www.briggshealthcare.com Open in urlscan Pro
95.100.146.32  Public Scan

Form analysis
3 forms found in the DOM

GET /search

<form class="site-search-content-form" method="GET" action="/search" data-action="search">
  <div class="site-search-content-input">
    <div data-view="ItemsSeacher"><!-- TEMPLATE STARTS: itemssearcher-->
      <span class="twitter-typeahead" style="position: relative; display: inline-block; direction: ltr;"><input data-type="search-input" class="itemssearcher-input typeahead tt-hint" type="search" autocomplete="off" maxlength="40" readonly=""
          spellcheck="false" tabindex="-1" style="position: absolute; top: 0px; left: 0px; border-color: transparent; box-shadow: none; opacity: 1;"><input data-type="search-input" class="itemssearcher-input typeahead tt-input"
          placeholder="Search for products" type="search" autocomplete="off" maxlength="40" spellcheck="false" dir="auto" style="position: relative; vertical-align: top; background-color: transparent;">
        <pre aria-hidden="true" style="position: absolute; visibility: hidden; white-space: pre;"></pre><span class="tt-dropdown-menu" style="position: absolute; top: 100%; left: 0px; z-index: 100; display: none; right: auto;">
          <div class="tt-dataset-0"></div>
        </span>
      </span>
      <!-- TEMPLATE ENDS: itemssearcher -->
    </div><i class="site-search-input-icon"></i><a class="site-search-input-reset" data-type="search-reset"><i class="site-search-input-reset-icon"></i></a>
  </div><button class="site-search-button-submit" type="submit">Go</button><a href="#" class="site-search-button-close" data-action="hide-sitesearch">Close</a>
</form>

<form class="login-register-login-form" novalidate="">
  <fieldset class="login-register-login-form-fieldset">
    <div class="login-register-login-form-controls-group" data-validation="control-group"><label class="login-register-login-form-label" for="login-email"> Email Address <small class="login-register-login-form-required">*</small> </label>
      <div class="login-register-login-form-controls" data-validation="control"><input type="email" name="email" id="login-email" class="login-register-login-form-input" placeholder="your@email.com"></div>
    </div>
    <div class="login-register-login-form-controls-group" data-validation="control-group"><label class="login-register-login-form-label" for="login-password"> Password <small class="login-register-login-form-required">*</small> </label>
      <div class="login-register-login-form-controls" data-validation="control"><input type="password" name="password" id="login-password" class="login-register-login-form-input"></div>
    </div>
    <div class="login-register-login-form-controls-group" data-validation="control-group">
      <div class="login-register-login-form-controls" data-validation="control"><input value="true" type="hidden" name="redirect"></div>
    </div>
    <div data-type="alert-placeholder" class="login-register-login-form-messages"> </div>
    <div class="login-register-login-form-controls-group" data-type="form-login-action"><button type="submit" class="login-register-login-submit" data-action="login-button"> Log In
      </button><a class="login-register-login-forgot" data-action="forgot-password" href="/forgot-password"> Forgot password? </a></div>
  </fieldset>
</form>

POST

<form class="login-register-register-form" method="POST" novalidate=""><small class="login-register-register-required">Required <span class="login-register-register-form-required">*</span></small>
  <div class="login-register-register-form-controls-group" data-validation="control-group"><label class="login-register-register-form-label" for="register-firstname"> First Name <small class="login-register-register-form-required">*</small> </label>
    <div class="login-register-register-form-controls" data-validation="control"><input autofocus="" type="text" name="firstname" id="register-firstname" class="login-register-register-form-input"></div>
  </div>
  <div class="login-register-register-form-controls-group" data-validation="control-group"><label class="login-register-register-form-label" for="register-lastname"> Last Name <small class="login-register-register-form-required">*</small> </label>
    <div class="login-register-register-form-controls" data-validation="control"><input type="text" name="lastname" id="register-lastname" class="login-register-register-form-input"></div>
  </div>
  <div class="login-register-register-form-controls-group" data-validation="control-group"><label class="login-register-register-form-label" for="register-company"> Company <small class="login-register-register-form-optional">(optional)</small>
    </label>
    <div class="login-register-register-form-controls" data-validation="control"><input type="text" name="company" id="register-company" class="login-register-register-form-input"></div>
  </div>
  <div class="login-register-register-form-controls-group" data-validation="control-group"><label class="login-register-register-form-label" for="register-email"> Email Address <small class="login-register-register-form-required">*</small> </label>
    <div class="login-register-register-form-controls" data-validation="control"><input type="email" name="email" id="register-email" class="login-register-register-form-input" placeholder="your@email.com">
      <p class="login-register-register-form-help-block"><small> We need your email address to contact you about your order. </small></p>
    </div>
  </div>
  <div class="login-register-register-form-controls-group" data-validation="control-group"><label class="login-register-register-form-label" for="register-password"> Password <small class="login-register-register-form-required">*</small> </label>
    <div class="login-register-register-form-controls" data-validation="control"><input type="password" name="password" id="register-password" class="login-register-register-form-input"></div>
  </div>
  <div class="login-register-register-form-controls-group" data-validation="control-group"><label class="login-register-register-form-label" for="register-password2"> Re-Enter Password <small class="login-register-register-form-required">*</small>
    </label>
    <div class="login-register-register-form-controls" data-validation="control"><input type="password" name="password2" id="register-password2" class="login-register-register-form-input"></div>
  </div>
  <div class="login-register-register-form-controls-group" data-validation="control-group">
    <div class="login-register-register-form-controls" data-validation="control"><input value="true" type="hidden" name="redirect"></div>
  </div>
  <div class="login-register-register-form-controls-group"><label class="login-register-register-form-label"><input type="checkbox" name="emailsubscribe" id="register-emailsubscribe" value="T"> Yes, Please sign me up for Briggs Healthcare exclusive
      offers and promotions </label></div>
  <div class="login-register-register-form-messages" data-type="alert-placeholder"></div>
  <div class="login-register-register-form-controls-group"><button type="submit" class="login-register-register-form-submit"> Create Account </button></div>
</form>

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