form="attributeVerification" aria-disabled="false" aria-label="Create">Start My Application</button><button id="cancel" aria-label="Cancel" formnovalidate="">Cancel</button>
  </div>
  <div class="verifying-modal">
    <div id="verifying_blurb"></div>
  </div>
</form>

Text Content

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HERE'S YOUR SIENA EXPRESS APPLICATION

This application is free and takes less than 10 minutes to complete.


USER DETAILS



Please provide the following details.

The password entry fields do not match. Please enter the same password in both
fields and try again.
A required field is missing. Please fill out all required fields and try again.
One or more fields are filled out incorrectly. Please check your entries and try
again.

 * Email Address
   
   What is this?
 * New Password
   
   What is this?
 * Confirm New Password
   
   What is this?

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