wesleyprovidence.secure.munibilling.com Open in urlscan Pro
34.120.36.168  Public Scan

Form analysis
1 forms found in the DOM

POST /customers/sign_in

<form action="/customers/sign_in" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token"
    value="D18Rw2oFte6ga30OCSqzRZuvv5c59hHRTfvQ+5wQb5rI5FSaHduHUKh0cAytDPuiCJG1Z15snUbwouYj9Q2Uog==">
  <div>
    <label for="customer_user_name">User name</label><br>
    <input type="text" name="customer[user_name]" id="customer_user_name">
  </div>
  <div>
    <label for="customer_password">Password</label><br>
    <input type="password" name="customer[password]" id="customer_password">
  </div>
  <input value="336" type="hidden" name="customer[company_id]" id="customer_company_id">
  <div>
    <input name="customer[remember_me]" type="hidden" value="0"><input type="checkbox" value="1" name="customer[remember_me]" id="customer_remember_me"> <label for="customer_remember_me">Remember me</label>
  </div>
  <br>
  <input class="btn btn-primary" name="commit" value="Sign In" type="submit">
</form>

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WESLEY PROVIDENCE - CUSTOMER PORTAL


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