portal.fastcourier.com.au Open in urlscan Pro
52.65.53.11  Public Scan

Form analysis
1 forms found in the DOM

POST https://portal.fastcourier.com.au/sign-up

<form class="form w-100" method="POST" action="https://portal.fastcourier.com.au/sign-up">
  <input type="hidden" name="_token" value="B8iGLDO2xVzHag7rb7XXDaffJsM8MVPen6U9NvOP"> <!--begin::Heading-->
  <div class="mb-10 text-center">
    <!--begin::Title-->
    <h1 class="text-dark mb-3">Create an Account</h1>
    <!--end::Title-->
    <!--begin::Link-->
    <div class="text-gray-400 fw-bold fs-4">Already have an account? <a href="https://portal.fastcourier.com.au/login" class="link-primary fw-bolder">Sign in here</a>
    </div>
    <!--end::Link-->
  </div>
  <!--end::Heading-->
  <!--begin::Input group-->
  <div class="row fv-row mb-7">
    <!--begin::Col-->
    <div class="col-xl-6">
      <label class="form-label fw-bolder text-dark fs-6">First Name</label>
      <input class="form-control form-control-lg form-control-solid" type="text" placeholder="" name="first_name" autocomplete="off" value="">
    </div>
    <!--end::Col-->
    <!--begin::Col-->
    <div class="col-xl-6">
      <label class="form-label fw-bolder text-dark fs-6">Last Name</label>
      <input class="form-control form-control-lg form-control-solid" type="text" placeholder="" name="last_name" autocomplete="off" value="">
    </div>
    <!--end::Col-->
  </div>
  <!--end::Input group-->
  <!--begin::Input group-->
  <div class="fv-row mb-7">
    <label class="form-label fw-bolder text-dark fs-6">Email</label>
    <input class="form-control form-control-lg form-control-solid" type="email" placeholder="" name="email" autocomplete="off" value="">
  </div>
  <!--end::Input group-->
  <div class="fv-row mb-7">
    <label class="form-label fw-bolder text-dark fs-6">Company (Optional)</label>
    <input class="form-control form-control-lg form-control-solid" type="text" placeholder="" name="company_name" autocomplete="off" value="">
  </div>
  <!--end::Input group-->
  <!--begin::Input group-->
  <div class="mb-10 fv-row" data-kt-password-meter="true">
    <!--begin::Wrapper-->
    <div class="mb-1">
      <!--begin::Label-->
      <label class="form-label fw-bolder text-dark fs-6">Password</label>
      <!--end::Label-->
      <!--begin::Input wrapper-->
      <div class="position-relative mb-3">
        <input class="form-control form-control-lg form-control-solid" type="password" placeholder="" name="password" autocomplete="off" value="">
        <span class="btn btn-sm btn-icon position-absolute translate-middle top-50 end-0 me-n2" data-kt-password-meter-control="visibility">
          <i class="bi bi-eye-slash fs-2"></i>
          <i class="bi bi-eye fs-2 d-none"></i>
        </span>
      </div>
      <!--end::Input wrapper-->
    </div>
    <!--end::Wrapper-->
  </div>
  <!--end::Input group=-->
  <!--begin::Input group-->
  <div class="fv-row mb-5">
    <label class="form-label fw-bolder text-dark fs-6">Confirm Password</label>
    <input class="form-control form-control-lg form-control-solid" type="password" placeholder="" name="confirm_password" autocomplete="off">
  </div>
  <!--end::Input group-->
  <!--begin::Hidden Input group-->
  <div class="fv-row mb-5">
    <input type="hidden" name="refId" value="EYOKLDKRRM">
  </div>
  <!--end::Hidden Input group-->
  <!--begin::Actions-->
  <div class="text-center">
    <button type="submit" id="kt_sign_up_submit" class="btn btn-lg btn-primary">
      <span class="indicator-label">Submit</span>
      <span class="indicator-progress">Please wait... <span class="spinner-border spinner-border-sm align-middle ms-2"></span></span>
    </button>
  </div>
</form>

Text Content

CREATE AN ACCOUNT

Already have an account? Sign in here
First Name
Last Name
Email
Company (Optional)
Password

Confirm Password

Submit Please wait...