e.emailksa.com Open in urlscan Pro
54.201.15.227  Public Scan

Form analysis
1 forms found in the DOM

GET /prefs/9z4zq2n41d651l9jbp2ivh6hlstjabk5abu2u198fog

<form action="/prefs/9z4zq2n41d651l9jbp2ivh6hlstjabk5abu2u198fog" method="get" role="form">
  <div id="updates_div">
    <h4>Your email address: <span style="font-size:15px; font-weight:bold;"> janette.stahr@westchester.com <input type="hidden" value="janette.stahr@westchester.com" name="email_addr">
      </span>
    </h4>
    <div class="email_confirm_msg" style="padding-bottom:10px;"> (A confirmation email will be sent to this address) </div>
    <div id="refresh_form_msg">
      <a href="/panerasettlement/prefs">Please click here if
              janette.stahr@westchester.com is not your email address.</a>
    </div>
    <div class="radio">
      <label>
        <input type="radio" name="subscribe" value="optin" checked=""> Yes, please send email from <span class="client_name"> Panera Settlement</span> to the address above. </label>
    </div>
    <div class="radio">
      <label>
        <input type="radio" name="subscribe" value="optout"> No, please stop sending email from <span class="client_name"> Panera Settlement</span> to the address above. </label>
    </div>
    <div class="radio">
      <label>
        <input type="radio" name="subscribe" value="change"> Please change my email address from the address above to:&nbsp; <input type="text" style="margin-top:10px;" tabindex="2" name="new_addr" class="form-control" size="30">
      </label>
    </div>
    <div id="change_email">
      <div class="email_confirm_msg"> (new email address) </div>
    </div>
  </div>
  <!--
<hr>
	<div id="freq_div" class="form-group">
            <h4>How often would you like to hear from us:</h4>
            <label class="checkbox-inline no_indent">
	    <select name="email_frequency_limit"><option selected value="0">Include me on all mailings<option value="7">No more than once a week<option value="30">No more than once a month</select>

	    </label>
         </div>
-->
  <hr>
  <div id="sms_div" class="form-group">
    <div> Mobile Phone (optional): </div>
    <div class="mobile_field">
      <input type="text" style="margin-top:10px;" value="" tabindex="2" name="mobile_phone" class="form-control" size="30">
    </div>
  </div>
  <div class="row" align="left" style="padding-bottom:50px;">
    <div class="col-xs-6 col-sm-8 col-md-10">
      <input tabindex="7" class="btn btn-primary  " type="submit" value="Change Subscription" name="submit" id="submit">
    </div>
  </div>
</form>

Text Content

Panera Settlement Subscription Form


SUBSCRIPTION CENTER

We want you to enjoy receiving email from Panera Settlement. To modify your
subscription, change your settings below and click Change Subscription. You will
receive an email confirming your changes have taken effect.

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YOUR EMAIL ADDRESS: JANETTE.STAHR@WESTCHESTER.COM

(A confirmation email will be sent to this address)
Please click here if janette.stahr@westchester.com is not your email address.
Yes, please send email from Panera Settlement to the address above.
No, please stop sending email from Panera Settlement to the address above.
Please change my email address from the address above to: 
(new email address)

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Mobile Phone (optional):