subscriptions.ahrq.gov Open in urlscan Pro
209.134.144.79  Public Scan

Form analysis
1 forms found in the DOM

POST /accounts/USAHRQ/subscriber/qualify

<form action="/accounts/USAHRQ/subscriber/qualify" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token"
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  <fieldset id="quick_subscribe_new">
    <legend>
      <h1> E-mail Updates </h1>
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    <div id="quick_subscribe_new_instructions">
      <p>To sign up for updates or to access your subscriber preferences, please enter your E-mail address.</p>
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    </div>
    <ol class="form">
      <li class="email_fields" style="display: block">
        <label for="email"><img class="required" alt="" aria-hidden="true" src="https://content.govdelivery.com/images/required.gif">Email Address</label>
        <input type="email" name="email" id="email" value="" class="long email_text_field" required="required">
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    <span aria-hidden="aria-hidden" style="display: none">
      <label for="name"><img class="required" alt="" aria-hidden="true" src="https://content.govdelivery.com/images/required.gif">Name</label>
      <input type="text" name="name" id="name" value="" aria-disabled="true" autocomplete="off">
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    <div class="button_panel">
      <input type="submit" name="commit" value="Submit" data-disable-with="Submit"><input type="button" value="Cancel" class="cancel_button">
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</form>

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