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

Form analysis
1 forms found in the DOM

GET /prefs/9z4zec4ffjr1htbm6jk7ht2mf0689310cdmriaujv5g

<form action="/prefs/9z4zec4ffjr1htbm6jk7ht2mf0689310cdmriaujv5g" method="get" role="form">
  <div id="updates_div">
    <h4>Your email address: <span style="font-size:15px; font-weight:bold;"> ann.norton@chubb.com <input type="hidden" name="email_addr" value="ann.norton@chubb.com">
      </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="/smithwashingtonsettlemen/prefs">Please click here if
              ann.norton@chubb.com is not your email address.</a>
    </div>
    <div class="radio">
      <label>
        <input type="radio" value="optin" name="subscribe" checked=""> Yes, please send email from <span class="client_name"> Smith-Washington Settlement</span> to the address above. </label>
    </div>
    <div class="radio">
      <label>
        <input type="radio" value="optout" name="subscribe"> No, please stop sending email from <span class="client_name"> Smith-Washington Settlement</span> to the address above. </label>
    </div>
    <div class="radio">
      <label>
        <input type="radio" value="change" name="subscribe"> Please change my email address from the address above to:&nbsp; <input type="text" size="30" style="margin-top:10px;" class="form-control" name="new_addr" tabindex="2">
      </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="" name="mobile_phone" tabindex="2" size="30" class="form-control">
    </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

Smith-Washington Settlement Subscription Form


SUBSCRIPTION CENTER

We want you to enjoy receiving email from Smith-Washington 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: ANN.NORTON@CHUBB.COM

(A confirmation email will be sent to this address)
Please click here if ann.norton@chubb.com is not your email address.
Yes, please send email from Smith-Washington Settlement to the address above.
No, please stop sending email from Smith-Washington Settlement to the address
above.
Please change my email address from the address above to: 
(new email address)

--------------------------------------------------------------------------------

Mobile Phone (optional):