ghb-portalsignup.fibersmith.systems
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Submitted URL: http://ghb-portalsignup.fibersmith.systems/
Effective URL: https://ghb-portalsignup.fibersmith.systems/portal-signup
Submission: On August 20 via api from US — Scanned from DE
Effective URL: https://ghb-portalsignup.fibersmith.systems/portal-signup
Submission: On August 20 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form _ngcontent-hvp-c118="" novalidate="" class="loginForm ng-untouched ng-pristine ng-invalid">
<div _ngcontent-hvp-c118="" layout="row" layout-align="center center" style="width: 100%;"><mat-radio-group _ngcontent-hvp-c118="" role="radiogroup" name="fieldType" required=""
class="mat-radio-group quickbillpay-radio-group ng-untouched ng-pristine ng-valid"><mat-radio-button _ngcontent-hvp-c118="" value="phonenumber" class="mat-radio-button mat-accent mat-radio-checked" tabindex="-1" id="mat-radio-2"><label
class="mat-radio-label" for="mat-radio-2-input">
<div class="mat-radio-container">
<div class="mat-radio-outer-circle"></div>
<div class="mat-radio-inner-circle"></div><input type="radio" class="mat-radio-input cdk-visually-hidden" id="mat-radio-2-input" tabindex="0" required="" name="fieldType" value="phonenumber">
<div mat-ripple="" class="mat-ripple mat-radio-ripple mat-focus-indicator">
<div class="mat-ripple-element mat-radio-persistent-ripple"></div>
</div>
</div>
<div class="mat-radio-label-content"><span style="display: none;"> </span> Use Phone Number </div>
</label></mat-radio-button><mat-radio-button _ngcontent-hvp-c118="" value="accountnumber" class="mat-radio-button mat-accent" tabindex="-1" id="mat-radio-3"><label class="mat-radio-label" for="mat-radio-3-input">
<div class="mat-radio-container">
<div class="mat-radio-outer-circle"></div>
<div class="mat-radio-inner-circle"></div><input type="radio" class="mat-radio-input cdk-visually-hidden" id="mat-radio-3-input" tabindex="0" required="" name="fieldType" value="accountnumber">
<div mat-ripple="" class="mat-ripple mat-radio-ripple mat-focus-indicator">
<div class="mat-ripple-element mat-radio-persistent-ripple"></div>
</div>
</div>
<div class="mat-radio-label-content"><span style="display: none;"> </span> Use Account Number </div>
</label></mat-radio-button></mat-radio-group></div>
<div _ngcontent-hvp-c118="" class="ng-star-inserted"><mat-form-field _ngcontent-hvp-c118="" appearance="outline"
class="mat-form-field ng-tns-c60-1 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-outline mat-form-field-can-float ng-untouched ng-pristine ng-invalid" style="width: 85%;">
<div class="mat-form-field-wrapper ng-tns-c60-1">
<div class="mat-form-field-flex ng-tns-c60-1">
<div class="mat-form-field-outline ng-tns-c60-1 ng-star-inserted">
<div class="mat-form-field-outline-start ng-tns-c60-1"></div>
<div class="mat-form-field-outline-gap ng-tns-c60-1"></div>
<div class="mat-form-field-outline-end ng-tns-c60-1"></div>
</div>
<div class="mat-form-field-outline mat-form-field-outline-thick ng-tns-c60-1 ng-star-inserted">
<div class="mat-form-field-outline-start ng-tns-c60-1"></div>
<div class="mat-form-field-outline-gap ng-tns-c60-1"></div>
<div class="mat-form-field-outline-end ng-tns-c60-1"></div>
</div><!----><!----><!---->
<div class="mat-form-field-infix ng-tns-c60-1"><input _ngcontent-hvp-c118="" placeholder="Phone Number" type="tel" name="phonenumber" pattern="^\(?\d{3}\)?[- ]?\d{3}[- ]?\d{4}$" matinput="" required=""
class="mat-input-element mat-form-field-autofill-control ng-tns-c60-1 ng-untouched ng-pristine cdk-text-field-autofill-monitored ng-invalid" id="mat-input-0" data-placeholder="Phone Number" aria-invalid="false"
aria-required="true"><span class="mat-form-field-label-wrapper ng-tns-c60-1"><!----></span></div><!---->
</div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c60-1"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c60-1 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
<div class="mat-form-field-hint-spacer ng-tns-c60-1"></div>
</div><!---->
</div>
</div>
</mat-form-field></div><!----><!---->
<div _ngcontent-hvp-c118="" class="ng-star-inserted"><mat-form-field _ngcontent-hvp-c118="" appearance="outline"
class="mat-form-field ng-tns-c60-2 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-outline mat-form-field-can-float ng-untouched ng-pristine ng-invalid" style="width: 85%;">
<div class="mat-form-field-wrapper ng-tns-c60-2">
<div class="mat-form-field-flex ng-tns-c60-2">
<div class="mat-form-field-outline ng-tns-c60-2 ng-star-inserted">
<div class="mat-form-field-outline-start ng-tns-c60-2"></div>
<div class="mat-form-field-outline-gap ng-tns-c60-2"></div>
<div class="mat-form-field-outline-end ng-tns-c60-2"></div>
</div>
<div class="mat-form-field-outline mat-form-field-outline-thick ng-tns-c60-2 ng-star-inserted">
<div class="mat-form-field-outline-start ng-tns-c60-2"></div>
<div class="mat-form-field-outline-gap ng-tns-c60-2"></div>
<div class="mat-form-field-outline-end ng-tns-c60-2"></div>
</div><!----><!----><!---->
<div class="mat-form-field-infix ng-tns-c60-2"><input _ngcontent-hvp-c118="" placeholder="Customer Last Name" matinput="" name="lastname" required=""
class="mat-input-element mat-form-field-autofill-control ng-tns-c60-2 ng-untouched ng-pristine cdk-text-field-autofill-monitored ng-invalid" id="mat-input-1" data-placeholder="Customer Last Name" aria-invalid="false"
aria-required="true"><span class="mat-form-field-label-wrapper ng-tns-c60-2"><!----></span></div><!---->
</div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c60-2"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c60-2 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
<div class="mat-form-field-hint-spacer ng-tns-c60-2"></div>
</div><!---->
</div>
</div>
</mat-form-field></div><!---->
<p _ngcontent-hvp-c118="" class="ng-star-inserted"><a _ngcontent-hvp-c118="" style="text-decoration: none; color: rgba(0, 0, 0, 0.84); font-size: 13px;" href="https://ghbportal.fibersmith.systems">Already have an account? Log In</a></p>
<!----><button _ngcontent-hvp-c118="" color="accent" name="submit" type="submit" class="continue-button" disabled=""><span _ngcontent-hvp-c118="" class="continue-button-label">Continue <svg _ngcontent-hvp-c118="" aria-hidden="true"
focusable="false" width="8px" height="12px" viewBox="0 0 8 12" version="1.1" xmlns="http://www.w3.org/2000/svg" class="icon-text">
<g _ngcontent-hvp-c118="" stroke="none" stroke-width="1" fill="none" fill-rule="evenodd">
<g _ngcontent-hvp-c118="" transform="translate(-148.000000, -32.000000)" fill="#FFFFFF">
<polygon _ngcontent-hvp-c118="" id="Shape" points="148 33.4 149.4 32 155.4 38 149.4 44 148 42.6 152.6 38"></polygon>
</g>
</g>
</svg></span></button>
</form>Text Content
GHB WELCOME TO PORTAL ACCOUNT SETUP Use Phone Number Use Account Number Already have an account? Log In Continue